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BRES2015-0185V 78-495 CALLE TAMPICO T 0 ' D LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2015-0185 Owner: Property Address: 59955 SEVILLE T D DESERT DEV APN: t 764710019 81570 CARBONERAS Application Description: ANDALUSIA / 31681-3 / LOT 193 / PLAN 24CR LA QUINTA, CA 0 Property Zoning: Application Valuation: $378,072.30 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 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License C lass,cense No.: 762987 —/A Date: Contract0 cz OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor'sS ate 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).: () 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.). (__j 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: VOICE (760) 777-7125 FAX(760)777 -7011 INSPECTIONS (760) 777-7153 Contractor: . T D DESERT DEVELOPMENT P 0 BOX 1716 LA QUINTA, CA 92247 (760)777-1001 Llc. No.: 762987 Date: 5/13/2015 n 0 C Z C7 o� m 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' comp nsation, as provided for by Section 3700 of the Labor Code, for the performance of a or r which this permit is issued. _ I ve and will maintain workers' compensation insurance, as required by S ctio 3700 he Labor Code, for the performance of the work for which this permit is i ed. 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 becom ject to the workers' compensation provisions of Section 3700 of the La Code, shall forthwith comply wit thoZ,,,,ovlsl ..ns. Date: � � Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAVfUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP O 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 ab inf tion is correct. I agree to comply with all city and county ordinances a tate I s r ating to building construction, and hereby authorize representatives this cit a er upon the above- mentioned 9rroope for inspection purposes. Date: v" Signature (Applicant Agent): DESCRIPTION FINANCIAL • ACCOUNT 1 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 forBUILDING 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 DWELLINCR $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 F 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, EA ADDITION 1,000SF, PC 101-0000-42600 0 $25.40. $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 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,0005F, PC 101-0000-42600 0 $47.86 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL - NEW CONSTRUCTION: $279.94 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL PRECISE GRADING -TRACT HOME 101-0000-42408 0 $133.43 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forGRADING: $133.43 $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 $96.72 $0.00 PAID BY I METHOD RECEIPT # CHECK # CLTD BY I Total Paid for MECHANICAL: $398.89 $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 $681.81 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forNEW CONSTRUCTION PERMIT: $681.81 $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 GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $24.17 $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: $386.86 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $49.15 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $49.15 $0.00 DESCRIPTION ACCOUNT CITY 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 -'s ' • 0 00 i (�a.+�►1�� rill l( �i� � .1u�A 1�Yi' J{ , � ... O Description: ANDALUSIA / 31681-3 / LOT 193 / PLAN 24CR Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: UNDER REVIEW Applied: 5/6/2015 SKH FAMILY DETACHED - Approved: Parcel No: 764710019 Site Address: 59955 SEVILLE LA QUINTA,CA 92253 Subdivision: TR 31681-3 Block: Lot: 193 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $378,072.30 Occupancy Type: ronstruction Type: txpired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 APPLICANT T D DESERT DEVELOPMENT LIMITED Details: 4,184 SQ. FT. PLAN 24CR LOT 193. THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, BBQ OR WATER FEATURE. 2013 CALIFORNIA BUILDING CODES.. ADDITIONAL SITES CHRONOLOGY CONDITIONS PHONE FAX EMAIL NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP APPLICANT T D DESERT DEVELOPMENT LIMITED P O BOX 1716 LA QUINTA CA 92247 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 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 1 101-0000-20306 0 $16.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $16.00 $0.00 BSA: Printed: Wednesday, May 13, 2015 5:10:05 PM 1 of 4 (c L:/LJ SYSTEMS .- -�•.,, �rw- t _ ;err., j4.3: s DESCRIPTION ACCOUNT' T CITY AMOUNT r PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY 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 j $0.00 DIF - PARK 256-0000-432000 $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 j $0.00 Total Paid forDIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 TEMP POWER SERVICE 101-0000-42403 0 $24.17 $0.00 Total Paid for ELECTRICAL: $24.17 $0.00 RESIDENTIAL, EA 101-0000-42403 0 $61.65 $0.00 ADDITION 1,000SF RESIDENTIAL, EA 101-0000-42600 0 $25.40 $0.00 ADDITION 1,000SF, PC RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $0.00 1,0005E RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $0.00 1,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $279.94 $0.00 RESIDENTIAL PRECISE GRADING - TRACT 101-0000-42408 0 $133.43 $0.00 HOME Total Paid forGRADING: $133.43 $0.00 Printed: Wednesday, May 13, 2015 5:10:05 PM 2 of 4 NAP CRuff SYSTEMS i (itt tt�, .. �,� .,,r•.c _ .� �i'F�-a'XFL-.:..�� .'k8 �#•t..!" r�i,.'�� y A � .. �., _ A '�� i � ,.`. f��'. +�. ,rkan:,.t�.�r : 'haw •. `r.^ .,.::�. ...+ry„ ... •.."`-''�--'- �-3•'°' *s, -,y<.:' µri io _ .F i4 ; - : s . .a01 . "fi t ^. • ° i jj . r st"^� � .� ��""` - ��:+py+c®, e:i,k,.,a ,.,,ikc.� t -s;. .. .�.+...-Y,,,+►�7 Printed: Wednesday, May 13, 2015 5:10:05 PM 3 of 4 CRWYS TEMS CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY 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 VENT FAN 101-0000-42402 0 $96.72 $0.00 Tota! Paid forMECHANiCAL: $398.89 $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 101-0000-203100 $1,292.00 $0.00 RESIDENTIAL 0-8 UNITS Total Paid forMULTI-SPECIES RESIDENTIAL- $1,292.00 $0.00 NEW CONSTRUCTION 101-0000-424000 $681.81 $0.00 PERMIT Total Paid forNEW CONSTRUCTION PERMIT: $681.81 $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 GAS SYSTEM, 5+ 101-0000-42600 0 $24.17 $0.00 OUTLETS PC 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: $386.86 $0.00 Printed: Wednesday, May 13, 2015 5:10:05 PM 3 of 4 CRWYS TEMS fr%�>\\ i� i !" 3 a++!/lek y- irte.r . [" = 1 tr.#«•tg .. �. y, r �j Ir s t -jAT. i •tom. i. DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $49.15 Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $49.15 SINGLE FAMILY 224-0000-20320 0 $1,837.44 DETACHED BUILDING Total Paid forTUMF - RESIDENTIAL: $1,837.44 PAID PAID DATE RECEIPT # CHECK # METHOD $0.00 $0.00 $0.00 $0.00 PAID BY I CLTD BY _w INSPECTIONS ;EQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE 0 FINAL"* BLD BOND INFORMATION Printed: Wednesday, May 13, 2015 5:10:05 PM 4 of 4 C WrsrEMs PARENT REVIEWS RETURNED STATUS REMARKS NOTES REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE BUILDING NON-STRUCTURAL BUCKET 1ST PW GREEN AMY YU SHEET FIRE FIRE BUCKET 1 5/11/2015 1 5/26/2015 1 5/11/2015 READY FOR APPROVAL BOND INFORMATION Printed: Wednesday, May 13, 2015 5:10:05 PM 4 of 4 C WrsrEMs