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BRES2019-013278-495 CALLE TAMPICO C� D D 4 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED Application Number: BRES2019-0132 Property Address: 81920 ANDALUSIA APN: 764660002 Application Description: ANDALUSIA / NEW 3,560SF DWELLING / LOT 22 / PLAN 22C Property Zoning: Application Valuation: $321,708.30 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: T D DESERT DEV 81570 CARBONERAS LA QUINTA, CA 0 Date: 5/23/2019 Applicant: Contractor: NATIONAL MORTGAGE & LAND COMPANY j� y0 NATIONAL MORTGAGE & LAND COMPANY 300 EAGLE DANCE CIRCLE ' y 300 EAGLE DANCE CIRCLE PALM DESERT, CA 92211 V q I ry(}$9 0 PALM DESERT, CA 92211 i (760)772-7227 Llc. No.:288130 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under pro ' ' ns of Chapter 9 {commencing with Section 70001 of Division 3 of the Business a mf sinns Code, and my License is in full force and effect. License Class B License 288130 f Date: Cantrac[o OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt from the Contractor's St to 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).: (_) 1, 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 Name. Lender's Addre! 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: Car ' r: Policy Number: c tify that in the performance of the work for which this permit is issued, I sh of emp y any person in any manner so as to become subject to the workers' compensati❑ laws of California, and agree that, if I should be biect to the workers' compensation provisions of lemon of the r Cod , I shall forthwith comply wi those rovisions. Date L Appli nt: WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE I UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL F ES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF TH 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 [ n is correct. I agree to comply with all city and county ordinances and s[a aws ►elan to building construction, and hereby authorize representatives of t ' city to enter on the above- mentionnred toper for inspection purposes. Date: /� Signature (Applican r ena; Ai Date: 5/23/i 19 Application Number: BRES2019-0132 Property Address: 81920 ANDALUSIA APN: 764660002 Application Description: ANDALUSIA / NEW 3,560SF DWELLING / LOT 22 / PLAN 22C Property Zoning: Application Valuation: $321,708.30 Applicant: NATIONAL MORTGAGE & LAND COMPANY 300 EAGLE DANCE CIRCLE PALM DESERT, CA 92211 Owner: T D DESERT DEV 81570 CARBONERAS LA QUINTA, CA 0 Contractor: NATIONAL MORTGAGE & LAND COMPANY 300 EAGLE DANCE CIRCLE PALM DESERT, CA 92211 (760)772-7227 Llc. No.: 288130 Detail: 3,560 SF DWELLING - PLAN 22C, LOT 22 [VB/RES-3/CLASS-A/13D]. THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, BBQ, WATER FEATURE, OR DRIVEWAY APPROACH. PER 2016 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $13.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $13.00 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 CITY AMOUNT DIF - LIBRARIES 253-0000-43200 0 $344.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $54.44 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $22.40 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $160.10 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 1 0 1 $52.83 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $289.77 DESCRIPTION ACCOUNT CITY AMOUNT FIRE STAFF - PER HOUR 101-0000-42420 1 $160.00 Total Paid for FIRE FEES: $160.00 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL PRECISE GRADING - TRACT HOME 101-0000-42408 0 $147.29 Total Paid for GRADING: $147.29 DESCRIPTION ACCOUNT CITY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $160.08 DESCRIPTION ACCOUNT CITY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $106.72 DESCRIPTION ACCOUNT CITY AMOUNT EXHAUST HOOD 101-0000-42402 0 $13.34 DESCRIPTION ACCOUNT CITY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $5.34 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $160.08 DESCRIPTION ACCOUNT CITY AMOUNT FURNACE PC 101-0000-42600 0 $106.72 DESCRIPTION ACCOUNT CITY AMOUNT VENT FAN 101-0000-42402 0 $93.38 DESCRIPTION ACCOUNT CITY AMOUNT VENT FAN PC 101-0000-42600 0 $37.38 Total Paid for MECHANICAL: $683.04 DESCRIPTION ACCOUNT CITY 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 $717.63 Total Paid for NEW CONSTRUCTION PERMIT: $717.63 DESCRIPTION ACCOUNT CITY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,534.07 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,534.07 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT CITY AMOUNT BACKFLOW DEVICE PC 101-0000-42600 0 $5.34 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $18.68 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $306.82 DESCRIPTION ACCOUNT CITY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $306.82 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $16.00 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: $813.74 DESCRIPTION ACCOUNT CITY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $41.82 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $41.82 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 TOTALS: $14,899.36