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BRES2017-015578-495 CALLE TAMPICO C� 0 DV `�1N.tII�Cl/ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: BRES2017-0155 81501 RONDA 764680015 ANDALUSIA / TM31681-3 / PLAN 26/ LOT 98 $454,592.30 Applicant: T D DESERT DEVELOPMENT LIMITED PARTNERSH 81570 CARBONERAS LA QUINTA, CA 92253 I JUL 2 g 2017 CITY OF LA QUNTA COMMUNITY DEVELOPMENT DEPARTMENT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/28/2017 Owner: T D DESERT DEV 81570 CARBONERAS LA QUINTA, CA 0 Contractor: T D DESERT DEVELOPMENT LIMITED FARTNERSH 81570 CARBONERAS LA QUINTA, CA 92253 (760)777-1001 Llc. No.: 762987 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, _ I have and will maintain a certificate of'consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance License CI ss: a License No.: 762987 of th"3700 which this permit is issued. a and will maintain workers' compensation insurance, as required by Contractor: S' othe Labor Code, for the performance of the work for which this permit isissuorkers' compensation insurance carrier and policy number are: OWNER -BUILDER DECLARATION Carrier: REPUBLIC UNDERWRITERS INSURANCE COMPANY Policy Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State RUW1005126 License Law for the following reason (Sec. 7031.5, Business and Professions 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, demolish, 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 become subject to the signed statement that he or she is licensed pursuant to the provisions of the workers' compensation provisions of Section 3700 he bor Cod all forthwith Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division comply wit hose pr isions. 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 al Date: , Z'$ Applicant: ' permit subjects the applicant to a civil penalty of not more than five hundred dollars f- ($500).: WARN NG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNU (_) 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 U 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 0) (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR 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 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, 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 Name: Lender's Address: CODE, 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 hull 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 a laws relating to building construction, and hereby authorize representative f this city enter upon the above-mtioned �operty for inspection purpo es. li Date: 7/28/2017 Application Number: BRES2017-0155 Owner: Property Address: 81501 RONDA T D DESERT DEV APN: 764680015 81570 CARBON ERAS Application Description: ANDALUSIA / TM31681-3 / PLAN 26 / LOT 98 LA QUINTA, CA 0 Property Zoning: Application Valuation: $454,592.30 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'26 LOT 98 [VB/RES-3/CLASS-A/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, BBQ OR WATER FEATURE. PER 2016 CALIFORNIA BUILDING CODES 0 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $19.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $19.00 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 RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $64.60 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $152.00 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $216.60 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - TRACT HOME 101-0000-42408 0 $139.84 Total Paid for GRADING: $139.84 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $190.00 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $190.00 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $139.37 Total Paid for MECHANICAL: $532.04 DESCRIPTION ACCOUNT QTY AMOUNT MULTI STRUCTURE PLAN CHECK - EACH 101-0000-42600 0 $50.67 Total Paid for MULTI STRUCTURE PLAN CHECK - EACH: $50.67 DESCRIPTION ACCOUNT QTY AMOUNT MULTI SPECIES RESIDENTIAL 0-8 UNITS - 2017 UPDATE 101-0000-20310 0 T $1,245.00 Total Paid for MULTI -SPECIES RESIDENTIAL: $1,245.00 DESCRIPTION ACCOUNT QTY . AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $759.97 Total Paid for NEW CONSTRUCTION PERMIT: $759.97 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401. 0 $304.08 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT. WATER HEATER/VENT 101-0000-42401 0 $25.34 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.67 Total Paid for PLUMBING FEES: $430.76 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $59.10 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $59.10 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 DESCRIPTION ACCOUNT QTY AMOUNT SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 Total Paid for TUMF - RESIDENTIAL: $1,837.44