13-1662 (SFD)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.: 533670
Date �`Z�'� 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).:
( ) 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.).
( ) 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 Address:
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.
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: 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 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date:
Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 of this city to enter upon the above•
mentioned property for inspection purposes.
Date: Signature Signature (Applicant or Agent):
"I."
VOICE (760) 777-7125
78-495 CALLE TAMPICO
D
FAX (760) 777-7011
LA QUINTA, CALIFORNIA
92253
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date:
8/26/2014
Application Number:
SFD-13-1662
Owner:
Property Address:
78291 DEACON DR W
THOMAS HILL
APN:
770210032
78291 DEACON DRIVE W
Application Description:
NEW SFD 4960 SQ. FT.
LA QUINTA, CA 92253
Property Zoning:
Q
Application Valuation:
$0.00
Applicant:
Contractor:
N
SUNROSE CORPORATION
SUNROSE CORPORATION
a
72-850 SOMERA ROAD
72-850 SOMERA ROAD
C4
v
PALM DESERT, CA 92260
PALM DESERT, CA 92260
o
U
(760j773-6633
R
Llc. No.: 533670
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.: 533670
Date �`Z�'� 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).:
( ) 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.).
( ) 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 Address:
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.
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: 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 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date:
Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 of this city to enter upon the above•
mentioned property for inspection purposes.
Date: Signature Signature (Applicant or Agent):
"I."
nONR t K. A 0 Q N T2'31�
R A�ACCOUNT','� 2PAID'DA E,�
40#,11"i"p- 1* 0 T
�,b "Ur,
, "
MR I
MWi
BLDG PC 200K-1M 10160003428200
$1,250.00 250..00, 12/26/13
g g
sREGEIPT # -HEM 4 b
A7,251,
Total Paid for BLDG PC.,200K-1M: $1,250.00 $1,250.00
�.ut,
gtx
qj
QTY KS, AMOUNTi,M
ffl`;�:�4 K'PA
LEE :ie N,15�W ��nk:J EM_LL=;i�
7AIMN-l"
DIF CIVIC CENTER RES
25200003650000
$942.00
l
L g
IETHODWO
Wg
CLTRBKj''
xfi
.
a1
& M
�WFIN, tg�514
�ICHE(
�pNlWPAI04
Total-Paid for DIF CIVIC CENTER - RES: $942.00
w �xg,
H 94M'GJACCOUNTW�
MA WdU NT,,; "r'
%r
4
0-11
w"I
81
DIF COMMUNITY CENTERS-RES
25400003650000
$129.00.
i� METHOD
g
"M
0�!Z W
iCHIEC 4,
',CLTD,'
W
IN' T
,?k,"._..,1
R
_,BV'
Total Paid forDIF COMMUNITY CENTERS-RES: $129.00
4b ERYeSR
R
W ":kP
-,-54&40614v� i �
Ir " 01", �� IRIN
QTY,
7il: � , A IMI OQ.NVH,§�
iiPAIDMATt!
11
Mr a, �hm . -,7xi "!i;
. -31',11
DIF FIRE PROTECTION-RES
25700003650000
$433.00
,ff tuw gg.� 01-1 fRg
0
RECE IRE
Q',, CHECKp
&MAIDZI
, I
NONN"'O
0
smu'.- N,
N .4
Total Paid for DIF FIRE PROTECTION-RES: '$433.00
4 gmg 'g-.g... n. E j
N.
1 MA
�vZt
�A4,,+'y^;,'.INAlf
PA I D
"I
bIFLIBRARIES-RES
25300003650000
$344.00
'aPAiblY M,
gg C.,
v
NO'
Total Paid'forDIF LIBRARIES RES: $344.00
-!ACCOUNT,`
1,
-PAI
"AID DATE
IV 5
:QTYUNI
'n
DIF PARK MAINT FAC- RES
25600003650000
$40.00
'PAIDZW�'�
NN�k M. 0n
'N3F
RECEIPT 4 N
",,LT.LYI3V
IN
IE5R �R
W ;Zi;
.1
Total Paid forDIF'PARK MAINT FAC - RES:- $40.00
�p
ACCOUNTR,
IA
MNONO3NZMOUNT
Y
PAID`DAT&1,
,gg
OW
DIF PARKS/REC - RES
25100003650000
$2,048.00
M ETH, M
0 U94
p-
g'RECEIF 'W*q',!j
'1M1CHECW,
M
0,
gm�,,m
Total Paid forDIF PARKS/REC - RES: $2,048.00
1W mgm ONq,
UY 4
-QT Y
'.A
iW MOUNT
PAID,PAID
DATE
RINE -
M
t,
�m A i'7. 1, i�
Tx Nk
NO
DIF STREET, MAINT. FAC=RES
25500003650000
.$116.00
xb P lg
A I W BY%;1 Cc
W4
i.CHECW'.
OTCUTD-BY
ft� mi,.PRNM
T.$�*A��M?�K'�_.�W
�;,kw
�"'T:!; Tj�
Total Paid for DIF STREET MAINT FAC-RES; $116.00
i", :
RONw . . . . . . .
$ DESCRIPTION`ACCOUNT
4i� ff,�q M
.� .
MOUN
g-
R
01_9, M
DIF TRANSPORTATION -R ES
25000003650000.
$2,842.00
ys
�Q_ R_�� ;J1 %
METHOD�-RECOPT*-
_--_1---1'.,) .. . ... ... mg,
r.
`.CHECK C1011
CLTD Byg"
V
0�4 �D 0`041PAID
Z
00
IRENE
Total Paied_forDiiff TRANSPORTATION - RESic $2,842:00
"'M
ft i, v
k1m, MM gz
ACCOUNT
YP,..
g'��12AMOUNT
,f. ,
gpg','v"gvm 7p
-, ,, , "g.
5-1 g PAIW
'R,
RINI7�
17-M
'QTt
N
i
MULTI -SPECIES (MSHCP) FEE.
$1;278.00
AAI i�'#'_ -M i.
zas
..got' ' " ; Q -'4gt7.t
V.g METHOD
-H w INN
t' WL' W�',
'IBY
g
00m, VIM
-R,!Mw Rm M
. I'M 21
""010"'s
M
s -Y;MR
-N"! t
ff ZtA
Total
-Paid forMULTI-SPECIES (MSHCP)'FEE. $1,278.00
-w""Y
tScklo
wma.
Elm
NqACCOUNTM
NPAMOUNTJ�Mjg
R::,Q.!..).
kM
eec"I*XWVA N
g, -T -R, "Imum
R
W 9.
tr
PLAN CHECK, ELECTRICAL
.10160003428200,
$47.19
. .. .......
N -V B
gg�,
__W.1Kr` qr,
TRECEIPTi
kHECK1#_1$,,,5,,,B�
�CLT.M B y
'AR
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0 DESCRI
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pq�
-0 JE4
DATE
q!%M
g:PAN-k-PA
7
_416
'PLAN CHECK, ELECTRICAL
10160003428200
$20.04
-.Y-'£%
M
n_0
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'R4 EX-Fq
11
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'6*M:R me
t,,rye U
C, NTA
m .
P.ds'�6,%AMOUNT IM
... D,
drh W
N, V.
PLAN CHECK, ELECTRICAL
10160003428200.
$23.83
5 8-
iq
W u
ETHOP%
=4
m "IN
D� CHECK
'�'=XLTD.'�`BY
5"
I4�
A r,
MMAccOUN
. .... .
AMOUNT=
11.1,74I%t �,4
PAID
-
'PAIWQAWR
:DESCRIPTION
g�
PLAN CHECK, ELECTRICAL
10160003428200,
$11.92"
m
� _%,
r, H 0 D,!r,'BY
'KW �W
iq4na,� " _
N - "t ..0 Nq �fL
Is "
- , " TN
Rm I 11N_Irl
ESCRIPTION
W,,W,
ILI
ACCOUNT
ON"
v n
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R _,"f
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PAID
PAID
3. R2 On A
I irW-RVP,'i�3,,,j
i91TOW R45w t.
14 R
I
PLAN,CHECK, ELECTRICAL
:10160003428200
$16.68,
PAI
p �METHOD
EC
..Y" K;
ql�-CHECWW'
IF RR' N�,,Rlfi- N
181
I
gi,
g?;
ME- �E;
Total Paid fbrPLAN CHECK, ELECTRICAL: $119.66
14
-DESCRIP T1ONVpC,1p? K
ACCOUNT
T
'A
nA'IVIOUNV:4:,t
Rg PA W§
I�PA D.,.DATE
:R.11
% 0" D�T�,MOSRR-1,4
i.��
s��
4.5�7
-t, 5,
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MECHANICAL
10160003428200
$119.15
ARE 0
Sam, E -2,R §1 tfkb
-'r, -MECEIPTAX014
rCHECK4&-CS
M,.�Z
R1.
OR
IOUNT:T
izp t
AIDM
°PAID DATE
01 Pl_
R.;
PLAN CHECK, MECHANICAL
10160003428200
$119.15
31
0 'Al TMODM M 1,M' I
WWET
RECEIPT,*
ECW#iV
��w 'All
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OF
v
POP.,,
Fr-KiR,
'14i
f E°AMOUNT.k,4-..-.g,."w'
RAID'-RAIU'DATE;q any
IE
PLAN CHECK, MECHANICAL
-10160003428200
$38.16
U
D,BY ti
g
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m
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g�` CLTDj
.1 K _ w? 11-41 m
m
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F::iklu:,.'G_,.,{",?Fxq''?'SM'x..a..,.'.
ir:k=.1"`x'';p �Ef
' %''ACCOUNT
.HA2€a.{*-YE.?:
"E .::�A.v '$.."',�.
'Y
a,.'`.e% a.4.:�„bra�Ydz"E'Y
PAID `,'
PAID DATE.
{� DESCRIP.TION,A-�
ii'..°t�>".:F,�FY,v:..•...X'.I.'-..d4.h.$�y:,k'r1'��"a'.:J:v.w!:f<..latex.e`Yti"3&.:X�,x�.i'�.:..5'..
.QTY
,AMOUNT
.Y...aS....,.au:,Y.L
PLAN CHECK, MECHANICAL.
10160003428200
$9.54
f :PAID BYE
...::. L'g z
METHOD^gT
y q a ai.; ....+^..£ :ate 2
RECEIPT #
[ ;� €. aa, 3sy
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<x bJ'x -W.V a
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-Total Paid for PLAN CHECK, MECHANICAL: $286.00
4
"ak'! C, w� T Yh .(f \!y
t *ACCOUNT k
{h 2
QTY,
3 {�, i✓'?�f: i
;t LSINIOUNT �
a{'. S , S'i'.:i S� }
11 0,0,* P{AIDS{ r;
PAID DATE
*'a :� y ((DESCRIPTION [
'.::, v.3✓Y�'?}73P4 i"<#-r...#bra¢'r.�.Y_>-..hSS�:ti-�:`c'!E`..a�PA 4. "=F. W'�x.'��,.k:-
r
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PLAN CHECK, PLUMBING
10160003428200
$321.84
s v •u a•• k.: t 6
t y- `. "�;'tnp5d <, � €s".';,..z . z .4 . ; & a, � : ; «-, .4fk
tPAID "�iMETIiOD�
'? `3-^.•` '-..r5 - .z�
'{ a3t2 'ika{.> 5 $:, ai:::s,:'.a'k6a^ S `' ;n g 'a°,''
3�d
+i'� 3 Yqa
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PAID DAT E_
s DESCRIPTION' �
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QTY,
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PLAN CHECK, PLUMBING
10160003428200 •
$11.92
2+y X{ `�� .a !�. fix` • fca..` s�Z `A'�`..}{
54”: 'l" k -w5"c!
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"E AMOUNTa
'"';y3: ,:Y
PAID;DATE
�� �.
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♦ :.. . ' . *: `k.«:a
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"'..at.-,......�Al
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PLAN CHECK, PLUMBING •.:
10160003428200
$35.76
NPAID BYtv-'�
METHOD
RECEIPT #
w 'R-'lv
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GLTU,BY
ti
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,a4+.5
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�::#Nx+e3¢d 'S
ACCOUNT`x5j�§°QTY;''AMOUNT
�. 4 -,a
�f4tfi r}:t.� :3. t=.:�s.t4 hb
�`PAID
� 13 '»�' $ �':@ }'f'.r {'<.?.':.;f
���,P,AID�DATE
�fib£e
#-�
'�{z �s'.nx..: . ,tf.
a,7+�a+ r. .:._ii' z z< '... a:Y:P.`.d?3,Ct:, F''�= `: ki"R
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:'�.a.:�'YEr {
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PLAN CHECK, PLUMBING
10160003428200
$14.30
`s'z'r.- !,. '.S,. Se': �y'§•a ,<"efL
PAIDeBY. BFR`
:g4ne::, ,
METHOD,
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" ` '' `ACCOUNT
z TYy
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PAID
PAID DATE
y s
.�i`-.
r
?yc':5."a "z.�s".:�.�ti?� r4EF..'¢xr_,> r..^'FS.'.�Yr
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PLAN CHECK, PLUMBING
10160003428200
$23.83
3.'y. Rr ...t �2. .' ;*� _. .; a,,a
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M9!101
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Total Paid for'PLAN CHECK, PLUMBING: $407.65
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TUMF: RESIDENTIAL
22400002032000-
$1,837.44
q v,::y{.t. €
METHOD,
.,� {Cfl<',"i,:#
? RECEIPT # f
aSfSG.y
#
. t'
CCTD BYE+:
; .. ...
s „ {
.CHECK _
Total Paid forTUMF: RESIDENTIAL: $1,837.44 .
•i • ��
Description: NEW SFD 4960 SQ. FT.
Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: OK TO ISSUE
Applied: 12/26/2013
FAMILY DETACHED
Approved: 3/5/2014
Parcel No: 770210032 Site Address: 78291 DEACON DR W LA QUINTA,CA 92253
Subdivision: Block: Lot:
Issued:
Lot Scl Ft: Building Scl Ft: Zoning:
Finaled:
Valuation: $451,972.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: No. Stories: No. Unites:
CITY
Details: NEW SFD WITH 4000 SQ. FT. MAIN HOUSE, 585 SQ. FT. CASITA, 375 SQ. FT. WINE CELLAR, TOTAL PATIO AREA 1166 SQ. FT. AND 1280
SQ. FT. GARAGEMOME IS FIRE SPRINKLED PER 2010 CRC CODES. THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCKWALL, OR
DRIVEWAY APPROACH, BBQ, FIRE -PIT WATER FEATURES. 2010 CALIFORNIA BUILDING CODES.
CONDITIONS
DESCRIPTION ACCOUNT
.
QTY AMOUNT PAID
CONTACTS
BLDG PC 200K -1M 10160003428200
$1,250.00 $1,250.00
12/26/13
Total Paid for BLDG PC 200K -1M: $1,250.00 $1,250.00
NAME TYPE
NAME
ADDRESS1
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
SUNROSE CORPORATION
72-850 SOMERA ROAD
PALM DESERT
CA
92260
CONTRACTOR
SUNROSE CORPORATION
72-850 SOMERA ROAD
PALM DESERT
CA
92260
OWNER
THOMAS HILL
78291 DEACON DRIVE
W
LA QUINTA
CA
92253
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT
.
QTY AMOUNT PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
BLDG PC 200K -1M 10160003428200
$1,250.00 $1,250.00
12/26/13
Total Paid for BLDG PC 200K -1M: $1,250.00 $1,250.00
Printed: Tuesday, August 26, 2014 3:06:14 PM 1 of 4
V?V IJ SYSTEMS
Printed: Tuesday, August 26, 2014 3:06:14 PM 2 of 4
sysrr:Ms
DESCRIPTION
ACCOUNT .
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD .:
PAID BY
.
BY
DIF CIVIC CENTER - RES
25200003650000
$942.00
Total Paid forDIF CIVIC CENTER - RES: $942.00
DIF COMMUNITY
25400003650000
$129.00
CENTERS -RES
Total Paid forDIF COMMUNITY CENTERS -RES: $129.00
DIF FIRE PROTECTION-
25700003650000
$433.00
RES
Total Paid forDIF FIRE PROTECTION -RES: $433.00
DIF LIBRARIES - RES
1 25300003650000
1
1 $344.00
Total Paid for DIF LIBRARIES - RES: $344.00
DIF PARK MAINT FAC -
25600003650000
$40.00
RES
Total Paid for DIF PARK MAINT FAC - RES $40.00
DIF PARKS/REC - RES
25100003650000
$2,048.00
Total Paid for DIF PARKS/REC - RES: $2,048.00
DIF STREET MAINT FAC-
25500003650000
$116.00
RES
Total Paid for DIF STREET MAINT FAC -RES: $116.00
DIF TRANSPORTATION -
25000003650000
$2,842.00
RES
Total Paid for PIF TRANSPORTATION - RES $2,842.00
MULTI -SPECIES
10100002031000
$1,278.00
(MSHCP) FEE
Total Paid forMULTI-SPECIES (MSHCP) FEE: $1,278.00
PLAN CHECK,
110160003428200 $47.19
ELECTRICAL
Printed: Tuesday, August 26, 2014 3:06:14 PM 2 of 4
sysrr:Ms
......
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CD
BY
PLAN CHECK,
10160003428200
$20.04
ELECTRICAL
PLAN CHECK,
10160003428200
$23.83
ELECTRICAL
PLAN CHECK,
10160003428200
$11.92
ELECTRICAL
PLAN CHECK,
10160003428200
$16.68
ELECTRICAL
Total Paid for PLAN CHECK, ELECTRICAL: $119.66
PLAN CHECK,
10160003428200
$119.15
MECHANICAL
PLAN CHECK,
10160003428200
$119.15
MECHANICAL
PLAN CHECK,
10160003428200
$38.16
MECHANICAL
PLAN CHECK,
10160003428200
$9.54
MECHANICAL
Total Paid for PLAN CHECK, MECHANICAL: $286.00
PLAN CHECK,
10160003428200
$321.84
PLUMBING
PLAN CHECK,
10160003428200
$11.92
PLUMBING
PLAN CHECK,
10160003428200
$35.76
PLUMBING
PLAN CHECK,
10160003428200
$14.30
PLUMBING
PLAN CHECK,
10160003428200
$23.83
PLUMBING
Total Paid for PLAN CHECK, PLUMBING: $407.65
Printed: Tuesday, August 26, 2014 3:06:14 PM 3 of 4
SYSTEMS
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
TUMF: RESIDENTIAL 22400002032000 1 $1,837.44
Total Paid forTUMF: RESIDENTIAL: $1,837.44
Printed: Tuesday, August 26, 2014 3:06:14 PM 4 of 4 Cp
SYSTEMS