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BRES2015-012478-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 ?U' &f 4 4v Q" AUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2015-0124 Property Address: 80451 CHAMPIONS WY APN: 775220021 Application Description: THE SIGNATURE PH 1 ESTATES LOT 81 TM 36537 Property Zoning: CARLSBAD, CA 92008 Application Valuation: $191,177.40 Applicant: Carrier: Polity Number: CALIFORNIA WEST CONSTRUCTION I 5927 PRIESTLY DRIVE STE 110 CARLSBAD, CA 92008 city or county that requires a permit to construct, alter, improve, demolish, or repair VOICE -(760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/8/2015 Owner: I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. RREF II CWC LAQ LLC License Cla : B License No.: 927267 of the work for which this permit is issued. 5927 PRIESTLY DR STE 110 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 C CARLSBAD, CA 92008 is issued. My workers' compensation insurance carrier and policy number are: OWNER -BUILDER DECLARATION Carrier: Polity Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I z C'1 � city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith �o comply with ose provisions. / of the Business and Professions Code) or that he or she is exempt therefrom and the T 1� Contractor: permit subjects the applicant to a civil penalty of not more than five hundred dollars WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, CALIFORNIA WEST CONSTRUCTIO cid (_) I, as owner of the property, or my employees with wages as their sole 5927 PRIESTLY DRIVE STE 110 0 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, CARLSBAD, CA 92008 D _o �� (760)918-6768 himself or herself through his or her own employees, provided that the improvements APPLICANT ACKNOWLEDGEMENT Uc. No.: 927267 IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I I hereby affirm under penalty of perjury one of the following declarations 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance License Cla : B License No.: 927267 of the work for which this permit is issued. ,��J / , Date. C�ctor: / /[� 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: OWNER -BUILDER DECLARATION Carrier: Polity Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any persoi in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith 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 comply with ose provisions. / of the Business and Professions Code) or that he or she is exempt therefrom and the Dare: �� Applicar 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (_) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose (_) I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application, the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (_) I am exempt under Sec. . B.&P.C. for this reason 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. 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 Lender's Address: I certify that I have read tnis 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 hereby authorize representatives of this city to enter upon the above- mentioned pr erty fpr inspection purposes. At) Datyq /J Signature (Applicant or ge VVV f DESCRIPTION FINANCIAL •• • ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $8.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $8.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 • $942.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT : - QTY, AMOUNT PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 PAID BY '; METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNTPAID PAID DATE DIF - PARK MAINTENANCE 256-0000-03200 0 $40.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT . PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 PAID BY METHOD RECEIPT# CHECK# CLTD BY DESCRIPTION ACCOUNT - QTY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION. ACCOUNTQTY AMOUNT PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $000 PAID BY METHOD - RECEIPT # CHECK # CLTD BY Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE TEMP POWER SERVICE 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE TEMP POWER SERVICE PC 101-0000-42403 0 $16.92 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $41.09 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $36.99 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL - NEW CONSTRUCTION: $182.02 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-000042402 0 $72.54 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forMECHANICAL: $120.89 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE MULTI STRUCTURE PLAN CHECK - EACH 101-0000-42600 0 $48.34 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for MULTI STRUCTURE PLAN CHECK - EACH: $48.34 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE MULTI -SPECIES RESIDENTIAL 0-8 UNITS 101-0000-20310 0 $1,292.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forMULTI-SPECIES RESIDENTIAL- $1,292.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $574.93 $0.00 PAID BY METHOD RECEIPT# CHECK# CLTD BY Total Paid forNEW CONSTRUCTION PERMIT: $574.93 $0.00 DESCRIPTION ' ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY:. AMOUNT ..PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID :PAID DATE FIXTURE/TRAP 101-0000-42401 0 $205.53 $0.00 PAID BY METHOD _ = RECEIPT # CHECK # CLTD BY _DESCRIPTION ACCOUNT QTY AMOUNT 'PAID PAID DATE GAS SYSTEM, S+ OUTLETS 101-0000-42401 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT.. PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $0.00 PAID BY - METHOD RECEIPT # CHECK # CLTD BY . Total Paid forPLUMBING FEES: $290.15 $0.00 DESCRIPTION ACCOUNT CITYAMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $24.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI $24.85 $0.00 DESCRIPTION ACCOUNT ' QTY AMOUNT PAID PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $0.00 PAID BY.: METHOD : RECEIPT #. CHECK # CLTD BY Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS:00 Description: THE SIGNATURE PH 1 ESTATES LOT 81 TM 36537 Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: UNDER REVIEW Applied: 4/7/2015 MFA FAMILY DETACHED Approved: 4/8/2015 MFA Parcel No: 775220021 Site Address: 80451 CHAMPIONS WY LA QUINTA,CA Subdivision: PM 20426 Block: Lot: 81 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $191,177.40 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ADDRESS1 Details: 2,921 SF DWELLING. 347 SF BALCONY PLAN TYPE 3BR LOT 81 [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2013 CALIFORNIA BUILDING CODES. ***APPLICATION ASSESSED A BASE PLAN REVIEW FEE OF $47.67 FOR MULTIPLE ISSUANCE OF PLAN TYPE*** __j Applied to Approved FINANCIAL INFORMATION Printed: Wednesday, April 08, 2015 3:46:44 PM 1 of 4 CRWYS7EM5 CONDITIONSCHRONOLOGY CONTACTS NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE. FAX EMAIL APPLICANT CALIFORNIA WEST CONSTRUCTION 1 5927 PRIESTLY DRIVE CARLSBAD CA 92008 LBELLOSO@CALWESTC STE 110 OMMUNITIES.COM CONTRACTOR CALIFORNIA WEST CONSTRUCTION 1 5927 PRIESTLY DRIVE CARLSBAD CA 92008 LBELLOSO@CALWESTC STE 110 1 1 1 1 OMMUNITIES.COM OWNER RREF II CWC LAQ LLC 5927 PRIESTLY DR STE CARLSBAD CA 92008 110 FINANCIAL INFORMATION Printed: Wednesday, April 08, 2015 3:46:44 PM 1 of 4 CRWYS7EM5 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY' CLT' BY BSAS SB1473 FEE 101-0000-20306 0 $8.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $8.00 $0.00 BSA: DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 DIF - COMMUNITY 254-0000-43200 0 $129.00 $0.00 CENTERS DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 DIF - PARK 256-0000-43200 0 $40.00 $0.00 MAINTENANCE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 DIF - STREET 255-0000-43200 0 $116.00 $0.00 MAINTENANCE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 TEMP POWER SERVICE 101-0000-42403 0 $24.17 $0.00 TEMP POWER SERVICE 101-0000-42403' 0 $16.92 $0.00 PC Total Paid for ELECTRICAL: $41.09 $0.00 RESIDENTIAL, EA 101-0000-42403 0 $36.99 $0.00 ADDITION 1,000SF RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $0.00 1,000SF Total Paid for ELECTRICAL - NEW CONSTRUCTION: $182.02 $0.00 EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 FURNACE 101-0000-42402 0 $36.26 $0.00 Printed: Wednesday, April 08, 2015 3:46:44 PM 2 of 4 SYSTEMS DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY T CL D BY VENT FAN 101-0000-42402 0 $72.54 $0.00 Total Paid forMECHANICAL: $120.89 $0.00 MULTI STRUCTURE 101-0000-42600 0 $48.34 $0.00 PLAN CHECK - EACH Total Paid forMULTI STRUCTURE PLAN CHECK - EACH: $48.34 $0.00 MULTI -SPECIES 101-0000-203100 $1,292.00 $0.00 RESIDENTIAL 0-8 UNITS Total Paid forMULTI-SPECIES RESIDENTIAL $1,292.00 $0.00 NEW CONSTRUCTION 101-0000-424000 $574.93 $0.00 PERMIT Total Paid for NEW CONSTRUCTION PERMIT: $574.93 $0.00 BACKFLOW DEVICE 101-0000-42401 0 $12.09 $0.00 BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 FIXTURE/TRAP 101-0000-42401 0 $205.53 $0.00 GAS SYSTEM, 5+ 101-0000-42401 0 $36.26 $0.00 OUTLETS WATER HEATER/VENT 101-0000-42401 0 $11.09 $0.00 WATER SYSTEM 101-0000-42401 0 $12.09 $0.00 INST/ALT/REP Total Paid for PLUMBING FEES: $290.15 $0.00 SMI -RESIDENTIAL 101-0000-20308 1 0 $24.85 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $24.85 $0.00 SINGLE FAMILY 224-0000-203200 $1,837.44 $0.00 DETACHED Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS:00 Printed: Wednesday, April 08, 2015 3:46:44 PM 3 of 4 C SYSTEMS ATTACHMENTS Printed: Wednesday, April 08, 2015 3:46:44 PM 4 of 4 CN?WlYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE 0 FINAL" BLD ATTACHMENTS Printed: Wednesday, April 08, 2015 3:46:44 PM 4 of 4 CN?WlYSTEMS