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BRES2019-0081LICENSED 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.::CONV:140528101254092308 Date: Contractor: &4. ��Ac 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. 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 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 Lender's 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 tbg for which this permit is issued. I have 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 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 La shall forthwith comply Jwith t PSE p Ovi"Or"' Date:4i / 9 AP13il f WARNING: FAILURE TO SECURE WORKERS' COMPENSA 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 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-menttonod property for inspection purposes. Date: Y/0 2 Signature (AppiIca rit or A / Ta� VOICE (760) 777-7125 78-495 CALLE TAMPICO D FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT 9 LZ Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED Owner: Application Number: BRES2019-0081 LENNAR HOMES OFCAUFORNIAE a Property Address: 54850 MADAGASCAR WY 25 ENTERPRISE O p APN: 767800075 ATTN KIMBERLY CURTIS N Application Description: GRIFFIN RANCH / NEW 3,314SF SFD LOT 150/ PLAN 2XB ALISO VIEJO, CA 92656 Property Zoning: Application Valuation: $298,227.90 Q U In Applicant: Contractor: LENNAR HOMES OF CALIFORNIA INC LENNAR HOMES OF CALIFORNI IN� C7 25 ENTERPRISE 25 ENTERPRISE w ATTN KIMBERLY CURTIS ATTN KIMBERLY CURTIS ALISO VIEJO, CA 92656 ALISO VIEJO, CA 92656 (949)389-1756 Llc. No.::CONV:140528101254092308 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.::CONV:140528101254092308 Date: Contractor: &4. ��Ac 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. 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 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 Lender's 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 tbg for which this permit is issued. I have 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 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 La shall forthwith comply Jwith t PSE p Ovi"Or"' Date:4i / 9 AP13il f WARNING: FAILURE TO SECURE WORKERS' COMPENSA 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 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-menttonod property for inspection purposes. Date: Y/0 2 Signature (AppiIca rit or A Application Number: BRES2019-0081 Property Address: 54850 MADAGASCAR WY APN: 767800075 Application Description: GRIFFIN RANCH / NEW 3,314SF SFD LOT 150/ PLAN 2XB Property Zoning: Application Valuation: $298,227.90 Applicant: LENNAR HOMES OF CALIFORNIA INC 25 ENTERPRISE ATTN KIMBERLY CURTIS ALISO VIEJO, CA 92656 Date: 4/9/2019 Owner: LENNAR HOMES OF CALIFORNIA INC 25 ENTERPRISE ATTN KIMBERLY CURTIS ALISO VIEJO, CA 92656 Contractor: LENNAR HOMES OF CALIFORNIA INC 25 ENTERPRISE ATTN KIMBERLY CURTIS ALISO VIEJO, CA 92656 (949)389-1756 Llc. No.::CONV:140528101254092308 Detail: 3,314 SF DWELLING, PLAN 2XB, LOT 150 [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. PER 2016 CALIFORNIA BUILDING CODES. DESCRIPTION BSAS SB1473 FEE DESCRIPTION DIF - CIVIC CENTER DESCRIPTION DIF - COMMUNITY CENTERS DESCRIPTION DIF - FIRE PROTECTION DESCRIPTION DIF - LIBRARIES DESCRIPTION DIF - PARK MAINTENANCE DESCRIPTION DIF - PARKS/REC DESCRIPTION DIF - STREET MAINTENANCE DESCRIPTION DIF - TRANSPORTATION DESCRIPTION TEMP POWER SERVICE DESCRIPTION RESIDENTIAL, EA ADDITION 1,000SF DESCRIPTION RESIDENTIAL, FIRST 1,000SF Total Paid for ELECTRICAL- NEW CONSTRUCTION: DESCRIPTION ACCOUNT QTY RESIDENTIAL PRECISE GRADING - TRACT HOME 101-0000-42408 0 Total Paid for GRADING: DESCRIPTION ACCOUNT QTY QTY 101-0000-42402 101-0000-20306 DESCRIPTION 0 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: EXHAUST HOOD ACCOUNT 0 QTY ACCOUNT 252-0000-43200 FURNACE 0 0 ACCOUNT ACCOUNT QTY VENT FAN 254-0000-43200 0 0 ACCOUNT QTY 257-0000-43200 0 ACCOUNT QTY 253-0000-43200 0 ACCOUNT QTY 256-0000-43200 0 ACCOUNT CITY 251-0000-43200 0 ACCOUNT QTY 255-0000-43200 0 ACCOUNT QTY 250-0000-43200 0 Total Paid for DIF - SINGLE FAMILY DWELLING: ACCOUNT QTY 101-0000-42403 0 Total Paid for ELECTRICAL: ACCOUNT QTY 101-0000-42403 0 ACCOUNT QTY 101-0000-42403 0 Total Paid for ELECTRICAL- NEW CONSTRUCTION: DESCRIPTION ACCOUNT QTY RESIDENTIAL PRECISE GRADING - TRACT HOME 101-0000-42408 0 Total Paid for GRADING: DESCRIPTION ACCOUNT QTY CONDENSER/COMPRESSOR 101-0000-42402 0 DESCRIPTION ACCOUNT QTY EXHAUST HOOD 101-0000-42402 0 DESCRIPTION ACCOUNT QTY FURNACE 101-0000-42402 0 DESCRIPTION ACCOUNT QTY VENT FAN 101-0000-42402 0 Total Paid for MECHANICAL: AMOUNT $12.00 $12.00 AMOUNT $942.00 AMOUNT $129.00 AMOUNT $433.00 AMOUNT $344.00 AMOUNT $40.00 AMOUNT $2,048.00 AMOUNT $116.00 AMOUNT $2,842.00 $6,894.00 AMOUNT $26.68 $26.68 AMOUNT $40.83 AMOUNT $160.10 $200.93 AMOUNT $147.29 $147.29 AMOUNT $40.02 AMOUNT $13.34 AMOUNT $40.02 AMOUNT $93.38 C1AF,_7f, DESCRIPTION ACCOUNT CITY MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2018 UPDATE 101-0000-20310 0 Total Paid for MULTI -SPECIES RESIDENTIAL: DESCRIPTION ACCOUNT CITY NEW CONSTRUCTION PERMIT 101-0000-42400 0 Total Paid for NEW CONSTRUCTION PERMIT: DESCRIPTION ACCOUNT CITY BACKFLOW DEVICE 101-0000-42401 0 DESCRIPTION ACCOUNT CITY BUILDING SEWER 101-0000-42401 0 DESCRIPTION ACCOUNT CITY FIXTURE/TRAP 101-0000-42401 0 DESCRIPTION ACCOUNT CITY GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 DESCRIPTION ACCOUNT QTY WATER HEATER/VENT 101-0000-42401 0 DESCRIPTION ACCOUNT CITY WATER SYSTEM INST/ALT/REP 101-0000-42401 0 Total Paid for PLUMBING FEES: DESCRIPTION ACCOUNT CITY SMI - RESIDENTIAL 101-0000-20308 0 Total Paid for STRONG MOTION INSTRUMENTATION SMI: DESCRIPTION ACCOUNT CITY TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 Total Paid for TECHNOLOGY ENHANCEMENT FEE: DESCRIPTION ACCOUNT CITY SINGLE FAMILY DETACHED 2018 UPDATE 224-0000-20320 0 Total Paid for TUMF - RESIDENTIAL: AMOUNT $1,290.00 $1,290.00 AMOUNT $703.37 $703.37 AMOUNT $13.34 AMOUNT $26.68 AMOUNT $253.46 AMOUNT $40.02 AMOUNT $13.34 AMOUNT $13.34 $360.18 AMOUNT $38.77 $38.77 AMOUNT $5.00 $5.00 AMOUNT $2,310.00 $2,310.00