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SFD (14-0795)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000795 Property.Address: 81122 MONARCHOS CIR APN: 767-320-999-269 -32879 - Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 261990 Tu!t44Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: GRIFFIN RANCH 4675 Macarthur Ct, Ste 1550 DETACHED NEWPORT BEACH, CA 92660 Applicant: I Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION h • 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 Busines4 Professionals Code, and my License is in full force and effect. License ClasV B Licen : 728102 Date: Contractor: OER-BUILDER 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).: 1 _ 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. , 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/11/14 Contractor: ! LI LENNAR HOMES OF CALIFO Tem— ' 980 MONTECITO DRIVE, S, �02 if CORONA, CA 92879 �•� (915)817-3600 C Lic. NO.: 728102 C1, v, OF A,1ViPi.TA ----------------------------------------------- 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 �'ssued. _� 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, 1 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 come subject to the workers' compensation provisions of Section #G:AILURE of the Labor Co , I all forthwith c ly with those provisions. Datle':ppli� �� WARNTO SECURE WORKER ' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P 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 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. 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 here authorize representatives of thi/syoua to nter upon the bove-mentioned property spection purpose . Date: Signature (Applicant or Agent): Application Number . . . . . 14-00000795 ------ Structure Information 4,036SF DWELLING/VB/RES-3/CLASS-A/13D ----- Other struct info . . . . . CODE EDITION 2010 # BEDROOMS 4.00 FIRE SPRINKLERS 13D GARAGE SQ FTG 683.00 PATIO SQ FTG 731.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- IST FLOOR SQUARE FOOTAGE .4036.00 Permit . . . BUILDING 2013 Additional desc . Permit Fee` 608.15 Plan Check Fee 00 Issue Date . . Valuation 261990 Expiration Date 12/08/14 Qty Unit Charge Per ,Extension BASE-FEE 573.43 62.00 .5600 ---------------------------------------------------------------------------- THOU BLDG $200,001-$1M 34.72 Permit ELECTRICAL 2013 Additional desc . Permit Fee . . . . 191.64 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 4.00 12.1600 EA ELEC NEW RES, ADD'L 1 KSF 48.64 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 LQPERMIT . Application Number . . . 14-00000795. 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 4,036SF DWELLING - PLAN 1B, SERIES II, LOT 269 [VB/RES-3/CLASS-A/13D] THIS ^ PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, BBQ OR WATER FEATURES. 2010 CALIFORNIA BUILDING CODES. June 11, 2014 2:11:54 PM azarco. ------------------------------------------------- -------------------- Other Fees . . . ART IN PUBLIC PLACES -RES. 154.98 BLDG STDS ADMIN (SB1473) 11.00 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 67.23 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 1294.24 STRONG MOTION (SMI) - RES 26.20 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 1479.16 .00 .00 1479.16 Plan Check Total .00 .00 .00 .00 Other Fee Total 12228.13 .00 .00 12228.13 Grand Total 13707:29 .00 :00 13707.29 LQPERMIT $F_ a d a