13-1628 (SFD)I
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 ,,,
Application Number: 13-08
Property Address: '81 -280 -STORM CAT CT
APN: 767-320-999-215 -32879 -
Application description: DWELLING - SINGLE FAMILY
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 261990
Applicant:
Tjht 4 4 4"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
GRIFFIN RANCH
4675 Macarthur Ct,
DETACHED' ` f NEWPORT BEACH, CA
Architect or Engineer:
NA
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under pr visions of Chapter 9 (commencing with
Section 7000) of D' Won 3 of the Business a Professionals C , and my License is in full force and effect.
License CI s: B ice a No.: 728102
Q'
Dat TY/Mf )'. Contractor?
I hereby affirm under penalty of perjury that I am exempt rom t Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Cod Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structu for 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 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 L iccnsc 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.).
(_ 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 (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
Contractor:
LENNAR HOMES OF
980 MONTECITO DR
CORONA, CA 92879
(915)817-3600
Lic. No.: 728102
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/18/14
155 A\
t l
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 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 t become subject to t workers' compensation laws of California,
Woo a ree that, if I should b come sub' a rkers' compensation provisions of Section
of the Labor Code, sh fo ith I ith tho provisions.
Date:of
WARNING: FAILURE TO SECURE'vd0—nKERS' COMPENS(ORNE>
ON COV RAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANDVIL FIN UP TO ONE HUNDRED THOUSAND
DOLLARS IS100,0001. IN ADDITION TO THE COST OFMPENS ION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND S FEES.
I 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 th above informs ' Is card. I agree to comply with all
city and ounty dinances and state laws relating to bui ing constr ton, and he by authori rives
of this u t ante/upon-the above-mentioned prop y f inspe on os
Dat I ! . j _Signature_ (Applicant or Agent):
Application Number .
. . . . 13-00001628
------ Structure Information 4,036SF DWELLING/VB/RES-3/CLASS-A/13D -----
Other struct info . .
. . . CODE EDITION
2010
## BEDROOMS
4.00
FIRE SPRINKLERS
13D
GARAGE SQ FTG
683.00
PATIO SQ FTG
731.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
4036.00
Permit . . .
BUILDING 2013
' Additional desc .
Permit Fee . . . .
608.15 Plan Check Fee
00
Issue Date . . . .
Valuation . .
. . 261990
Expiration Date . .
9/14/14
Qty Unit Charge
Per
Extension
BASE -FEE
573.43
62.00 .5600
----------------------------------------------------------------------------
THOU BLDG $200,001-$1M
34.72
Permit
ELECTRICAL 2013
Additional desc..
Permit Fee . . . .
191.64 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
4.00 12.1600
-----------------------------------------------------------------------
EA ELEC NEW RES, ADD'L 1 KSF
48.64
- 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
r Application Number . . . . . 13-00001628
Permit . . . PLUMBING 2013
Additional desc . .
Permit Fee . . . . 369.51 Plan Check Fee
.00
Issue Date . . . Valuation . . .
. 0
Expiration Date 9/14/14
Qty Unit Charge Per
Extension
23.00 11.9200 EA PLBG FIXTURE/TRAP
274.16
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
4,036SF DWELLING - PLAN 1A, SERIES II,
LOT 215 [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 12:34:36 PM jjohnson.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES
154.98
BLDG STDS ADMIN (SB1473),
> DIF COMMUNITY CENTERS -RES
11.00
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
67.23
DIF PARK MAINT FAC - RES
40.00
PLAN CHECK, MECHANICAL
181.14
PLAN CHECK, SFD GRADING
143.00
PLAN CHECK, PLUMBING
340.90
DIF PARKS/REC - RES
2048.00
BLDG PC 200K -1M _
1294.24
STRONG MOTION (SMI) - RES
26.20
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 1479:16 .00 .00
1479.16
Plan Check Total .00 .00 .00
.00
Other Fee Total 12228.13 .00 .00
12228.13
Grand Total 13707.29 .,00 .00
13707.29
LQPERMIT
' Application Number . . . . 13-00001628
i
LQPERMIT .