BWFE2015-028378-495 CALLE TAMPICO } `
LA QUINTA, CALIFORNIA 92253 CO EPARTA
® BUI f9 G PERMIT
Application Number' 'BWFE2015-0283 SEP 2 9 2015
Property Address: 54787 DONNERAIL CT
APN: ' 767800092
Application Description: GRIFFIN RANCH TM32879 CV DWELLSITITYOFLAQUIMA
Property zoning: COMMUNITY DEVELOPMENT DEPARTMENT
Application Valuation: $15,750.00
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 provisio s of Chapter
9 {commencing with Section 7000) of Division 3 of the Business and Prof ssions Code,
and my License is in full force and effect.
License/''►C`a s: B License No.: 728102
Date:- ` Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the ontractor's ate
License Law for the following reason (Sec. 7031.5, Business and Profe i e: 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.).
(_) 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
Owner:
CVWD
P 0 BOX 1058
COACHELLA, CA 0
Contractor:
LENNAR HOMES OF CALIFORNIA INC
25 ENTERPRISE
ALISO VIEJO, CA 92656
(949)349-8269
Llc. No.: 728102
WORKER'S COMPENSATIONDECLARATION
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 thewor r w ich 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 becomes bject to the
workers' compensation pro isions of Section 700 of the Labor Cod , I shall forthwith
comply with tKose provis. ns.
Date? /`� Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENS ION COVERAG IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN A IES AND CIVIL INES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDIT O THE OST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF 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
I certify that I have read this application and state that the above information is corect.
I agree to con,91, with all city and county ordinances and state laws relating to bu' ding
construction, d hereby authorize representatives of this c' to enter n he
above- enti ne operty for inspection purposes.
,7 'I
Date: _ �/ Signature (Applicant or Agent):
k
5
3
11
DESCRIPTION
ACCOUNT
CITY
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
CITY
AMOUNT
PAID
PAID DATE
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$159.50
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
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: $268.27 $0.00
OEM;.
Permit Details P.ERnnIT NUMBER
City of La Quinta BWFEf2a�15-283
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: 767800092 Site Address: 54787 DONNERAIL CT LA QUINTA,CA 92253
Subdivision: TR 32879 Block: Lot: AS
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $15,750.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
CLTD
Details: CONSTRUCT 630 LF OF 8' BLOCK WALL (PROTOTYPE II SPECS) CVWD WELLSITE PERIMETER WALLS AND ENTRY GATE PER 2013
CALIFORNIA BUILDING CODE
Applied to Approved
Printed: Tuesday, September 22, 2015.9:32:30 AM 1 of 2 CTE SYSTEMS
MUM=o'
R J @jM
0 0 0
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
(Rel L, 1,01110
PAID BY
BY
0
101-0000-20306
0
$1.00
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
LENNAR HOMES OF CALIFORNIA INC
25 ENTERPRISE
ALISO VIEJO
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, 2015.9:32:30 AM 1 of 2 CTE SYSTEMS
MUM=o'
e
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00
$0.00
BSA:
Printed: Tuesday, September 22, 2015.9:32:30 AM 1 of 2 CTE SYSTEMS
mac. • Permit U.MBER
K;� City of La Quinfia BWfEy2a15-0283
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
$159.50
$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: $268.27 $0.00
'' 0 em
INSPECTIONS
BOND INFORMATION
ATTACH M E NTS
Printed: Tuesday, September 22, 2015 9:32:30 AM 2 of 2 O Li WYSTEMS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
RETURNED
DATE
STATUS
REMARKS
NOTES
1ST BLDG NS (1 WK)
BURT
HANADA
9/22/2015
9/22/2015
9/22/2015
APPROVED
BOND INFORMATION
ATTACH M E NTS
Printed: Tuesday, September 22, 2015 9:32:30 AM 2 of 2 O Li WYSTEMS
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DATE
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WELL SITE SATES & DETAILS
APP12'3' VAL OA'Tr-: OCT 2005 w-Lj,
i
-43
_-
Pe+rmiC� cc
ProjeccAddFrss-4_
of La Quihta
EWdlnor U Safety Divh on
P.O. Box 1544,*78-495 Offe 7amoco
La_C7iitantj, CA 92253 - (1,60) 7777012
Building Fern lit Application 4 -2nd Tracking Sheet
7 nnerail Court -Griffin _ owme s ertrt r Homes frac
A. P. NAGE: 767-800.092
Mdrtsa: 980 Montccito Dr, Suite 302
Legal.. Dtstrip6on_
TTM 32879
CitY, ST, Zip: Gorona, GA 92879
Coetra�toc Lennar Humes Inc
_
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: r- hone951-817-3526,
Aci&=: Sante as above.
k'raatctUe criptian:
City, ST, Zip;
Construction of 636' of 8' high
eptoc:
�r
CVWD Wellsite Perimeter Walls &
SIMW Lic_ 4 On File
city Ur- 9: On File
hy
AMS., Vie, D�gnc_
Asidr=,
city, ST,
Telephonc
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ConstreietiO3Typr 0=psncy:
i'rojt type ttucic arca: icra Add'.n A2tnt itepa& D=o
N=c of comw, Perm
Ulrich Sauerbrey
Sq. Ft.:
� So;.
Tetcpuonc i of Cczm ct. Feraolt; 760-610-9410
fstim. atcd Va ue of proms $14,000
APPUCANT: DO NOT WWE BELOW THIS UNE
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