13-1695 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4
1, J
BUILDING 8c SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 13-0.000169.5 Owner:
Property Address: 80778 CASTILLO DEL AREANA AV CONSTRUCTION LLC
APN: 762-240-014-23 -34243315 315 S BEVERLY DR. 208
Application description: DWELLING - SINGLE FAMILY DETACHED { D A VERLY HILLS, CA 902,12
Property Zoning: RL AG/EQ OVERLAY
Application valuation: 245034 , ,
j 14AR ti ]422 qQ `fit
pplica : Architect or Engineer: L29nxt. TA VERDE BUILDERS, INC.
n 4,/) _ 1905 HIGHWAY 111, SUITE G
✓"s CHO .MIRAGE, CA 92270
(760)776-11,11
Lic. No.: OOR SQUARE .FOOT Lie. No.: 96921.9
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty ofpkjurthat I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the areas and Professionals Code, and my License is in full force and. effect.
License, lasts: B Lice o.: 969219
Date., - 7 Contractor:
OWNERER DECLARAT
I hereby affirm under penalty of perjury ti I am axe from.the C t or's State License Law for the
following reason (See. 7031:6, Business and Professi y city or county that requires a permit to
construct, atter, improve, demolish,or.repair any structure, prior to imissuance, also requiresthe 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 8 (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�Seetion 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) 1, as owner ofthe property, or my employeeswith wagesastheir.sole compensation, will do the work, and
the structure isnot 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 arenot 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business, and Professions Code: The Contractors'' State Ucense.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.).
(_) I amexemptunderSec. ; 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.).
Lender's Name: _
Lender's Address:
LQPERMIT
VOICE (760) 777-70.12
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/13/14
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 have and will maintain a certificate of consent toself-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 STATE FUND Policy Number 9006140
_ 1 certify that, in the, rfornrance of the work for which this permit is issued, 1 shall notemploy any
person in any me or so al to become subject the workers' compensation laws of California,
and agree that,
if Is Id become subject to the workers' nsation provisions of Section
11 3700.of the, Labor C 1 shall forcont rt those provision .
Date. A \ Applicant: _
WARNIN : FAILURE`TO SECURE WORKER COMPENSATIO COV UNLAWFUL AND SHALL,
SUBJECT AN EMPLOYER TO CRIMINAL PE LT.IES'AND CIV NES'UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO'THE.COST OF COMPENSATION, DAMAGES. AS PROVIDED FOR IN
SECTION 3708 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 am forth on this application.
1.. Each person upon whose behalf this application ismade, each person at whose request and for
whose benefit work is performed undei 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 Ouinta, 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 parmit.issued as,a result of'this application becomes null:and void if work is not commenced
within 180 days from date of isCa*ry
h permtt,orcessation of work for 180 days will subject
permit to cancellation.
I certify that'1 have read this application and staabove information.is correct. I agree to comply with all
city and county ordinances and state laws relatng construction, and hereby authorize representatives
ofthis unty o enter upon the above-mentionfor inspection purp s.
Date:'q Signature (Applicant or Ag
r
Application Number . . . . . 13-00001695
Permit . . BUILDING 2013
Additional desc
Permit Fee . . . . 599.19 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 245034
Expiration Date : . 9/09/14
Qty Unit Charge Per Extension
BASE FEE 573.43
46`.00 .5600 THOU BLDG $200,001-$1M 25.76
Permit . . ELECTRICAL 2013_
Additional desc . .
Permit Fee . . . . 191.15
Issue Date
Expiration Date . 9/09/14
Plan Check Fee . . .00
Valuation . . . . 0
Qty Unit Charge
Per
Extension
.00
23.8300
LS ELEC DEVICES, FIRST 20
.00
1.00
23.63'06
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 Plan Check Fee
.00
Issue Date
. . . .
Valuation . . .
. 0
Expiration
Date
9/09/14
Qty Unit Charge
Per
Extension
2.00
35.7500
EA MECH FURNACE
71.50
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
. . . .
286._07 Plan Check Fee
.00
Issue Date
. . . .
Valuation
0
Expiration
Date
9/'09/14.
Qty Unit Charge
Per
Extension
18.00
11.9200
EA PLBG FIXTURE/TRAP
214.56
1.00
11.9200
EA PLBG BUILDING SEWER
11.92
1.00
11.9200
EA PLBG WATER HEATER/VENT
11.92
LQPERMIT
LQPERMff
Application Number . . . . . 13-00001695
Permit . . . . . . PLUMBING 2013
Qty Unit Charge Per
Extension
1.00 11.9200 EA PLBG WATER INST/ALT/REP
11.92
1.00 35.7500 LS PLBG GAS SYS, 5+ OUTLETS
35.75
---------- -
Special Notes and Comments
2814 SF DWELLING - PLAN D3, LOT 23
[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 12:09:0.9 PM azarco.
--------------------------- --
Other Fees . . . . .. . . ART IN PUBLIC PLACES -RES
112.59
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
1278.00
PLAN CHECK, ELECTRICAL
69.13
DIF PARK MAINT FAC - RES
40.00
PLAN CHECK, MECHANICAL
128.71
PLAN CHECK, PLUMBING
269.38
DIF PARKS/REC - RES
2048.00
BLDG PC 200K -1M
1273.92
STRONG MOTION (SMI) - RES
24.50
TUMF: RESIDENTIAL
1837.44
DIF STREET MAINT FAC -RES
116.00
DIF TRANSPORTATION - RES'
2842.00
Fee summary Charged Paid Credited
Due
Permit Fee Total 1302.85 .00 .00
1302.85
Plan Check Total .00 .00 .00
.00
Other Fee Total 11897.67 .00 .00
11897.61
Grand Total 13200.52 .00 .00
13200.52