SFD (14-0794)'k-
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 14-00000794
Property Address: 81094 MONARCHOS CIR
APN: 767-320-999-271 -32879 -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application Valuation: 315214
Applicant: Architect or Engineer:
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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 nd Professionals Co , and my License is in full force and effect.
License/Clfas B Li No.: 728102
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DatContrac or:
441 ILDER DECLARATION
I hereby affirm under penalty of perjury that I a xempt 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.).
(_ 1 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 _ 1 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:
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:
LENNAR HOMES OF CALIFORN�INC
980 MONTECITO DRIVEP�TE 30?/A r
CORONA, CA 92879 C
(915)817-3600 I
LiC. No.. 728102
Ct"4! OF ! A Q'VW'FA
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _S._ _ _ _ _1_ _ - _
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.
/rhave 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 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
700 of the Labor Co hall forthwith co th those provisions.
�. Appli
WAR G• FAILURE TO SECU ORKERS' PE SATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PEN ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO TH 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 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 ordinances and state laws relating to building construction, and heye y authorize representatives
of this count to terupon the above-mentioned property spection purpo
A---
Dat : Signature (Applicant or Agent):
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LQPERMIT
Application Number . . . . . 14-00000794
------ Structure Information 4,882SF DWELLING/VB/RES-3/CLASS-A/13D -----
Other struct info . . . . . CODE EDITION 2010
# BEDROOMS 4.00
FIRE SPRINKLERS 13D
GARAGE SQ FTG 733.00
PATIO SQ FTG 906.00
NUMBER OF UNITS 1.00
1ST FLOOR SQUARE FOOTAGE 4882.00
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Permit . . . BUILDING 2013
Additional desc . .
Permit Fee . . . . 638.39
Issue Date . . . .
Expiration Date . . 12/08/14
Plan Check Fee 00
Valuation . . . . 315214
Qty Unit Charge Per Extension
BASE FEE 573.43
116.00 .5600 THOU BLDG $200,001-$1M 64.96
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Permit . . . ELECTRICAL 2013
Additional desc . .
Permit Fee . . . . 203.80
Issue Date
Expiration Date . . 12/08/14
Plan Check Fee . . .00
Valuation . . . . 0
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
Plan Check Fee
.00
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date . .
12/08/14
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
Application Number . . . . . 14 00000794
Permit . . . PLUMBING 2013
Additional desc . .
Permit Fee . . . . 345.67 Plan Check Fee .
Issue Date . . . . Valuation . . . .
Expiration Date . . 12/08/14
Qty Unit Charge Per '
Extension
21.00 11.9200 EA PLBG FIXTURE/TRAP
250.32
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
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Special Notes and Comments
4,882SF DWELLING - PLAN 3B, SERIES II,
LOT 271 [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 2:29:01 PM azarco.
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Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES
288.04
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
317.06
DIF PARKS/REC - RES
2048.00
BLDG PC 200K -1M
1362.82
STRONG MOTION (SMI) - RES
31.52
TUMF: RESIDENTIAL
1837.44
DIF STREET MAINT FAC -RES
116.00
DIF TRANSPORTATION - RES
2842.00
Fee summary Charged Paid Credited
----------------------------------------
Due
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Permit Fee Total 1497.72 .00 .00
1497.72
Plan Check Total .00 .00 .00
.00
Other Fee Total 12418.26 .00 .00
12418.26
Grand Total 13915.98 .00 .00
13915.98
LQPERMIT
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