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BSPN2017-000478-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Twr4lw4�w DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BSPN2017-0004 59195 MARBELLA 764200068 ANDALUSIA CLUBHOUSE / UTILITY RELEASE Applicant: TD DESERT DEV LTD PARTNERSHI 79285 RANCHO LA QUINTA DR LA QUINTA, CA 92253 D a a 7 CITY OFLA OUINTA COUIMU TLDEYE,ORMENTDEPARTIJENT 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: License No.: ate: -74:1ntra OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's St to License Law for the following reasori (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 VOICE (760) 777-7125 . FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/17/2017 Owner: CORAL OPTION I 81570 CARBONERAS LA QUINTA, CA 0 Contractor: Llc No.: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one oflthe following declarations: 1 -have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700of 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 perfornance 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 :is to become subject to the workers' compensation laws of California, and agree thac, if I should become subject to the workers' compensation provisions of Section 3-00 of the L Co , I shall forthwith comply with,those provisions. ___? WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLA FUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES up/ro 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 thisapplication. 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 •--ity 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 i esuance of such permit, or cessation of work for 180 days will subject permit to cancell3tion. I certify that I have read this application and st.te that the abov ormation is correct. I agree to comply with all city and county ordinances and e I s relating to building construction, and hereby authorize represen es o s city o enter upon the above-mtoned property for inspectio urp.3ses 7 .171 �ature (A I' oar Agent Date: 1/17/2017 Application Number: BSPN2017-0004 Owner: Property Address: 59195 MARBELLA .CORAL OPTION I APN: 764200068 81570 CARBONERAS Application Description: ANDALUSIA CLUBHOUSE / UTILITY RELEASE LA QUINTA,-CA 0 Property Zoning: Application Valuation: Applicant: Contractor: TO DESERT DEV LTD PARTNERSHI . 79285 RANCHO LA QUINTA DR -LA QUINTA, CA 92253 Llc. No.: ------------------------------------------------------ r -------- Detail: -------------- ------------------------------ Detail: RELEASE FOR ELECTRIC AND GAS DUE TO FIRE IN CLUBHOUSE. PER 2016 CALIFORNIA BUILDING CODE DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT SPECIAL INSPECTION 101-0000-42404 0 $76.00 Total Paid for COMPLIANCE-SURVEY/SPECIAL INSPECTIOW $76.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 Q i Bin # Qty. of QC. int a Building.& Safety Division Permit #i 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701,2 Building Permit Application and Tracking Sheet Project Address:. S t� G� Ila_ Owner's Name: C / A. P. Number: — Address: Legal Description: EA_k--Z 771(P S 1 ".L. City, ST, Zip: tor. f S o � J� O nContra o O T Iehe: - �P0 � 7 t Address: 00-7-7.0 �� Y Gp.? ce,e, Project Description: City- ST, Zip: C_ ( IF 2 Z \ 3 — . v. / ��: L:.rO c% •(e . el T e hone: P 7 n 7 F ,A _n / � /1 2 r� P Le T l / �"t State Lic. # : w r% O ? City Lie. #:L Arch., Engr., Designer: Address: City, ST, Zip: Telephone: one: <'< ...�...Q pan : Occupancy: Construction TY Pe- cY a S t to Lic. #: 'n Ite a air dd R New ADemo. Pro'ect ty e circle one)! e P J P � ) Name of Contact Person:O �Q `.�. �...... Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: ?&a � � �/t'� Estimated Value of Project: 2/ APPLICANT: DO NOT WRITE BELOW THIS LINE ' M Submittal Req'd Reel TRACKING P3RMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Clieck Deposit Truss Cates.' Called Contact Person Plan Clieck Ilalsncc. Title 24 Cates. Plans picked up Construction ' Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person. Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN ROUSE:- '"! Review, ready for corrections/issue Developer Impact Fee. Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr . Date of permit issue School Fees, I Total Permit Fees