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BRES2017-0187�W) `Y, 78-495 CALLE TAMPICO Tw�t D 4 QuiRro VOICE (760) 777-7125 ' LA (1UINTA; CALIFORNIA 92253 DESIGN &DEVELOPMENT DEPARTMENT FAX (760) 777-7011 FAX (760) 777-7153 ' BUILDING PERMIT Date: 8/8/2017 Application Number: BRES2017-0187 Owner: Property Address: 81785 FOUR SEASONS LAA�QUINTA HOUSING 1, LLC APN: .767860010 PL a7285 LAS RAMS' -AS, SUITE 230 Application Description: MONTERRA / TM 32742/ PLAN 3 / MISSION VIEJO, CA 92691 Property Zoning: AUG U 8 2017 Application Valuation: $220,058.90 CITY OP IA 00KA Applicant` DESIGN AND DEVEI-oPMENT DEPARTKU8.6rtractor: WOODBRIDGE PACIFIC GROUP LLC WOODBRIDGE PACIFIC GROUP LLC 27271 LAS RAMBLAS SUITE #100 27271 LAS RAMS. -AS SUITE #100 MISSION VIEJO; CA 92691 MISSION VIEJO, CA 92691 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: B License No.: 963887 Date: 6 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).: (_) 1, 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: (949)348-8162 Llc. No.: 963887 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one o: the following declarations: I have and will maintain a certificat � of consent to'self-insure for workers' compensation, as provided for by Section 370D of the Labor Code, for theperformance 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 perfornance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: GRANITE STATE INSURANCE COMPAN- Policy Number: WC065256310 I certify that in the performance of :he 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall orthwith complywith ose provisions. Date: 6Z 7 Applicant: WARNING: FAILURE TO SECURE WORKERS' COv1PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIKAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00D). 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'ssuance 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 purpses. ZX Date:d/ 7 Signature (Applicant or Agent )• C Date: 8/8/2017 Application Number: BRES2017-0187 Owner: Property Address: • 81785 FOUR SEASONS LA QUINTA HOUSING 1, LLC AP.N: 767860010 27285 LAS RAMBLAS, SUITE 230 Application Description: MONTERRA / TM 32742 / PLAN 3 / LOT 10 MISSION VIEJO, CA 92691 Property.Zoning: Application Valuation: $220;058.90 Applicant: Contractor: WOODBRIDGE PACIFIC GROUP LLC WOODBRIDGE PACIFIC GROUP LLC 27271 LAS RAMBLAS SUITE #100 27271 LAS RAMELAS SUITE #100 MISSION VIEJO, CA 92691 MISSION VIEJO, CA 92691 (949)348-8162 ------------------------------------------------------------------------------------------------ LIc. No.: 963887 Detail: 3,370.SF DWELLING - PLAN 3 LOT 10 [VB/RES-3/CLASS-A/13D] THIS PERMIT DC)ES NOT INCLUDE POOL, SPA, BLOCK WALLS, BBQ OR WATER FEATURE. PER 2016 CALIFORNIA BUILDING CODES C 'w INFORMATIONFINANCIAL DESCRIPTION ACCOUNT QTY AMOUNT ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $50.14 Total Paid for ART IN PUBLIC PLACES - AIPP: $50.14 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE. 101-0000-20306 0 $9.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $9.00 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 Total Paid for ELECTRICAL: $25.33 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $51.68 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $152.00 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $203.68 DESCRIPTION ACCOUNT QTY 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 EXHAUST HOOD 101-0000-42402 0 $12.67 DESCRIPTION ACCOUNT QTY —AMOUNT. FURNACE 101-0000-42402 0 $76.00 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $88.69 Total Paid for MECHANICAL: $253.36 DESCRIPTION ACCOUNT QTY AMOUNT MULTI STRUCTURE PLAN CHECK -'EACH 101-0000-42600 0 $50.67 Total Paid for MULTI STRUCTURE PLAN CHECK - EACH: $50.67 DESCRIPTION ACCOUNT QTY AMOUNT MULTI SPECIES RESIDENTIAL 0-8 UNITS - 2017 UPDATE 101-0000-20310 0 $1,245.00 DESCRIPTION ACCOUNT QTY AMOUNT MULTI -SPECIES RESIDENTIAL >14 UNITS - 2017 UPDATE 101-0000-20310 0 $17.00 Total Paid for MULTI -SPECIES RESIDENTIAL: $1,262.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $621.91 Total Paid for NEW CONSTRUCTION PERMIT: $621.91 DESCRIPTION ACCOUNT QTY AMOUNT ' BACKFLOW DEVICE 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT FIXTUREITRAP 101-0000-42401 0 $266.07 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.67 Total Paid for PLUMBING FEES: $367.41 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $28.61 Total Paid for STRONG MOTION INSTRUMENTATION SMI: • $28.61 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMEVT FEE: $5.00 DESCRIPTION ACCOUNT QTY AMOUNT. SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 Total Paid for TUMF - RESIDENTIAL: $1,837.44