04-8259 (SFD)w
T4hf 4 4 Q"
AMPICO
AFORNIA 92253
Property Address . . .
APN:
Application description
Property Zoning . . . .
Application valuation .
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
-
(760),777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
. . . x,04-00008259 Date 3/24/05
81505 CARBONERAS
764-200-006-46 -316811-
. . . DWELLING - SINGLE FAMILY DETACHED
. . . LOW DENSITY RESIDENTIAL
. . . 439796
Owner
Contractor
------------------------
CORAL OPTION I
------------------------
TD DESERT DEVELOPMENT
LP
79295 RANCHO LA
QUINTA DR P 0 BOX 1716
LA QUINTA
CA 92253 LA QUINTA
CA 92247
(760) 771-1941
WCC: STATE FUND
WC: 372040000243
07/01/05
CSLB: 762987
05/31/05
CCC: B
-----------=--------------
Structure Information -------------------------
Construction Type . . . . . TYPE V - NON RATED
Occupancy Type
. . . . . . DWELLG/LODGING/LONG <=10
Flood Zone
NON -AO FLOOD ZONE
Other struct info
. . . . . CODE EDITION 2001
CBC
# BEDROOMS
4.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
791.00
PATIO SQ FTG
985.00
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
5089.00
---------------------------------------------------------------
Permit . . . .
. . BUILDING PERMIT
------------
Additional desc
. .
Permit Fee . .
. . 1829.50 Plan Check Fee
297.30
Issue Date . .
. . Valuation . . . .
439796
Qty Unit
Charge Per
Extension
BASE FEE
639.50
340.00
3.5000 THOU BLDG 100,001-500,000
1190.00
-----------------------------------
r
-----------------------------------------
Permit . . . .
. . MECHANICAL
Additional desc
Permit Fee . .
. . 139.00 Plan Check Fee
8.69
Issue Date . .
. . Valuation . . . .
0
Qty Unit
Charge Per
Extension
BASE FEE
15*. 00'
4.00
9.0000 EA MECH FURNACE <=100K
36.00
4.00
9.0000 EA MECH B/C <=3HP/100K BTU
36.00
7.00
6.5000 EA MECH VENT FAN
45.50
P.O. Box 1504�� VOICE (760) 777-7012
T-Vf
78-495 CALLE TAMPICO FAX (760) 777-701 I
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
pBUILDING & SAFETY DEPARTMENT
Application Number: 0446" Date: 4.2
Applicant: Architect or Engineer:
Applicant's Mailing Address:rchite t or Engineer's Address:
�� —� C*--,—kVraft-L-
ic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my Licenselis in full force and effect. to Z
cense Class f icense No. ��
__r/_ / 1— —1-
I
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State Lice a 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 ructure, 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 Contractors' State License Law (Chapter 9 (commencing with Section 7000) 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).):
U 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 or 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.).
U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , BA P.C. for this reason
WORKERS' COMPENSATION DECLARATION
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.
_)�LI 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. M workers' ompensation ms a carne and p�Jicy ,u-,nber are:
artier �747� Yc> N!� icy Number 7 [—o `f �o o OZC� ?j
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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions. /I r1
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
Lender's Name /�
Lenders Address A
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 n m nced within 180 dbys 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 inform _ is correc agree to co ply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county t titer u n th ove-mention propert f r inspection purposes.
e Z r Q Signature (Applicant or Agent):77
14
Application Number . . . . . 04-00008259
Page 2
Date 3/24/05
Qty Unit Charge
Per
Extension
1.00 6.5000
EA MECH EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit . . . . . . ELEC-NEW RESIDENTIAL
Additional desc . .
Permit Fee . . . .
208.94 Plan Check Fee
13.06
Issue Date . . . .
Valuation
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
5089.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
178.12
791.00 .0200
=---------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
15.82
Permit . . . . . . PLUMBING
Additional desc
Permit Fee . . . .
214.50 Plan Check Fee
13.41
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
22.00 6.0000
EA PLB FIXTURE
132.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
2.00 7.5000
EA PLB WATER HEATER/VENT
15.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
14.00 .7500
EA PLB GAS PIPE >=5
10.50
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
Qty Unit Charge
Per.
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and.Comments
SFD - LOT 46, PLAN 6AR, 5,089 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
-
-
--------------------------
Other Fees . . . . .
------------------------------------
. . . . ART IN PUBLIC PLACES -RES
------------
599.49
' DIF COMMUNITY CENTERS -RES
97.00
Ki.
Page 3
Application Number . . . . . 04700008259 Date 3/24/05
----------------------------------------------------------------------------
Other Fees . . . . . . . . DIF CIVIC CENTER - RES 366.00
ENERGY REVIEW FEE 29.73
DIF FIRE PROTECTION -RES 97.00
GRADING PLAN CHECK FEE .00
DIF LIBRARIES - RES 225.00
DIF PARK MAINT FAC - RES 5.00
DIF PARKS/REC - RES 502.00
STRONG MOTION (SMI) - RES .43.97
DIF STREET MAINT FAC -RES 15.00
DIF TRANSPORTATION - RES 1098.00
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged Paid
2406-.94
.00
332.46
.00
3078.19
.00
5817.59
.00
Credited Due
.00
2406.94
.00
332.46
.00
3078.19
.00
5817.59