BRES2018-040578-495 CALLE TAMPICO "_ , D 2, VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/23/2019
Permit Type/Subtype:
BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED
Owner:
Application Number:
BRES2018-0405
SUNRISE LQ LLC
Property Address:
81738 ANDALUSIA
81570 CARBONERA
r.
APN:
764670064
LA QUINTA, CA 922
+ '
Application Description:
ANDALUSIA / NEW SFD / LOT 33 / PLAN 21B
Property Zoning:
�"•;
Application Valuation:
$298,431.80
-_�_ �_'
C
Applicant:
P. .
Contractor:
NATIONAL MORTGAGE & LAND COMPANY
NATIONAL MORTGA£ LANf�3 COMWf
300 EAGLE DANCE CIRCLE
300 EAGLE DANCE C! Q Er '
PALM DESERT, CA 92211
PALM DESERT, CA 92211� C�
(760)772-7227R
� sq.
Llc. No.: 288130 r-.R--ri �•
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B !tense No.: 2 813
2
Date: 7 Contractor:
OWNER -BUILDER CLARATI
I hereby affirm under penalty of perjury that I 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.).
(_) 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 Na
Lender's Add
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.
I 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: EXEMPT 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 of the La o , I shall forthwith
comply with those pr! visions.
Date: JJ I Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS NLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL F ES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THECOST 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 anon -re 4ws relating to building
construction, and hereby authorize representatives his cit o enter upon the
above -mentioned pr perty for inspection purpos
Date: Signature (Applican rAge ):
late: , `"1/23/2019
Application Number:
BRES2018-0405
Property Address:
81738 ANDALUSIA
APN:
764670064
Application Description:
ANDALUSIA / NEW SFD / LOT 33 / PLAN 21B
Property Zoning:
Application Valuation:
$298,431.80
Applicant:
NATIONAL MORTGAGE & LAND COMPANY
300 EAGLE DANCE CIRCLE
PALM DESERT, CA 92211
Owner:
SUNRISE LQ LLC
81570 CARBONERAS
LA QUINTA, CA 92253
Contractor:
NATIONAL MORTGAGE & LAND COMPANY
300 EAGLE DANCE CIRCLE
PALM DESERT, CA 92211
(760)772-7227
Llc. No.: 288130
Detail: 3,280 SF DWELLING - PLAN 21B, LOT 53033 [VB/RES-3/CLASS-A/13D). THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, BBC, WATER
FEATURE, OR DRIVEWAY APPROACH. PER 2016 CALIFORNIA BUILDING CODES.
FINANCIAL•• •
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $12.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $12.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DIF - COMMUNITY CENTERS
254-0000-43200
0
$129.00
DESCRIPTION
ACCOUNT
CITY
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
$54.44
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$160.10
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $214.54
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL PRECISE GRADING - TRACT HOME
101-0000-42408
0
$147.29
Total Paid for GRADING: $147.29
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR
101-0000-42402
0
$160.08
DESCRIPTION
ACCOUNT
QTY
AMOUNT
EXHAUST HOOD
101-0000-42402
0
$13.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FURNACE
101-0000-42402
0
$160.08
DESCRIPTION
ACCOUNT
QTY
AMOUNT
VENT FAN
101-0000-42402
0
$93.38
Total Paid for MECHANICAL: $426.88
DESCRIPTION
ACCOUNT
QTY
AMOUNT
MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2018 UPDATE
101-0000-20310
0
$1,290.00
Total Paid for MULTI -SPECIES RESIDENTIAL: $1,290.00
DESCRIPTION
ACCOUNT
CITY
-AMOUNT
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$703.37
Total Paid for NEW CONSTRUCTION PERMIT: $703.37
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BACKFLOW DEVICE
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BUILDING SEWER
101-0000-42401
0
$26.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$280.14
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$40.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$26.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$13.34
Total Paid for PLUMBING FEES: $413.54
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$38.80
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $38.80
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
DESCRIPTION ACCOUNT CITY AMOUNT
SINGLE FAMILY DETACHED 2018 UPDATE 224-0000-20320 0 $2,310.00
Total Paid for TUMF - RESIDENTIAL: $2,310.00