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BRES2014-1221WOW 4VOICE (760) 777-7125 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 11/26/2014 Application Number: , BRES2014-1221 Owner: 0 Property Address: 59235 SEVILLE T D DESERT DEVELOPMENT LI ff ED APN: 764700004 P 0 BOX 1716 z Application Description: ANDALUSIA TM 31681-3 PH 5 PLAN 25CR . LA QUINTA, CA 92247 0 � `71 m D Property Zoning: m Application Valuation: $394,031.00 O T Applicant:Contractor: C= T D DESERT DEVELOPMENT LIMITED ' T D DESERT DEVELOPMENT L TE' PO BOX 1716 PO BOX 1716 LA QUINTA, CA 92247 LA QUINTA, CA 92247 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 Clas B License No.: 762987 _ • (Date: Corntractor. v OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's tate 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).: (_) 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 ;hat 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: (760)777-1001 Llc. 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. 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: _ Policy Number: _ _ 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 d become subject to the workers' compensation provisions of Section 37 of the abor Code, I rthwith comply with th se p visions. Date:/2,/-1 Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGEUNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI ES 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 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 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 i mation is correct. I agree to comply with all city and county ordinances and a laws rela 'ng to building construction, and hereby authorize representatives of is city to enter u on the above mentioned p opely for inspection purposes. Dai/24 ai:/ ! Signature (Applicant oAgent): FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $485.08 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forART IN PUBLIC PLACES - AIPP: $485.08 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $16.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $16.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY• AMOUNT PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION' ACCOUNT QTY AMOUNT PAID- PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forDIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE TEMP POWER SERVICE 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $24.17 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $61.65 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL - NEW CONSTRUCTION: $206.68 $0.00 DESCRIPTION • ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $145.04 $0.00 PAID BY METHOD RECEIPT #' CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $145.04 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $84.63 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forMECHANICAL: $386.80 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE MULTI STRUCTURE PLAN CHECK - EACH 101-0000-42600 0 $48.34 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forMULTI STRUCTURE PLAN CHECK - EACH: $48.34 $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 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $690.77 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD. BY Total Paid forNEW CONSTRUCTION PERMIT: $690.77 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $265.98 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $24.18 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $362.69 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $51.22 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $51.22 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 2 Description: ANDALUSIA TM 31681-3 PH 5 PLAN 25CR Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: SUBMITTED Applied: 11/18/2014 AZA FAMILY DETACHED Approved: Parcel No: 764700004 Site Address: 59235 SEVILLE LA QUINTA,CA 92253 Subdivision: TR 31681-3 Block: Lot: 169 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $394,031.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 4331 SF DWELLING - PLAN 25CR, LOT 169 [VB/RES-3/CLASS-A/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, BBQ OR WATER FEATURE. 2013 CALIFORNIA BUILDING CODES FINANCIAL•• • ADDITIONAL CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CHRONOLOGY ART IN PUBLIC PLACES - 270-0000-43201 0 $485.08 $0.00 CONDITIONS Total Paid forART IN PUBLIC PLACES - AIPP: $485.08 $0.00 CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT T D DESERT DEVELOPMENT LIMITED P O BOX 1716 LA QUINTA CA 92247 (760)777-1001 CONTRACTOR T D DESERT DEVELOPMENT LIMITED P O BOX 1716 LA QUINTA CA 92247 (760)777-1001 OWNER T D DESERT DEVELOPMENT LIMITED P O BOX 1716 LA QUINTA CA 92247 (760)777-1001 FINANCIAL•• • CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY ART IN PUBLIC PLACES - 270-0000-43201 0 $485.08 $0.00 RESIDENTIAL Total Paid forART IN PUBLIC PLACES - AIPP: $485.08 $0.00 Printed: Wednesday, November 26, 2014 11:02:13 AM 1 of 4 CN?WSYSTEMS Printed: Wednesday, November 26, 2014 11:02:13 AM 2 of 4 CRWYSrEMs W y Cab DESCRIPTION ACCOUNT> QTY AMOUNT " PAID PAID DATE RECEIPT # CHECK # ' METHOD PAID BY _ BY BSAS SB1473 FEE 101-0000-20306 0 $16.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $16.00 $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 forDIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 TEMP POWER SERVICE 101-0000-42403 1 0 $24.17 $0.00 Total Paid for ELECTRICAL: $24.17 $0.00 RESIDENTIAL, EA 101-0000-42403 0 $61.65 $0.00 ADDITION 1,0005E RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $0.00 1,OOOSF Total Paid for ELECTRICAL -NEW CONSTRUCTION: $206.68 $0.00 CONDENSER/COMPRES 101-0000-42402 0 $145.04 $0.00 SOR EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 FURNACE 101-0000-42402 0 $145.04 $0.00 Printed: Wednesday, November 26, 2014 11:02:13 AM 2 of 4 CRWYSrEMs Printed: Wednesday, November 26, 2014 11:02:13 AM 3 of 4 C L] RfsrsTEMs - - - --- - CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY AY VENT FAN 101-0000-42402 0 $84.63 $0.00 Total'Paid forMECHANICAL: $386.80 $0.00 MULTI STRUCTURE 101-0000-426000 $48.34 $0.00 PLAN CHECK - EACH Total Paid for MULTI STRUCTURE PLAN CHECK - EACH: $48.34 $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 T -o7 $690.77 $0.00 I I I I PERMIT Total Paid forNEW CONSTRUCTION PERMIT: $690.77 $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 $265.98 $0.00 GAS SYSTEM, 5+ 101-0000-42401 0 $36.26 $0.00 OUTLETS WATER HEATER/VENT 101-0000-42401 0 $24.18 $0.00 WATER SYSTEM 101-0000-42401 0 $12.09 $0.00 INST/ALT/REP Total Paid for PLUMBING FEES: $362.69 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $51.22 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SM! $51.22 $0.00 SINGLE FAMILY 224-0000-20320 0 $1,837.44 $0.00 DETACHED Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS:•• Printed: Wednesday, November 26, 2014 11:02:13 AM 3 of 4 C L] RfsrsTEMs INSPECTIONS iEQID INSPECTION TYPE INSPECTOR. SCHEDULED COMPLETEDRESULT REMARKS. NOTES DATE DATE n 0 FINAL" Printed: Wednesday, November 26, 2014 11:02:13 AM 4 of 4 CRWSrSrEMS