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BRES2017-0285LICENSED 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 Class: _ License No.: AEC674 Date: It 1443 Contractor. OWNER -BUILDER DECLARA 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.). (_) 1, 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 Na Lender's Address: (951)817-3526 Llc. No.: AEC674 WORKER'S COMPENSATION DECLARATION I 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 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' ccmpensation 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 -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, and agree that, if I should become subject to the workers' compensation provisions of Section 3 700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applica : WARNING: FAILURE TO SECURE WORKERS' CO&IPENS ON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINIAL 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 thisapplication. 1. Each person upon whose behalf this appliotion 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 ownek 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 isuance 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 building construction, and hereby authorize representatves of this city to enter upon the above-mentioned property for inspection purposes. Date: I� �yI Signature (Applicant or Agen 404P Q VOICE (760) 777-7125 78-495 CALLE TAMPICO FAX (760) 777-7011 FAX LA QUINTA, CALIFORNIA 92253 DESIGN &DEVELOPMENT DEPARTMENT (760) 777-7153 BUILDING PERMIT Date: 11/13/2017 Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED Owner: Application Number: BRES2017-0285 —. GRIFFIN RANCH - LENNAR HOMES Property Address: 81555 THUNDER GULCH WY �� (� 981 MONTECITO DR STE 302 APN: 767790023 . �.I CORONA, CA 92E79 Application Description: .i1 GRIFFIN RANCH / NEW SFD / LOTS 1`84 Property Zoning: {�tV ! ���OV 14 2W Application Valuation: $227,420.10 CITY C�tA(IUIR'"a Applicant: DEVELOFivT-NgDcTr,1EWTJ Contractor: LENNAR HOMES -SHELLY JORDAN LENNAR HOMES -SHELLY JORDAN 980 MONTECITO DR STE 300 980 MONTECITOIDR STE 300 CORONA, CA 92879 CORONA, CA 92879 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 Class: _ License No.: AEC674 Date: It 1443 Contractor. OWNER -BUILDER DECLARA 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.). (_) 1, 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 Na Lender's Address: (951)817-3526 Llc. No.: AEC674 WORKER'S COMPENSATION DECLARATION I 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 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' ccmpensation 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 -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, and agree that, if I should become subject to the workers' compensation provisions of Section 3 700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applica : WARNING: FAILURE TO SECURE WORKERS' CO&IPENS ON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINIAL 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 thisapplication. 1. Each person upon whose behalf this appliotion 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 ownek 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 isuance 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 building construction, and hereby authorize representatves of this city to enter upon the above-mentioned property for inspection purposes. Date: I� �yI Signature (Applicant or Agen a Date: 11/13/2017 Application Number: BRES2017-0285 Owner: Property Address:. 81555 THUNDER GULCH WY GRIFFIN RANCH - LENNAR HOMES APN: 767790023 981 MONTECITC> DR STE 302 Application Description: GRIFFIN RANCH / NEW SFD / LOT 184 CORONA, CA 92E79 Property Zoning: Application Valuation: $227,420.10 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 92879 (951)817-3526 Llc. No.: AEC674. Detail: 3,475 SF DWELLING - PLAN 3C, LOT 184 [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 a l .l, FINANCIAL 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 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 DWELLING: $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $26.01 Total Paid for ELECTRICAL: $26.01 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $53.04 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-424030 $156.04 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $209.08 . DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING -TRACT HOME 101-0000-42408 0 $143.56.. Total Paid for GRADING: $143.56 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0. $78.02 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 '0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $78.02 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $104.00. Total Paid for MECHAIIICAL: $273.04. . Y DESCRIPTION ACCOUNT QTY AMOUNT MULTI STRUCTURE PLAN CHECK - EACH 101-0000-42600 0 $52.01 Total Paid for MULTI STRUCTURE PLAN CHECK -EACH: $52.01 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 $626.04 Total Paid for NEW CONSTRUCTION PERMIT: $626.04 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE 101-0000-42401 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0. $26.01 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $273.00 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $39.01 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $13.00 r Total Paid for PLUMBING FEES: $377.02 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $29.56 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $29.56 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 - RESIDELITIAL: $1,837.44