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BRES2017-028978-495 CALLE TAM PICO D �� LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED Application Number: Property Address: BRES2017-0289 81255 THUNDER GULCH WY I (P; I have and will maintain a certificat- of consent to self -insure for workers' APN: 767790070 Ll of the work for which this permit is issued. Application Description: Property Zoning:• GRIFFIN RANCH / NEW SFD / LOT 231 I1 i -E 1 Date: _ iT Contractor --'S, Application Valuation: $246,188.50 is issued. My workers' compensation insurance carrier and policy number are: OWNER -BUILDER DECLARATION G; T: V' -A 0J}11i IN I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I CTAiAU��! ff DE IT Applicant: city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree th:,t, if I should become subject to the LENNAR HOMES -SHELLY JORDAN workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith 980 MONTECITO DR STE 300 comply with those provisions. CORONA, CA 92879 VOICE (760) 777-7125 FAX(760)777 * -7011 INSPECTIONS (760) 777-7153 Date: 11/13/2017 Owner: GRIFFIN RANCH - LENNAR HOMES 981 MONTECITO DR STE 302 CORONA. CA 92E79 LENNAR HOMES -SHELLY JORDAN 980 MONTECIT0 DR STE 300 CORONA, CA 92879 (951)817-3526 Llc. No.: AEC674 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one co' the following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificat- of consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance License Class: _ License No.: • EC674 of the work for which this permit is issued. I �- )� I have and will maintain workers' compensation insurance, as required by Date: _ iT Contractor --'S, Section 3700 of the Labor Code, for the pen`ornance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: OWNER -BUILDER DECLARATION Carrier: Policy Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree th:,t, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions. 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 Date: Applicant 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).: ' AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (_) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,00D). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOF IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on thi< applicatiorf. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose (_) I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend,.indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (_) I am exempt under Sec. B.&P.C. for this reason 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 16suarice of such permit, or cessation of work for 180 days will subject permit to cancel ation. 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 Na Lender's Add I certify that I have read this application and st: to that the above information is correct. I agree to comply with all city and county ordirances and state laws relating to building construction, and hereby authorize representa-ives of this city to enter upon the above-mentioned property for inspection purposes. k&l Date:,A1 j \ 0 Signature (Applicant orAgen • J* Date: 11/13/2017 Application Number: BRES2017-0289 Owner: Property Address: 81255 THUNDER GULCH WY GRIFFIN RANCH - LENNAR HOMES APN: 767790070 981 MONTECITO-DR STE 302 Application Description: GRIFFIN RANCH / NEW SFD / LOT 231 CORONA, CA 92879 Property Zoning: Application Valuation: ' $246,188.50 Applicant:. Contractor: LENNAR HOMES -SHELLY JORDAN LENNAR HOMES -SHELLY JORDAN 980 MONTECITO DR STE 300 980 MONTECITO DR STE 300 CORONA, CA 92879 CORONA, CA 92899 (951)817-3526 Llc. No.: AEC674 . Detail: 3,818 SF DWELLING - PLAN 4A LOT 231 [VB/RES-3/CLASS-A/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, BBQ, WATER FEATURE, OR DRIVEWAY APPROACH. PER 2016 CALIFORNIA BUILDING CODES r� FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $10.00 Total Paid for BUILDING STANDARDS, ADMINISTRATION BSA: $10.00 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 IQTY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT 1QTY AMOUNT DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWEULING: $6,894.00 DESCRIPTION ACCOUNT. QTY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0. $18.20 Total Paid for ELECTF.ICAL: $44.21 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $53.04 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $21.84 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403. 0 $156.04 DESCRIPTION ACCOUNT -aTY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $51.49 Total Paid for ELECTRICAL - NEW CONSTRUCT ION: $282.41 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING -TRACT HOME 101-0000-42408 0 $143.56 Total Paid for GRACING: $143.56 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $78.02 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600. 0 $52.02 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $5.20 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $78.02 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $52.02 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $91.00 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $36.40 Total Paid for MECHANICAL: $405.68 DESCRIPTION ACCOUNT QTY AMOUNT MULTI SPECIES RESIDENTIAL 0-8 UNITS - 2017 UPDATE 101-0000-20310 0 $1,245.00 Total Paid for MULTI -SPECIES RESIDENTIAL: $1,245.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 .$637.25 Total Paid for NEW CONSTRUCTION PERMIT: $637.25 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,355.45 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,355.45 _DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE 101-0000-42401 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE PC 101-0000-42600 0 $5.20 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $18.20 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $208.00 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $208.00 DESCRIPTION ACCOUNT D.TY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $39.01 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT ,' WATER HEATER/VENT PC 101-0000-42600 0 $7.80 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $13.00 Total Paid for PLUMBING FEES: $590.23 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $32.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $32.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT 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 TDTALS: $13,482.23 } h