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BOTH2014-0004el P 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 9,2253 Application Number: BOTH2O14-0004 'T'W'�wn�W COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Property Address: 81181 MERV GRIFFIN WY APN: 767780085 Application Description: TENNIS COURTS, WALLS RET & GARDEN Property Zoning: Application Valuation: $324,706.00 Applicant: LENNAR HOMES OF CALIF INC G 13 rcommo 2014 980 MONTECITO DR STE 302 CORONA, CA 0 m of ►A DEVELOPMENT ouY (NTA DEPARTMENT 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. L' nse Class: _ License No.::CONV:140528 0125300587 Date: Contractor: • OWNER -BUILDER DEC ATION 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 perjurythat 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: i Lender's Address: i - .VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/13/2014 Owner: LENNAR HOMES OF CALIF INC 980 MONTECITO DR STE 302 CORONA, CA 0 Contractor: LENNAR HOMES OF CALIF INC 980 MONTECITO DR STE 302 CORONA, CA 0 (951)817-3526 Llc. No.::CONV:140528101253005876 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 Sectiofi 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: 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 wo ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith c ply with those provisions. Date: Applicant: WARNING: FAILURE TO SECURE WORKER ' COM SATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA 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 a ree to comply with all city and county ordinances and state laws relating to building c nstruction, and hereby authorize representatives of this city to enter upon the above- entioned property for inspection purposes. Date: Signature (Applicant or Agent): DESCRIPTION FINANCIAL INFORMATION ACCOUNT CITY AMOUNT PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 5.5 $385.00 $385.00 8/13/14 PAID BY METHOD RECEIPT # CHECK # ' CLTD BY LENNAR HOMES OF CALIF INC CHECK R690 13113 AOR Total Paid forCITY STAFF - PER HOUR: $385.00 $385.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE FLAG/LIGHTING POLE, EA ADDITIONAL 101-0000-42404 0 $586.30 $586.30 8/13/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY LENNAR HOMES OF CALIF INC CHECK R690 13113 AOR DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE FLAG/LIGHTING POLE, EA ADDITIONAL 101-0000-42404 0 $586.30 $586.30 8/13/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY LENNAR HOMES OF CALIF INC CHECK R690 13113 AOR DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE FLAG/LIGHTING POLE, EA ADDITIONAL PC 101-0000-42600 0 $175.89 $175.89 8/13/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY LENNAR HOMES OF CALIF INC CHECK R690 13113 AOR DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE FLAG/LIGHTING POLE, EA ADDITIONAL PC 101-0000-42600 0 $175.89 $175.89 8/13/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY LENNAR HOMES OF CALIF INC CHECK R690 13113 AOR DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE FLAG/LIGTHING POLE, FIRST 101-0000-42404 0 $35.75 $35.75 8/13/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY LENNAR HOMES OF CALIF INC CHECK R690 13113 AOR DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE FLAG/LIGTHING POLE, FIRST 101-0000-42404 0 $35.75 $35.75 8/13/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY LENNAR HOMES OF CALIF INC CHECK R690 13113 AOR DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FLAG/LIGTHING POLE, FIRST PC 101-0000-42600 0 $95.81. $95.81 8/13/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY LENNAR HOMES OF CALIF INC CHECK R690 13113 AOR DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE FLAG/LIGTHING POLE, FIRST PC 101-0000-42600 0 $95.81 $95.81 8/13/14 PAID BY METHOD RECEIPT # CHECK # . CLTD BY LENNAR HOMES OF CALIF INC CHECK ,.• R690 13113 AOR Total Paid for FLAG/LIGHTING POLE: $1,787.50 $1,787.50 . 41 Bin # City of La Quinta 011A Building u Safety Division P.O. Box 1504, 78495 Calle Tampico La QUinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # , Project Ad0css: n6ej apum-&- Owner's Name: t.? ev rA� tar< A. P. Number: Address: a& C g,,MLb Legal Description: City, ST, Zip: Contractor: Telephone: Address: - 5g rj6rjr&rIT,0 Dg 6 -re- ,0 2 3 Project Description: City, ST, Zip: COROOJ+- C ' 9 Z&2? Telephone:q6j 817 . ....... M... I &AJAJ Co fj R—r— State Lie. # 0.-1 A 19 City Lie. fiz. w F1 I c— Arch., Engr., Designer. IAJ- 5IT6'. LUNcA pLz— W w 4 (A LN F E Address: (.411 City., ST, Zip: prag JAJ C-1 + &"J 0 I'S CO URI— Telephone: Construction Type: Occupancy: roject type (circle one): New Add'n Alter Repair Demo State Lic.#: .. . . . .... . . . . . . . . . . . .Name of Contact Person:OLc . t� _ .-Sq. Ft.: .#Sto 41 Units:gj Telephone #,of Contact Person: (70) G 16 - qff p Estimated Value of Project: —7 A APPLICANT: DO NOT WRITE BELOW THIS LINE 9 Submittal Rcqld Rcc'd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural. Cates. Reviewed, ready for corrections Plan Check Deposit Truss C21cs. Called Contact Person Plan Check Balance. Title 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctio slissue L (R) Electrical Subcon"tactor Li . st Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3" Review, ready for correctionstissuc Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees