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BRES2015-021578-495 CALLE TAMPICO C� 0 D An, VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/23/2015 Application Number: BRES2015-0215 Owner: Property Address: 59295 SEVILLE T D DESERT DEV APN: 764700006 81570 CARBONERAS Application Description: ANDALUSIA TM 31681-3 LOT 171 PATIO ENCLOSURE LA QUINTA, CA 0 Property Zoning: Application Valuation: $9,836.30 Applicant: Contractor: T D DESERT DEVELOPMENT LIMITED n T D DESERT DEVELOPMENT LIMITED PO BOX 1716 Q IJ P0BOX 1716 LA QUINTA, CA 92247 D LA QUINTA, CA 92247 JUN 2 5 2015 (760)777-1001 CMLA()UINTA ?ENT Llc. No.: 762987 COMMUN?1Y DEVEIOQ�?ENT DEPARTt, 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.: 762987 i Date } 2 Contractor: C 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 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).: (_J 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 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 ISec. 3097, Civ. C.). Lender's Lender's 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' com ensatio as provided for by Section 3700 of the Labor Code, for the performance o , e fo which this permit is issued. I h I maintain workers' compensation insurance, as required by 37000 0 of the Labo 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 should b bject to the workers' compensation provisions of Section 3700 of th abor Code, I hall forthwith comply with os provisions. -_ Date: I %— Applican • w WARNING: FAILURE TO SECURE WORKERS' COMPE%iinCN COVERAGE IS UNLAWFSGL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 0 ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST 0 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABO 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 information is correct. I agree to comply with all city and county ordinances and state law atin to building constr5�Tignature uthorize representatives oft enter u n the above- mentipection purposes. Date: (Applicant or ' e DESCRIPTION FINANCIAL ,1• ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 0 $62.36 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $17.40 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, FIRST 100 SF PC 101-0000-42600 0 $171.14 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forADDITION: $371.73 $0.00 „ DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 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 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $0.00 PAID BY -T METHOD RECEIPT # CHECK # CLTD BY ' --T- i Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE APPLIANCE REPAIR/ALTERATION 101-0000-42402 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE APPLIANCE REPAIR/ALTERATION PC 101-0000-42600 0 $4.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for MECHANICAL: $16.92 $0.00 DESCRIPTION " ACCOUNT CITY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $1.28 $0.00 PAID BY.. METHOD RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMt $1.28 $0.00 • • •• Description: ANDALUSIA TM 31681-3 LOT 171 PATIO ENCLOSURE ADDITIONAL Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED Applied: 6/8/2015 MFA Approved: 6/17/2015 JJO Parcel No: 764700006 Site Address: 59295 SEVILLE LA QUINTA,CA 92253 Subdivision: TR 31681-3 Block: Lot: 171 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $9,836.30 Occupancy Type: Construction Type: Expired: , No. Buildings: 0 No. Stories: 0 No. Unites: 0 [Details: ENCLOSE COVERED PATIOS INTO LIVING SPACE. 167 SF. PER 2013 CALIFORNIA BUILDING CODE. ORIGINAL PERMIT IS BRES2014-1222 9 \ 1 Applied to Approved Printed: Tuesday, June 23, 2015 8:30:14 AM 1 of 3 CRW.IYS TEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES PLAN CHECK SUBMITTAL RECEIVED MARY FASANO 6/5/2015 6/8/2015 CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT T D DESERT DEVELOPMENT LIMITED P 0 BOX 1716 LA QUINTA CA 92247 CONTRACTOR T D DESERT DEVELOPMENT LIMITED P 0 BOX 1716 LA QUINTA CA 92247 OWNER T D DESERT DEV 81570 CARBONERAS LA QUINTA CA 0 Printed: Tuesday, June 23, 2015 8:30:14 AM 1 of 3 CRW.IYS TEMS Printed: Tuesday, June 23, 2015 8:30:14 AM 2 of 3 RW.IYSTfMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY ADDITION, EA 101-0000-42400 0 $62.36 $0.00 ADDITIONAL 500 SF ADDITION, EA 101-0000-42600 0 $17.40 $0.00 ADDITIONAL 500 SF PC ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $0.00 ADDITION, FIRST 100 SF 101-0000-42600 0 $171.14 $0.00 PC Total Paid forADDITION: $371.73 $0.00 BSAS SB1473 FEE 1 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $0.00 1,0005F RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $0.00 1,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $0.00 APPLIANCE 101-0000-42402 0 $12.09 $0.00 REPAIR/ALTERATION APPLIANCE 101-0000-42600 0 $4.83 $0.00 REPAIR/ALTERATION PC Total Paid forMECHANICAL: $16.92 $0.00 SMI - RESIDENTIAL 1 101-0000-20308 1 0 1 $1.28 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SM! $1.28 $0.00 TOTALS:0• INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE FINAL" BLD Printed: Tuesday, June 23, 2015 8:30:14 AM 2 of 3 RW.IYSTfMS Permit Details PERMIT NUMBER F City of La Quinta B R E52015-0215 Ax Printed: Tuesday, June 23, 2015 8:30:14 AM 3 of 3 CB?WSYSiEMS Bln.# f n City of LQ QUintd Building 8r Safety Divfsion ,,11 P.O. Box 1504,78-495 Calle Tampico La.Quinra, CA 92253 • (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 5 -( 2-515 52,,1 I 1 - Owners Name: i , 0.Oe ,-{ ' S � e e(o A. P. Number. b --7o .o cD cz> (o Address: 8 "C) I �C yov1fC'aeS: Legal Descripdon:�j�t2 �j tc (� 2j Z .l City, ST, Zip:(� t•1 Q 2 Z S 3, Contractor., D r N—soc Demo a l G �t(e& �- , f Telephone: '?(pm Z q `Z too `%�:`�:'s;. Address: & ( S 70 � C � ati eJ`q S Project Description: City, ST, Zip: L, QJ t,L.� Q (2-A .� `2-25 3 Telephone:r16 j o '�- -1 ( coo ,a -; x State Lic. # : 7(Q 2 q'$ -7 City Lie'. #.: Arch, Engr:, Designer Address: City, ST, Zip: Telephone: Pt ' ((f -7-7-374:;) M `:\ M Construction Type: Occupancy: State Lic. #: C — c/( 7 Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.:/ (p 77 # Stories: =#Unft Telephone # of Contact Person: X16 c> 4 O ,12> 'o (o C,, Estimated Value of Project: Arl to ? C:- APPLICANT: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACK NG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calls. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Tide 24 CalciL Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'! Review, ready for correctionsrtssue Electrical Subeontector List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for comcdonslissue Developer Impact Fee Planning Approval Called Contact Person . M.P.P. Pub. Y"w. Appr Date of permit issue School Fees ' Total Permit Fees �V c�� ss�ss des COP Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DFVF.I,OPFR FF.F.S PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVELTWOAMOUNT: MITIGATION AMOUNT: COMM/IND. AMOUNT: DATE: RECEIPT: CHECK#: INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: L.D. Desert,t`Deve_l_opmerlt Owner's Name: T.D. Desert Development Project Address: 59295 Seville, La Quinta, CA 92253 Project Description: Room Addition While Under Construction APN: • Permit# bres2015-0215 Type of Development: Residential Tract #: XX Total Square Feet of Building Area Commercial 167 Sq. Ft. Date: June 22, 2015 Phone No. Lot #'s: Industrial 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 on behalf of the owner/developer. Dated: I� Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE EN 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. 167' Amount per Sq.Ft. $ 3.36 Amount Collected $561.12 Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Certificate issued by: Leticia Torres, Facilities Analyst Signatu e: NOTICE OF 90 DAY iPERIOD FOR PROTEST OF FKESiAND STATAUENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District 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. \4V:c/mydocs/dcvlecs/certificale oPcompliance Forni updated 3-2007 11/2010