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BRES2016-0252Applicant: T D DESERT DEVELOPMENT LIMITED PARTNERSH 81570 CARBONERAS LA QUINTA, CA 92253 DESIGN &DEVELOP_MEN�j-DEP` R � 'EN BUItI NG PETIT D ���� LLLJJJ� LAN 26 / L- T192 CITV OF LA QUINTA rnMA�umy DEVELOPN�ENT DEPART, 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.: 7629 ftDate:� Cl a - l� VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/13/2016 Owner: T D DESERT DEV 81570 CARBONERAS LA QU I NTA, CA 0 Contractor: T D DESERT DEVELOPMENT LIMITED PARTNERSH 81570 CARBONERAS LA QUINTA, CA 92253 (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: OWNER -BUILDER -DECLARATION Carrier: DEPARTMENT OF INDUSTRIAL RELATIONS Policy Number: 45171334 78495 CALLE TAMPICO _ LA QUINTA, CALIFORNIA 92253 Application Number: BRES2016-0252 Property Address: 59925 SEVILLE APN: 764710018 Application Description: ANDALUSIA /TM31681-3/ Property Zoning: 3 of the Business and Professions Code) or that he or she is exempt therefrom and the Application Valuation: $440,880.00 Applicant: T D DESERT DEVELOPMENT LIMITED PARTNERSH 81570 CARBONERAS LA QUINTA, CA 92253 DESIGN &DEVELOP_MEN�j-DEP` R � 'EN BUItI NG PETIT D ���� LLLJJJ� LAN 26 / L- T192 CITV OF LA QUINTA rnMA�umy DEVELOPN�ENT DEPART, 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.: 7629 ftDate:� Cl a - l� VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/13/2016 Owner: T D DESERT DEV 81570 CARBONERAS LA QU I NTA, CA 0 Contractor: T D DESERT DEVELOPMENT LIMITED PARTNERSH 81570 CARBONERAS LA QUINTA, CA 92253 (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: OWNER -BUILDER -DECLARATION Carrier: DEPARTMENT OF INDUSTRIAL RELATIONS Policy Number: 45171334 1 hereby affirm under penalty of perjury that I am exempt from the Contra or's State _ License Law for the following reason (Sec. 7031.5, Business and Professio Code: Any I certify that in the performance of the work for which this permit is issued, I city or county that requires a permit to construct, alter, improve, demoli , or repair shall not employ any person in any manner so as to become subject to the workers'. any structure, prior to its issuance, also requires the applicant for the permit to file a compensation laws of California, and agree that, if I should subject to the signed statement that he or she is licensed pursuant to the provisions of the workers' compensation provisions of Se of th abor C de, I shall forthwith Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division comply wit hose p visions. 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 Date: Ap 'cant: permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: WARNING: FAILURE TO SECURE WORKERS' C P ATION COVERAGE IS UN WFUL, I ) I, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES P TO compensation, will do the work, and the structure is not intended or offered for sale. ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST F (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LA R CODE, apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT within one year of completion, the owner -builder will have the burden of proving that IMPORTANT: Application is hereby made to the Building Official for a permit subject to he or she did not build or improve for the purpose of sale.). the conditions and restrictions set forth on this application. (_J 1, as owner of the property, am exclusively contracting with licensed contractors 1. Each person upon whose behalf this application is made, each person at whose to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' request and for whose benefit work is performed under or pursuant to any permit State License Law does not apply to an owner of property who builds or improves issued as a result of this application, the owner, and the applicant, each agrees to, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and the Contractors' State License Law.). employees for any act or omission related to the work being.perrformed under or (� I am exempt under Sec. B.&P.C. for this reason 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 Date: Owner: work for 180 days will subject permit to cancellation. 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 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 ordinan n sta ws m o building construction, and hereby authorize represent es of this ci enter on the above-mengoned property for inspection rposes. Date: q1 Signature Lender's Address: ' Date: 9/13/2016 Application Number: BRES2016-0252 Owner: Property Address: 59925 SEVILLE T D DESERT DEV _ APN: 764710018 81570 CARBONERAS Application Description: ANDALUSIA / TM31681-3 / PLAN 26 / LOT 192 LA QUINTA, CA 0 Property Zoning: Application Valuation: $440,880.00 Applicant: Contractor: T D DESERT DEVELOPMENT LIMITED PARTNERSH T D DESERT DEVELOPMENT LIMITED PARTNERSH . 81570 CARBONERAS 81570 CARBONERAS LA QUINTA, CA 92253 LA QUINTA, CA 92253 (760)777-1001 ----------------------------:------------------------ Llc. No.: 762987 -------------- --------------------------- Detail: 5,131 SF DWELLING - PLAN 26B LOT 192 [VB/RES,3/CLASS-A/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, BBQ OR WATER FEATURE. PER 2013 CALIFORNIA BUILDING CODES FINANCIAL INFORMATION DESCRIPTION ACCOUNT' QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $18.00 Total Paid for BUILDING STAN DARDSADMINISTRATION BSA: $18.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - CIVIC CENTER 252-0000-43200 0 $942.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - LIBRARIES 253-0000-43200 0 $344.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0$16.92 Total Paid for ELECTRICAL: $41.09 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,OOOSF 101-0000-42403 0 $61.65 DESCRIPTION ACCOUNT QTY. AMOUNT RESIDENTIAL, EA ADDITION 1,OOOSF, PC 101-0000-42600 0 $25.40 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $279.94 - DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - TRACT HOME 101-0000-42408 0 $133.43 Total Paid for GRADING: _ $133.43 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $181.30 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $120.85 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $4.83 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $181.30 DESCRIPTION ACCOUNTQTY AMOUNT FURNACE PC 101-0000-42600 0 $120.85 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $96.72 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $38.64 Total Paid for MECHANICAL: $756.58 DESCRIPTION ACCOUNT QTY AMOUNT MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2016 UPDATE 101-0000-20310 0 $1,221.00 Total Paid for MULTI -SPECIES RESIDENTIAL: $1,221.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $716.53 Total Paid for NEW CONSTRUCTION PERMIT: $716.53 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,541.24 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,541.24 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE 101-0000-42401 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $290.16 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $290.16 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 10170000-42401 0 $36.26 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $24.18 DESCRIPTION ACCOUNT QTY AMOUNT (WATER HEATER/VENT PC 101-0000-42600 0 $14.50 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 DESCRIPTION ACCOUNT QTY ' AMOUNT WATER SYSTEMINST/ALT/REP. PC 101-0000-42600' 0 $12.09 Total Paid for PLUMBING FEES: $744.71 DESCRIPTION ACCOUNT QTY , AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $57.31 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $57.31 DESCRIPTION ACCOUNT QTY AMOUNT SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 Total Paid for TUMF - RESIDENTIAL: $1,837.44