BSPN2018-0028: 78-495 CALLE TAMPICO T� 4 �Qu4la VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/18/2018
Permit Type/Subtype: SPECIAL INSPECTION/ Owner:
Application Number: BSPN2018-0028 GRIFFIN RANCH INV
Property Address: 81345 AVENUE 54 23 CORPORATE PLZ STE 150
APN: 767320013 NEWPORT BEACH, CA 0
Application Description: GRIFFIN / SPECIAL EVENT / SPEV2018-0019
Property Zoning:
Application Valuation:
Applicant: P f Contractor:
NTURAL RETREATS j f�" `• 1111�
1
515 N PALM CANYON DR`
PALM SPRINGS, CA 92262 SEP 18 2018
C"OFLAQUINTA Llc. No.:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
(commencing with Section 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: _ License No.:
Date:
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
s. _ts the applicant to a civil penalty of not more than five hundred dollars ($500).:
l,$sowner of the property, or my employees with wages as their sole
rmpensa[ion, 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 did not build or improve for the purpose of sale.)•
as owner of the property, am exclusively contracting with licensed contractors to
c struct 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
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:
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 b
Ork, For which this permit is issued.
Ifhaveand 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 policy number are:
Carrier:_ Policy Number:
_ I certify that in the performance of the 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 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: _�I 175 1 D ApplicoF&
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.
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 ofthis 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.
certify that I have read this application and state that the above information is correct.
agree to comply with all city and county ordinances and state laws relating to building
:onstruction, and hereby authorize representatives of this city to enter upon the above-
nentioned property for inspection purposes.
S «"Applicant mAgent): .
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
NTURAL RETREATS
515 N PALM CANYON DR
PALM SPRINGS, CA 92262
BSP N 2018-0028
81345 AVENUE 54
767320013
GRIFFIN / SPECIAL EVENT / SPEV2018-0019
Owner:
GRIFFIN RANCH INV
23 CORPORATE PLZ STE 150
NEWPORT BEACH, CA 0
Contractor:
Llc. No".:
Date: `9j u5j2"
Detail: SPECIAL EVENT INSPECTION FOR SPEV2018-0019 TO VERIFY PERMITTING REQUIREMENTS AND THE TEMPORARY ELECTRICAL INSTALLATION AND
GENERATOR USE. THIS PERMIT DOES NOT INCLUDE WORK. TEMPORARY INSTALLATIONS SHALL COMPLY WITH 2O16 CALIFORNIA BUILDING CODES.
Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION- 47R_n7
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS: $83.02
- • —•— C>E\h iaF�:rr C)li.ti L-:R'6" ---
PERMIT #
PLAN LOCATION:
Project Address: i� ►3 y5- 4gyp 6t / � � �
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN
tL
O.Applicant Name: 'N R 9P e44- S
Address:.-2/L['l a iz; 13")
* City, ST, Zip. J? ),,A 5 ��
Telephone:
Email: -
Valuation of Project $
Contractor Name:
New SFD Construction:
Address:
Conditioned Space SF
City, St, Zip
Garage SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:.
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:.
State Lic: City Bus Lic:
re, 1 q.4r4,vP S !- l-)
i?roperty Owner's Name:a�
New Commercial / Tenant Improvements:
Address: 93 -CQe
Total Building SF
ity, ST, Zip `
Construction Type: Occupancy:
Telephone:
mail:
78495 CALLE TAM PICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
4o
#
Submittal
Req'd
-Ree'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM 10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License