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BRES2019-029578-495 CALLE TAMPICO D 46P Quuro LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED Application Number: BRES2019-0295 Property Address: 51805 VIA TOLOSA APN: 776220012 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 Application Description: FLORESTA / NEW 2497 SF SFD LOT 62 / PLAN 3AR Property Zoning: Application Valuation: $162,994.20 Applicant: D Contractor: BEAZER HOMES HOLDINGS LLC - JAMES WRIGHT BEAZER HOMES HOLDINGS LLC 310 COMMERCE STE 150 OCT 0 9 2019 310 COMMERCE STE 150 IRVINE, CA 92602 SUITE 190 CITY OF LAQUINTA IRVINE, CA 92602 DESIGN & DEVELOPMENT DEPARTMENT LIc.4No?: 8181029 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 Divisio f the Business and Professions Code, and my License is in full force and effect. License Class: License No.: 2 't Date: C tractor: OWNERJ7031.5 LARAUofthe I hereby affirm under penaltyiof perxempontrac is State License Law for the following easoBusinfessions ode: Any city or county that requires a rmilter, molish, r repair any structure, prior to its issuance, aplicarmit t file a signed statement that he or she is licensed pursuant to the proe ractor's State License Law (Chapter 9 (commencing with Section 7000of 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.). (_) 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 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 tKC.WI for which this permit Is issued. have and will maintain workers' compensation insurance, as required by 0 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: ACE AMERICAN INSU"ACE-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 ,'if I should beco -subject to the workers' compensation provisions of 5 ion 3700 of the Lab Code, I shall forthwith comply with those provisions. Date A piican WARNING: FAILURE TO SEC E WORKERSOM NSATION COVERA IS UNLAWFUL, AND SHALL SUBJECT AN EM LOYER TO CRI IN L PENALTIES AND CIVIL NES UP TO ONE HUNDRED THOUSAND OLLAIt ($10 0 ). IN ADDITION TO THE C T OF COMPENSATION, DAMAGES PROVID FOR N SECTION 3706 OF THE BOR CODE, INTEREST, AND ATTORNEY'S FEE . APPLICANT ACKNOWLE ENT IMPORTANT: Application is hereby made to the Building Of icia 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. certify that I have read this application and state that the above information is agree to comply with all city and county ordinance state laws relating to I :onstruction, and hereby authorize represents ves*s5o ter upon th'mentioned proper for inspection pur)ate: Signature (Ag(pI!cant or Ag Date' 9/30/2019 Application Number: BRES2019-0295 Property Address: 51805 VIA TOLOSA APN: 776220012 Application Description: FLORESTA / NEW 2497 SF SFD LOT 62 / PLAN 3AR Property Zoning: Application Valuation: $162,994.20 Applicant: BEAZER HOMES HOLDINGS LLC -1AMES 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: 2,497SF DWELLING - PLAN 3AR (W/O CASITA) LOT 62 [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2016 CALIFORNIA BUILDING CODES. DESCRIPTION INFORMATIONFINANCIAL 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 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 QTY 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 QTY 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 QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,250.37 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,2S0.37 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