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BRES2017-02114 4 ha 78-495 CALLE TAMPICO w. LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED Application Number: BRES2017-0211 Property Address: 81862 SEABISCUIT WY APN: 767740031 Application Description: Property Zoning:Application RANCHO SANTANA / NEW SFD / PLAN 2R Valuation: $171,398.10 2 5 2017DESERT ECOMMUNrPTY Applicant: ' ESTATES DEVELOPMENT INCOFLAQUI HWY 111 STE X A78401 VELOPMENTDEPA LA QUINTA, CA 92253 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I m licensed under provisions of Chapter 9 (commencing with Section 7000) of Division of the Business and Professions Code, -and my License is in full force and effect. License Class:J / License No.: 019375 Date: 1 ` / 7 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.). (_J 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: 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 LA QUINTA, CA 9?253 SERT ESTATES DEVELOPMENT INC 401 HWY Ill FTE X QUINTA, CA 92253 (760)777-9920 Llc. No.: 1019375 WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one o-. the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 370C 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 insuranc, carrier and policy number,are: Carrier: EXEMPT Policy Number: _ 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, andagree if I should become subject to the workers' compensation provisions of Section 0 of the Labor Code, I shall forthwith comply witht se pr visions. Date: /? Applicant: WARNING: FAILURE TO SECURE WORKERS' CCYPENSATION 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 i suance 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 th above information is correct. I agree to comply with all city and county ord=er and to laws relating to building construction, and hereby authorize representatves of this i to enter upon the above t' nedd operty for inspection purposes. Date: Signature (Applicant or Agent): •4 • Date: 9/25/2017 Application Number: BRES2017-0211 Owner: Property Address: 81862 SEABISCUIT WY RANCHO SANTANA HOLDINGS LP APN: 767740031 78401 HWY 111 STE X Application Description: RANCHO SANTANA / NEW SFD / PLAN 2R / LOT 31 LA QUINTA, CA 92253 Property Zoning: Application Valuation: $171,398.10 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)V7-9920 ---------------------------------------------------------------=---------------------=------- Llc. No.r1019375 Detail: 2,600 SF DWELLING - PLAN 2R, LOT 31 [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY ' APPROACH. PER 2016 CALIFORNIA BUILDING CODES. FINANCIAL DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $7.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $7.00 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 251-0000-43206. 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 DWEILING: $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 $38.76 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,OObSF, PC 101-0000-42600 1 0 $50.16 Total Paid for ELECTRICAL - NEW CONSTRUC TION: $256.88 DESCRIPTION ACCOUNT aw 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 $76.02 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $30.42 Total Paid for MECHAMICAL: $377.50 DESCRIPTION ACCOUNT IQTY AMOUNT MULTI SPECIES RESIDENTIAL 0-8 UNITS - 2017 UPDATE 101-0000-20310 0 $1,245.00- 1,245.00Total TotalPaid for MULTI -SPECIES RESIDENTIAL: $1,245.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 ' 0 $585.46 Total Paid for NEW CONSTRUCTION PE3MIT: $585.46 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,212.54 Total Paid for NEW CONSTRUCTION PLAN C-IECK: $1,212.54 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 $202.72 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $202.72 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: $575.18 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $22.28 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $22.28 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $S.OU DESCRIPTION ACCOUNT QTY AMOUNT SINGLE FAMILY'.DETACHED 22.4-0000-20320 0 $1,837.44 Total Paid for TUMF - RESIDENTIAL:. $1,837:44