FSS2018-0019ADDITIONAL SITES
CHRONOLOGY
CONTACTS
NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL
APPLICANT J D MECHANICAL FIRE INC 82579 FLEMING WAY
SUITE D
INDIO CA 92201 (760)775-6220 JD@JDMECHANICAL.C
O
BILL TO J D MECHANICAL FIRE INC 82579 FLEMING WAY
SUITE D
INDIO CA 92201 (760)775-6220 JD@JDMECHANICAL.C
O
CONTRACTOR J D MECHANICAL FIRE INC 82579 FLEMING WAY
SUITE D
INDIO CA 92201 (760)775-6220 JD@JDMECHANICAL.C
O
OWNER DUFFIELD RESIDENCE 78251 DEACON DR W LA QUINTA CA 92253 (760)775-6220
CONDITIONS
Description: TRADITION / LOT 22 / FIRE
Type: FIRE SPRINKLER Subtype: RESIDENTIAL - CUSTOM
HOMES
Status: FINALED Applied: 2/5/2018 MFA
Parcel No: 770280021 Site Address: 78251 DEACON DR W LA QUINTA,CA 92253 Approved:
Subdivision: TR 28611 Block: Lot: 22 Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: 10/3/2018 EGO
Valuation: $0.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details:
FINANCIAL INFORMATION
Printed: Thursday, January 26, 2023 1:35:06 PM 1 of 3
Permit Details
City of La Quinta
PERMIT NUMBER
FSS2018-0019
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED
DATE
COMPLETED
DATE
RESULT REMARKS NOTES
OVERHEAD ROUGH
PIPING
RGR 2/14/2018 2/14/2018 APPROVED
FIRE FINAL**EGO 10/3/2018 10/3/2018 APPROVED
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED
DATE
STATUS REMARKS NOTES
1ST PERMIT TECH (1
DAY)
MARY
FASANO
2/5/2018 2/6/2018 2/6/2018 COMPLETE
1ST FIRE (2 WK)RONALD
GRIESINGER
2/5/2018 2/15/2018 2/6/2018 APPROVED
PARENT PROJECTS
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #CHECK #METHOD PAID BY CLTD
BY
FIRE SPRINKLER
SYSTEMS - SINGLE
FAMILY DETACHED
101-0000-42421 0 $156.00 $156.00 2/5/18 R31781 CTA102014
1
TRUST
ACCOUNT
J D MECHANICAL FIRE
INC MFA
FIRE SPRINKLER
SYSTEMS - SINGLE
FAMILY DETACHED PC
101-0000-42420 0 $234.00 $234.00 2/5/18 R31781 CTA102014
1
TRUST
ACCOUNT
J D MECHANICAL FIRE
INC MFA
Total Paid for FIRE FEES: $390.00 $390.00
RECORDS
MANAGEMENT FEE 101-0000-42416 0 $10.00 $10.00 2/5/18 R31781 CTA102014
1
TRUST
ACCOUNT
J D MECHANICAL FIRE
INC MFA
Total Paid for RECORDS MANAGEMENT FEE: $10.00 $10.00
TECHNOLOGY
ENHANCEMENT FEE 502-0000-43611 0 $5.00 $5.00 2/5/18 R31781 CTA102014
1
TRUST
ACCOUNT
J D MECHANICAL FIRE
INC MFA
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 $5.00
TOTALS:$405.00 $405.00
Printed: Thursday, January 26, 2023 1:35:06 PM 2 of 3
Permit Details
City of La Quinta
PERMIT NUMBER
FSS2018-0019
ATTACHMENTS
Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED
DOC 2/13/2018 MARY FASANO FIRE JOB CARD FIRE JOB CARD.doc
BOND INFORMATION
Printed: Thursday, January 26, 2023 1:35:06 PM 3 of 3
Permit Details
City of La Quinta
PERMIT NUMBER
FSS2018-0019
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/26/2023
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
FIRE SPRINKLER/RESIDENTIAL - CUSTOM HOMES
FSS2018-0019
78251 DEACON DR W
770280021
TRADITION / LOT 22 / FIRE
Owner:
DUFFIELD RESIDENCE
78251 DEACON DR W
LA QUINTA, CA 92253
Applicant:
J D MECHANICAL FIRE INC
82579 FLEMING WAY SUITE D
INDIO, CA 92201
Contractor:
J D MECHANICAL FIRE INC
82579 FLEMING WAY SUITE D
INDIO, CA 92201
(760)775-6220
LIc. No.: 1020141
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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 7000} of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C16 License No.: 1020141
Date: Contractor:
OWNER-BUILDER DECLARATION
I 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 Name:_______________________________________________
Lender's Address:
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: ACCREDITED SURETY AND CASUALTY COMPANY INC Policy Number:
1ATCA16000224
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 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
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 relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
Date: 1/26/2023
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
FSS2018-0019
78251 DEACON DR W
770280021
TRADITION / LOT 22 / FIRE
Owner:
DUFFIELD RESIDENCE
78251 DEACON DR W
LA QUINTA, CA 92253
Applicant:
J D MECHANICAL FIRE INC
82579 FLEMING WAY SUITE D
INDIO, CA 92201
Contractor:
J D MECHANICAL FIRE INC
82579 FLEMING WAY SUITE D
INDIO, CA 92201
(760)775-6220
LIc. No.: 1020141
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -Detail:
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
FIRE SPRINKLER SYSTEMS - SINGLE FAMILY DETACHED 101-0000-42421 0 $156.00
DESCRIPTION ACCOUNT QTY AMOUNT
FIRE SPRINKLER SYSTEMS - SINGLE FAMILY DETACHED PC 101-0000-42420 0 $234.00
Total Paid for FIRE FEES: $390.00
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
TOTALS:$405.00