BRES2015-005278-495 CALLE TAMPIC-
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LA QUINTA, CALIFORNIA 9253 4 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125'
FAX (760) 777-7011
INSPECTIONS (760) 777-7159
Date: 2/20/2015
Application Number:
BRES2015-0052
Owner:
Property Address:
46209 ROUDEL LN
ROUDEL VENTUFES
APN:
600040022
27682 COUNTRY CLUB DRIVE STE.
Application Description:
ROUDEL TM 31816 LOT 25 PLAN 2
PALM DESERT, CA 92211
Property Zoning:
Application Valuation:
$182,375.90
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Applicant:
Contractor:
ROUDEL VENTURESG
H A ENTERPRISES INC
o
27682 COUNTRY CLUB DRIVE STE.
30-875 DATE PALM DRIVE STE
m
PALM DESERT, CA 92211
CATHEDRAL CITY. CA 92234-37, 7
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(760)969-1400
Llc. No.: 750957
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 Professions Code, and
my License is in full force and effect..
License Class: B License No.: 750957
Dat Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License 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 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).:
( 11, 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, 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.).
(� 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.).
Lender's Na
Lender's Address:
i
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one ofthe following declarations:
TI have and will maintain a certificate of consent to self -insure for workers'
coAed.
tion, as provided for by Section 370E of the Labor Code, for the performance of
thwhich this permit is issued.
I have and will maintain workers' co npensation insurance, as required by
Se00 of the Labor Code, for the perfornance of the work for which this permit is
issy workers' compensation insurance carrier and policy number are:
Carrier: — Policy Number: _
I certify that in the performance of t ie 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 thst, if I should become subject to the
workers' compensation provision's of Section 3�,OQ of the Labor Code; I shall forthwith
comply with thos provisions. J
Date: �. Applicant:
WARNING: FAILURE TO SECURE WORKERS' CO°.APENSATIO OVERAGE 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 FOF IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
. APPLICANT ACKNOWLEDGEMENT .
IMP ORTANT:Application is hereby made to the Building Official 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 >�e 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 ordinances and state laws relating to building
construction, and hereby authorize representa¢ives of this citenter u on the above-
mentioned property for inspection purposes.
Date: Signature (Applicant c Agent)
fINANCIAL INFORMATION
£. DESCRIPTION': ACCOUNT ' QTY
AMOUNT.. PAID.' PAID DATE
BSAS SB1473 FEE 101-0000-20306 0
$8.00 $0.00
., .PAID BY,rMETHOD :.. RECEIPT #;�CHECK #;� CLTD BY.
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $8.00 $0.00
DESCRIPTIONS, ��
4 ACCOUNT : '
QTY
; .. "AMOUNT
•=PAID
PAID'DATE
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$0.00
PAID BY
METHOD , ,
.RECEIPT # <.� .F
` CHECK #. �. '' ° -
, CLTD'.BY
tDESGRIPTION
ACCOUNT r "
CITY '
AMOUNT
PAID "
oPAID"DATE
DIF - COMMUNITY CENTERS
254-0000-43200
0
$129.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY.
DESCRIPTION..
4� cq'ONT
QTY:
� ,, :i4MOUN,T
PAID �,g
°P1.AID DATE
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$0.00
} PAID BY s
s :METHOD;:
RECEIPT"#
CHECK #< ..
CLTD BY
DESCRIPTION �_ 4,,
, ACCOUNT
QTY,°AMOUNT'..PAID
PAIDDATE
DIF - LIBRARIES
253-0000-43200
0
$344.00
$0.00
PAID BY
` METHOD .
RECEIPT #"CHECK
#
`CLTD BY
DESCRIPTION a , a
x "� 'ACCOUNT
QTY1
AMOUNT',"
PAID �
PAID"DATE
DIF - PARK MAINTENANCE
256-0000-43200
0
$40.00
$0.00
3 PAID BY b.
'METH tx
RECEIPT # ";:.
CHECK #
CLTD BY _ -
' DESCRIPTION `
ACCOUNT a..
QTY
` ` .` aAMOUNT
PAID
' PAID DATE---------------:
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$0.00
PAID BY
_ METHOD s
RECEIPT# .:.
, ,CHECK#
CLTD"BY"
DESCRIPTION`°.
ACCOUNT
QTY
AMOUNT
`PAID) (.
PAID DATE
DIF - STREET MAINTENANCE
255-0000-43200
0
$116.00
$0.00
PAID BY r
` METHOD : - �;.�
RECEIPT # '
,
�CHfCK #`:
CLTD BY
r,.
' DESCRIPTION .•:�,;
ACCOUNT..` �;�
QTY
AMOUNT
PAID
. PAID 'DAT' -
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$0.00
' PAID BY
METHOD;
RECEIPT #
..,CHECK$f
CLTD`BY';
Total Paid for DIF - SINGLE FAMILY DWELLING, $6,894.00 $0.00.
DESCRIPTION
ACCOUNT,'.% r ''
QTY:,
AMOUNT -
PAID g
PAID DATE
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$0.00
PAID BY x
' METHOD
RECEIPT #II
CHECK`# '
CLTD BY !,
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $182.02 $0.00
DESCRIPTION .
2' ACCOUNT'' s
¢ t
AMOUNT
:. PAID
;PAID DATE
CONDENSER/COMPRESSOR
101-0000-42402
0
Total Paid forELECTRICAL: $24.17 $0.00
'DESCRIPTIO . `
'ACCOUNT 7 ;
QTY.
AMOUNTaRAIDDATE
RECEIPT # ,
{HECK #' ,�
a :CLTD BY
RESIDENTIAL, EA ADDITION 1,0005E
101-0000-42403
0
$36.99
$0.00
PAID DATE-
PAID BY
METHOD,:, --!RECEIPT
#
CHECK # `;
CLTD BY:
-' � PAID BY _
�r � METHOD '�'
�, ; ,RECEIPT # ''
CHECK # ."
�CLTD BY;,' `
r
,DESCRIPTION`
�< ACCOUNT b
QTY':
AMOUNT `
PAID }
DATE:;
PAID DATE
FURNACE
101-0000-42402
0
g fe
.PAID
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$145.03
$0.00
'
PAID BYE
METHOD
C
RECEIPT #
CHECK #.
r
Br,_
�, - . ._
_ `ACCOUNT
... _ r ..,
'. a:
a`CLTD
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $182.02 $0.00
DESCRIPTION .
2' ACCOUNT'' s
`QTY
AMOUNT
:. PAID
;PAID DATE
CONDENSER/COMPRESSOR
101-0000-42402
0
$36.26
$0.00
".METHOD ,>
RECEIPT # ,
{HECK #' ,�
a :CLTD BY
h.DESCRIPTION
ACCOUNT. h
QTY '
„` AMOUNT
:'PAID • -
PAID DATE-
EXHAUST HOOD
101-0000-42402
0
$12.09
$0.00
-' � PAID BY _
�r � METHOD '�'
�, ; ,RECEIPT # ''
CHECK # ."
�CLTD BY;,' `
r
""DESCRIPTION
-
ACCOUNT '.
QTY.'
AMOUNT `?
PAID
PAID DATE
FURNACE
101-0000-42402
0
$36.26
$0.00
,PAID BY.;', .;
METHOD ` .'�
RECEIPT#
,. CHECK#;`CLTD'BY
'
DESCRIPTION ,_ rx £} v
_ `ACCOUNT
QTY
AMOLIIV T j '
PAID
PAID DATE
VENT FAN
101-0000-42402
0
$48.36
$0.00
Brv.,>.
? METHOD'"
RECEIPT #
. .
CHECK #
CLTD BY
Total Paid for MECHANICAL: $132.97 $0.00
`;DESCRIPTION
ACCOUNT : ,,. '
QTY `
AMOUNT
PAID
PAID DATE'
MULTI -SPECIES RESIDENTIAL 0-8 UNITS
101-0000-20310
0
$1,292.00
$0.00
PAID BY' , `
,METHOD. ,;
RECEIPT # '- ''
CHECK # "
, CLTD BY.�
Total Paid forMULTI-SPECIES RESIDENTIAL $1,292.00 $0.00
y . h DESCRIPTION
t ' ACCOUNT
QTY;''AMOUNT,r"
PAID
PAID DATE
NEW CONSTRUCTION PERMIT
101-0000-42400
.0
$567.55
$0.00
r PAID BY A
' METHOD.,
RECEIPT # t ;e
CHECK # ,
CLTD BY,
Total Paid for NEW CONSTRUCTION PERMIT:' $567.55 $0.00
k R DESCRIPTION a- ;'
ACCOUNT ;:
QTY:
AMOUNT
;. PAID 's
PAID DATE
BACKFLOW DEVICE
101-0000-42401
0
$12.09
$0.00
"'PAID BY
°` _METHOD f; c
�. RECEIPT #
..
:CHECK1'
'CLTD BY:.�
J
• • A
+ _ 'DESCRIPTION =
ACCOUNT-..;
QTY;
"AMOUNT ,
PAID
g -'PAID DATE
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
KPAID BY,:,"
METHOD
RECEIPT #,.
CHECK # 4 t
' CLTD BY
DESCRIPTION .
%°ACCOUNT'
aQTY
AMOUNT
PAID
;SPA ID DATE
FIXTURE/TRAP
101-0000-42401
0
$205.53
$0.00
BY
RECEIPT #PAID
CHECK
CLTD BY
.DESCRIPTION,-,
` ` ACCOUNT*
QTY,
AMOUNT
PAID _ � , ."�
wl
.,PAID DATE
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$36.26
$0.00 z .
d :a,
PAID BY �a ,;
, 'METHOD ; .
RECEIPT #,
? :CHECK # {
, -CLTD BY.
DESCRIPTION
-ACCOUNT ,,`
QTY,
, AMOUNT•
'.. > PAID ;
PAID DATE
WATER HEATER/VENT
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD' .. , ; ,
= , <* :RECEIPT #' . `#'. x;
`, CHECK #
CLT D BY
DESCRIPTION ": , `
ACCOUNT' " '' �., r
CITY,
AMOUNT ,,
PAIDj'
PAID DATE
WATER SYSTEM INST/ALT/REP
101-0000742401
0
$12.09
$0.00
F PAID BY,. ,.,.
METHOD ; ' ux.
RECEIPT#
CHECK#.,'
:CLTD BY:',;
Total Paid for PLUMBING FEES: $290.15 $0.00
DESCRIPTION
ACCOUNT .
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$23.71
$0.00
=„ ''.PAID BY;`T
,METHOD .
'� RECEIPT # '
CHECK #
','CLTD BY';
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $23.71 $0.00
DESCRIPTION .
ACCOUNT , '
QTY
.`A
PAID
PAID
PAID DATE
SINGLE FAMILY DETACHED
224-0000-20320
0
$1,837.44
$0.00
PAID BY. °
METHOD`y _s ° .
:RECEIPT#
CHECK #:
CLTD'BY,
Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00
TOTALS:00
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cFM,"OF�244CAr .
Description: ROUDEL TM 31816 LOT 25 PLAN 2
.. �iiii
Type: BUILDING, RESIDENTIAL -
Subtype: DWELLING - SINGLE
Status: APPROVED
Applied: 2/18/2015 MFA
'
FAMILY DETACHED
'
Approved: 2/20/2015 AZA
Parcel No: 600040022 Site Address: 46209 ROUDEL LN LA QUINTA,CA 92253
Subdivision: TR 31816
Block:
Lot: 25
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
• s
Valuation: $182,375.90
Occupancy Type:
Construction Type: -
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
Details: SFD: 2820 SF PLAN 2 ELEV "B" R3 OCCUPANCY TYPE VB CONSTRUCTION FIRE SPRINKLERS. 2013 CODES.
FINANCIAL INFORMATION
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FINANCIAL INFORMATION
Printed: Friday, February 20, 2015 2:48:16 PM 1 of 4
0
�CFM'OF?r O�
DESCRIPTIONCLTD
ACCOUNT r
QTY
-,AMOUNT
PAID
-PAID DATE
: RECEIPT #.
` CHECK #.,,
"METHOD
'PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$8.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $8,00 $0.00
BSA:
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$0.00
DIF - COMMUNITY
254-0000-43200
0
$129.00
'
$0.00
CENTERS
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$0.00
DIF'- LIBRARIES
253-0000-43200
0
$344.00
$0.00
DIF -PARK
256-0000-43200
0
$40.00
$0.00
MAINTENANCE
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$0.00
DIF'- STREET
255-0000-43200
0
$116.00
$0.00
MAINTENANCE
DIF -TRANSPORTATION
250-0000-43200
0
$2,842.00
$0.00
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$0.00
Total Paid for ELECTRICAL: $24.17 $0.00
RESIDENTIAL, EA
101-0000-42403
0
$36.99
$0.00
ADDITION 1,000SF
'
J
RESIDENTIAL,' FIRST
101-0000-42403 0 $145.03 $0.00
1,000SF
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $182.02 $0.00
CONDENSER/COMPRES
101-0000-42402
0
$36.26
$0.00
"
SOR
EXHAUST HOOD
101-0000-42402
0
$12.09
$0.00
- •
�
'
FURNACE 101-0000-42402 0 $36.26 $0.00
Printed: Friday, February 20, 2015 2:48:16 PM 2 of 4
9
�CF`bsOF;2H� V�
DESCRIPTION
~: , ACCOUNT .
QTY
` AMOUNT '
PAID'
PAID DATE
RECEIPT,#
CHECK #
METHOD.
PAID BY
CLTD
w
w
r _
B Y
VENT FAN
101-0000-42402
0
$48.36
$0.00
Total Paid forMECHANICAL: $132.97 $0.00
MULTI -SPECIES
101-0000-20310
0
$1,292.00
$0.00
RESIDENTIAL 0-8 UNITS
Total Paid forMULTI-SPECIES RESIDENTIAL $1,292.00 $0.00
NEW CONSTRUCTION
101-0000-42400$567.55
$567.55
F$0.00F
I.
I
-
PERMIT
Total Paid forNEW CONSTRUCTION PERMIT: $567.55 " $0.00 `
BACKFLOW DEVICE
101-0000-42401 -
0
$12.09
$0.00
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
FIXTURE/TRAP
101-0000-42401
0
$205.53
$0.00
GAS SYSTEM, 5+
101-0000-42401
0
$36.26
$0.00
OUTLETS
WATER HEATER/VENT
101-0000-42401
0
$12.09
$0.00
WATER SYSTEM
101-0000-42401
0
$12.09
$0.00
INST/ALT/REP
Total Paid for PLUMBING FEES: $290.15 $0.00
SMI - RESIDENTIAL
101-0000-20308 '
0
$23.71
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $23.71 $0.0.0
SINGLE FAMILY
224-0000-20320
n
$1-.R17.44
$n nn
DETACHED
Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00
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FINAL"
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