13-1696 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 13-00'001696 Owner:
Property Address: 80764 CASTILLO DEL AREANA AV CONSTRUCTION LLC'.
APN: 762-240-014-22 -34243 - // 315 S BEVERLY DR.. 208
Application description: DWELLING - SINGLE FAMILY DETACHED j� BEVERLY HILLS, CA 90212
Property Zoning: RL AG/EQ OVERLAY A
Application valuation: 235719 G
t
ntractor:
Applicant: Archit t ngmeer: / ra A VERDE BUILDERS, INC:
C
c, % 905 HIGHWAY 111, SUITE G
` l/ '(76C O7MIRA1E, CA 92270
liiC. No. OOR SQUARE FOOT Lie. No.: 969219
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of= y that 1 am licensed under provisions of Chapter 9 (commencing with
Section 7000) of'Division 3 of the B 'n find Professionals.Code, and my License is in full force and effect.
License laB License N 9692
Date:. Ill ( Contractor:
OWNER-BUI CLARATION
I hereby affirm under penalty of perjury t at I am exempt fir the Contra tate License Law for the
following reason (Sec. 7031'.6, Busines and'Professions ode: An or courny that requires a`perrnit to
construct, alter, improve, demolish, or repair any structu , pri its'issuance, also:requires-the applicant for the
permit to file a signed statement that he or she islice rsuant to the provisions of the -Contractor's 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 (8600).:
1, 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 Lath does not apply to amownerof 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 nca'intended or affered°for sale. If; however, the building or improvement is sold within
one-year ofcompletion, the owner -builder will have the burden of proving_ that he or she did nobbuild or
improve for the. purpose of -sale.).
1 _ 1 I, as.owrier 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 town 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.).
(_) 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 construction lending agency for the performance of the
work.for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:.
LQPERMIT
.o
VOICE (760) 777-7012
FAX (760) 777-701.1
INSPECTIONS (760) 777-7153
------------------
WORKER'S COMPENSATION DECLARATION
Date: 3/13/14
IHereby 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 pe ormance of the work for which this permit is issued. My workers' compensation
insurance carri nd policy number are:
Carrier STATE FUND Policy Number 9006340
1 certify that, ih tfi ormance of the work for which this permit is issued, I shill,not employ any
person in any ma r sous to becomesubject to the workers' compensation laws of California,
and agree that if k1 become subject to the workers' co rovisions of Section
3700: of the Labo e, I shall.fonhwith comply a provisions.
Date. ('J 6-1 Applicant:
WARNING: FAILURE TO SECURE WOR RS'CO
OVERAGE IS U_NL AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CI L FINES U HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO HE COST OF CO ION. DAMAGES AS PROVIDED FOR IN
SECTION.3706lOF THE LABOR CODE, I REST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made lithe ,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-wirna, its officers, agents and employees for any act or omission related to the work being
performed under or following i ante of this, permit.
2. Any.permh issued as a result oft ' plication becomes null and void if work isnot commenced
within 180 days from date of issu such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I'heve read this application and stated - above information is torr - fee -to comply with all
Ty a oou ordinances and state laws relating to i ing construction, and reby author resentatives
of tit_ e`uym to enter upon the above-mentioned pro for inspection purpo
Date? 17 Signature (Applicant or Agent):
Application Number . . . . . 13-00001696
Permit . . . BUILDING 2013
Additional desc .
Permit Fee . . . . 593.59 Plan Check Fee 00
Issue Date . . Valuation . . . . 235719
Expiration Date 9/09/14
Qty Unit Charge Per Extension
BASE FEE 573.43
36.00 .5600 THOU BLDG $200,001-$1M 2.0.16
-------------------------------------------------------------------------------
Permit. .
Additional desc .
Permit Fee . . .
Issue Date . . .
Expiration Date..
ELECTRICAL 2013
191.15
9/09/14
Plan Check Fee .00'
Valuation . . . 0
Qty
Unit Charge
Per
Extension
Extension
.00
23.8300
LS
ELEC DEVICES,, FIRST 20
.00
1.00
.23.8300
EA
ELEC SERVICES
23.83
1.00
143..0000
LS
ELEC NEW RES, FIRST 1 KSF
143.00
2.00
12.1600
EA
ELEC NEW RES, ADD'L 1 KSF
24..32
Permit . . . MECHANICAL 2013
Additional desc . .
Permit Fee . . . . 226.44
Issue Date . .
Expiration Date . . 9/09/14
Plan Check Fee .00
Valuation _ . . 0
Qty Unit Charge
Per
Extension
2:00
35.7500
EA MECH
FURNACE
7.1.50
2.00
35.7500
EA MECH
CONDENSER/COMP
71..50.
6.00
11.9200
EA MECH
VENT FAN
71.52.
1.00
11.9200
EA MECH
EXHAUST HOOD
11.92
Permit
. . . PLUMBING 2013
Additional
desc . .
Permit Fee
. . . .
250.31
Plan Check. Fee
.00
Issue Date
. . . .
Valuation
0
Expiration
Date
9/09/14
Qty Unit. Charge
Per
Extension
15.00
11.9200
EA PLBG
FIXTURE/TRAP
178.80
1.00
11.9200
EA PLBG
BUILDING SEWER
11.92
1..00
11.9200
EA PLBG
WATER HEATER/VENT
11.92
LQPERMa
Application Number . . . . . 13-00001696
Permit . . . . . . PLUMBING 2013
Qty ' Unit Charge Per
Extension
1.00 11.9200 EA PLBG WATER INST/ALT/REP
11..92
.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS
.00
1.00 35.7500 LS PLBG GAS SYS, 5+ OUTLETS
35.75
----------------------------- - -------------
Special Notes and Comments
2668 SF DWELLING - PLAN J3., LOT 22.
[VB/RES-3/CLASS A-FR/13D/ENGINEERED]`
THIS PERMIT DOES NOT INCLUDE BLOCK
WALLS, POOL, SPA OR WATER FEATURES. 2010
CALIFORNIA BUILDING CODES.
January 27, 2014 3:0.8:21 PM azarco.
---- -------
Other Fees ART IN PUBLIC.PLACES-RES
89.30
BLDG STDS ADMIN (SB1473)
10.00
DIF COMMUNITY CENTERS -RES
129.00
DIF CIVIC CENTER - RES
942.00
DIF FIRE PROTECTION -RES
433.00
DIF LIBRARIES - RES
344.00
MULTI -SPECIES (MSHCP) FEE
1218.00
PLAN CHECK, ELECTRICAL
69.13
DIF PARK MAINT FAC - RES
40.00
PLAN CHECK, MECHANICAL
128.71
PLAN CHECK, PLUMBING
233.62
DIF PARKS/REC - RES
2048.00
BLDG PC 200K -1M
1261.22
STRONG MOTION (SMI) - RES
23.57
TUMF: RESIDENTIAL
1837.44
DIF STREET MAINT FAC -RES
116.00
DIF TRANSPORTATION - RES
2.842.00
Fee summary Charged Paid. Credited
Due
- -------- - ------- ----------
Permit Fee Total 1261.49 .00 .00
1261.49
Plan Check Total .0.0 .00 .00
.00
Other Fee Total 11824.99 .00 .00
11824.99
Grand Total 13086.48 .00 .00
13086.48
LQPERMff