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BRES2017-0212i 78-495 CALLE TAMPICO C� 0 D QUM& LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED Application Number: BRES2017-0212 Property Address: 81843 SEABISCUIT WY APN: 767740043 Application Description: RANCHO SANTANA / NEW SFD / PLAN 4Y T 43/1 Property Zoning: [r—Lj Application Valuation: $201,279.60--1 Applicant: DESERT ESTATES DEVELOPMENT INC 78401 HWY 111 STE X LA QUINTA, CA 92253 SEP 25 2017 CITYOFLAQUINTA COMMUNITY DEVELOPMENT DEF LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury th ti am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisi n 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B� License No.: 019375 Date: �� C f z 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. . 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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/25/2017 Owner: RANCHO SANTANA HOLDINGS LP 78401 HWY 111 STE X I&QUINTA, CA 92253 D SERT ESTATES DEVELOPMENT INC V% 01HWY111STEX LA QUINTA, CA 9?253 (760)777-9920 Llc. No.: 1019375 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: EXEMPT Policy Number: I certify that in the performance'ofrthe work for which this permit is issued, I shall not employ any person in any manner aasto become subject to the workers' compensation laws of California, and agree , if 11s h ou Id become subject to the workers' compensation provisions of Section 00 of.the Labor Code, I shall forthwith comply with /thhapse pprr7sions. Date: �/ "�� ' 7 Applicant: WARNING: FAILURE TO SECURE WORKERS' CCMPENSATION 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 F03 IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to tF a Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this appl cation 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'cancelation. I certify that I have read this application and sate that the Above information is correct. I agree to comply with all city and county ord nances ands a laws relating to building construction, and hereby authorize representatives of this to enter upon the above7),- me71-19 perty for inspection purposes. Date: Signature (Applicant or Agent):, n Date: 9/25/2017 Application Number: BRES2017-0212 Owner: Property Address: 81843 SEABISCUIT WY RANCHO SANTAMA HOLDINGS LP APN: 767740043 78401 HWY 111 STE X Application Description: RANCHO SANTANA / NEW SFD / PLAN 4YR / LOT 43 : LA QUINTA, CA 92253 Property Zoning: Application Valuation: $201,279.60 Applicant: Contractor:. DESERT ESTATES DEVELOPMENT INC DESERT ESTATES DEVELOPMENT INC 78401 HWY 111 STE X 78401 HWY 111 STE X LA QUINTA, CA 92253 LA QUINTA, CA 92253 (760)777-9920 --------------------------------------------------------------------------------------------- Llc. No.: 101937E Detail: 3,180 SF DWELLING - PLAN 4YR, LOT 43 [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. PER 2016 CALIFORNIA BUILDING CODES. n DESCRIPTION ACCOUNT QTY AMOUNT ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $20.00 Total Paid for ART IN.PUBLIC PLACES - AIPP: $20.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $9.00 Total Paid for BUILDING STANDARDS ADMINISTRATIO V BSA: $9.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - CIVIC CENTER 252-000043200 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 DWE'_LING: $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT SERVICES 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT SERVICES PC 101-0000-42600 0 $12.67 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 ELECTRICAL: $81.06 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $38.7.6 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $15.96 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $152.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $50.16 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $256.88 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 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 $101.36 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $40.56 Total Paid for MECHANICAL: $412.98, DESCRIPTION ACCOUNT QTY AMOUNT MULTI SPECIES RESIDENTIAL 0-8 UNITS - 2017 UPDATE 101-0000-20310 0 $1,245.00 Total Paid for MULTI -SPECIES RESIDIFUTIAL: $1,245.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $610.70 Total Paid for NEW CONSTRUCTION PERMIT: $610.70 DESCRIPTION ACCOUNT IQTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,294.70 Total Paid for NEW CONSTRUCTION PLAN CAECK: $1,294.70 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 QTY 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 $266.07 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $266.07 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 .0 $7.60 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.67 Total Paid for PLUMBING FEES: $701.88 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $26.17 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $26.17 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENIT FEE: $5.00 DESCRIPTION ACCOUNT IQTY AMOUNT SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 Total Paid for TUMF - RESIDENTIAL: $1,837.44