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BTTR2016-0001�4 arw 78-495 CALLE TAMPICO VOICE (760) 777-7125 • FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 4/12/2016 Application Number: BTTR2016-0001 Owner: Property Address: 53370 ROSS AVE T STAR III LLC APN: 767680011 2030 E FLAMINGO RD STE 290 Application Description: MADISON / LUCE / CONSTRUCTION .RA_ I.LFR LAS VEGAS, NV 89119 Property Zoning: D /1 Application Valuation: $2,000.00 Applicant: ntractor: DISCOVERY BUILDERS CALIFORNIA INC DBA DB ' APR, 1.' 2 2C,'' D 3COVERY BUILD13RS CALIFORNIA INC DBA DB 14605 N 73RD STREET 1 605 N 73RD STREET SCOTTSDALE, AZ 85260 CITY OFIAQUINTA S OTTSDALE, AZ 8_5260 COMMUNITY DEVELOPMENT DEPARTME 80)624-5200 Llc. No.: 915336 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 1Class: B License No.: 915336 Dater "7 T7 L Contractor. OWNER-BUILDE tECLARATION 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. . 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: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of tqe 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 ofthe��pr—k FQr which this permit is issued. � ave and will maintain workers' cornpensation 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 subj ct to the workers' compensation provisions of Section 37CO of the Labor Code, I all forthwith comply with those provisions./J Date: �+ Applicant: WARNING: FAILURE TO SECURE WORKERS' OM DENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TOC MINA- PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR ILI 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 aoplication. 1. Each person upon whose behalf this applica*.ion is made, each person at whose request and for whose benefit work is performec 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 applicat on becomes null and void if work is not commenced within 180 days from date of isTuance 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 MAA /ilding construction, and hereby authorize representatives of this city to enter up n thS�`'1 above-mentioned property for inspection purposes. / M. FINANCIAL INFORMATION tr;. DESCRIPTION 4 QTY, "i41V1OUNT PAID DATE:' tnACCOUNTF_ SPECIAL INSPECTION 101-0000-42404 0 $72.52 $0.00 PAID.BYF= . � ' '_ : METHOD `'� ` RECEIPT # 'CHECK #F CLTD BY s _rti Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION: $72.52 $0.00 TOTALS:• 00 Description: MADISON / LUCE / CONSTRUCTION TRAILER Type: TEMPORARY TRA-ILER Subtype: Status: APPROVED Applied: 4/11/2016 SKH Approved: 4/12/2016 SKH Parcel No: 767680011 Site Address: 53370 ROSS AVE LA QUINTA,CA 92253 Subdivision: TR 33076-1 Block: Lot: 49 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: - Valuation: $2,000.00 Occupancy Type:. Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: TEMPORARY TRAILER. 2013 CALIFORNIA BUILDING CODES. OWNER T STAR III LLC i 'CONDITIONS " Applied to Approved Printed: Tuesday, April 12, 2016 9:14:50 AM 1 of 2 CRWIYSTEMS FAX, EMAIL NAME'TYPE _ _"' NAME ' rt CONTACTS 3_ADDRESSI CITY " : -STATE ZIP '.`; PHONE' APPLICANT DISCOVERY BUILDERS CALIFORNIA INC DBA DB 14605 N 73RD STREET SCOTTSDALE AZ 85260 -SBIRDWELL@DISCOVE RYLANDCO.COM CONTRACTOR DISCOVERY BUILDERS CALIFORNIA INC DBA DB 14605 N 73RD STREET SCOTTSDALE AZ 85260 SBIRDWELL@DISCOVE RYLANDCO.COM OWNER T STAR III LLC i 2030 E FLAMINGO RD LAS VEGAS NV I STE 290 89119 Printed: Tuesday, April 12, 2016 9:14:50 AM 1 of 2 CRWIYSTEMS DESCRIPTION ACCOUNT G QTY AMOUNT PAID PAID DATE RECEIPT CHECK # METHOD PAID BY P CLTD �..,.• ,# BY SPECIAL INSPECTION 101-0000-42404 0 $72.52 $0.00 Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION: $72.52 $0.00 TOTAL INSPECTIONS PARENT PROJECTS K° RETURNED STATUS REMARKS F NOTES REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE aoND IFwroAMATION ATTACHMENTS Printed: Tuesday, April 12, 2016 9:14:50 AM 2 of 2 SYSTEMS 1101 ESI'VE 40-A 7 Droft — z flo, PeFsm1e N`pm IT It K., :14,.:17 1.: 0. k 0 A. - Lu c I S, 7 1 1) mmv 4'110STA1:1., U, 5.34 77 o CITY OF LA QUINTA cr4- BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION GATE //Vj .1 41�BY 40-A De.fl — 1.11.0EXI, - NIA -I. ARI;A PUWATI. A�F, . REC EIV El 0_5 ZUib CITY OF LA QUINTA PARRokillp lhillml mmirn. MM MI 0 MiTek' Re: Lot 31 A MiTek USA, Inc. 7777 Greenback Lane Suite 109 Citrus Heights, CA, 95610 Telephone 9161676-1900 Fax 91616x6-1909 The truss drawing(s) referenced below have been prepared by MiTek USA, Inc. under my d_rect supervision based on the parameters provided by BMC -Indio, CA. Pages or sheets covered by this seal: R46162042 thru R46162122 My license renewal date for the state of California is December 31, 2017. Lumber design values are in accordance with ANSUTPI 1 section 6.3 These truss designs rely on lumber values established by others. • Q?,pFESS/pN\ C") SOON O9�F2 L C 074486 c * ` EXP. 12-31-17 1 C t `-� December 18,2015 Ong, Choo Soon The seal on these drawings indicate acceptance of professional engineering responsibility solely for the truss components shown. The suitability and use of this component for any particular building is the responsibility of the building designer, per ANSVTPI 1.