BRES2017-0167LICENSED CONTRACTOR'S I
I hereby affirm under penalty of perjury that I am
9 (commencing with Section 70001 of Division 3 of
and my License is in full force and effect
License Class: B ILicense No.: 728102
Date: U`�0 \ Contractor:
under provisions of Chapter
pess and Professions Code,
OWNER -BUILDER DECLA AT ON
I hereby affirm under penalty of perjury that I am exe p from the Contractor's State
License Law for the following reason (Sec. 7031.5, Busi sand, 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. 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:
WORKER'S COMPENSA-ION DECLARATION
I hereby affirm under penalty of perjury one m 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 INSURANCE COMPANY Policy Number: MWC308164
I certify that in the performance of -the wor or which this permit is issued, I
shall not employ any person in any manner sc,as o e subject to the workers'
compensation laws of California, and agree that if I s o d become subject to the
workers' compensation provisions of Section =7 0 of labor Code, I shall forthwith
comply with those provisions.
Date: 8-M ` ` Applicant:!
WARNING: FAILURE TO SECURE WORKERS' COUPE SA ION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMIIIAL PE A TIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). INADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOL IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to tI-Le Building Official for a permit subject to
the conditions and restrictions set forth on thi: application.
1. Each person upon whose behalf this appli'-ation 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 owns, 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 nu)I and void if work is
Pot commenced within 180 days from date of ssuance of such pe it, or cessation of
work for 180 days will subject permit to cancellation. I1
I certify that I have read this application and state that the a o in rmation is correct.
I agree to comply with all city and county ordiejances and st to la elating to building
construction, and hereby authorize representatives of this d to e r upon the
above-mentioned property for inspection purposes.
Date: ��Z� \� Signature (Applicant or Agent)
VOICE (760) 777-7125
78-495 CALLE TAMPICO
D
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/28/2017
Application Number: BRES2017-0167
Owner:
Property Address: 54820 DAMASCUS DR
' — - ...,
GRIFFIN RANCH - LENNAR HOMES
APN: 767790050
! i
-980 MONTECITC DR STE 300
Application Description: GRIFFIN RANCH / NEW SFD / LOT 211
CORONA, CA 92079
Property Zoning:
7Application
F!FAUG
Valuation: $336,293.30P
Applicant:
nr 4 ,..n
Contractor:
LENNAR HOMES OF CALIFORNIA INC
-`'° LENNAR HOMES -OF CALIFORNIA INC
25 ENTERPRISE
25 ENTERPRISE
ATTN GOREEN MUELLER
ATTN GOREEN MUELLER
ALISO VIEJO, CA 92656
ALISO VIEJO, CA 92656
(949)349-8269
Llc. No.: 728102
LICENSED CONTRACTOR'S I
I hereby affirm under penalty of perjury that I am
9 (commencing with Section 70001 of Division 3 of
and my License is in full force and effect
License Class: B ILicense No.: 728102
Date: U`�0 \ Contractor:
under provisions of Chapter
pess and Professions Code,
OWNER -BUILDER DECLA AT ON
I hereby affirm under penalty of perjury that I am exe p from the Contractor's State
License Law for the following reason (Sec. 7031.5, Busi sand, 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. 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:
WORKER'S COMPENSA-ION DECLARATION
I hereby affirm under penalty of perjury one m 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 INSURANCE COMPANY Policy Number: MWC308164
I certify that in the performance of -the wor or which this permit is issued, I
shall not employ any person in any manner sc,as o e subject to the workers'
compensation laws of California, and agree that if I s o d become subject to the
workers' compensation provisions of Section =7 0 of labor Code, I shall forthwith
comply with those provisions.
Date: 8-M ` ` Applicant:!
WARNING: FAILURE TO SECURE WORKERS' COUPE SA ION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMIIIAL PE A TIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). INADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOL IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to tI-Le Building Official for a permit subject to
the conditions and restrictions set forth on thi: application.
1. Each person upon whose behalf this appli'-ation 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 owns, 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 nu)I and void if work is
Pot commenced within 180 days from date of ssuance of such pe it, or cessation of
work for 180 days will subject permit to cancellation. I1
I certify that I have read this application and state that the a o in rmation is correct.
I agree to comply with all city and county ordiejances and st to la elating to building
construction, and hereby authorize representatives of this d to e r upon the
above-mentioned property for inspection purposes.
Date: ��Z� \� Signature (Applicant or Agent)
r
Date: '8/28/2017
Application Number: BRES2017-0167
Owner:
Property Address: 54820 DAMASCUS DR
GRIFFIN RANCH - LENNAR HOMES
APN: 767790050
980 MONTECITC- DR STE 300
Application Description: GRIFFIN RANCH / NEW SFD / LOT 211
CORONA, CA 92379
Property Zoning:
Application Valuation: $336,293.30
Applicant:
Contractor:
LENNAR HOMES OF CALIFORNIA INC
LENNAR HOMES'OF CALIFORNIA INC
25 ENTERPRISE
25 ENTERPRISE
ATTN GOREEN MUELLER
ATTN GOREEN MUELLER
ALISO VIEJO, CA 92656
ALISO VIEJO, CA 92656
(949)349-8269
---------------------------------------------------------------------------------------------
Llc. No.: 728102
Detail: 3,818 SF DWELLING - PLAN 4B, LOT 211 [VB/RES-3/CLASS-A/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA; BLOCK WALLS, BBQ, WATER FEATURE,
OR DRIVEWAY APPROACH. PER 2016 CALIFORNIA BUILDING CODES
r
FINANCIAL
DESCRIPTION
ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $14.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $14.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
Credit Card Fee
101-0000-43505
0
$245.43
Total Paid for Credit Ca -d Fee: $245.43
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DIF - COMMUNITY CENTERS
254-0000-43200
0
$129.00
DESCRIPTION,
ACCOUNT
QTY
AMOUNT
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DIF - LIBRARIES
.253-0000-43200
0
$344.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DIF - PARK MAINTENANCE
256-0000-43200
0
$40.00
-DESCRIPTION
ACCOUNT
QTY
AMOUNT
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DIF - STREET MAINTENANCE
255-0000-43200
0
$116.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TEMP POWER SERVICE
101-0000-42403.
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TEMP POWER SERVICE PC
101-0000-42600
0
$17.73
Total Paid for ELECTP.ICAL: $43.06
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, EA ADDITION 1,000SF
101-0000-42403
0
$51.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, EA ADDITION 1,000SF, PC
101-0000-42600
0
$21.28
DESCRIPTION
ACCOUNT
QTY
AMOUNT
• RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$152.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, FIRST 1,0005F, PC
101-0000-42600 _
0
$50.16
Total Paid for ELECTRICAL - NEW CONSTRUC—ION: $275.12
DESCRIPTION
ACCOUNT
11tTY
AMOUNT
RESIDENTIAL PRECISE GRADING - TRACT HOME
101-0000-42408
.0
$139.84
Total Paid for GRADING: $139.84
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR PC
101-0000-42600
0,
$50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
EXHAUST HOOD
101-0000-42402
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
EXHAUST HOOD PC
101-0000-42600
0
$5.07
DESCRIPTION
ACCOUNT
QTY
AMOUNT .
FURNACE
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FURNACE PC
101-0000-42600
0
$50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
VENT FAN
101-0000-42402
0
$88.69•
DESCRIPTION
ACCOUNT
QTY
AMOUNT
VENT FAN PC
101-0000-42600
0
$35.49
Total Paid for MECHANICAL: $395.24
DESCRIPTION
ACCOUNT
QTY
AMOUNT
MULTI SPECIES RESIDENTIAL 0-8 UNITS - 2017 UPDATE
101-0000-20310
0
$1,245.00
Total Paid for MULTI-SPECIES RESIDENTIAL: $1,245.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$690.35
Total Paid for NEW CONSTRUCTION PERMIT: $690.35
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$1,476.95
Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,476.95
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BACKFLOW DEVICE
101-0000-42401
0
$.12.67
DESCRIPTION
ACCOUNT •
QTY
AMOUNT
BACKFLOW DEVICE PC
101-0000-42600
0
$5.07.
DESCRIPTION
ACCOUNT
QTYI
AMOUNT
BUILDING SEWER
101-0000-42401
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BUILDING SEWER PC
101-0000-42600
0
$17.73
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$202.72
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$202.72
DESCRIPTION
ACCOUNT
-aTY
AMOUNT
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$38.00
DESCRIPTION
ACCOUNT
AMOUNT
GAS SYSTEM, 5+ OUTLETS PC
101-0000-42600
!QTY
0
$25.33
DESCRIPTION
ACCOUNT
CITY
AMOUNT'
WATER HEATER/VENT
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$7.60
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER SYSTEM INST/ALT/REP
.101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
CITY _
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.67
Total Paid for PLUMBING FEES: $575.18
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$43.72
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $43.72
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: • $5.00
DESCRIPTION
ACCOUNT
CITY.
AMOUNT
SINGLE FAMILY DETACHED
224-0000-20320
0
$1,837.44
Total Paid for TUMF - RESIDENTIAL: ,$1,837.44
$13,880.33
City & Zip: LA QUI NTA, CA
a Pursuant to a Cooperative Agreement to Provide Fire Services, the Riverside County Fire Department serves as the
City's fire department, and the County designee serves as the City's fire chief. applicant recognizes this
contracted arrangement and shall comply with County Fire Department directions.
APPLICANT/yCONT,ACT`INFORMATION,f,f ,, ,,CONTRACTOR INFORMATIO'N:*e, Sartre as°Applicant info
Applicant Name: FIRE SPRINKLER SYSTEMS contractor: FIRE SPR NKLER SYSTEMS
Contact Person: JAMIE B I S H I P Contact Person: JAMIE B I S H I P
Mailing Address: 705 E. HARRISON ST. #200 Moiling Address: 705 E. HARRISON ST. #200
City & zip: CORONA. CA 92879 City & Zip: CORONA, CA 92879
Phone Number: 951-272-2522 Fax: • Phone Number: 951-272-2522 Fax:
Email: jamieb@freinc.net Email: jamieb@fireinc.net
A.
Citjof La Qu i nta
._._....._._._....______._........... .............. ........ __.._____..___-._�
Design and Development Department
78-495 Calle Tampico
"FIRE SPRINKLER SYSTEM4 'c.?;`, s�°� � °: mak + rr " °: � � SUPRESSION SYSTEM .. +jl
j
La Quinta, CA 92253
Telephone: (760)777-7125 Fax: (760)777-1233
NEW COMMERCIAL/INDUSTRIAL
------------
❑ HOOD & DUCT
$405
urrti��
www.lo-guinto.org
I
_
Riverside County Fire Department
Riverside Office
DATEPAID STAMP
'
2300 Market Street, Ste. 150
❑ CELL SITE
$795
Riverside; CA 92501
❑ 75,001-120,000 SQ FT
$951
(951)955-4777
$795
FIRE REVIEW APPLICATION
❑ 120,001 AND UP
B NEW
❑ TENANT IMPROVEMENT
PERMIT NO.
—71
(P,Iease�Print) ,. R�
Project Name:
ENCORE @ GRIFFIN RANCH
sign:
Site Address:
LOT 211 54-820 DAMASCUS DRIVE
print: JA IE BISHIP
City & Zip: LA QUI NTA, CA
a Pursuant to a Cooperative Agreement to Provide Fire Services, the Riverside County Fire Department serves as the
City's fire department, and the County designee serves as the City's fire chief. applicant recognizes this
contracted arrangement and shall comply with County Fire Department directions.
APPLICANT/yCONT,ACT`INFORMATION,f,f ,, ,,CONTRACTOR INFORMATIO'N:*e, Sartre as°Applicant info
Applicant Name: FIRE SPRINKLER SYSTEMS contractor: FIRE SPR NKLER SYSTEMS
Contact Person: JAMIE B I S H I P Contact Person: JAMIE B I S H I P
Mailing Address: 705 E. HARRISON ST. #200 Moiling Address: 705 E. HARRISON ST. #200
City & zip: CORONA. CA 92879 City & Zip: CORONA, CA 92879
Phone Number: 951-272-2522 Fax: • Phone Number: 951-272-2522 Fax:
Email: jamieb@freinc.net Email: jamieb@fireinc.net
A.
APPLICATION TYPE
"FIRE SPRINKLER SYSTEM4 'c.?;`, s�°� � °: mak + rr " °: � � SUPRESSION SYSTEM .. +jl
j
❑
NEW COMMERCIAL/INDUSTRIAL
------------
❑ HOOD & DUCT
$405
❑ 0-35,000 SQ FT
$639
❑ SPRAY BOOTH
$795
❑ 35,001-75,000 SQ FT
$756
❑ CELL SITE
$795
❑ 75,001-120,000 SQ FT
$951
❑ OTHER SUPRESSION SYSTEM
$795
❑ 120,001 AND UP
$1185
MISC
Qa k, 1
❑
TI COMMERCIAL/INDUSTRIAL
$405
❑ HAZMAT
$327
❑
RESIDENTIAL - 1 DWELLING UNIT
$405
❑ HIGH PILE RACK STORAGE
$327
❑ RESIDENTIAL - (EA) ADDITIONAL
x $390
❑ NEW COMMERCIAL - U/G WATER
$483
❑
MULTI -FAMILY (3 OR MORE)
$561
❑ FIRE FLOW REPORT
$327
:FIRE ALARM SYSTEM,_ + ,'-'
4
❑ TECHNICAL REPORT RESEARCH
HOURLY @ $156/HR
❑
COMMERCIAL - SPRINKLER MONITORING
$405
❑ SPECIAL INSPECTION
$161
❑
COMMERCIAL - FIRE ALARM SYSTEM
$1092
❑ FIRE PUMPS
$639
`FIRE ALARM,SYSTEM :_
ti
❑ STANDPIPE SYSTEMS
$561
❑
COMMERCIAL - SPRINKLER MONITORING
$405
❑ WATER TANKS
$390
❑
COMMERCIAL - FIRE ALARM SYSTEM
$1092
STORAGE TANKS�i.
PLAN TYPE 4 (3818)
❑
DISPENSERS ONLY
HOURLY @ $156/HR
4,435 SF / 37 HEADS
❑
ABOVEGROUND
HOURLY @ $156/HR
ryNc niuuuo u I--Vwyy umunteIt! m ree» 01 Kecaras management ree Niv