13-0130 (SFD)' o
P.O. BOX 1504 4
SC�
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 13-00000130
Property Address: 53445 AVENIDA VILLA
APN: 774-093-022-10 -000000-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: COVE RESIDENTIAL
Application valuation: 123471
Applicant: Architect or Engineer:
----------------- I
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 Pr essi n s C e, and my License is in full force and effect.
Licenp Class: B se No.: 974805
Dat U a' /contractor:
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).:
1 _ 1 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.).
(_ 1 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.).
(_ 1 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 Name: _
Lender's Address:
LQPERMIT
Owner:
RONALD STOCKDALE
50855 WASHINGTON ST. STE., 2C
LA QUINTA, CA 92253
Contractor:
CT BUILDERS INC
3194 AIRPORT LOOP DR STE C2
COSTA MESA, CA 92626
(714)327-1710
Lic. No.: 974805
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/27/13
-----------------------------------------------
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 EX$MPT Policy Number EXEMPT
r� 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 subj ct to the workers' compensation laws of California,
and agree that, if I should beco a subject o rs' compensation provisions of Section
W-1137000 of the L�brrr Code, I I wit y ith those provisions.
Date: � 7 �.3Applicant-.
WARNING: FAILURE TO SECURE WQ ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 Director of Building and Safety 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 1 have read this application and state that the above information is correct 1 a e to comply with all
city and county ordinances and state laws relating to building co truction, an he orize representatives
of thi unty to enter upon t bove-mentioned property f n ur o
a%/3s'
Date:• ignature (Applicant or Agent):
Application Number . . . . . 13-00000130
------ Structure Information 1,918SF DWELLING/VB/RES-3/CL-A/13D [ENG] -----
Other struct info . . . . . CODE EDITION 2010
# BEDROOMS 4.00
FIRE SPRINKLERS 13D
GARAGE SQ FTG 473.00
PATIO SQ FTG 32.00
NUMBER OF UNITS 1.00
1ST FLOOR SQUARE FOOTAGE 1918.00
2ND FLOOR SQUARE FOOTAGE 187.00
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Permit . . . BUILDING PERMIT
Additional desr. .
Permit Fee . . . . 723.50
Issue Date . . . .
Expiration Date . . 1/11/14
Plan Check Fee .. . 470.28
Valuation . . . . 123471
Qty Unit Charge Per Extension
BASE FEE 639.50
24.00 3.5000 THOU BLDG 100,001-500,000 84.00
----------------------------------------------------------------------------
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
ELEC-NEW RESIDENTIAL
106.59 Plan Check Fee
Valuation . .
1/11/14
26.65
0
Qty
Unit Charge Per
Extension
BASE
FEE
15.00
1918.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
67.13
473.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
9.46
1.00
----------------------------------------------------------------------------
15.0000 EA
ELEC
TEMPORARY POWER POLE
15.00
Permit . . . GRADING PERMIT
Additional desc . .
Permit Fee . . . . 15.00
Issue Date.
Expiration Date . . 1/11/14
Plan Check Fee . . .00
Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 15.00
----------------------------------------------------------------------------
Permit . . . MECHANICAL
Additional desc . .
LQPERMIT
Application Number . . . . .
Permit . . . . . . MECHANICAL
Permit Fee 64.50
Issue Date
Expiration Date 1/11/14
13-00000130
Plan Check Fee . . 16.13
Valuation . . . . 0
Qty
Unit Charge
Per
Extension
Extension
BASE FEE
15.00
10.00
BASE
FEE
15.00
1.00
9.0000
EA
MECH
FURNACE <=100K
9.00
1.00
4.5000
EA
MECH
VENT INST/ DUCT ALT
4.50
1.00
16.5000
EA
MECH
B/C >3-15HP/>100K-500KBTU
16.50
2.00
6.5000
EA
MECH
VENT FAN
13.00
1.00
----------------------------------------------------------------------------
6.5000
EA
MECH
EXHAUST HOOD
6.50
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
PLUMBING
129.00
1/11/14
Plan Check Fee . . 32.25
Valuation . . . . 0
Qty
Unit Charge Per
Extension
BASE FEE
15.00
10.00
6.0000 EA
PLB FIXTURE
60.00
1.00
15.0000 EA
PLB BUILDING SEWER
15.00
1.00
7.5000 EA
PLB WATER HEATER/VENT
7.50
1.00
3.0000 EA
PLB WATER INST/ALT/REP
3.00
1.00
9.0000 EA
PLB LAWN SPRINKLER SYSTEM
9.00
6.00
.7500 EA
PLB GAS PIPE >=5
4.50
1.00
15.0000 EA
PLB GAS METER
15.00
----------------------------------------------------------------------------
Special
Notes and Comments
1,918SF
DWELLING/VB/RES-3/CLASS-A/13D
[ENGINEERED] THIS PERMIT DOES NOT
INCLUDE
BLOCK WALLS, POOL,
SPA OR
DRIVEWAY APPROACH. 2010 CALIFORNIA
BUILDING CODES.
June 27,
2013 1:46:00 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . .
. BLDG STDS ADMIN (SB1473)
5.00
DIF COMMUNITY CENTERS -RES
129.00
DIF CIVIC CENTER - RES
942.00
ENERGY REVIEW FEE
47.03
DIF FIRE PROTECTION -RES
433.00
GRADING PLAN CHECK FEE
15.00
DIF LIBRARIES - RES
344.00
MULTI -SPECIES (MSHCP) FEE
531.00
DIF PARK MAINT FAC - RES
40.00
DIF PARKS/REC - RES
2048.00
LQPERMIT
Application Number . . . . . 13-00000130
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
COVE PRECISE PLAN FEE
100.00
STRONG MOTION (SMI) - RES
12.35
TUMF: RESIDENTIAL
1837.44
DIF STREET MAINT FAC -RES
116.00
DIF TRANSPORTATION - RES
2842.00
Fee summary
Charged
----------
Paid Credited
------------------------------
Due
-----------------
Permit Fee Total
1038.59
.00 .00
1038.59
Plan Check Total
545.31
250.00 .00
295.31
Other Fee Total
9441.82
.00 .00
9441.82
Grand Total
11025.72
250.00 .00
10775.72
LQPERMIT