14-0191 (SFD) Revision 1P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
C&hf 4- 4 a"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
14-00000191 Owner:
58879 JEREZ TD DESERT DEVELOPMENT LLC
764-200-999-18 -316813- .81570 CARBONERAS
DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253
LOW DENSITY RESIDENTIAL
394031
Applicant'
Contractor:
Architect or Engineer: TD DESERT DEVELOPMENT LP
P.O. BOX 1716
LA QUINTA, CA 92247
(760)771-1941
Lia. No.: 762987
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/30/14
JINN 0 2 20114 ;
OF LA
---------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 70001 of Division 3 of the Busines and Profession d my L62icense is in full force and effect.
_ I have and will maintain a certificate uI consent to self -insure for workers' compensation, as provided
ense
License Claps: - LicN 7987 f�
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
01 �F \,
issued.
Date Contractor:
_ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
!f
Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the.Contractor's Sta a License Law for the.
Carrier CA REST MUTUAL Policy Number CR01134517
following reason (Sec. 7031 .5, Business and Professions Code:' Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires,the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should becom subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3,-00 of the Labor Cod all forth ' h corn 4 with t se provisions.
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).:
DateApplicant:
(_ 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
WARNING: FAILURE TO SECURE W COMPENSATION COVERAGE IS UN WFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or -offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S. FEES.
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 contractorls) licensed
pursuant to the Contractors' State License Law.).
l _ 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.).
Lender's Name:
Lender's Address:
LQPERMIT
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 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 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 ve read this application and state that the above��i 'on is correct. I agree to comply with all
city and coun ord' antes and state laws relating to buildin instruction, nd here a representatives
of this count td to Pon the above-mentioned proper for inspection p pose .
Date: Signature (Applicant or Agent):
I
LQPERM IT
Application Number . . . . . 14-00000191
Structure Information 4,331SF DWELLING/VB/RES-3/CLASS A-FR/13D-----
Other struct info . .
. . . CODE EDITION
2010
# BEDROOMS
4.00
FIRE SPRINKLERS
5239
GARAGE SQ FTG
908.00
PATIO SQ FTG
1307.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
4331.00
Permit
. . .
BUILDING 2013
Additional
desc .
Permit Fee
. . . .
682.63 Plan Check Fee
.00
Issue Date
. . . .
2/26/14 Valuation . .
. . 394031
Expiration
Date
9/29/14
Qty
Unit Charge
Per
Extension
BASE FEE
573.43
195.00
----------------------------------------------------------------------------
.5600
THOU BLDG $200,001-$1M
109.20
Permit
. . .
ELECTRICAL 2013
Additional
desc .
Permit Fee
. . . .
227.63 Plan Check Fee
.00
Issue Date
. . . .
2/26/14 Valuation . .
. . 0
Expiration
Date . .
9/29/14
Qty
Unit Charge
Per
Extension
.00
23.8300
LS ELEC FIXTURES, FIRST 20
.00
.00
23.8300
EA ELEC SERVICES
.00
1.00
23.8300
EA ELEC TEMP POWER POLES
23.83
1.00
143.0000
LS ELEC NEW RES, FIRST 1 KSF
143.00
5.00
----------------------------------------------------------------------------
12.1600
EA ELEC NEW RES, ADD'L 1 KSF
60.80 '..
Permit
. . . MECHANICAL 2013
Additional
desc .
Permit Fee
. . . .
405.20 Plan Check Fee
.00
Issue Date
. . . .
2/26/14 Valuation . .
. . 0
Expiration
Date . .
9/29/14
Qty
Unit Charge
Per
Extension
4.00
35.7500
EA MECH FURNACE
143.00
4.00
35.7500
EA MECH CONDENSER/COMP
143.00
9.00
11.9200
EA MECH VENT FAN
107.28
1.00
----------------------------------------------------------------------------
11.9200
EA MECH EXHAUST HOOD
11.92
Application Number . . . . . 14-00000191
Permit . . . PLUMBING 2013
Additional desc . .
Permit Fee . . . . 357.59 Plan Check Fee
.00
Issue Date . . . 2/26/14 Valuation . . .
. 0
Expiration Date 9/29/14
Qty Unit Charge Per
Extension
22.00 11.9200 EA PLBG FIXTURE/TRAP
262.24
1.00 11.9200 EA PLBG BUILDING SEWER.
11.92
2.00 11.9200 EA PLBG WATER HEATER/VENT
23.84
1.00 11.9200 EA PLBG WATER INST/ALT/REP
11.92
1.00 11.9200 EA PLBG BACKFLOW DEVICE
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
4,331SF DWELLING - PLAN 25R, LOT 18
[V]3/RES-3/CLASS A-FR/13D/ENGINEERED]
THIS PERMIT DOES NOT INCLUDE BLOCK
WALLS, POOL, SPA OR WATER FEATURES
**REDUCED PLAN CHECK FEE FOR MULTIPLE
ISSUANCE OF PLAN TYPE** 2010 CALIFORNIA
BUILDING CODES.
February 13, 2014 9:12:18 AM jjohnson.
REVISION 1: EXISTING PERMIT UPDATED JO
PLAN TYPE 25R PER REVISED PRECISE
GRADING.
April 17, 2014 3:37:33 PM AORTEGA
--------------------------7-------------------------------------------------
Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES
39.90
BLDG STDS ADMIN (SB1473)
16.00
DIF COMMUNITY CENTERS -RES
129.00
DIF CIVIC CENTER - RES
942.00
ADM: REPLACE INSPECT CARD
35.75
DIF FIRE PROTECTION -RES
433.00
HOURLY PLAN CHECK
143.00
DIF LIBRARIES - RES
344.00
MULTI -SPECIES (MSHCP) FEE
1278.00
DIF PARK MAINT FAC - RES
40.00
DIF PARKS/REC - RES
2048.00
PLAN CHECK, MULTIPLE STR
47.67
STRONG MOTION (SMI) - RES
1.59
TUMF: RESIDENTIAL
1837.44
DIF STREET MAINT FAC -RES
116.00
DIF TRANSPORTATION - RES
2842.00
Fee summary Charged Paid Credited
Due
LQPERMIT
M
LQPERMIT
Application Number
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
. . . . . 14-00000191
---------- ---------- ----------
1673.05 1664.09 .00
.00 .00 .00
10293.35 10073.11 .00
11966.40 11737.20 .00
8.96
.00
220.24
229.20
Cuachlla Valley Unified School District
83-733 Avenue 55, Thermal, CA 92274
(760) 398-5909 — Fax (760) 398-1224
All
This Box For District Use Only
DEVELOPER FEES PAID
AREA:
AMOUNT
LEVELONEAMOUNT:
LEVELTWOAMOUNT:
MrrIGAT10N AMOUNT:
COMWIND.AMOUNT:
DATE:
RECEIPT:
CHECK#:
INITIALS
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: TD Desert Development (Andalusia)' Date: May 30, 2014
Owner's Name: TD Desert Development Phone No. 760-777-1001
Project Address: 58-879 Jerez, La Quinta, CA
Project Description: Single Family Dwelling Unit- Adjustment to Additional Square Footage
APN: 764-650-019 Tract #: 31681-3 Lot #'s: #18
Type of Development: Residential XX! Commercial Industrial
Total Square Feet of Building Area: 147
Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under
penalty of perjury and further represents that he/she is authorized to sign o of the owner/developer.
Dated: G f 3c2 / Signature:
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code Gov. Code Project Agreement Existing Not Subject to Fee
17620 65995 Approval Prior to 1/1/87 Requirement
Number of Sq.Ft. 147
Amount per Sq.Ft. $3.20
Amount Collected $470.04
Building Permit Application Completed: Yes/No
By: Elsa F. Esqueda, Director of Facilities and Maintenance n ��
Certificate issued by: Leticia Torres; Facilities Analyst S
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FE$94&D S'tAEMENf OF FEES
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that istrict provide (1) a written notice to the
project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these
Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to
advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other
requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this
time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of
Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up
to three (3) such extensions may be granted.
M V:c/mydocsldevfecs/certi.ticate of compliance form updated 3-2007 11/2010
a.
T_&f 4 4Qrtla1a
COMMUNITY DEVELOPMENT DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
(760) 777-7012 FAX (760) 777-7011
CERTIFICATION OF BUILDING AREA i
—r - . -
'REVISED
STREET ADDRESS OF JOB: 58-879 JEREZ
APN: 764 — 650 — 019
DESCRIPTION OF WORK: SINGLE FAMILY DWELLING
SQUARE FOOTAGE: 147
OWNER'S NAME: TD DESERT DEVELOPMENT
[NOTE:_Buildingglan type changed for a net additional adjustment as shown to
`previously collected fees
For.questions regarding this letter, please call:
City of La Quinta Permit Center
(760) 777-7012
Coachella Valley Unified School District
83-733 Avenue 55
P0Box 847
Thermal, CA 92274
(760) 398-5909
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE 1 r"iet BY—Z—
Please note: This letter verifies conditioned square footage. Please can
your School District to verify school fees, requirement for cashier's check .
or money order and hours of operation.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 14-00000191
Property Address: 58879 JEREZ
APN: 764-200-999-18 -316813-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 394031
Applicant: Architect or Engineer:
------------------
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 License is in full force and effect.
License Class: B License No.: 762987
Date: 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)•:
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, 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 Name:
Lender's Address:
LQPER.MIT
K4in,o fLA+4 2SR.
Owner:
TD DESERT DEVELOPMENT LLC
81570 CARBONERAS
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/17/14
Contractor:
TD DESERT DEVELOPMENT LP
P.O. BOX 1716
LA QUINTA, CA 92247
(760) 771-1941
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.
1 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 CA REST MUTUAL Policy Number CRO1134517
_ 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.
Date: Applicant
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.
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. 1 agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
Signature (Applicant or Agent):
Application Number . . 14-00000191
------ Structure Information 4,331SF DWELLING/VB/RES-3/CLASS A-FR/13D-----
Other struct
info . .
. . . CODE EDITION
.2010
# BEDROOMS
4.00
FIRE SPRINKLERS
5239
GARAGE SQ FTG
908.00
PATIO SQ FTG
1307.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
4331.00
Permit
BUILDING 2013
Additional
desc .
Permit Fee
. . . .
682.63 Plan Check Fee
00
Issue Date
. . . .
2/26/14 Valuation . .
. . 394031
Expiration
Date
9/29/14
Qty
Unit- Charge
Per
Extension
BASE FEE
573.43
195.00
----------------------------------------------------------------------------
.5600
THOU BLDG $200,001-$1M
109.20
Permit
. . . ELECTRICAL 2013
Additional
desc .
Permit Fee
. . . .
227.63 Plan Check Fee
.00
Issue Date
. . . .
2/26/14 Valuation . .
. . 0
Expiration
Date
9/29/14
Qty Unit Charge
Per
Extension
.00
23.8300
LS ELEC FIXTURES, FIRST 20
.00
.00
23.8300
EA ELEC SERVICES
.00
1.00
23.8300
EA ELEC TEMP POWER POLES
23.83
' 1.00
143.0000
LS ELEC NEW RES, FIRST 1 KSF
143.00
5.00
----------------------------------------------------------------------------
12.1600
EA ELEC*NEW RES, ADD'L 1 KSF
60.80
Permit
. . . MECHANICAL 2013
.Additional
desc .
Permit Fee
. . . .
405.20 Plan Check.Fee
.00
Issue Date
2/26/14 Valuation . .
. . 0
Expiration
Date
9/29/14
Qty Unit Charge
Per
Extension
4.00
35.7500
EA MECH FURNACE
143.00
4.00
35.7500
EA MECH CONDENSER/COMP
143.00
9.00
11.9200
EA MECH VENT FAN
107.28
1.00
------=---------------------------------------------------------------------
11.9200
EA MECH EXHAUST HOOD
11.92
LQPERMIT
Application Number . . . . . 14-00000191
Permit PLUMBING 2013
Additional desc .
Permit Fee . . . . 357.59 Plan Check Fee
.00
Issue Date . . . . 2/26/14 Valuation . . .
. 0
Expiration Date . . 9/29/14
Qty Unit Charge Per
Extension
22.00 11.9200 EA PLBG FIXTURE/TRAP
262.24
1.00 11.9200 EA PLBG BUILDING SEWER,
11.92
2.00 11.9200 EA PLBG WATER HEATER/VENT
23.84
1.00 11.9200 EA PLBG WATER INST/ALT/REP
11.92
1.00 11.9200 EA PLBG BACKFLOW DEVICE
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
4,331SF DWELLING - PLAN 25R, LOT 18
[VB/RES-3/CLASS A-FR/13D/ENGINEERED]
THIS PERMIT DOES NOT INCLUDE BLOCK
WALLS, POOL, SPA OR WATER FEATURES
**REDUCED PLAN CHECK FEE FOR MULTIPLE
ISSUANCE OF PLAN TYPE** 2010 CALIFORNIA
BUILDING CODES.
February 13, 2014 9:12:18 AM jjohnson.
REVISION 1: EXISTING PERMIT UPDATED TO
PLAN TYPE_ 25R PER REVISED PRECISE.
GRADING.
April 17, 2014 3:37:33 PM AORTEGA
--------------- ------------------------------------------------------------
Other Fees ... . . . . . . . ART IN PUBLIC PLACES -RES
39.90
BLDG STDS ADMIN (SB1473)
16.00
DIF COMMUNITY CENTERS -RES
129.00
DIF CIVIC CENTER - RES
942.00
DIF FIRE PROTECTION -RES
433.00
HOURLY PLAN CHECK
143.00
DIF LIBRARIES - RES
344.00
MULTI -SPECIES (MSHCP) FEE
1278.00
DIF PARK MAINT FAC - RES
40.00
DIF PARKS/REC - RES
2048.00
PLAN CHECK, -MULTIPLE STR
47.67.
STRONG MOTION (SMI) - RES
1.59
TUMF: RESIDENTIAL
1837.44
DIF STREET MAINT FAC -RES
116.00
DIF TRANSPORTATION - RES
2842.00
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
LQPERMIT
Application.Number
14-00000191
Permit Fee Total
1673.05
1664.09
.00
8.96
Plan Check Total
.00
.00
.00
.00
Other Fee Total
10257.60
10073.11
.00
184.49
Grand Total
11930.65
11737.20
.00
193.45
-.LQPERMIT
Bin I
City of La Quinta
Building tit Safety Division
P.O. Box 1504,78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
' olgl
Project Address: 5 j $ �79(w
Owner's Name: , C), (�,1 P 1) p� o � V
A. P. Number: V50 C 19
Address: 8 (S 1? o (f
Legal Description: 3
City, ST, Zip: L,?, Z 5'- 3 •
Contractor: j /J P r' c �- �eJ t' p
Telephone' o ? 1I e o (
Address: eJ �s'7 D .� < r o n Pr¢ C •
Projec crlp t
City, ST, Zip:Z 7
L � �
Z
4 S �q 4� � (q / P., 0_1�
Telephone:-7(op 77(Po..«:».:<.>;;;.
7� r
State Lic. # : 7& Z " Oj 7
City Lie. #:
Arch., Engr., Designer f e k* r C(C
Address: 5 e . �� ( c .t O
City, ST, Zip: ° • ,
mac.
Telephone: ?'t 140672 Z O
:: ` << : : <:> ::
...:. . ;;:";;;;:;"::<.:;.:;::::.::
x�><• "" ''% %` ''`" -'' '"`}
Construction Type: Occupancy:
State Lic. #:
Project a circle one . Ne Add'n Alter Repair Demo
J b'P ( P
Name of Contact Person:
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person: '74,o- ((o& o (o r
Estimated Value of Project:
APPLICANT: DO -NOT WRITE BELOW THIS LINE
it
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Cales.
Plans picked up
Construction
4V
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for correctionsrissue
Electrical
Subcontactor List
Callcd Contact Pcrson
Plumbing
Grant Deed
Plans picked up
S.M I.
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COMMUNITY DEVELOPMENT DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
(760) 777-7012 FAX (760) 777-7011
CERTIFICATION OF BUILDING AREA
***REVISED***
STREET ADDRESS OF JOB: 58-879 JEREZ
APN: 764 — 650 — 019
DESCRIPTION OF WORK: SINGLE FAMILY DWELLING
SQUARE FOOTAGE: 147
OWNER'S NAME: TD DESERT DEVELOPMENT
NOTE: Building plan type changed for a net additional adjustment as shown to
previously collected fees.
For questions regarding this letter, please call:
City of La Quinta Permit Center
(760) 777-7012 -
Coachella Valley Unified School District
83-733 Avenue 55
P0Box 847
Thermal, CA 92274
(760) 398-5909
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE BY
Please note: This letter verifies conditioned square footage. Please call
your School District to verify school fees, requirement for cashier's check
or money order and hours of operation.,
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