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BRES2016-010778-495 CALLE TAMPICO VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 /"1 /7 FAX (760) 777-7011 COMMUNITY DE �I _ C�PICAEN tI�G��RMIT ' D PA JTMENT FAX (760) 777-7153 BUI DI `---�R 9 20�6 Date: 4/19/2016 Application Number: BRES2016-0107 C0,11muhp T 0 QUINO ner: Property Address: 54930 MADAGASCAR WY �E(0 A ENNAR HOMES OF CALIFORNIA INC APN: 767800073 'DEPARTMENT 5 ENTERPRISE Application Description: GRIFFIN RANCH TM32879 BELMONT SERIES LOT 148 PLAN 2 ALISO VIEJO, CA 92656 Property Zoning: Application Valuation: $204,780.30 Applicant: ULRICH SAUERBREY 74948 LIVE OAK STREET INDIAN WELLS, CA 92210 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 o the Business an ofe ions Code, and my License is in full force and effect. License Clas : e kicense No.: 728102 Date: r' Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt fromUheContractor'sSto License Law for the following reason (Sec. 7031.5, Business andny city or county that requires a permit to construct, alter, improvr 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 Na Lender's Add Contractor: LENNAR HOMES 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 work for 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 perm' is issued, I shall not employ any person in any manner so as to become subject to th workers' compensation laws of California, and agree that, if I should become sub' ct to the workers' compensation provisions of Section 3 60 of La Code, I hall forthwith comply wiyh hjprovisions. Date: 4/ ` %` Applicant: s WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COV GE IS UNLA FUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN CIVIL FINES VTO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TOT 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 thi I agree to comply %7(t*h all city and county ordinances and construction, and Verey authorize representatives of thi! above-rrtie p�, .pro erry for inspection purposes. Date: ( l Signature (Applicant or Agent): DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY CHARGE -,BL -DG CITY STAFF 101-0000-42600 2 $290.00 $0.00 ' 'PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BLDG CITY STAFF - PER HOUR: $290.00 $0.00 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 CONDENSER/COMPRESSOR PC 101-0000-42600 0 $48.34 $0.00 PAID BY METHOD RECEIPT# CHECK# CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $4.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $24.18 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $33.81 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for MECHANICAL: $111.16 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT • PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $193.44 $0.00 PAID BY. METHOD - RECEIPT# CHECK# CLTD. BY DESCRIPTION ACCOUNT QTY AMOUNT PAID, PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.2S $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $212.78 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $0.72 $0.00 a: c;, PAtD.ABY k" w METHOD RECEIPT # CHECK # GLTD BY Total Paid for STRONG MOTION. INSTRUMENTATION SMI: $0.72 $0m TOTALS:• •0 Description: GRIFFIN RANCH TM32879 BELMONT SERIES LOT 148 PLAN 2 Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED -CONDITIONS Applied: 4/11/2016 MFA FAMILY DETACHED Approved: 4/19/2016'JJO Parcel No: 767800073 Site Address: 54930 MADAGASCAR WY LA QUINTA,CA 92253 Subdivision: TR 32879 Block: Lot: 148 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $204,780.30 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 3,153 SF DWELLING - PLAN 2, LOT 148 [VB/RES-3/CLASS-A/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, BBQ OR WATER FEATURE. PER 2013 CALIFORNIA BUILDING CODES PERMIT WAS ISSUED FOR LOT 148 UNDER BRES2015-0364, 2913 SQ. FT. APPLICANT DECIDED TO CHANGE THE SIZE AND TYPE OF HOME ON THE LOT TO 3153 SQ. FT. MODEL. ALL THE FEES THAT WERE PAID ON BRES2015-0364 WERE CREDITED TO THE NEW PERMIT BRES2016-0107. __j Applied to Approved Printed: Tuesday, April 19, 2016 12:25:56 PM 1 of 3 ? srsTEMs ADDITIONAL CHRONOLOGY CONDITIONS CONDITION DATE DATE DATE CONTACT STATUS REMARKS NOTES TYPE ADDED REQUIRED SATISFIED TITLE -24 NEEDS TO BE REVISED TO THE 2013 READY TO ISSUE EDITION. SCHOOL FEES WERE REVISED SEE CHECKLIST JIM JOHNSON 4/13/2016 PENDING LETTER ON FOLDER. TITLE -24 WAS UPDATED FOR THIS LOT148 ONLY. CONTACTS NAME TYPE NAME ADDRESS1 CITY _.......... .... STATE ZIP PHONE FAX EMAIL APPLICANT ULRICH SAUERBREY 74948 LIVE OAK STREET INDIAN WELLS CA 92210 ulrichs@uslandlink.co m CONTRACTOR LENNAR HOMES OF CALIFORNIA INC 25 ENTERPRISE ALISO VIEJO CA 92656 lennar@lennar.com Printed: Tuesday, April 19, 2016 12:25:56 PM 1 of 3 ? srsTEMs FINANCIAL INFORMATION 'DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD . BY HOURLY CHARGE - 101-0000-42600 2 $290.00 $0.00 BLDG CITY STAFF Total Paid for BLDG CITY STAFF - PER HOUR: $290.00 $0.00 BSAS SB1473 FEE 101-0000-20306 1 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: CONDENSER/COMPRES 101-0000-42600 0 $48.34 $0.00 SOR PC EXHAUST HOOD PC 101-0000-42600 0 $4.83 $0.00 VENT FAN 101-0000-42402 0 $24.18 $0.00 VENT FAN PC 101-0000-42600 0 $33.81 $0.00 Total Paid for MECHANICAL: $111.16 $0.00 BUILDING SEWER PC 101-0000-42600 0 $12.09 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $193.44 $0.00 WATER HEATER/VENT 101-0000-42600 0 $7.25 $0.00 PC Total Paid for PLUMBING FEES: $212.78 $0.00 SMI - RESIDENTIAL 101-0000-20308 1 0 $0.72 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.72 $0.00 TOTALS:$0.00 Printed: Tuesday, April 19, 201612:25:56 PM 2 of 3 SY57EM5 Permit Details PERMIT NUMBER City of La Quinta BREs�2011� Q107 Printed: Tuesday, April 19, 2016 12:25:56 PM 3 of 3 ,, SY57fM5