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BELC2017-007578-495 CALLE TAMPICO C 0 • Dtie . LA QUINTA, CALIFORNIA 92253 DESIGN &.DEVELOPMENT DEPARTMENT ' BUILDING PERMIT Application Number: BELC2017-0075 Property Address: 59775 SEVILLE APN: 764710013 Application Description: ANDALUSIA/ 100AMP TEMP POWER METER Property Zoning: a Owner: z v Application Valuation: $750.00 Applicant: T D DESERT DEVELOPMENT LIMITED PARTNERSH 81570 CARBONERAS LA QUINTA, CA 92253 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 a ofessions Code, and my License is in full force and effect. License Class: // License No.: 76298 fDate� / Y Contracto V OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor' 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).: U 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 ari owner of property who builds or improves thereon, and who contracts for the projects with a contractors) 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 (760)777-1001 Llc. No.: 762987 WORKER'S COMPENSA—ION 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' com nsation s provided for by Section 3700 of the Labor Code, for the performance o h or or hich this permit is issued. I ha e and will maintain workers' ompensation insurance, as required by on 3700 the Labor Code, for the performance of the work for which this permit is issued. 00J orkers' compensation insuran:e carrier and polity number are: Carrier: REPUBLIC UNDERWRITERS INSURANCE- COMPANY Polity Number: RU W 1005126 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any mannersc as to become subject to the workers' compensation laws of California, and agree ttat, if I should becomes to the workers' compensation provisions of Section.S7 the Labor de, I sh II forthwith comply with t se.pr visions. / 0 APPlica' WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAW L, 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 FCR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to be Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this app ication 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 appl.cation becomes null and void if work is not commenced within 180 days from date o= 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 nate that the above information is correct. I agree to comply with all city and county orccinances and state law to building construction, and hereby authorize representatives of this enter up o the above -menti, ed Voperty for inspection pugroses. Signature (Applicant or VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 E5 D te'�.S'/3 /2017 a Owner: z v T D DESERT DEV CD m 81570 CARBON ERA,_-� C:) LA QUINTA, CA 0 0 -rr C r10 Contractor: M T D DESERT DEVECOPME RSH 81570 CARBONS 9 LA QUINTA, CA 993 (760)777-1001 Llc. No.: 762987 WORKER'S COMPENSA—ION 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' com nsation s provided for by Section 3700 of the Labor Code, for the performance o h or or hich this permit is issued. I ha e and will maintain workers' ompensation insurance, as required by on 3700 the Labor Code, for the performance of the work for which this permit is issued. 00J orkers' compensation insuran:e carrier and polity number are: Carrier: REPUBLIC UNDERWRITERS INSURANCE- COMPANY Polity Number: RU W 1005126 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any mannersc as to become subject to the workers' compensation laws of California, and agree ttat, if I should becomes to the workers' compensation provisions of Section.S7 the Labor de, I sh II forthwith comply with t se.pr visions. / 0 APPlica' WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAW L, 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 FCR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to be Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this app ication 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 appl.cation becomes null and void if work is not commenced within 180 days from date o= 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 nate that the above information is correct. I agree to comply with all city and county orccinances and state law to building construction, and hereby authorize representatives of this enter up o the above -menti, ed Voperty for inspection pugroses. Signature (Applicant or Date: 8/31/2017 Application Number: • BELC2017-0075• Owner: Property Address: 59775 SEVILLE T D DESERT DEV APN: 764710013 81570 CARBONERAS Application Description: ANDALUSIA / 100AMP TEMP POWER METER LA QUINTA, CA 0 Property Zoning: Application Valuation: $750.00 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 9'0253 (760)777-1001 LIC. No.: 762987 Detail: TEMPORARY POWER METER. 2016 CALIFORNIA BUILDING CODES. FINANCIAL DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE 101-0000.-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $17.73 Total Paid for ELECTIICAL• $43.06 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISS0ANCE: $96.27 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 s' M (�{ 3L64 , 5 f FL. 186 32.90 CITY OF LA QUIN 1 A'1 ' PL.187 AN 25 � 1 BUILDING $ SAFETY DEPT. PE=433.20 � A PFOB QED \ FF=433.80 `� 1 1 0 E ' FOR CON •TRUCTI so r , HP r 3 5.-1 r 32.67 FS 18 L 32FL v� 2 DATE �l BY .68 FL-GB _ \ w I � 32.90 HP32.81 ; TOW 39.07 �o 32.81 FS FS. FOLDING PLAN 4R �� 5 TO i 3312 64 ta; DOORS Q . FL-G8 TVP PE=433.20 FF=433:80 HIP 3290 �O 32.98 ' 32.90 TYP oHP •- 32.58 rS` p [a HP C> ol 33.18 Nt 4 S • � .``-� GF=433.20 32;47 Fs 32.19 1 TOW 39.02 1 FS 32.7 22 OF 31.69 �32.57 TCS / GF=433.20 33.18 �y 32':4-t 32:13 ' - 33-t8 FL.-G8 'FS FS2�4 i F5 - FS 32.68. e i FL-G8 3i.59 3282 ``T� 35.77 3282 FS N 33-18- a ( , FS 3 0 / �� •rte Y r F `GB M1 Y33.77 978 N �� n L La't6•SO ti _ �! TER �e mL 89.62 31.53 3225 i. . -TG-- ;MH EX 12' DIP WAF tQ A -VWD DWG,E`!©; 9 EX 8' �'P-SEWER. H EVWD AWG NO EX WALKING PATH - t s 20 BENCHMARK: IN THE CITY OF LA QUINTA, CALIFORNIA , nn _ B11 9-70C CHISELED PRECISE GRADING PLAN 11 (TIES yj �) 1� (� If1} Ij� ILII f? II j1�1 I� Iz 17 Il I N ELEV 27941 (NAVD 29) URES F 11YYJJ 66 NJ lJ '�J �t� IJ 'J�J (,C LCC (jU U 6 (U] 109-70 CHIS'cIED SOUARE 4N ON 1 ON CANAL BRIDGE S.E. FOR �oxiw am NEERING LAND PLANNING WING wA 2.DMILE39. AMENDMENT NO. 2 TRACT 31681-3 G T?. 50V-7 ALON CKSON Sf FROM N AEN2:oMILEsLOTS 187-191 D U� ONG AV .;FROM w OF MADISON ST ' S NOT 18'S, OF AVE 50 - N'lni D --- "REO T< EPAR9Y' LL O' W 26 2 _ . . IN THF SF 9/d ()F CFRTIC)N 97 TRC R7;: C R M Mn # - CIi}/,Of ick Q[!IlI Binding ac Safety Division - a P.O. Box 1"504,78495 Caffe Tampico Permit # (JJ la,Quinta, Cad 92253 - (760) 777-7012 Bulfding Pennit Application Tracking Sf eel and _ Fro�ectAddress: 5, 77� StY i Owrtet'sxame: A. P. Number. —7(,4 —7/- / j t Address: ( t✓ f,. 06(�(`G S Legal Description: f 4..c f,to o l.— .. i .7 .. City; ST, Zip: C� 01 t,L k, C� Q 7 2S 3 = . loo Contractor.-i ; _ e Ile Telephone: ?(9e-z,17 . t r f Address: kj ( S ?o.. Description: City, ST, Zip: (_a, q ZZ5 3 A ;r_, Telephone:-16w 1i 1 (<o© (.: Stata Lic. # _ City Lia: .7�' Arch, Engr., DesignerAddress City, ST, Zip:Telephone J__'De. Construction Type: Oceupanry State Lie. #. ; ' ,Projecttype(circleone)+ dd'a Alter Repair Name of Contact Person: I.u. > ,l �S Sq. Ft: # Stories. # ltnrts <, Telephone # of Contact Person: 't 0 0 -1 o i7 ' c t c t� Estimated Value of Wbje� 75� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal . 'L "Id Reed 'iRACENG . PELM I' FEES Plan Sets _+ _ Pfau Che& submitted, Item Amoaat Strgctuial Caks. + Reviewed, ready for con ections Plan Clicck Deposit M Truss Cslcs. > Called Contact Person Plan Check Balance _ a 'Tide 24 Caks Plans picked up - Construction flood Pim Plan _. Plain resubiiiitied' Mecbaniail i { __. Grading plan 21! Review, ready for correctiousrmue Eleetrieai Subcoatactor I.lst Called Contact Person Plumbing .:GraatDeed Plans picked up S.b9 1 , H.OA, Approval Plans resubmitted Grading e. IN HOUSE-.-.'`'Reyiew, ready for correctioaslissae Developer.ImpaM Pla�aing Approval Called Contact Person ALP P ,Pub. Wks. Appr Date of petasit Issue School Fees Total Peomit Fees