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BSPN2016-003078-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: FREDDIE MAC CAROLINA, TX c&t!t 4 et� Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BSPN2016-0030 45040 DEBBIE DR 604361003 ELECTRICAL METER / FREDDIE MAC 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.: A Date1106 Contra OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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).: (_J I, as owner of the property, or my employees with wages as their sole compensation, will do the wdrk, 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 of 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 Lender's Address: i 111111 11111 ilii ilii 51 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/18/2016 Owner: ERIC PENNINGROTH 6194 FOREVER DAWN ST LAS VEGAS, NV 92253 Llc. No.: 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 ork for which this permit is issued. =and 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 comply with those provisions. Date: rJ /P 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-mentioned property for inspection purposes. Date4��46/ Signature (Applicant or Agent) DESCRI SPECIAL IN PAI[ DUNCAN RI DESCRI SPECIAL INS PAI[ Description: ELECTRICAL METER / FREDDIE MAC DESCRIPTION ACCOUNT QTY AMOUNT Type: SPECIAL INSPECTION Subtype: Status: UNDER REVIEW Applied: 3/18/2016 RSE Approved: Parcel No: 604361003 Site Address: 45040 DEBBIE DR LA QUINTA,CA 92253 Subdivision: TR 27899 Block: Lot: 51 Issued: Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $0.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: CHRONOLOGY INFORMATIONFINANCIAL DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY SPECIAL INSPECTION 101-0000-42404 0 $72.52. $72.52 3/18/16 R14027 20353 CHECK DUNCAN REAL ESTATE RSE SPECIAL INSPECTION PC 101-0000-42600 0 $181.29 $0.00 Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION: $253.81 $72.52 Printed: Friday, March 18, 2016 12:24:57 PM 1 of 2 C SYSTEh1S TOTALS: $253.81 $72.52 W PARENT PROJECTS Printed: Friday, March 18, 2016 12:24:57 PM 2 of 2 C SYSTEMS t � Bin #city of La Quinta . Bulling K Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 0 C13D Building Permit Application and Tracking Sheet Permit ## kIN 201 h Project Address: Owner's Name: A. P. Number: Address: Legal Description; City, ST, Zip: � / r0 / Contractor; Address: % SQ(p 0 -(e S� Project Description: City, ST, Zip•CAI f02S� Tetephone:7,6 a —c Jsl OA.2 State Lic. # : CityLic. lh .i Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. R Construction Type: Occupancy:. Project type (circle one New Add'n Alter Repair Demo Name of Contact Person: Sq. Pt; #Stories:` #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE - H Submittal Rcq'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted . Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Caics. Called Contact Person Pian Ciieck Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan Zed Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading IN IIOUSF:- 'ro Re.view, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P>. Pub. Wks. Appr Date of permit issue 'School Pecs, Total Permit Pees J « m Gm:" byC;oo'gle :Mike Duncan <mike@duncangroupre.com> Freddie Mac Asset Ready for Assignment to Broker 1 message supplier_services@freddiemac.com <supplier_services@freddiemac.com> Thu, Mar 10, 2016 at 9:20 PM To: mike@duncangroupre.com DUNCAN REAL ESTATE GROUP INC MICHAEL DUNCAN Freddie Mac HomeSteps has received a property located in your market area and would like to assign the listing and management of this property to your company. Asset Number: 1184679 Borrower Name: PENNINGROTH, ERIC A 45040 DEBBIE DR LA QUINTA, CA 92253 RIVERSIDE COUNTY Commission: 5% Minimum Commission: $3,000 DO NOT REPLY TO THIS EMAIL. Follow the instructions below to respond. Go to https://www.homestepsconnect.com to accept or reject this assignment. . You must indicate your acceptance of this assignment by 5:00 PM EST on Tuesday, March 15, 2016 to prevent the asset from being reassigned to another broker. If you need help with HomeSteps Connect, contact our call center at 1=800-972=7555 from 9am to 5pm CST. Thank you, HomeSteps