BELC2018-0129T4ht
U � WI�Lrcu VOICE (760) 777-7125
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 12/21/2018
Permit Type/Subtype: ELECTRICAL/ Owner:
Application Number: BELC2018-0129 T D DESERT DEV
Property Address: 81581 RONDA 81570 CARBONERAS
APN: 764680030 LA QUINTA, CA 0
Application Description: ANDALUSIA / 100A HOA POWER PEDESTAL
Property Zoning:
Application Valuation: $1,500.00
Applicant: D
� Contractor:
T D DESERT DEVELOPMENT LIMITED PARTNERSH T D DESERT DEVELOPMENT LIMITED PARTNERSH
81570 CARBON ERAS 81570 CARBONERAS
LA QUINTA, CA 92253 DEC 2 1 2018 LA QUINTA, CA 92253
CITY OF LA QUINTA (760)777-1001
DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 762987
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 ro sions Code, and
my License is in full force and effect.
License Class: B. ZCs,-'Contractor..actor:
cense No.:Date: I
OWNER -BUILDER DECLARATION
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
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'
:ompensation, as provided for by Section 3700 of the Labor Code, for the performance
Athe work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
iection 3700 of the Labor Code, for the performance of the work for which this permit is
ssued. My workers' compensation insurance carrier and policy number are:
:arrier: INSURANCE COMPANY OF THE JUL T_ Policy Number: WSD503905300
_ I certify that in the performance of the work for which this permit is issued, I
;hall not employ any person in any manner so as to become subject to the workers'
:ompen sation laws of California, and agree that, if I should become subject to the
vorkers' compensation provisions of Sectk0n o La shall forthwith
:omply with ose pr visions.
)ate: Applican .
NARNING: FAILURE TO SECURE WORKERS'COMPENSA71ON COVERAGE IS NLAWFUL,
%ND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIN S UP TO
)NE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COT OF
:OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
NTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
MPORTANT: Application is hereby made to the Building Official for a permit subject to
:he conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
-equest and for whose benefit work is performed under or pursuant to any permit issued
3s a result of this application , the owner, and the applicant, each agrees to, and shall
Jefend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
?mployees for any act or omission related to the work being performed under or
ollowing issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not
:ommenced within 180 days from date of issuance of such permit, or cessation of work
or 180 days will subject permit to cancellation.
certify that I have read this application and state tha information is correct.
agree to comply with all city and county ordin es and state la tin to building
:onstruction, and hereby authorize repres atives of this sr
nter up n the above-
nentioned pr pert farinspection pur ses.
)ate: '� Z` Signature( pplicant or nt):
Date: ", 12�21,12018
Application Number:
BELC2018-0129
Property Address:
81581 RONDA
APN:
764680030
Application Description:
ANDALUSIA / 100A HOA POWER PEDESTAL
Property Zoning:
Application Valuation:
$1,500.00
Applicant:
T D DESERT DEVELOPMENT
LIMITED PARTNERSH
81570 CARBONERAS
LA QUINTA, CA 92253
Owner:
T D DESERT DEV
81570 CARBONERAS
LA QUINTA, CA 0
Contractor:
T D DESERT DEVELOPMENT LIMITED PARTNERSH
81570 CARBONERAS
LA QUINTA, CA 92253
(760)777-1001
Llc. No.: 762987
-------------------------------------------------- r----------------------------------- - - - - - -
Detail: 100A HOA LANDSCAPE AND IRRIGATION METER PEDESTAL. 2016 CALIFORNIA BUILDING CODES.
FINANCIAL
DESCRIPTION
INFORMATION
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
SERVICES
101-0000-42403
0
$26.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SERVICES PC
101-0000-42600
0
$13.34
Total Paid for ELECTRICAL: $40.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
98
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100 s1-513102 R-
101 '525 kig 4 5 -t '
103 97 81-581 Ronda
at--6epi st-5Lz
104
- `96 CITY OF LA QUINTA
$i~ 5� -z�• BUILDING DIVISION
105 95 APPROVED
$ , FOR CONSTRUCTION
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10 - 93
92
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110 90
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Flo r010 yq ��1F� ��t9 5q' 120
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