BRES2019-029378-495 CALLE TAMPICO DItf�+V
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED
Application Number: BRES2019-0293
Property Address: 51802 VIA TOLOSA
APN: 776220012
Application Description: FLORESTA / NEW 2302 SF SFD LOT 54 / PLAN 113
Property Zoning:
Application Valuation: $152,133.10
Applicant:~
BEAZER HOMES HOLDINGS LLC - JAMES WRIGHT
310 COMMERCE STE 150
IRVINE, CA 92602 ; OCT U 2u19
u 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 70001 of Division 3 of the ess and Professions Code, and
my License is in full force and effect.
License Clss: License No.:
Date: M" Contracto . & L
OWNS BUILDER CLARATIUrntheContract
I hereby affirm under penalty of p jury that I a exempt fontract 's State
License Law for the following rea n (Sec. 7031_ , Businesssions C e: Any
city or county that requires a per it to constru , alterimolish, or poir any
structure, prior to its issuance, ais equire a applicant mit to file signed
statement that he or she is licensed pursuant to the provisi Contrac is State
License Law (Chapter 9 (commencing with Section 7000) oof th usiness
and Professions Code) or that he or she is exempt therefros 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
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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/30/2019
Owner:
BEAZER HOMES HOLDINGS CORP
1600 E IMPERIAL HWY STE 200
BREA, CA
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 k far which this permit is issued.
! have and will maintain workers' compensation insurance, as required by
Sec ro 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: ACEAMERICAN 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, and agree at, if I should become subject to the
workers' compensation provisions of ion 3700 of the Labor Code, I shall rthwith
comply with those plovislons. 6-ma-1
WARNING: FAKURE TO S URE WORKERS COMPENS ION COVERAG UNLAWFUL,
AND SHALL SUBJECT AN MpLOYER TO CRI INAL P ALTIE5 AND CIVIL FINS UP TO
ONE HUNDRED THOUSA D DOLLARS ($10 ,000). ADDITION TO THE COS OF
COMPENSATION, DAMA ES AS PROVI❑ FOR] SECTION 3706 OF THE LABA. CODE,
INTEREST, AND ATTORNE ES
APPLICANT ACKNOW EDGEMENT
IMPORTANT: Application is hereby made to the B ' ding Official for a per subject to
the conditions and restrictions set forth on this appli ' n.
1. Each person upon whose behalf this application is made, eac person at whose
request and for whose benefit work is performed under or pursuantto 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.
I certify that I have read this application and sta hat the above information is correct.
I agree to comply with all city and county o nances and state laws relating to buu ing
construction, and hereby authorize rep entatives of this city to enter upon above -
mentioned rop ty For inspection poses.
Date Signat re (Applicant or Age
bate: 9/30/2019
Application Number:
BRES2019-0293
Property Address:
51802 VIA TOLOSA
APN:
776220012
Application Description.
FLORESTA / NEW 2302 SF SFD LOT 54 / PLAN 113
Property Zoning:
Application Valuation:
$152,133.10
Applicant:
BEAZER HOMES HOLDINGS LLC - JAMES WRIGHT
310 COMMERCE STE 150
IRVINE, CA 92602
Owner:
BEAZER HOMES HOLDINGS CORP
1600 E IMPERIAL HWY STE 200
BREA, CA
Contractor:
BEAZER HOMES HOLDINGS LLC
310 COMMERCE STE 150
SUITE 190
IRVINE, CA 92602
(714)672-7000
LIc. No.: 818129
Detail: 2,302SF DWELLING - PLAN 1B (W/O CASITA) LOT 54 [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR
DRIVEWAY APPROACH. 2016 CALIFORNIA BUILDING CODES.
FINANCIAL
DESCRIPTION
INFORMATION
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
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
QTY
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
$27.22
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RESIDENTIAL, EA ADDITION 1,000SF, PC
101-0000-42600
0
$11.20
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: $251.35
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
$40.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$26.68
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
$40.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FURNACE PC
101-0000-42600
0
$26.68
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: $245.48
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
$599.98
Total Paid for NEW CONSTRUCTION PERMIT: $599.98
DESCRIPTION
ACCOUNT
CITY
AMOUNT
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$1,220.67
Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,220.67
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
QTY
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 1
0
$19.78
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $19.78
DESCRIPTION
ACCOUNT
QTY
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