BRES2016-0194RACTOR 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 Bvsiness and Professions Code,
and my License is in full force and effect.
License Class: B/ License NO.: 728102
Date: 6 Contractor:
OWNER -BUILDER DECLA ON
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, 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
78-495 CALLE TAMPICOi
LA QUINTA, CALIFORNIA 92253.
� 4 rw4�w
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRES2016-0194
Property Address: 81355 THUNDER GULCH WY
APN: 767790062
Application Description: GRIFFIN RANCH / PIMLICO SERIES II / LOT
Property Zoning:
Application Valuation: $227,420.10 JUL 2 f}
Applicant:
ClTYOFL/ioulw, `- } ULRICH SAUERBREY %OAsidU"�T'OE'.IELOIPI,Ef;1DEfk9Tt,tc^1i
74948 LIVE OAK STREET �-
INDIAN WELLS, CA 92210
VOICE (760) 777-712!
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/18/2016
Owner:
GRIFFIN RANCH - LENNAR HOMES
981 MONTECITO DR STE 302
CORONA, CA 92879
Contractor:
LENNAR HOMES OF CALIFORNIA INC
25 ENTERPRISE
ALISO VIEJO, CA 92656
(949)349-8269
Y 11 L. No.: 728102
------------------'--
-----------------------------------
---------------------
LICENSED CONT v '
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
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 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
complWFAIL
visions.
Date:
Applicant:
WARNSECURE WORKERS' COMPENSA N COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA TIES 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
lot commenced within 180 days from date of issuance of such permit, or cessation of
cork for 180 days will subject permit to cancellation.
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
:onstruction, and hereby authorize representatives of this city to enter upon the
bove-mentioned roperty for inspection purposes.
)ate: t/ Signature (Applicant or Agent):
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$10.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
_71 -
$10.00
$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
PAID DATE
DESCRIPTION
ACCOUNT
PAID
DIF - PARK MAINTENANCE
256-0000-43200
HQTY-AMOUNT
$40.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
AMOUNT
PAID DATE
DESCRIPTION
ACCOUNT
QTY
PAID
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
AMOUNT
DESCRIPTION
ACCOUNT
QTY'
PAID
PAID DATE
DIF - STREET MAINTENANCE
255-0000-43200
0
$116.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
PAID
PAID DATEDIF
-TRANSPORTATION
250-0000-43200
HQTYAMOUNT
$2,842.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for DIF - SINGLE FAMILY DWELLING:
$6,894.00
$0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAI�DATE]
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$0.00
PAID BY
METHOD "
RECEIPT #
CHECK #
_CLTD BY
Total. Paid for ELECTRICAL: $24.17 $0.00.
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
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$47.86
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL PRECISE GRADING - TRACT
HOME
101-0000-42408
0
$133.43
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for GRADING: $133.43 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
CONDENSER/COMPRESSOR
101-0000-42402
0
$108.78
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
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
$108.78
$0.00.
PAID BY
METHOD
RECEIPT #
CHECK#
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
VENT FAN
101-0000-42402
0
$96.72
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for MECHANICAL: $326.37 $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 .
ACCOUNTQTY
AMOUNT
PAID
PAID DATE
MULTI -SPECIES RESIDENTIAL 0-8 UNITS -
2015 UPDATE
101-0000-20310
0
$1,301.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$597.25
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for NEW CONSTRUCTION PERMIT: $597.25 $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
$278.07
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS
.101-0000-42401
0
$12.09
.$0.00
PAID BY
' METHOD '
RECEIPT #'
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT
101-0000-42401
0
$24.18
$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 for PLUMBING FEES: $350.6.1 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$29.56
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $29.56 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SINGLE FAMILY DETACHED
224-0000-20320
0
$1,837.44
$0.00
I
Description: GRIFFIN RANCH / PIMLICO SERIES II / LOT 223
Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED
Applied: 7/12/2016 MFA
FAMILY DETACHED
Approved: 7/18/2016 iAFA
Parcel No: 767790062 Site Address: 81355 THUNDER GULCH WY LA QUINTA,CA 92253
Subdivision: TR 32879 Block: Lot: 223
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $227,420.10 Occupancy Type. Construction Type:
Expired:
No. Buildings: 0 No.'Stories: 0 No. Unites: 0
CONTACTS
Details: 3,475 SF DWELLING -PLAN 3 BEL, LOT 223 [VB/RES-3/CLASS-A/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS,
BBQ OR WATER FEATURE. PER 2013 CALIFORNIA BUILDING CODES
,'Applied to Approved
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
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
OWNER
GRIFFIN RANCH - LENNAR HOMES
j 981 MONTECITO DR
STE 302
j CORONA
j. CA
j 92879
Printed: Monday, July 18, 2016 12:24:54 PM 1 of 4 L SYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
• $10.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$10.00 $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
257-0000-41,200
1 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'.
Total Paid for ELECTRICAL: .$24.17 $0.00 .
RESIDENTIAL, FIRST
101-0000-42403
0
$145.03
$0.00
1,0009F
Y
RESIDENTIAL, FIRST
101-0000-42600
0
$47.86
$0.00
1,000SF, PC
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $0.00
RESIDENTIAL PRECISE
GRADING - TRACT
101-0000-42408
0
$133.43
$0.00
HOME
Total Paid for GRADING: •$133.43 $0.00
Printed: Monday, July 18, 201612:24:54 PM 2 of 4
V?WlYSTEMS
Printed: Monday, July 18, 2016 12:24:54 PM 3 of 4 CTI SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
CONDENSER/COMPRES
101-0000-42402
0
$108.78
$0.00
SOR•
EXHAUST HOOD
101-0000-42402
0
$12.09
$0.00
FURNACE
101-0000-42402
0
$108.78
$0.00
VENT FAN 101-0000-42402 0 $96.72 $0.00
Total Paid fur MECHANICAL: $326.37 $0.00
MULTI STRUCTURE
101-0000-42600TO
$48.34
$0.00
PLAN CHECK - EACH
Total Paid for MULTI STRUCTURE PLAN CHECK - EACH: $48.34 $0.00
MULTI -SPECIES
RESIDENTIAL 0-8 UNITS
101-0000-20310
0
$1,301.00
$0.00
-2015 UPDATE
Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00 $0.00
NEW CONSTRUCTION
101-0000-424000
$597.25
$0.00
PERMIT
Total Paid for NEW CONSTRUCTION PERMIT: $597.25 $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
$278.07
$0.00
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$0.00
OUTLETS
WATER HEATER/VENT
101-0000-42401
0
$24.18
$0.00
WATER SYSTEM
101-0000-42401
0
$12.09
$0.00
INST/ALT/REP
Total Paid for PLUMBING FEES: - $350.61 $0.00
SMI - RESIDENTIAL
101-0000-20308 1
0
$29.56
$0.00
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $29.56 $0.00
Printed: Monday, July 18, 2016 12:24:54 PM 3 of 4 CTI SYSTEMS
DESCRIPTIONI� ACCOUNT I QTY IaTAMOUNT I PAID �I PAID DATE (RECEIPT# I CHEC:#JI METHOD I� PAID BY
SINGLE FAMILYI 224-0000-20320 I 0
DETACHED
Total Paid for TUMF - RESIDENTIAL
$1,837.441
$0.00
$1,837.44 $0.00
PARENT PROJECTS
CLTD
BY
Printed: Monday, July 18, 2016 12:24:54 PM 4 of 4 CN?WIYSTEMS
LEGEND
PROPERTY LINE
®
AIR CONDITIONING PAD
— — — — — — — — PUBLIC UTILITY EASEMENT
Q
CONCRETE STOOP
— — —. — — — RIGHT-OF—'NAY (R/W)
SIDEYARD GATE
— — — -- WATER. MAIN
•38(
FIRE HYDRANT
— — — _s — SEWER MAIN
a
WATER METER
GARDEN WALL
S
SEWER LATERAL
RETAINING / GARDEN WALL
_TTcp TOP OF SLOPE
TOE TOE OF SLOPE
0
w NOTE: DIMENS1014S SHOWN ARE NOTE: PLOT PLANS MAY NOT SHOW CURRENT RECORD INFORMATION. REFER TO THE
tion TO BUILDING FACE AND NOT TITLE REPORT FOR DIMENSIONS, EASEMENTS. AND OTHER INFORMATION OF RECORD.
ARCHITECTURAL POP—OUTS DRY UTILITIES ARE NOT SHOWN ON THIS PLAN.
IDMSA CONSULTING, ENG LENNAR. / GRIFFIN RANCH
PLAmm m ■ Crm F.monamam ■ LA m &mvnm JUNE 2016
34200 BOB Hopa Darya .1Wtcco 1&mAag a CA 92270 TRACT NO. 32879
ids (760) 320-9811. FAX (760) 3237893LOT AREA
LOT 223 - 81-355 Thunder Gulch Way 14,984 SF
LENNAR LA OUINTA, RIVERSIDE COUNTY, CALIFORNIA
980 MONTECITO DRIVE
CORONA, CA 92879 SCALE 1'=30'
(951) 817-3663
BUYER'S ACCEPTANCE DATE: