BRES2016-032878-495 CALLE TAMPICO
44 Q"
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRES2016-0328
Property Address: 77921 GREY WOLF TR
APN: 623510016
Application Description: WARFIELD RESIDENCE / REMODEL
Property Zoning:
Application Valuation: $5,000.00
Applicant:
F & F CONSTRUCTION INC
78870 WAKEFIELD CR
LA QUINTA, CA 92253
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 Professions Code,
and my License is in full force andeffect.
License Class: B License No.. 802281
Dat 7 — Contra
4�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 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.).
( I 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/17/2016
Owner:
RICHARD WARFIELD .
77921 GREY WOLF TR
LA QUINTA, CA 92253
Contractor:
F & F CONSTRUCTION INC
78870 WAKEFIELD CR
LA QUINTA, CA 92253
(760)275-5789
Llc. No.: 802281
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.
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: STATE COMPENSATION INSURANCE FUND Policy Number: 1542839
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 of the Lab e, I shall forthwith
comply
with those provisions.
Date:J� (-1(0— p Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 Building Official 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 sta aws relating to building
construction, and hereby authorize representatives of this ci to a er upo e
above-mentionedpropertyfor inspection purposes. r�
Date: `(Vli ignature (Applicant or Age JC/
/i
c
f
r
Date: 11/17/2016
Application Number:
BRES2016-0328
Owner:
Property Address:
77921 GREY WOLF TR
RICHARD WARFIELD
APN:
623510016
77921 GREY WOLF TR
Application Description:
WARFIELD RESIDENCE / REMODEL
LA QUINTA, CA 92253
Property Zoning:
Application Valuation`.
$5,000.00.
Applicant:
Contractor:
F & F CONSTRUCTION INC
F & F CONSTRUCTION INC
78870 WAKEFIELD CR
78870 WAKEFIELD CR
LA QUINTA, CA 92253
LA QUINTA, CA 92253
(760)275-5789
---------------------------------------------------------------
Llc. No.: 802281
Detail: INTERIOR REMODEL
- REPLACE EXISTING 6" RECESSED LIGHTING WITH NEW 4" LED
-----------------------------
RECESSED CAN LIGHT FIXTURES THROUGHOUT HOME. REPLACE
KITCHEN ISLAND AND SINK. 2013 CALIFORNIA BUILDING CODES.
1
FINANCIAL
DESCRIPTION ACCOUNT CITY AMOUNT
Credit Card Fee 101-0000-43505 0 $3.10
Total Paid for Credit Card Fee: $3.10
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$25.33
Total Paid for ELECTRICAL: $50.66
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$12.67
Total Paid for PLUMBING FEES: $25.34
/&I , 3,�2t;5 ;Z4/6- 103d9
gjq, ",I
Bin # Cit of La Quin a
Building 8L Safety Division
Permit ## 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: q 2
/ % �! �/tJ%L%^ �%%L Owner's Name: I ueiv� W
A. P. Number:
Address: [ Z %/ ,
Legal Description:
City, ST, Zip: �22s
n
Co tract or. O� .� C
C � .7Z6' 1
Teehn
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Address: Address: 7777,_ _f -/tT (at-(- Pn t Sq 4.
Project Description: PAfz_�Fy/4t-� A-A/j)
City, ST, Zip: f-)/+z,o-'/
C zf 4 r0 fle M
TelePone h J
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NO
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State Lic. # : /f 22
City Lie. #:
G:/� e� ��
Arch.,'Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Cons traction Type: Occupancy:
:
,
State. Lic. # •
Pro'ecttYPecircle one): Add'n Alter r Re ai r Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:67('b
Estimated Value of Project: 6�
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance.
Title 24 Cafes.
Plans picked up
Construction: ' .
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'" Review, ready for corrections/issue•
Electrical
Subcontactor List
Called Contact Person
Plumbing.
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE_.:-
'`d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
Ridge Gate
RESIDENCE THREE
Single Story • 4 Bedrooms plus Den
4.5 Baths • 3 -Car Garage
3,47,8 Square feet
12!24/03
-------------------
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