14-0810 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
14-00000810
54065 CANANERO CIR
767-320-999-287 -32879 -
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
204781
Tiat 4 4 0"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
MCCOMIC GRIFFIN LLC
7979 IVANHOE AVE #550
DETACHED LA JOLLA, CA 92037
Architect or Engineer:
)�//W_
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.
Lice Cla Lice No.: 728102
Vol
Date: Contractor:
7 417 06empt
R-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am 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.).
(_ 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 ISec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
Contractor: 1100
LENNAR HOMES OF CALIFORNIA
980 MONTECITO DRIVE, STE,�C
CORONA, CA 92879
(915)817-3600
Lic. No.: 728102 f
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/11/14
CIT t41F p 4 dU WTIA
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
Irssued.
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 C shall forthwit mply with those provisions.
Dat Applicant:
WARNI G: FAILURE TO SECURE WORKE 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 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 building construction, and reby authorize representatives
of this c o ter upon the e -mentioned pr pe inspection p s.
Date: Signature (Applicant or Agent):
Application Number . . . 14-00000810
Permit
. .
BUILDING 2013
Additional
desc . .
Permit Fee
. .
576.23
Plan Check Fee
00
Issue Date
Valuation
204781
Expiration
Date
12/08/14
Qty Unit Charge
Per
Extension
BASE
FEE
573.43
5.00
----------------------------------------------------------------------------
.5600
THOU BLDG
$200,001-$1M
2.80
Permit
. . .
ELECTRICAL
2013
Additional
desc .
Permit Fee
. . . .
203.31
Plan Check Fee
.00
Issue Date
. . . .
Valuation . . .
. 0
Expiration
Date . .
12/08/14
Qty Unit Charge
Per
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
3.00
----------------------------------------------------------------------------
12.1600
EA ELEC
NEW RES, ADD'L 1 KSF
36.48
Permit
. . . MECHANICAL
2013
Additional
desc . .
Permit Fee
. . . .
238.36
Plan Check Fee
.00
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
12/08/14
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
. . . .
274.15
Plan Check Fee
.00
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date . .
12/08/14
Qty Unit Charge
Per
Extension
16.00
11.9200
EA PLBG
FIXTURE/TRAP
.190.72
1.00
11.9200
EA PLBG
BUILDING SEWER
11.92
1.00
11.9200
EA PLBG
WATER HEATER/VENT
11.92
1.00
11.9200
EA PLBG
WATER INST/ALT/REP
11.92
LQPERMIT
Application Number . . . . . 14-00000810
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
3,153 SF DWELLING - PLAN 2C, SERIES
I,
LOT 287 [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,.2014-2:50:30 PM azarco.
----------------------------------------------------------------------------
Other Fees . . . . . . . . .
BLDG STDS ADMIN (SB1473)
9.00
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
78.90
DIF PARK MAINT FAC - RES
40.00
PLAN CHECK, MECHANICAL
133.48
PLAN CHECK, PLUMBING
250.31
DIF PARKS/REC - RES
2048.00
BLDG PC 200K -1M
1221.85
STRONG MOTION (SMI) - RES
20.48
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 1292.05
.00 .00
1292.05
Plan Check Total 00
.00 .00
.00
Other Fee Total 11723.46
.00 .00
11723.46
Grand Total 13015.51
.00 .00
13015.51
LQPERMIT