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SFD (14-0796)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Tit!t444" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 14-00000796 Property Address: 81080 MONARCHOS CIR APN: 767-320-999-272 -32879 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 312808 Applicant: Architect or Engineer: ------------------ 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 Professionals Code, and my License is in full force and effect. License Class - __U_1 No.: 728102 A Date. Co ractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury tha 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)•: (_ 1 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.). 1 _ ) I am exempt under Sec. , BAP.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: LQPERMIT Owner: GRIFFIN RANCH 4675 MACARTHUR CT, STE 1550 NEWPORT BEACH, CA 92660 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/11/14 Contractor: I d I LENNAR HOMES ,OF CALIFO 980 MONTECITO DRIVE, Si B02 CORONA, CA 92879 f it )► ,T r� �� (915) 817-3600 Lic. No.: 728102 f ci�� OF1A, QUIHTA 171MF+sr :s=:1'L iTT ----------------------------------------------— 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 sed. _✓f haveuand 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 OLD REPUBLIC IN Policy Number MWC30017800 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 all forthwith com ith those provisions. Date: / Appli WARN G: FAILURE TO SECU RKERS' PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3766 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety 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 or 'nances and state laws relating to building construction, and hereby authorize representatives of this count /o a%ter upon the above-mentioned propert or spection purpos Dat e / Signature ' (Applicant or Agantl: Application Number . . . . . 14-00000796 ------ Structure Information 4,820SF DWELLING/VB/RES-3/CLASS-A/13D ----- Other struct info . . . . . CODE EDITION 2010 # BEDROOMS 4.00 FIRE SPRINKLERS 13D GARAGE SQ FTG 716.00 PATIO SQ FTG 1027.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 4820.00 ---------------------------------------------------------------------------- Permit . . . BUILDING 2013 Additional desc . . Permit Fee . . . . 636.71 Issue Date Expiration Date . . 12/08/14 Plan Check Fee 00 Valuation . . . . 312808 Qty Unit Charge Per Extension 3.00 35.7500 BASE FEE 573.43 113.00 ---------------------------------------------------------------------------- .5600 THOU BLDG $200,001-$1M 63.28 Permit . . . .ELECTRICAL 2013 MECH VENT FAN Additional desc . . 11.9200 EA MECH EXHAUST HOOD Permit Fee . . . . 203.80 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/08/14 Qty Unit Charge Per Extension .00 23.8300 LS ELEC FIXTURES, FIRST 20 .00 .00 23.8300 EA ELEC SERVICES .00 .00 23.8300 EA ELEC TEMP POWER.POLES .00 1.00 143.0000 LS ELEC NEW RES, FIRST 1 KSF 143.00 5.00 -------=-----------------------------------=-------------------------------- 12.1600 EA ELEC NEW RES, ADD'L 1 KSF 60.80 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 309.86 Issue Date . . . . Expiration Date . . 12/08/14 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension 3.00 35.7500 EA MECH FURNACE 107:25 3.00 35.7500 EA MECH CONDENSER/COMP 107.25 7.00 11.9200 EA MECH VENT FAN 83.44 1.00 ---------------------------------------------------------------------------- 11.9200 EA MECH EXHAUST HOOD 11.92 LQPERMIT Application Number . . . . . 14-00000796 Permit . . . PLUMBING 2013 Additional desc . Permit Fee . . . . 369.51 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date . . 12/08/14 Qty Unit Charge Per Extension 23.00 11.9200 EA PLBG FIXTURE/TRAP 274.16 1.00 11.9200 EA PLBG BUILDING SEWER 11.92 2.00 11.9200 EA PLBG WATER HEATER/VENT 23.84 1.00 11.9200 EA PLBG WATER INST/ALT/REP 11.92 1.00 11.9200 EA PLBG BACKFLOW DEVICE 11.92 1.00 35.7500 LS PLBG GAS.SYS, 5+ OUTLETS ------------------ 35.75 ---------------------------------------------------------- Special Notes and Comments 4,820 SF DWELLING - PLAN 2XA, SERIES II, LOT 272 [VB/RES-3/CLASS-A/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, BBQ OR WATER FEATURES. 2013 CALIFORNIA BUILDING CODES. June 11, 2014 2:30:37 PM azarco. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 282.02 BLDG STDS.ADMIN (SB1473) 13.00 DIF COMMUNITY CENTERS -RES 129.00 DIF CIVIC CENTER - RES 942.00 DIF FIRE PROTECTION -RES 433.00 DIF LIBRARIES - RES 344.00 MULTI -SPECIES (MSHCP) FEE 1278.00 PLAN CHECK, ELECTRICAL 72.24 DIF PARK MAINT FAC - RES 40.00 PLAN CHECK, MECHANICAL 181.14 PLAN CHECK, SFD GRADING 143.00 PLAN CHECK, PLUMBING 340.90 DIF PARKS/REC - RES 2048.00 BLDG PC 200K -1M 1359.01 STRONG MOTION (SMI) - RES 31.28 TUMF: RESIDENTIAL 1837.44 DIF STREET MAINT FAC -RES 116.00 DIF. TRANSPORTATION - RES 2842.00 Fee summary Charged ---------- Paid Credited ------------------------------ Due ----------------- Permit Fee Total 1519.88 .00 .00 1519.88 Plan Check Total .00 .00 .00 .00 Other Fee Total 12432.03 .00 .00 12432.03 Grand Total 13951.91 .00 .00 13951.91 LQPERMIT Application Number . . . . . 14-00000796 LQPERMIT