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07-3141 (SFD)n P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: c&ht 4 Xfv Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 07-00003141 - 78975 CALLE BRISA 649-450-040- - - DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 228044 Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm and penalty of perjury that 1 am licensed under provisions of Chapter 9 fcommencing with Section 7000) of ivision 3 of the Business and Professionals Code, and my License is in full force and effect. License ss: License No.: 2987 Dal ntractor: _ - �Qgl.te I hereby affirm under penalty of perjury that I am exempt from Lic nse Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project fSec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1 _) I am exempt under Sec. , B.&P.C. for this reason Date Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under -penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.I. Lender's Name: ' `1 Lender's Address: I" LQPER IIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/12/07 Owner: TD DESERT DEV C/O TOM CALLINAN 79285 RANCHO LA QUINTA DR LA QUINTA, CA 92253 D Contractor: TD DESERT DEVELOPMENT P FEB 2 8 2008 P O BOX 1716 LA QUINTA, CA 92247 CrnrOF (760) 771-1941 FINANCEI)r3� A� .I Lic. No.: 762987 ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier COMPWEST Policy Number CA005001482003 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become �' ct the workers' compensation provisions of Section 37 of the Labor Code, I sha rthwith c mpty with tho Bions, i ae't� scant: W, NI G: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NE HUNDRED THOUSAND DOLLARS 1$100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordi nces and state laws relating to ing s[ruct'on, and hereb thorize representatives of this cou y to a er upon the above-mentione roperty for in ection purpo ��' ature (Applicant or entl: Application Number . . . . . 07-00003141 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1091.00 Plan Check Fee 177.29 Issue Date Valuation . . . . 228044 Expiration Date 6/09/08 Qty Unit Charge Per Extension BASE FEE 639.50 129.00. ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 451.50 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 111.50 Plan Check Fee 6.97 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/09/08 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 33.00 6.00 6.5000 EA MECH VENT FAN 39.00 1.00 ---------------------------- 6.5000 EA MECH =----------------------------------------------- EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 119.05 Plan Check Fee . 7.44 Issue Date . . . . Valuation 0 Expiration Date , 6/09/08 Qty Unit Charge Per Extension BASE FEE• 15.00 2635.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 92.23 591.00 -----------------------------------------------=---------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.82 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 190.50 Issue Date . . . Expiration Date . . 6/09/08 Plan Check Fee . . Valuation . . . . Qty Unit Charge Per BASE FEE 20.00 6.0000 EA PLB FIXTURE 1.00 15.0000 EA PLB BUILDING SEWER LQPERAIIT Extension .15. 00 120.00 15.00. Application Number . . . . . 07-00003141 Permit PLUMBING Qty Unit Charge Per Extension 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00. 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 8.00 .7500 EA PLB GAS PIPE >=5 6.00 1.00 15.0000 ----------------------------------- EA PLB GAS METER ----------------------------------------- 15.00 Permit . . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . Valuation . . 0 Expiration Date 6/09/08 Qty Unit Charge Per Extension BASE FEE 15.00 -------------------------------------------------------------- Special Notes and Comments -------------- SFD - LOT 38, PLAN E1, 2635 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . .. ART IN PUBLIC PLACES -RES 70.11 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 17.73 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 22.80 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION .- RES 1930.00 Fee summary Charged Paid Credited -----------------------------------------------=--------- Due Permit Fee Total 1527.05 .00 .00 1527.05 Plan Check Total 203.61 .00 .00. 203.61 Other Fee Total 4585.64 .00 .00 4585.64 Grand Total 6316.30 .00 .00 6316.30 LQPERAIIT 0 Certificate of Occupancy • u��w Ina'aarosn�n� of 9w5 Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 78-975 CALLE BRISA 'Use classification: SINGLE FAMILY DWELLING Building Permit No.: 07-3141 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Owner of Building: TD DESERT DEV Address: 79-285 RANCHO LA QUINTA DR City, ST, ZIP: LA QUINTA, CA 92253 By: STEVE TRAXEL Date: JULY 22, 2009 Building Official POST IN A CONSPICUOUS PLACE