BRES2017-016878-495 CALLE TAMPICO
4
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRES2017-0168
Property Address: 55080 AUTUMN VALLEY CT
APN: 767860037
Application Description: MONTERRA / GARAGE CONVERSION TO SALES OFFICE
Property Zoning:
Application Valuation: $14,692_5
App licant:
BOB RICHARDS
JUL 2 8 2017
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
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 Co e,
and my License is in full force and effect.
License Class: B License No:: 963887
Date 7 2. V11 Contractor:
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 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.).
(_) 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. a m 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777=7153
Date: 7/28/2017
Owner:
LA QUINTA HOUSING 1, LLC
27285 LAS RAMBLAS, SUITE 230
MISSION VIEJO, CA 92691
Contractor:
WOODBRIDGE PACIFIC GROUP LLC
27271 LAS RAM BLAS SUITE #100
MISSION VIEJO, CA 92691
(949)348-8162
Llc. No.: 963887
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: GRANITE STATE INSURANCE COMPANY Policy Number: WC065256310
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 forthwi
comply with those provisions.
Date. ZO / 7 Applicant -1190
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 pon the
above-mentioned property for inspection purposes.
Date: /% Signature (ApplicantorAgent
1'
Date: 7/28/2017
Application Number: BRES2017-0168 Owner:
Property Address:, 55080 AUTUMN VALLEY CT LA QUINTA HOUSING 1, LLC
APN: 767860037 27285 LAS RAMBLAS, SUITE 230
Application Description: MONTERRA / GARAGE CONVERSION TO SALES OFFICE MISSION VIEJO, CA 92691
Property Zoning:
Application Valuation: $14,692.50
Applicant: 'Contractor:
BOB RICHARDS WOODBRIDGE PACIFIC GROUP LLC
27271 LAS RAMBLAS SUITE #100
MISSION VIEJO, CA 92691
(949)348-8162
Llc. No.: 963887
--------------------------------------
Detail: CONVERSION OF 653 SQ.FT. GARAGE TO TEMPORARY SALES OFFICE. UPON SALE OF MODEL HOME, SALE OFFICE BECOMES NULL AND VOID. APPLY
FOR A BUILDING PERMIT TO REVERT SALES OFFICE BACK TO A GARAGE. MUP2016-0003
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
OTHER MECHANICAL EQUIPMENT
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
OTHER MECHANICAL EQUIPMENT PC
101-0000-42600
• 0
$38.00
Total Paid for MECHANICAL: $76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400
0
$45.60
.DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$36.48
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, FIRST 100 SF
101-0000=42400
0
$51.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, FIRST 500 SF PC
101-0000-42600
0
$141.36
Total Paid for REMODEL: $275.12
DESCRIPTION
ACCOUNTQTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308.
0
$1.91
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.91
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
c..
Bin 1{ .
a� Qty of iia Qulnta
Building 8i: Safety Division
Permit #; 78-495 Calle Tampico
�iLE52P' i��La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Project Address: 55-080 Autumn Valley Court . Owner'sName1a Quinta Housing 1,LLC
A. P. Number: 767-860-037
Address:27271 Las Ramblas, Suite 100
Legal Description: Lot 37 Tract 32742
city, sT, zip:Mission Viejo, Ca 92691
Contractor: Woodbridge Pacific Group:k
Telephone: 949-445-4612
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Address:27271 -Las Ramblas Suite 100
Project Description: Sales Office Permit
City_ ST, Zip: Mission Viejo, CA 926917
Tele hone:9.49-445-4612
p
State Lie. # : 963887
City Lic. #.:0112138
Arch., Engr., Designer: Heltec
IOU
Address:777 E. Tahquitz Canyon Way, Ste 200-50
City, ST, zip: Palm Springs, CA 92262
Telephone: 760-969-5033»:> ><>::::::
State Lic. 4:55606 #E ="
Name of Contact Person: Bob Richards
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair • Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 949-445-4612
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Cluck Balance.
Title 24 Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°' Revicw, ready for corrections/issue
Electrical
SubcontactorLis(
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
Ii.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
Rcyicn•, ready for correct ionstissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. \Vks. Appr
Date of permit issue
School Fees,
Total Permit Fees