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SFD (14-0802)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 14-00000802 81108 MONARCHOS CIR 767-320-999-270 -32879 - DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 289544 Tiht 4 4 0" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: MCCOMIC GRIFFIN LLC 7979 IVANHOE AVE #550 DETACHED LA JOLLA, CA 92037 Architect or Engineer: A— Lic. No.: OOR SQUARE FOOT 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 : B Li a No.: 728102 Date: Contractor: O NER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I 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 1, 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 Contractor: LENNAR HOMES OF CALI 980 MONTECITO DRIVE, CORONA, CA 92879 (915)817-3600 Lic. No.: 728102 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/11/14 u L! 02 CrryOF Lal,QUN'7A 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 ��sued. _1 I have 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 37 0 of the Labor Co , I (tall forthwith c ith those provisions. Dace: App aRE nt: WARN G: AILURE TO SECURE WORKERS' MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE 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 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 buildin onstruction, and hereby authorize representatives of this count nter upon the above-mentioned prope f 'nspection p r S. �_ Date: Signature (Applicant or Agentl Application Number . . . . . 14-00000802 Permit .. . . . BUILDING 2013 Extension Additional desc . . EA MECH FURNACE 71.50 Permit Fee . . . . 623.83 MECH Plan Check Fee 00 Issue Date . . . . EA MECH Valuation . . . . 289544 Expiration Date 12/08/14 MECH EXHAUST HOOD 11.92 Qty Unit Charge Per PLUMBING 2013 Extension desc . . BASE FEE 573.43 90.00 ---------------------------------------------------------------------------- .5600 THOU BLDG $200,001-$1M 50.40 Permit . . . ELECTRICAL 2013 Valuation . . . Additional desc . . Date . . 12/08/14 Permit Fee . . . . 215.47 Plan Check Fee .00 Issue Date . . . . EA PLBG Valuation . . . . 0 Expiration Date . . 12/08/14 PLBG BUILDING SEWER 11.92 Qty Unit Charge Per EA PLBG Extension 1.00 23.8300 EA ELEC TEMP POWER POLES 23.83 1.00 143.0000 LS ELEC NEW RES, FIRST 1 KSF 143.00 4.00 ---------------------------------------------------------------------------- 12.1600 EA ELEC NEW RES, ADD'L 1 KSF 48.64 Permit . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . MECHANICAL 2013 238.36 12/08/14 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension 2.00 35.7500 EA MECH FURNACE 71.50 2.00 35.7500 EA MECH CONDENSER/COMP 71.50 7.00 11.9200 EA MECH VENT FAN 83.44 1.00 ---------------------------------------------------------------------------- 11.9200 EA MECH EXHAUST HOOD 11.92 Permit . . . PLUMBING 2013 Additional desc . . Permit Fee . . . . 333.75 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/08/14 Qty Unit Charge Per Extension 20.00 11.9200 EA PLBG FIXTURE/TRAP 238.40 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 LQPERMIT F Application Number . . . . . 14-00000802 Permit . . . . . . PLUMBING 2013 Qty Unit Charge Per Extension 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 4,425SF DWELLING - PLAN 2C, SERIES II, LOT 270 [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 2:21:35 PM azarco. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 8.00 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 83.91 DIF PARK MAINT FAC - RES 40.00 PLAN CHECK, MECHANICAL 133.48 PLAN CHECK, SFD GRADING 143.00 PLAN CHECK, PLUMBING 305.14 DIF PARKS/REC - RES 2048.00 BLDG PC 200K -1M 1329.80 STRONG MOTION (SMI) - RES 28.95 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 1411.41 .00 .00 1411.41 Plan Check Total .00 .00 .00 .00 Other Fee Total 12041.72 .00 .00 12041.72 Grand Total 13453.13 .00 .00 13453.13 LQPERMIT