BELC2015-001178-495 CALLE TAMPICQ
LA QUINTA, CALIFORNIA 92253
T4t'r 4 4Quixrw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BELC2015-0011
Property Address:
59428 SEVILLE
APN:
764710020
Application Description:
ANDALUSIA/T.D. DESERT DEVELOPMENT/100 AMP PEDESTAL LIGHT/IRR
Property Zoning:
LA QU I NTA, CA 0
Application Valuation:
$2,500.00
Applicant:
T D DESERT DEVELOPMENT LIMITED
P 0 BOX 1716
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 Pr fessions Code,
and my License is in full force and effect.
License Class: B License No.: 762987
I
Date:' Contractor
_7
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).:
(_) 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
i 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
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/3/2015
Owner:
T D DESERT DEV
81570 CARBONERAS
LA QU I NTA, CA 0
Contractor:T
ZD�EDI
D DESERT DEVELOPMEiIF IP0BOX1716
��LA
QUINTA, CA 92247(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 thew for which this permit is issued.
I ave and will maintain workers' compensation insurance, as required by
Aectn 3700 bf 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 should become subject to the
workers' compensation provisions of Section 370 abor Code, I shall forthwith
comply with those provisions. ---%
Date: 1 I I f l Applicant: v
WARNING: FAILURE TO SECURE WORKER ENSATION 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 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 laws relating to building
construction, and hereby authorize representatives o his city to on the above
mentioned] property for inspection purposes.
Date: Signature (Applicant o en
DESCRGPTION
FINANCIAL INFORMATION
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 for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SERVICES
101-0000-42403
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SERVICES PC
101-0000-42403
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $36.26 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85.
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: ANDALUSIA/T.D. DESERT DEVELOPMENT/100 AMP PEDESTAL LIGHT/IRR
FINANCIAL
Type: ELECTRICAL
Subtype: Status: APPROVED
Applied: 2/2/2015 SKH
Approved: 2/2/2015 JFU
Parcel No: 764710020 Site Address: 59428 SEVILLE LA QUINTA,CA 92253
Subdivision: TR 31681-3
Block: Lot: Q
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $2,500.00
Occupancy Type: Construction Type:
Expired:
No. Buildings 0
No. Stories: 0 No. Unites: 0
CA
Details: ELECTRICAL -100 AMP ELECTRICAL LANDSCAPE IRRIGATION AND LIGHTING PEDESTAL. 2013 CALIFORNIA BUILDING CODES.
Printed: Tuesday, February 03, 2015 3:04:18 PM 1 of 2 C8?WSY.STFM.S
FINANCIAL
INFORMATION
CHRONOLOGY
CONDITIONS
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
Total Paid forBUILDING STANDARDS ADMINISTRATION
CONTRACTOR
T D DESERT DEVELOPMENT LIMITED
P O BOX 1716
LA QUINTA
CA
92247
OWNER
T D DESERT DEV
81570 CARBONERAS
LA QUINTA
CA
0
Printed: Tuesday, February 03, 2015 3:04:18 PM 1 of 2 C8?WSY.STFM.S
FINANCIAL
INFORMATION
CLTD
DESCRIPTION ACCOUNT QTY
AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY
BY
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00
$0.00
BSA:
Printed: Tuesday, February 03, 2015 3:04:18 PM 1 of 2 C8?WSY.STFM.S
DESCRIPTION
r
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
SERVICES
101-0000-42403
0
$24.17
$0.00
SERVICES PC
101-0000-42403
0
$12.09
$0.00
Total Paid forELECTRICAL: $36.26 $0.00
PERMIT ISSUANCE
101-0000-42404
1 0
1 $91.85
1 $0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS: $129.11 00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES -
0 ELECTRICAL FINAL"
BOND INFORMATION
Printed: Tuesday, February 03, 2015 3:04:18 PM 2 of 2 CR
fY.f7FM.t
4'
INVOICE #
n °
City of La Quinta
INV -176-
78-495 Calle Tampico
.
Date Due: 3/5/2015
'b OF'Ct�
La Quinta,CA 92253
T D DESERT DEV
81570 CARBONERAS, LA QUINTA,
CA 0
Invoice Date: 2/3/2015
Record # Record Type
Fee Group
Fee Description
Quantity Amount
BELC2015-0011 ELECTRICAL
BUILDING STANDARDS
BSAS SB1473 FEE
0 $1.00
ADMINISTRATION BSA
ELECTRICAL
SERVICES
0 $24.17
SERVICES PC
0 $12.09
PERMIT ISSUANCE
PERMIT ISSUANCE
0 $91.85
Invoice Total: $129.11
Please send your payment to this address:
Printed: Tuesday, February 03, 2015 10:14 AM 1 of 1
CPR"
SYSTEMS
Bin $
City of La Quinta
BulWng er Safety AiMon
P.O. Box 1504, 78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Pre jed Address: s Z 5 QJ t (( e—
Owner's Name: %. 0.
A. P. Number. (o� ' j (o 0 o c�
Address: B (p CGi orlPf�G�
Legal Description:lU1(..- -Q
Contraetor:–F- 0- O eSet Dev e 10 4 P2� L, P .
City, ST, Zip: ( (� r� h� C,,4 Q 2 2S 3
Telephone: '?&o z'1 Z 10 0 L
(S �o-(� oy e!`FS
Poject Description:
escription:
City. ST, Zip: pzz5
7(�+
104 o cL-v4e'/ r
Telephone-rWoo Til Icoo (
State Lic. d: -7
City Lic # �c} Z✓
�oPntyp
/
Arch., Engr., Designer:
Address:
City., ST, zip:
Telephone: HConstruction
State Li& d:
Name of Contact Person: 5 C �5
Type: Occupancy:
Project type (circle one): ew Add'n Alter Repair Demo
Sq. FL: # Stories: iw Units:
Telephone # of Contact Person: '1 b o 4 A $ c (o
Estimated Value of Project: -4r'7 I S o
APPLICANT: DO NOT WRITE BELOW THIS UNE
M
Submittal
Req'd
Reed
TRACIONG
PERMIT FEES
Plan Seta
Plan Check submitted
Item Amount
Structural Calc%
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Peroou
Plan Check Balance
Mile 24 Cates,
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Giading plan
2" Review, ready for corrections/issue
Electrical
Subeoateetor Ust
Called Contact Person
Plumbing
Grant Deed
Plans pkired up
SM.I
H.O.A. Approval
Plans resubmitted
Grading
IN HOME,
'id Review, ready for correetionsltvsae
Developer Impact Fee l
Planning Approval
Called Contact Person
Pub. Wlrs. Appr
Date of permit Issue
School Fees
Total Permit Fees
i; o-����
0 rr
tkt•1t11AVN
VICINITY MAP
NTS
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ADDRESS MAS'
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