BSPN2017-0027Applicant:
LENNAR HOMES OF CALIFORNIA INC
25 ENTERPRISE
ATTN GOREEN MUELLER
ALISO VIE10, CA 92656
LICENSED CONTRACTOR'S.D CLARATION
I hereby affirm under penalty of perjury that I lic sed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 f e Wsiness and Professions Code, and
my License is in full force and effect.
License Class: _ License No.:
Contractors
4
OWNER -BUILDER DRATIOA
1 hereby affirm under penalty of perjury that I am empt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
dtyor 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
tkense'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).:
(.'J'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 contractors) licensed pursuant to the
Contractors' State License Law.).
(_J 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
Owner:
IOTA GRIFFIN
4675 MACARTHUR CT NO
NEWPORT BEACH, CA 0
Contractor:
Llc. No.:
Date: 6/29/2017
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 theX
rk for which this permit is issued.
I fiave and will maintain workers' compensation insurance, as required by
Secti700 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 oftie work for which this permit is issued, I
shall not employ any person in any manner o to become subject to the workers'
compensation laws of California, and agr t a if, 1 should'become subject to the
workers' compensation provisions of Secti n 0 of the Labor Code, l shall.forthwith
comply withthoseprovisions.
Date: ` V 1 Applicant:-
It$ N
WARNING: FAILURE TO SECURE WORKERS'C% COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIN11 AL 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 ATTORNEYS 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 issuance of such permit, or cessation ofwork
for 180'days will subject permit to cancellation.
I certify that I have read this application and state that the ab e . formation is correct.
I agree to comply with all city and county ordinances and sta e I relating to building
construction, and hereby authorize representatives of this ci to ter upon the above-
mentioned property for inspection purposes.
Date. 1 Signature (Applicant or Agent): �.
C / t
G`f�� l..f n olc�
C�
78ig9SCALLETAMPICO
0 D
LA QUINTA, CALIFORNIA 92253 "' ``-`'
DESIGN &DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BSPN2017-0027
Property Address: 81335 STORM CAT CT
APN: 767790057
Application Description: LENNAR / SPECIAL INSPECTION / CONVERT MODEL TO SFD
Property Zonirig:
Application Valuation:
Applicant:
LENNAR HOMES OF CALIFORNIA INC
25 ENTERPRISE
ATTN GOREEN MUELLER
ALISO VIE10, CA 92656
LICENSED CONTRACTOR'S.D CLARATION
I hereby affirm under penalty of perjury that I lic sed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 f e Wsiness and Professions Code, and
my License is in full force and effect.
License Class: _ License No.:
Contractors
4
OWNER -BUILDER DRATIOA
1 hereby affirm under penalty of perjury that I am empt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
dtyor 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
tkense'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).:
(.'J'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 contractors) licensed pursuant to the
Contractors' State License Law.).
(_J 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
Owner:
IOTA GRIFFIN
4675 MACARTHUR CT NO
NEWPORT BEACH, CA 0
Contractor:
Llc. No.:
Date: 6/29/2017
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 theX
rk for which this permit is issued.
I fiave and will maintain workers' compensation insurance, as required by
Secti700 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 oftie work for which this permit is issued, I
shall not employ any person in any manner o to become subject to the workers'
compensation laws of California, and agr t a if, 1 should'become subject to the
workers' compensation provisions of Secti n 0 of the Labor Code, l shall.forthwith
comply withthoseprovisions.
Date: ` V 1 Applicant:-
It$ N
WARNING: FAILURE TO SECURE WORKERS'C% COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIN11 AL 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 ATTORNEYS 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 issuance of such permit, or cessation ofwork
for 180'days will subject permit to cancellation.
I certify that I have read this application and state that the ab e . formation is correct.
I agree to comply with all city and county ordinances and sta e I relating to building
construction, and hereby authorize representatives of this ci to ter upon the above-
mentioned property for inspection purposes.
Date. 1 Signature (Applicant or Agent): �.
C / t
G`f�� l..f n olc�
Date: 6/29/2017
ApFl cation Number: BSPN2017-0027
Owner:
Property Address: 8133S STORMQ1=,--\ :,-:;,
IOTA GRIFFIN
APN: 767790057
4675 MACARTHUR CT NO 1550
Application Description: LENNAR /SPECIAL INSPECTION / CONVERT MODEL TO SFD
NEWPORT BEACH, CA 0
Property Zoning:
Application Valuation:
Applicant:
Contractor:
LENNAR HOMES OF CALIFORNIA INC
25 ENTERPRISE
ATTN GOREEN MUELLER
ALISO VIEJO, CA 92656
LIc. No.:
Detail: SPECIAL INSPECTION - CONVERT MODEL TO PRODUCTION SFD FOR OCCUPANCY. 2016 CALIFORNIA BUILDING CODES.
i
Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION:
Bin # • .
City of La Quinta
Building 8L Safety Division
Calle Tampico
b Quinta, CA 92253.- (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #78-495
Project Address: S dlticn i�
Owner's Name: 4r
A. P. Number:
Address:
Legal Description:
City, ST, Zip: a ra^,ti C $
Contractor: t r
d Jvdtc
Telephone:
' P one: t I 3 9
Address: 9 G p o k. 'At, Or , -4I
Project Description:
City, ST, Zip: GIGAw Cl IM l •
TeleP hone: /
I S b
1Vh
Cc►r Ih.d CG 'Ir.. f�^• �oNJi - w►• G .
, c � A c .n
State Lic. # :-77 el
City Lie.#:
.:Z-8 Q t 0,- 3 S S�.1n C11 �T -
Arch., Engr., Designer:
Address:
U _3 (f1
City, ST, Zip:
91 LIS • S��wc (. `�
Telephone:
............................:....
Construction T Occupancy
YPe':
State.Lic. #:
Project circle one): New Addn Alter
J type � ) ' Repair Demo
Name of Contact Person: (C rlah
Sq. FL:
#Stories:
#Units:
Telephone # of Contact Person: ��'. Sl, �-3�
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACkING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person _
Plan Check Balance
Title 24 Calcs.
Plans picked up
'Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A: Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees