BWFE2014-10291w,
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: . • BWFE2014-1029
Property Address:
81181 MERV GRIFFIN WY
APN:
767780085
Application Description:
BLOCK WALLS
Property Zoning:
Application Valuation:
$148,377.00
Applicant:
LENNAR HOMES OF CALIF INC
980 MONTECITO DR STE 302
CORONA, CA 0
4 VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/13/2014
Owner:
LENNAR HOMES OF CALIF INC
980 MONTECITO DR STE 302
CORONA, CA 0
AUG 13 2014 U Contractor:
LENNAR HOMES OF CALIF INC
980 MONTECITO DR STE 302
CIn OF LP, (KA TA
DEPARENT CORONA, CA 0
W0Y DEVELOPMEM DE
(/ //.Z (951)817-3526
� Llc. No.::CONV:140528101253005876
------------------------- I- //--------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section .7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: License No.::CONV:140528101253005876 of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Date: Contractor: 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:
OWNER -BUILDER DECLARATION Carrier: Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the co ply with those provisions.
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 Date: du Applicant:
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 WARNING: FAILURE TO SECURE WORKERS' OMPE TION COVERAGE IS UNLAWFUL,
($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES AND CIVIL FINES UP TO
(_) 1, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES.
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 APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose
(_) I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or
the Contractors' State License Law.). following issuance of this permit.
( ) I am exempt under Sec. . B.&P.C. for this reason 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.
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 Add
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
mentionW10141
for inspection purposes.,
Date: Signature (Applicant or Agent):
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT CITY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$6.00
~$6.00
8/13/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LENNAR HOMES OF CALIF INC
CHECK
R690
13113
AOR
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA
$6.00
$6.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$533.39
$533.39
8/13/14
PAID BY
METHOD
RECEIPT # ,..
CHECK #
CLTD BY
LENNAR HOMES OF CALIF INC
CHECK .
R690; 4
13113
AOR
DESCRIPTION
ACCOUNT
CITY
AMOUNT Tom'
`�°
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF
101-0000-42404 '- _ _
0
$47.19
$47.19.
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
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.06
$60.06
8/13/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LENNAR HOMES OF CALIF INC
CHECK
R690
13113
AOR
Total Paid forFENCE OR FREESTANDING WALL-
TOTALS:.4
$640.64
$640.64
Bin #
l 02 % Crty of La Q Uin to
U Bu ilding Bz Safety Division
P.O. Box 1504, 78-495 Calle Tampico . .
La Quints,CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 8 {S� ! 16R ,��j G
Owner's Name: i" L& AJ N M
Address: CS S
A. P. Number:
Legal Description:
City, ST, Zip:
Contractor:
N Orilr✓
telephone:
Address: I?� ONTfyCI 0 D& G7L U2.
Project Description: 5 -MAA 61-
City, ST, Zip: .0 o IZ.Omri- 0- U8 % 9
9061 linulsiz blo 0 4 7 ZZ
Telephone:
,<:.;•. >; "~<"::.;:.::<
State Lic. # : �� F l (�
City Lic. #; 04hl IG'
C9 kc,.&F 1) 1 G"
Arch.; Engr., Designer.
Address:
fo0�i'
City., ST, Zip:j'OTa
Telephone:
P
`` ::»: r: _:;v .:;;;:;;%>......
Occu an
Construction Type: p cy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:U (.R! Gl
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 760 6 I V ' QUI I O
Estimated Value of Proje
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Rcq'd Rcc'd TRACKING PERMIT FEES
Plan Sets
PIan Check submitted
Item
Amount
Structural CACS.
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
2'd Review, ready for corrcctis(ssue
L
Electrical
Subcontaetor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'`° Review, ready for correctionstiissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees