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BRES2019-044978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Tjht 4 liiii6P Q" DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED BRES2019-0449 81561 RONDA 764680020 ANDALUSIA / 4,502 SF DWELLING/VB/RES-3/CLASS A-FR/13D $406,063.70 Applicant: NATIONAL MORTGAGE & LAND COMPANY 300 EAGLE DANCE CIRCLE PALM DESERT, CA 92211 D Zk 0 JAN 2 4 2020 CITYOFLA0 DESIGN & DEVELOPMENT DEPARTMENT 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 P fessions Code, and my License is in full force and effect. License Class- �_ icense No.: Date: Contractor: OWNER -BUILDER DEUARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's sate License Law for the following reason (Sec. 7031.5, Business and Professions Cad : 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 Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/24/2020 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 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, wo rs' mpensation insurance carrier and policy number are: Ca r: ' Policy Number:_ _ certify th in the performance of the work for which this permit is issued, I employ any rson in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I sh ecome subject to the workers' compensa on provisions of Section 37 of the L or Code, I shall forthwith comply wl tho a rovislons. Date: �' Appli nt: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS U WFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST 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 and state laws g to building construction, and hereby authorize representatives of this cit enter on the above- mentlorne prop y for inspection puurp Date: L Signature [Ap 'Qt}; Date: 1./24/2020 Application Number: BRES2019-0449 Property Address: 81561 RONDA APN: 764680020 Application Description: ANDALUSIA / 4,502 SF DWELLING/VB/RES-3/CLASS A-FR/13D Property Zoning: Application Valuation: $406,063.70 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: 4,502 SF DWELLING - MODIFIED PLAN 25R, LOT 103 [VB/R-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2016 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT CITY AMOUNT FURNACE 101-0000-42402 0 $161.00 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $107.32 DESCRIPTION ACCOUNT CITY AMOUNT VENT FAN 101-0000-42402 0 $80.52 DESCRIPTION ACCOUNT CITY AMOUNT VENT FAN PC 101-0000-42600 0 $32.22 Total Paid for MECHANICAL 2019: $668.17 DESCRIPTION ACCOUNT CITY AMOUNT MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2019 UPDATE 101-0000-20310 0 $1,331.00 Total Paid for MULTI -SPECIES RESIDENTIAL: $1,331.00 DESCRIPTION ACCOUNT CITY AMOUNT NEW CONSTRUCTION PERMIT 2019 101-0000-42400 0 $2,869.48 Total Paid for NEW CONSTRUCTION PERMIT 2019: $2,869.48 DESCRIPTION ACCOUNT CITY AMOUNT NEW CONSTRUCTION PLAN CHECK 2019 101-0000-42600 0 $1,863.23 Total Paid for NEW CONSTRUCTION PLAN CHECK 2019: $1,863.23 DESCRIPTION ACCOUNT CITY AMOUNT BACKFLOW DEVICE 101-0000-42401 0 $13.42 DESCRIPTION ACCOUNT CITY AMOUNT BACKFLOW DEVICE PC 101-0000-42600 0 $5.37 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $26.83 DESCRIPTION ACCOUNT CITY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $18.78 DESCRIPTION ACCOUNT CITY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $281.82 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $281.82 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $40.25 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $26.83 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $26.84 DESCRIPTION ACCOUNT CITY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $16.10 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $13.42 DESCRIPTION ACCOUNT CITY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $13.47 Total Paid for PLUMBING 2019: $764.90 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $21.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $21.00 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $52.79 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $52.79 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 TUMF 2018 - SINGLE FAMILY DWELLING 224-0000-20320 0 $2,310.00 Total Paid for TUMF 2018: $2,310.00 in • w of La Quinta BdIdiug &r Safety VWon P.O. Box 1504, 78-495 Cabe Tampico F:-Qthita, CA 92253 - (760) 777-74I2 g Permit Application and Tracking Sheet PenMr Project Address: pj' �� rQ /l Ll.. Owner's Name:Aj;-bt A ': G / r9 ��!7 A. P. Number: 07 (v � �a 8 O Q -Z O Legal Descriptian (aG li (o ov f- 3 (o Cif, 53, Zip: `� ' a ;,i /)-� ;:oniaactoc �Q�rv�q,V �OIl 'i (wkd/4p Tclephone: Qt ss: City, ST, Zip: _ � 3� -- `r �� A efp Jj /,r /Q Telephone: 04 (D b State Lie. #: is/��4j0 Arch_, F,ngr., Designer. f C kGl a Ljfl.C� Lr I f 7 u+4 J� eA ej i1 r-v-4- f c- -eP. 3 CityLicr#:7�rr�r�$9 t� �_OC�?!r. ��G�G2f-rq s)rJP/ rn �r�v o� o! S Addr=: �w i 5 a e .rr1,4o 2� 1�-eref Z G1�f t O &V.S v 4 Ff leY G � C� Af City, ST, Zip: Ss�K ,> •w C e i S Telephone.5 -(F g Z 3 i1J State Lie. #: / t �»1 Cam? Alo ro. f f il T A dr+i AO 5Y e 4 4 A I o ff ✓�1 �7 ^fi t Construction Type: 40 occupancy: Project type (circle ore): i Add'n Alter Repair Demo Name of Contact Person: ; ,, rr J; ' C Sq. FL: 0 # Stories: # Units: Telephone # of Contact Peron: Estianated Value of Project oo O APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACIMNG PERMIT FEES Plan Sets Plan Check submitted item Amount Stractural Cales. Reviewed, ready for corrections Plan Cbcck Deposit Truss sales. Called Contact Person Plan Check Balance Title 24 CAM Plans picked up Construction )food plain plan Plans resubmitted Mechanical Grading plan Z s Review, ready for correctionsl'ssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans pitied up S3LL H.Q.A. Approval Plans resubmitted Grading Vi HOUSE-, Review, ready for corrections/is-me Developer Impact Fee Planning Approval Called Contact Person M.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees