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BRES2017-017678-495 CALLE TAMPICO LA QUINTA, CALIFORNIA -92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED BRES2017-0176 80840 VIA PORTOFINO 777150001 CRAFT REPUBLIC / SID $388,894.10 Applicant: MIRAGE DEVELOPERS INC P 0 BOX 942 THOUSAND PALMS, CA 92276 D Q � JAN 03 ' CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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: B License No.: 884711 Date: / "� -� Contractor: J1/ 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. ff, 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 herebyaffirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this per rmit is issued (Sec. 3097, Civ. C.). Lender's Na Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: CRAFT REPUBLIC LLC 49340 MONTPELIER DR INDIO, CA 92201 Contractor: -Date: 12/29/2017 �IIV 1 MIRAGE DEVELOPERS INC 121 S PALM CANYON DB #208 PALM_SPRINGS, CA 92262 (760)864-9448 Llc. No.: 884711 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' comp tion, as provided for by Section 3700 of the Labor Code, for the performance of th o k for wfiich this permit is issued. ave 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 polity number are: - Carrier: EVEREST NATIONAL INSURANCE COMPANY Polity Number: 76000154571 _ I certify that in the performance of the work for which this permit is issued, I II not employ any person in any manner so as to become subject to the workers' ipensation laws of California, and agree that, if I should become subject to the -kers' compensation provisions of Section 3700 of theLab C de, I shall forthwith iply with those provisions. _�� e: —� ` Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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. t 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 omissioh 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 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 representatives of this city to enter upon the above- mentioned property for inspection purposes. �� Date: /—dam"-( 0 Signature (ApplicantorA�pUA // v - \ Date: . 12/29/2017 Application Number: BRES2017-0176 Owner: Prbpet2yVIA PORTOFINO CRAFT REPUBLIC LLC APN:. 777150001 49340 MONTPELIER DR ' Application Description: CRAFT REPUBLIC / SFD INDIO, CA 92201 Property Zoning: , Application Valuation:. $388,894.10 Applicant: Contractor: MIRAGE DEVELOPERS INC MIRAGE DEVELOPERS INC P 0 BOX 942 121 S PALM CANYON DR #208 THOUSAND PALMS, CA 92276 PALM SPRINGS, CA 92262 ,(760)864-9448 Llc. No.: 884711 Detail: 4,408 SF SINGLE FAMILY DWELLING (GARAGE=865 SF; COV. PATIO=512 SF) PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA, FIRE PITS, WATER FEATURES. 2016 CODES.FIRE SPRINKLERED. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT ART IN PUBLIC PLACES - RESIDENTIAL .270-0000-43201 0 $472.23 Total Paid for ART IN PUBLIC PLACES - AIPP: $472.23 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - ESGIL STRUCTURAL ENGINEER 101-0000-42600 3 $360.00 Total Paid for BLDG CITY STAFF - PER HOUR: $360.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $16.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $16.00 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 CITY' AMOUNT APPLIANCES, RES 101-0000-42403 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT APPLIANCES, RES PC 101-0000-42600 0 $12.67 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: $106.40 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $66.30 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $27.30 DESCRIPTION ACCOUNT I QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $156.04 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $51.49 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $301.13 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING -CUSTOM HOME LOT >7KSF 101-0000-42408 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT>7KSF PC 101-0000-42600 0 $190.00 ' Total Paid for GRADING: $228.00 ` DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $114.00 DESCRIPTION ACCOUNT QTY AMOUNT' CONDENSER/COMPRESSOR PC 101-0000-42600 0 $75.99 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 101-000042402 0 $114.00 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $75.99 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: $539.64 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $721.03 Total Paid for NEW CONSTRUCTION PERMIT: $721.03 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,200.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $347.15 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,547.15 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 101-0000-4.2600 0 $17.73 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $316.75 DESCRIPTION ACCOUNT' QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $316.75 DESCRIPTION ACCOUNT QTY 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 $25.34 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $15.20 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 $825:20 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $20.00 Total.Paid for RECORDS MANAGEMENT FEE - MAJOR: $20.00 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $50.56 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $50.56 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 - RESIDENTIAL: $1,837.44 TOTALS: $13,923.78 r Bfn.# C(ty ta Of L Qu(li 81111ft SSW* Dirision P.O. Box 1504, -78-495 Calle Tampico ►a.Qtlhlfa, CA 92253 -:(760) 777-7012 r Building Permit Application and Tracldng Sheet Perinit # 1�>rZAE:s ?,C-> 1-71-5 tProjectnddcess: 80-840 Via Portafino. Owner's Name: Craft Republic LLG A. P. Number. .777-150-001 Address: 49-340 Montpelier Drive Legal Description: Lot .127 track 29894-2' City,, sT, Zip: Indio, Ca 92201 Contractor. Mirage Developers Inc 'telephone: 760 275-8800 > Address: PO Box 942 PcojectDeseription: Single f=amily Home Construction City, ST, Zip: Thousand Palms , Ca 92276 on finished Pad, construction to include CMU Telephone: 760 ) 864-9448 State Lia # : 884711 City Lie. &,p.1 0522 block wall , fire pit-, pool and spa. - Arch., Eng., DesiBuw7Wendell Veith Address: 80-300 Ullswater Drive City. ST. Zip: Indio, Ca 92203 Telephone: 760 200-2602 Construe ionType:VB -Fire SprkOccupaacy: RL State Lic. #: 05297 Project type(circle o New dd'n Alter Repair Demo Name of Contact Person: Wendell Sq. Ft: 5,785 # stories: One --TO Unity One Telephone # of Contact Person:0 -200-2602 ' Estimated value of project $870,000. APPLICANT: DO NOT WRITE BELOW TENS UNE q Sobmittal Rqd Rte'd TRACMG PERMITFEES- Plan Sets Plan Check submitted Item Amount Structural Cala. Reviewed, ready for corrections Plan Check Deposit_ . Trust Cala. Called Contact Person Plan Check Balance Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted.`; Mechariieal Grading plan 2's Review, ready for correctionsfa:sue Electrical Subcontactor List Called Contact Person Plumbing Gnat Deed Plans picked cap S.M.L H.O.A. Approval Plans resubmitted Grading IN BOISE:- ''a Review; ready for corrections/issue Developer Impact Fee Planning Approval • Called ContactPerson A.I.P.P. Pub. Wks. Appr ` Date of permit issue School Fees Ltal Permit Fees - C ' C l�lla Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) PVCENED398-1224 DEC 2 9 2017 This Box For District Use Only DEVELOPER FEES PAID cg� AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: I COMM/IND. AMOUNT: DATE: RECEIPT: CHECK #: INITIALS CM OE LA QUINTA QOMMUNM DEVELOPMENT CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: i � 'd�ea' awa" Owner's Name: Craft Republic LLC Project Address: 80840 Via Portofino, LQ Project Description: SFD APN: 777-150-001 Tract #: Type of Development: Residential XX Commercial Total Square Feet of Building Area: 4,408 sq. ft. Date: December 28, 2017 Phone No. 760-275-8800 Lot #'s: Industrial Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign An behalf of the owner/developer. Dated: December 28, 2017 Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement otea Number of Sq.Ft. 4408 Pursuant to AB 181 any room additions or enclosures of 500 sq. ft. or less are exempt from developer fees. Any mobile Amount per Sq.Ft. $3.48 homes being relocated within the same school district's Amount Collected $15339.84 jurisdiction are exempt from developer fees. Building Permit Application Completed: Yes/No By: William A. Aguirre, Director Facilities Dev. & Planning Certificate issued by: Laurie Howard, Secretary_ Signature: P.v NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. \l x nl}doc:, dc\ 1ecs'ceriiticale ofcompliancc limn updated 3-20()7 11/2010 µ _ - r-C #2617460,7461 (i, .6/2017 1.1.08.AM Fees-118:00 Page 1 of 2 :Recorded in Offic!61 Records - Riverside - Peter Craft Re nblId� LLC -County,of Assessor-County Clerk-Recorder, 49-340 Montpelier Drive Indio, CA 92201 -"This document was electronically submitted to the County of Riverside for recording" ' Receipted by; MARIA #309 SPACE ABOVE'>l H1443NE IS'' `OR` REOORDER'S'USE GRANT DEED THE UNDERSIGNED GRANTORS) DECLARES) DOCUMENTARY TRANSFER TAX IS $ 198.00 [ X ] computed on full value of property conveyed, or- ] computed on full valueless value of. liens or' encumbrances remaining at time of sale: [ ] ' unincorporated area [ X ] City-of, La Quinta FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,., West RADC and Ohio Savings Bank,' hereby GRANTS) to Craft Republic, LLC _ the following described real property in the County of Riverside, State of Califomia. See Exhibit.W attached hereto and made a part hereof. - Commonly known as: Vacant Lot (80840 Via Portofino, Lot 127)', a- Quinta, CA 92253 Dated: October 5, 2016 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the Cache Valle Bank, as successor to truthfulness, accuracy, or validity of that document _ - RAD hi ngs Bank STATE OF -(A � COUNTY OF a �- '" ss;, : ` uthonz igner On before me,, /U. Geo rte. �DGu ►z.,es a notary public, persona yappeared^,(sf. 60,mr4f _C)ZZklLS ALEXANDRAi-IA"AS a who proved to me on the basis of satisfactory evidence to be the N Notary Publi:- . k Slate titan , person(s) whose name(s) is/are subscribed to the within _ __ O COMMISSION #f6ti9 i 0 instrument and acknowledged to me that helshe/they executed M l;ommisslon Expires June 20, 2tYtt? the same in his/her/their authorized capacityi(ies), and that by his/her/their signature(s) on the,instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the, instrument. ,I certify under PENALTY OF PERJURY under the laws of the State of GaRfemis1hat the foregoing paragraph is true and correct. lrt"i�t' F WITNESS my hand and official seal. r Z&W. (Seal) ,. Signature. r 2erlAa (This area for official'notary,seal) /MAIL TAX STATEMENTS AS, DIRECTED ABOVE - ��r