BRES2019-028578-495 CALLE TAMPICO C� 0 D oiii4P
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED
Application Number:
BRES2019-0285
Property Address:
51907 VIA TOLOSA
APN:
776220012
Application Description:
FLORESTA / NEW 2497SF SFD LOT 59 / PLAN 3C
Property Zoning:
Application Valuation:
$162,994.20
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
Applicant: / L� \ Contractor:
BEAZER HOMES HOLDINGS LLC - JAMES WRIGHT D LJ�] BEAZER HOMES HOLDINGS LLC
310 COMMERCE STE 150 310 COMMERCE STE 150
IRVINE, CA 92602 OCT 0 9 2019 SUITE 190
I RV I N E, CA 92602
(714)672-7000
CITY OF LA QUINTA Llc. No.: 818129
DESIGN & DEVELOPMENT DEPARTMENT
--------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I amm"Imicensed under provisions of Chapter 9
(commencing with Section 7000)of vision or the Business and Professions Code, and
my License is in full force and effect.
License Class: B License No.:818 29 u
Date: Co ractor:
O NER-BUILDE DECLARATI❑
I hereby affirm under penalt of perjury tha I am exempt om the Contra is State
License Law for the following eason (Sec. 031.5, Busin ss and Professions de: Any
city or county that requires a mit anstruct, alter, mprove, demolish, or epair any
structure, prior to its issuance, also requires the applica t for the permit to file a signed
statement that he or she is licensed pursuant to the pro ions of the Contra is State
License Law (Chapter 9 (commencing with Section 7000) a e Business
and Professions Code) or that he or she is exempt therefrom and the basis for the
alleged exemption. Any violation of Section 7031.S 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
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 Name:
Lender's Addre:
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
S do 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: A_ttE 6MERICAN INSURANCE COMPANY Policy Number: WLRC48586508
_ 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, an gree that, if I should become subject to the
workers' compensation L
Section 3700 of the Labor Code, I shall forthwith
comply with th a provi
Dat nt:
WARNIN FAILUor RE TO KER COMPENSATION C ERAG UNLAWFUL,
AND SHALLSUBJECTANOC IMINALPENALTIES NDCIVILFI ESUPTO
ONE HUNDRED THOUSA ($ 0,000). IN ADDIT N TO THE CO OF
COMPENSATION, DAMA EO FOR IN SECTfO 3706 OFTHELA ORCODE,
INTEREST, ANDATTORN
APPLICANT ACKNOWLEDGE ENT
IMPORTANT: Application is hereby made to the Building W fora mit 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 -
mentioned gropVy For inspection purposes. , %-A� a
Signature (App
Date:
9/30/2019
Application Number:
BRES2019-0285
Property Address:
51907 VIA TOLOSA
APN:
776220012
Application Description:
FLORESTA / NEW 2497SF SFD LOT 59 / PLAN 3C
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 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
Detail: 2,497SF DWELLING - PLAN 3C (W/O CASITA) LOT 59 [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 CITY 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
QTY
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
QTY
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
j $2,842.00
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SERVICES
101-0000-42403
0
$26.68
Total Paid for ELECTRICAL: $26.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, EA ADDITION 1,000SF
101-0000-42403
0
$40.83
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$160.10
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $200.93
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RESIDENTIAL PRECISE GRADING - TRACT HOME
101-0000-42408
0
$147.29
Total Paid for GRADING: $147.29
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR
101-0000-42402
0
$80.04
DESCRIPTION
ACCOUNT
CITY
AMOUNT
EXHAUST HOOD
101-0000-42402
0
$13.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FURNACE
101-0000-42402
0
$80.04
DESCRIPTION
ACCOUNT
CITY
AMOUNT
VENT FAN
101-0000-42402
0
$66.70
Total Paid for MECHANICAL: $240.12
DESCRIPTION ACCOUNT
CITY
AMOUNT
MULTI STRUCTURE PLAN CHECK - EACH 101-0000-42600
0
$53.37
Total Paid for MULTI STRUCTURE PLAN CHECK - EACH: $53.37
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
QTY
AMOUNT
BACKFLOW DEVICE
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BUILDING SEWER
101-0000-42401
0
$26.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$186.76
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$40.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$13.34
Total Paid for PLUMBING FEES: $293.48
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