BWFE2015-0281'78-495'CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
------------
Application Number: BWFE2015-0281 L Property Address: 54003 CANANERO CT APN: 767780083
Application Description: GRIFFIN RANCH TM32879 CVWD WELLSITEProperty Zoning: IApplication Valuation: $7,700.00
Applicant:
LENNAR HOMES OF CALIFORNIA INC
25 ENTERPRISE
ALISO VIEJO, CA 92656
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and P ofessions Code,
and my License is in full force and effect.
License CI 7_ss:: BB License No.: 728102
—Contractor:
OWNER -BUILDER DECLARATION�TC'P�Coactor's
I hereby affirm under penalty of perjury that I am exempt fr. m thState
License Law for the following reason (Sec. 7031.5, Business a s 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 i
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.).
(_) 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 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: 9/22/2015
CA 0
OMES OF CALIFORNIA INC
25 ENTERPRISE
ALISO VIEJO, CA 92656
(949)349-8269
Llc. No.: 728102
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 wor or 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: _ Policy Number:
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 ode, I shall forthwith
comply with th a provis' K
C✓
Date: pplicant:
WARNING: FAILURE TO SECURE WORKERS' COM PENSATIOAND
GEIS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADHE 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
I agree to comply with all city and county ordinances and state laws relating to
construc n, and hereby authorize representatives of this city to enter upon 7
above -me do property for inspection purposes.
Date Signature (Applicant or Agent):
FINANCIAL • •
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $1.00 $0.00
PAID BY METHOD
RECEIPT # CHECK # CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$72.50
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for FENCE OR FREESTANDING WALL: $181.27 $0.00
TOTALS:00
Description: GRIFFIN RANCH TM32879 CVWD WELLSITE
Type: WALL/FENCE Subtype: SPECIAL/ENGINEERED Status: APPROVED
Applied: 9/22/2015 MFA
DESIGN
Approved: 9/22/2015 BHA
Parcel No: 767780083 Site Address: 54003 CANANERO CT LA QUINTA,CA 92253
Subdivision: TR 32879 Block: Lot: AQ
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $7,700.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: CONSTRUCT 308 LF OF 8' BLOCK WALL (PROTOTYPE II SPECS) CVWD WELLSITE PERIMETER WALLS AND ENTRY GATE PER 2013
CALIFORNIA BUILDING CODE
ADDITIONAL SITES
CHRONOLOGY
t __j APPIMU Lo HPPFUVCU
NAME TYPE
NAME
ADDRESSI
CONDITIONS
CONTACTS
CITY
STATE
ZIP PHONE
FAX EMAIL
APPLICANT
LENNAR HOMES OF CALIFORNIA INC
25 ENTERPRISE
ALISO VIEJ0
CA
92656
lennar@lennar.com
CONTRACTOR
LENNAR HOMES OF CALIFORNIA INC
25 ENTERPRISE
ALISO VIEJO
CA
92656
lennar@lennar.com
OWNER
CVWD
P 0 BOX 1058
COACHELLA
CA
0
Printed: Tuesday, September 22, 2015 9:14:30 AM 1 of 2 OTIfflYSTEMS
Q A • Cyd
o �a p - U UUI� D - � � • • � •
Fv of
INSPECTIONS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
RETURNED
DATE
STATUS
REMARKS
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK# .
METHOD
PAID BY
BY
WALL/FENCE - EA
101-0000-42404
0
$72.50
$0.00
ADDITIONAL 50 LF
WALL/FENCE - FIRST
101-0000-42404
0
$47.86
$0.00
100 LF
WALL/FENCE - FIRST
101-0000-42600
0
$60.91
$0.00
100 LF PC
-
Total Paid for FENCE OR FREESTANDING WALL: $181.27 $0.00
INSPECTIONS
BOND INFORMATION
ATTACHMENTS
Printed: Tuesday, September 22, 2015 9:14:30 AM 2 of 2 (79?TLJ SYSTEMS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
RETURNED
DATE
STATUS
REMARKS
NOTES
1ST BLDG NS (1 WK)
BURT
HANADA
9/22/2015
9/29/2015
9/22/2015
APPROVED
BOND INFORMATION
ATTACHMENTS
Printed: Tuesday, September 22, 2015 9:14:30 AM 2 of 2 (79?TLJ SYSTEMS
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