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BPAT2014-101478-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BPAT2014-1014 Property Address: 81181 MERV GRIFFIN WY APN: 767780085 Application Description: SHADE STRUCTURES Property Zoning: Application Valuation: $46,899.00 Twit- ^& 1wQumrw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Applicant: D G 13 2014 LENNAR HOMES OF CALIF391 N Av CORONA,IN ST A STE 300 . C 0 � QUA DIN, ENS /� C,OMMUNm 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: License No.: :CONV:14052825300163 V/Date: 0 , e 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 I 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 fending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's N Lender's Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/13/2014 Owner: IOTA GRIFFIN 4675 MACARTHUR CT NO 1550 NEWPORT BEACH, CA 0 Contractor: LENNAR HOMES OF CALIF 391 N MAIN ST STE 300 CORONA, CA 0 Llc. No.::CONV:140528101253001632 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. J I have and will maintain workers' compensation insurance, as required by Sectio�700 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 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: i iitpp WARNING: FAILURE TO SECURE WORKERS' COMPEN ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES 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. me coned property for inspection purposes. ate: __�� Signature (Applicant or Agent): f. A' DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 8/13/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY LENNAR HOMES OF CALIF INC CHECK R690 13113 AOR Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $2.00 $2.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PATIO COVER, DESIGNED 101-0000-42404 -0 $526.24 $526.24 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 PATIO COVER, DESIGNED PC 101-0000-42600 0 $663.52 $663.52 8/13/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY LENNAR HOMES OF CALIF INC CHECK R690 13113 AOR Total Paid for PATIO COVER / COVERED PORCH / LATTICE $1,189.76 $1,189.76 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $6.10 $6.10 8/13/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY LENNAR HOMES OF CALIF INC CHECK- R690 13113 AOR Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $6.10 $6.10 TOTALS: • +• Bin # Permit # Project Address: A. P. Number: City of La Q uin to - Building &r Safety Division P-0.' Box 1504, 78-495 Calle Tampico . . La Quinta,CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet GQ (MA, Owner's Name: ,,,,N �A IZ • O (Rks Address: C6 46 C 0•Nr2A-C1` A— Legal Description: City, ST, Zip: Contractor: bnrr� S Telephone: P - Address: 8 Q . pM / &-c tro 1% R Jj B' 3o2— Project. Description: City, ST, Zip: - (0 r4 C)A.) • C ,� C12.& 7 9 Tele ho nc• P I S 2 sl 6 7 � State Lic. #: 0 City Lie. #-:::rU. F r&Aiti-16 COUP -1 :S Arch., Engr., Designer: `ANF7 .b CA �-✓ \GAJ Address: City., ST, Zip: Telephone: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo State Lic_ #: .Name of Contact Person: �.t G Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: 76 6, 61t)- Q 416 Estimated Value of Project: - APPLICANT: DO, NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKENG PERMIT FEES Plan Sets Plan Check submitted Item Amount', Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction • Flood plain plan Plans resubmitted Mechanical `• Grading plan tad Review, ready for correction Cssue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IiOUSE:- 'rd Review, ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue g School Fees Total Permit Fees y--- Nt>&D Ta 40D ►r° Cho .. f 1, r t. ., '�`F��• may, i .1