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13-1635 (SFD)P.O.: BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:13-0 00016_35' Property Address: 8.127-5—STORM CAT CT APN: 767-320-999-216 -32879 - Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 243461 Applicant: C,oNTapc�6 2 Tav/ 4 4 a" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT DETACHED Architect or Engineer: N7ct- VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/18/14 Owner: GRIFFIN RANCH 41 Contractor: i"ti' Ci i LENNAR HOMES OF CALIFORNIA IN 980 MONTECITO DRIVE, STE 3 2 �_`rT� rj CORONA, CA 92879 C!�`. . . Aq tl,Vifq (915) 817-3600 `t�'��•`�'' its �,F fle. - Lic. No.: 728102 -------------------------------------------------------------------------•------------------------ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licA r pr isions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7 00) of ivision 3 of the Bus' ass and Pro , and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License lass: e N 8102 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is �Z S r issued. Date ` Contractor: 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 OWNER -R DE RATION —40 insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exhe Cc tractor's State License Law for the Carrier OLD REPUBLIC IN Policy Number MWC30017800 following reason (Sec. 7031.5, Business and ProfesAny ity or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any strr t s issuance, also requires the applicant for the arson in any manner so as to become subject to the orkers' compensation laws of California, permit to file a signed statement that he or she is licnt 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 and ree that, if I should come subject to a wor ers' comr�pPeensation provisions of Section 37 ofthe)labor Code, shall orthw' cor�]$lywit provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ( j (/" any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)•: ' _ at t� / kpplicant: 1—) 1, 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 WA NTNG: FAILURE TO SECURE WORKERS' COMPENSATIO COVER E IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND Cl IL FINES TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the I DOLLARS ($100,000). IN ADDITION TO THE COST OF CO ION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). 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: LQPERMIT 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 Quints, 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 corm I agree lv ..,ith all city and ounty rdin ces and state laws relating to buildin con ruction ereb a nze representatives of this unty rupon the above-mentioned property ori ection p r{ Qs� 1 4 In I Signature (Applicant,or,Agentl: " 8 i - : I- Application Number . . . . . 13-00001635 ' ------ Structure Information 3,771SF DWELLING/VB/RES-3/CLASS-A/13D ----- Other struct info . . . . . CODE EDITION 2010 # BEDROOMS 4.00 FIRE SPRINKLERS 13D GARAGE SQ FTG 411.00 PATIO SQ FTG 947.00 NUMBER OF UNITS . 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 3771.00 Permit . . . BUILDING 2013 Additional desc . . Permit Fee . . . . 598.07 Plan Check Fee 00 Issue Date . . . Valuation . . . . 243461 Expiration Date 9/14/14 Qty Unit Charge Per Extension BASE FEE 573.43 44.00 .5600 ---------------------------------------------------------------------------- THOU BLDG $200,001-$1M 24.64 Permit . . . ELECTRICAL 2013 Additional desc . . Permit Fee . . . . 179.48 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/14/14 - Qty Unit Charge Per Extension .00 23.8300 LS ELEC FIXTURES, FIRST 20 .00 .00 23.8300 EA ELEC SERVICES .00 .00 23.8300 EA ELEC TEMP POWER POLES .00 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 . . 309.86 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 9/14/14 Qty Unit Charge Per Extension 3.00 35.7500 EA MECH FURNACE 107.25 3.00 35.7500 EA MECH CONDENSER/COMP 107.25 7.00 11.9200 EA MECH VENT FAN 83.44 1.00 11.9200 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 11.92 LQPERMIT Application Number . . . . 13-00001635 Permit. . . . PLUMBING 2013 �. Additional desc . . Permit Fee •. . . . 345.67 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/14/14 Qty Unit Charge Per Extension 21.00 11.9200 EA PLBG FIXTURE/TRAP 250.32 1.00 11.9200 EA PLBG BUILDING SEWER 11.92 2.00 11.9200 EA PLBG WATER HEATER/VENT 23.84 1.00 11.9200 EA PLBG WATER INST/ALT/REP 11.92 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 3,771SF DWELLING - PLAN 4A, SERIES I, LOT 216 [VB/RES-3/CLASS-A/13D] THIS. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, BBQ OR WATER FEATURES. 2010 CALIFORNIA BUILDING CODES. February 10,.2014 1:54:30 PM jjohnson. ---------------------------------------------------------------------------- Other Fees . . . . . . . ART IN PUBLIC PLACES -RES 108.65 BLDG STDS ADMIN (SB1473) 10.00 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 62.22 DIF PARK MAINT FAC - RES 40.00 PLAN CHECK, MECHANICAL 181.14 PLAN CHECK, SFD GRADING 143.00 PLAN CHECK, PLUMBING 317.06 DIF PARKS/REC - RES 2048.00 BLDG PC 200K -1M 1271.38 - STRONG MOTION (SMI) - RES 24.35 TUMF: RESIDENTIAL 1837.44 DIF STREET MAINTT FAC -RES 116.00 •DIF TRANSPORTATION -RES 2842.00 Fee summary Charged Paid Credited --------------------------- Due ------------------------------ Permit Fee Total 1433.08 .00 .00 1433.08 . Plan Check Total .00 .00 .00 .00 Other Fee Total 12127.24 .00 .00 12127.24 Grand Total 13560.32 .00 .00 13560.32 LQPERMIT LQPERMIT Application Number . . . . . 13-00001635