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BRES2019-028478-495 CALLE TAMP ICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: T4t!t 4 aldF Q91am DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED BRES2019-0284 51870 VIA TOLOSA 776220012 FLORESTA / NEW 2497SF SFD LOT 56 / PLAN 3BR $162,994.20 Applicant: BEAZER HOMES HOLDINGS LLC - JAMES WRIGHT 310 COMMERCE STE 150 IRVINE, CA 92602 P Q U OCT 09 2019 D CITY OF LA QUINTA DESIGN & 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: License No.: Date: ntractor: WNER-BUILDER ECLAR ON I hereby affirm under penalt of perjury that I a exe pt from the )Contra State License Law for the following eason (Sec. 763 .5, Bus ess and Proe: Any city or county that requires a pe t [o co uct, alter improve, depair any structure, prior to its issuance, also requires the appiica t for the pesigned statement that he or she is licensed pursuant to the provi s oft his State License Law (Chapter 9 (commencing with Section 7000) of Diviiness 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.). (_) 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 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 Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/30/2019 Owner: BEAZER HOMES HOLDINGS CORP 1800 E IMPERIAL HWY S-140 BREA, CA 92871 Contractor: BEAZER HOMES HOLDINGS LLC 310 COMMERCE STE 150 SUITE 190 IRVINE, CA 92602 (714)672-7000 Llc. No.: 818129 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 the rk for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Se ion 700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Ay E AMERICAN INSURANCE COMPANY Policy Number: WLRC48586508 I certify that in the performance of the work for which this permit is issued, 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 ction 3700 of the Labor Code, I s I�thwith comply with jhosg provisions. V Date: Applicant: WARNING: FAILURE TySECURE WORKERS'C PENSA ON COVERAGE5UNLAWFUL, AND SHALLSUBJECTt EMPLOYER TO CRIM1 AL PEJALTIES AND CIVIL F ES UP TO ONE HUNDRED THOU ND DOLLARS($100, 0). IN DDITIONTOTHECO OF COMPENSATION, DAMA AS PROVI OR IN SE TION 3706 OF THE LAB R CODE, INTEREST, AND ATTORNEY'S APPLICANT ACKNOWLEDGEMEAI--___--- 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 relatin wlding construction, and hereby authorize represent - of.this city to enter u n the above - mentioned ,Vaporty for inspection pure s. Date Signature( pplicantorA date: 9/30/2019 Application Number: BRES2019-0284 Property Address: 51870 VIA TOLOSA APN: 776220012 Application Description: FLORESTA / NEW 2497SF SFD LOT 56 / PLAN 3611 Property Zoning: Application Valuation: $162,994.20 Applicant: BEAZER HOMES HOLDINGS LLC - JAMES WRIGHT 310 COMMERCE STE 150 IRVINE, CA 92602 Owner: BEAZER HOMES HOLDINGS CORP 1800 E IMPERIAL HWY 5-140 BREA, CA 92871 Contractor: BEAZER HOMES HOLDINGS LLC 310 COMMERCE STE 150 SUITE 190 IRVINE, CA 92602 (714)672-7000 Llc. No.: 818129 Detail: 2,4975F DWELLING - PLAN 3611 (W/O CASITA) LOT 56 [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2016 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $7.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $7.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - CIVIC CENTER 252-0000-43200 0 $942.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - LIBRARIES 253-0000-43200 0 $344.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT CITY AMOUNT SERVICES 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT SERVICES PC 101-0000-42600 0 $13.34 Total Paid for ELECTRICAL: $40.02 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $40.83 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $16.80 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $160.10 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $52.83 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $270.56 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL PRECISE GRADING - TRACT HOME 101-0000-42408 0 $147.29 Total Paid for GRADING: $147..29 DESCRIPTION ACCOUNT CITY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $80.04 DESCRIPTION ACCOUNT CITY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $53.36 DESCRIPTION ACCOUNT CITY AMOUNT EXHAUST HOOD 101-0000-42402 0 $13.34 DESCRIPTION ACCOUNT CITY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $5.34 DESCRIPTION ACCOUNT CITY AMOUNT FURNACE 101-0000-42402 0 $80.04 DESCRIPTION ACCOUNT CITY AMOUNT FURNACE PC 101-0000-42600 0 $53.36 DESCRIPTION ACCOUNT CITY AMOUNT VENT FAN 101-0000-42402 0 $66.70 DESCRIPTION ACCOUNT CITY AMOUNT VENT FAN PC 101-0000-42600 0 $26.70 Total Paid for MECHANICAL: $378.88 DESCRIPTION ACCOUNT CITY AMOUNT MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2018 UPDATE 101-0000-20310 0 $1,331.00 Total Paid for MULTI -SPECIES RESIDENTIAL: $1,331.00 DESCRIPTION ACCOUNT CITY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $609.08 Total Paid for NEW CONSTRUCTION PERMIT: $609.08 DESCRIPTION ACCOUNT CITY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,250.37 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,250.37 DESCRIPTION ACCOUNT CITY AMOUNT BACKFLOW DEVICE 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT CITY AMOUNT BACKFLOW DEVICE PC 101-0000-42600 0 $5.34 DESCRIPTION ACCOUNT CITY AMOUNT BUILDING SEWER 101-0000-42401 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $18.68 DESCRIPTION ACCOUNT CITY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $186.76 DESCRIPTION ACCOUNT CITY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $186.76 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $40.02 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT CITY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $8.00 DESCRIPTION ACCOUNT CITY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT CITY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $13.34 Total Paid for PLUMBING FEES: $552.28 DESCRIPTION ACCOUNT CITY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $21.19 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $21.19 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 DESCRIPTION ACCOUNT CITY AMOUNT SINGLE FAMILY DETACHED 224-0000-20320 0 $2,310.00 Total Paid for TUMF - RESIDENTIAL: $2,310.00 TOTALS: $13,816.67