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BSPN2015-003178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&t�p 4 4 Qumro COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BSPN2015-0031 Property Address: 56203 PLATINUM WY APN: 775220021 Application Description: SIGNATURE / CALL WEST/ GENERATOR FOR SALES OFFICE Property Zoning: Application Valuation: $2,500.,00 Applicant: CALIFORNIAWEST CONSTRUCTION I 5927 PRIESTLY DRIVE STE 110 CARLSBAD, CA 92008 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 and effect. License Class: B. C10, D31 License No.: 980589 Date q ( s Contractor 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).: . . ( ) 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 cont; actors 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 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: 8/11/2015 Owner: CALIFORNIA WEST CONSTRUCTION I 5927 PRIESTLY DRIVE STE 11Flfri CARLSBAD, CA 92008 Contractor:S R BRAY LLC DBA POWER PL 1210 N RED GUM STREET ANAHEIM, CA 92806 .(714)507-1881 Llc. No.: 980589 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 wo. for which this permit is issued. ave and will maintain workers' compensation insurance, as required by Section 3500 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 Code, I shall forthwith comply with those provisions. / -- Date: O [I �S� Applicant:�c0--,( mac., 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 state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned property for inspection purposes. i Date: d l r I Signature (Applicant or Ag i i f f I. ` I I r • i i i f f r 44 . 1 I r • i i i Description: SIGNATURE / CALL WEST / GENERATOR FOR SALES OFFICE CONDITIONS Type: SPECIAL INSPECTION Subtype: Status: UNDER REVIEW Applied: 8/11/2015 SKH Approved: Parcel No: 775220021 Site Address: 56203 PLATINUM WY LA QUINTA,CA 92253 Subdivision: PM 20426 Block: Lot: 4 Issued: Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 EMAIL Details: SPECIAL INSPECTION - GENERATOR FOR SALES OFFICE AND MODELS. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS CONTACTS NAME.TYPE NAME ADDRESSI ADDITIONAL. STATE SITES CHRONOLOGY CONDITIONS CONTACTS NAME.TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT CALIFORNIA WEST CONSTRUCTION I 5927 PRIESTLY DRIVE CARLSBAD CA 92008 (760)918-6768 LBELLOSO@CALWESTC STE 110 OMMUNITIES.COM CONTRACTOR • S R BRAY LLC DBA POWER PLUS 1210 N RED GUM ANAHEIM CA 92806 (760)918-6768 STREET OWNER CALIFORNIA WEST CONSTRUCTION I 5927 PRIESTLY DRIVE CARLSBAD CA 92008 (760)918-6768 LBELLOSO@CALWESTC I STE 110 OMMUNITIES.COM FINANCIAL INFORMATION Printed: Tuesday, August 11, 2015 1:42:43 PM 1 of 2 0? S VSif tits I I FINAL" I ago I I I 'I I I ATTACHMENTS Printed: Tuesday, August 11, 2015 1:42:43 PM 2 of 2 i SYSTEti1S Birt # City of La Quinta . Building 8Z Safety Division P.O. lox 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit.Application and Tracking Sheet Permit # Project Address; Owner's Name: C� w p_:q tN QQ } A. P. Number: Address: C M I k-1 Legal Description: Gere rc 4ar- Pplrn,.�_ Far-N4Cf.e($ r,C s 5&2z,3 / S(o21y pJG J i wum wa,: Contractor: 0.0 o Tiu5 h ne. fi Telephone: �c � .................................... Address: 2_16-b ILl• Pern-L QLtld Project Description: City, ST, Zip: P2�r t s CA a2s7 TaJo Telephone: 5 - L( Z-0,9. aS- � .#< a `{ s s State Lic. # : FlQ7 City Lie. r ��/ l3/ �oi'1� O enirL Arch., Engr., Designer: i Address: City., ST, Zip: telephone: hone: Cn structi n Type: e :o ancY Occupancy: State Lie. #• Project tYPa (circle one):: New Add'n Alter Repair Demo Name of Contact Person: C)d C, ArU - t Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: q51- 353- q-4-0-6 Estimated Value of Project: $ SHOO APPLICANT: DO NOT WRITE BELOW THIS LINE tl Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issueElectrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IIOUSE:- 3,' Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees / a �! CITY Y OF LA QUINTA BUILDING & S� AF FOR ST , UCTION -' s . -o DATE Xa Ic 9 t - I "a 25 y. ' ' r' 00 a � 10 k 0