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BSPN2016-001478-495 CALLE TAMPICO ' LA QUINTA, CALIFORNIA 92253 T44,v, 4 4 Qa!Krov COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BSPN2016-0014 I�'lll 1111111111111 Property Address: 79860 AVENUE 52 07 APN: 776220012 Application Description: ADDRESS MAP - BEAZER WATERMARK - TRACT 36762 Property Zoning: Application Valuation: Applicant: RUDY PROVOST 1800 E. Imperial Hwy., Suite 140 BREA, CA 92821 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: License No.: 724191 \ / Date: Contractor• 1— `�� 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 tf basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for 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 11, 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 Name: Lender's Own VOICE (760) 777-7125 J_FAX (760) 777-7011 INSPllCTI FE3 i 2016 HOMES HOLDINGSvCO 1800 E IMPERIAL HWY S; f BREA, CA 92871 Contractor: BEAZER HOMES HOLDINGS CORP 1800 EAST IMPERIAL HIGHWAY SUITE 200 BREA, CA 92821 (714)672-7000 Llc. No.: 724191 777-7153 2/11/2016 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 polity number are: Carrier: Polity 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 pr visions. Date: /� Applicant: 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- mention roperty for inspection purposes. te: Signature (Applicant or Agent). OESCROnON FINANCIAL • ACCOUNT <:::, 1 CITY. AMOUNT RAID PAID DATE •; .£',:SPFCdALdNSRCTION 101-0000-42404 0 $72.52 $72.52 2/11/16 PAID BY METHOD, " , ";>' RECEIPT # CHECK # CLTD BY BEAZER HOMES HOLDINGS CORP CHECK R12866 64144254 BHA DESCRIPTION .A00OUNT �_'. QTY, ::AMOUNT °`PAID : '- PAID DATE SPECIAL INSPECTION PC 101-0000-42600 0 $181.28 $181.28 2/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY BEAZER HOMES HOLDINGS CORP CHECK R12866 64144254 BHA Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION: $253.80 $253.80 TOTALS::i $253.80 Description: ADDRESS MAP - BEAZER WATERMARK - TRACT 36762 COWITIONS Type: SPECIAL INSPECTION Subtype: Status: ISSUED Applied: 2/9/2016 BHA Approved: 2/11/2016 BHA Parcel No: 776220012 Site Address: 79860 AVENUE 52 LA QUINTA,CA 92253 Subdivision: TR 31798 Block: Lot: 1 Issued: 2/11/2016 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $0.00 Occupancy Type: Construction Type: Expired: 8/9/2016 MFA No. Buildings: 0 No: Stories: 0 No. Unites: 0 EMAIL Details: 12x60 SALES TRAILER WITH EXTERNAL ADA TOILET (NO INTERNAL OPERATING TOILET) ADA PARKING WITH 5 SPACES. 2013 CODES. Applied to Approved 1 Approved to Issued s CHRONOLOGY COWITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE YIP PHONE FAX EMAIL APPLICANT RUDY PROVOST 1800 E. Imperial Hwy., Suite 140 BREA CA 92821 (714)831-7370 Rudy Provoost (rudy.provoost@beaze r.com) CONTRACTOR BEAZER HOMES HOLDINGS CORP 1800 EAST IMPERIAL HIGHWAY BREA CA 92821 (714)831-7370 rudy.provoost@beazer com OWNER BEAZER HOMES HOLDINGS CORP 1800 E IMPERIAL HWY S-140 BREA CA 92871 (714)831-7370 RI DY. PROVOST@ BEAZE R.COM Printed: Thursday, February 11, 2016 2:27:06 PM 1 of 2 Printed: Thursday, February 11, 2016 2:27:06 PM 2 of 2 Arlaw ........ CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BEAZER HOMES SPECIAL INSPECTION 101-0000-42404 0 $72.52 $72.52 2/11/16 R12866 64144254 CHECK BHA HOLDINGS CORP SPECIAL INSPECTION PC 101-0000-42600 0 $181.28 $181.28 2/11/16 R12866 64144254 CHECK BEAZER HOLDIN HOMES HOLDINGS CORP BHA Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION: $253.80 $253.80 Printed: Thursday, February 11, 2016 2:27:06 PM 2 of 2 Arlaw ........ Bin # Qty of La Quints Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 4/IMue S 2 Owner's Name: QFC -Ze Z ( 6 A. P. Number: 77/. Address: 000 6F 1M0 Legal Description: City, ST, Zip: B 9Z �� Contractor:ZC — Telephone: 1 -33/ % 370 Address: (Do 6F �� fid 4VIID Project Description: City, ST, Zip: ' Gre—OC& Telephone: 7ly 737() ': hzs:i?iY+:' •:i\•i:•i:k I; LiS;iiii%\nC vi:ti iii': iiiv,?;•:yjti;. is;f i:; lv:ii;:: 1t;'{G�S+•,',M1x:.:: jvi.: 'z:>:>:r<::>:<: iif.`v:L?6:�^v'vvi: i:•::%i:{ij;:iii{i State Lie. # City Lie. #: 7& -305 Arch., Engr., Designer: Address: City., ST, Zip: Telephone: <>v>.:;s#i::`:>::: >: <:>::><i::ic>?:<:: M•:=�:�:::.>;%:>.<:>:.<•;:.;::.i:••� ��} •�• �� «:>: Construction Type: Occupancy: State Lic. #: Project type (circle on New Add'n Alter Repair Demo Name of Contact Person:' Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: I? Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. 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 21" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Jrd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Underground Service Alert In Call: TOLL FREE 1-800 iD 227-2600 TWO WORKING DAYS BEFORE YOU DIG GATE TO REMAIN CLOSED ConStr CV0,1 is P117 PM1111TED i on Me following Crude Holidays: Nlmfiv 'jur's Day Dr. Pv! buth' er King Jr. Day PFes;;e--",:1n+,S Day nay en c e Day L--h,)r Day VetF,,r3p,`3 Day „;rig Day Christ.-ilas Day CITY OF LA ouiNTA I BUILDING & SAFETy DEFFre. APPROVED 'TRUCT ,%oION FOR 0 c o4 L T S OF NIOT7'CTiC'�! A!7T Pr �-f,APTI,-n 'IS NC-[-�QIpy F4!!j1DF7" C-R j IHAVETHEDINr AT THE EXPENSE OF THE MINER/ CONTRACTOR." A RE -INSPECTION FEE OF $ WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. No EXCEPTIONS! T -N H(Aiks 7:1,11) a.m. to F.30 P.M. a.*60 P -mo m. to S . None S;--tvt ilber a.m. to 7:00 p.m. OXO a.m. to 5.00 p.m. Nne ox N A.,lent Co:je Aolidays: one 0 10, 20' 40' Scale: I"= 10' RZKOZZOAM David nEAULT ASSOCIATES Inc. 951 1296 .11 3430 www.dnassociates.com ry ry LU ry LU I U ry V) z VA �PNDS � PF\ Th 06-30-2016 /* date: 11.18.15 drawn: WL checked: DN scale: I"= 10'-0" L1.1 1 of 1 sheets N 00 r) U LLJ Q —j U -j < Ly- < 3: LLJ UJ 00 o', C14 L6 0<N 00 LLJ Uj Uj < < LU 0 ZLU 0 LLJ 0 00 00 �PNDS � PF\ Th 06-30-2016 /* date: 11.18.15 drawn: WL checked: DN scale: I"= 10'-0" L1.1 1 of 1 sheets