BRES2019-039078-495 CALLE TAMPICO D�IU�{I VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/30/2020
Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED Owner:
Application Number: BRES2019-0390 BEAZER HOMES HOLDINGS CORP
Property Address: 51768 VIA TOLOSA 1600 E IMPERIAL HWY STE 200
APN: 776220012 BREA,CA
Application Description: FLORESTA / PHASES 4-10 / APPLIED DATE 12/3/19 / EXP 6/1/20
Property Zoning:
Application Valuation: $162,994.20
Applicant: L! Contractor:
BEAZER HOMES HOLDINGS LLC-CHRIS COURTNEY P
DBEAZER HOMES HOLDINGS LLC
IRVINEE, CA 92602 310 COMMERCE STE 150 JAN 3 0 2020 SUI E 90MERCE STE 150
I RVI N E, CA 92602
CITY OF LA QUINTA (714)672-7000
DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 818129
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: B License No.:
'Z
Date: Q > Contractor:
W
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 ofthe 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
Da
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:
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 work for which this permit is issued.
rr.1, 1 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: ACE AMERICANfNSURANCE 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 that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
DateApptirant• -
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 /enr upon the above -
mentioned property for inspection purposes.
Date:. Signature (Applicant or Agent): -
Date:
1/30/2020
Application Number:
BRES2019-0390
Property Address:
51768 VIA TOLOSA
APN:
776220012
Application Description:
FLORESTA / PHASES 4-10 / APPLIED DATE 12/3/19 / EXP 6/1/20
Property Zoning:
Application Valuation:
$162,994.20
Applicant:
BEAZER HOMES HOLDINGS LLC-CHRIS COURTNEY
310 COMMERCE STE 150
IRVINE, CA 92602
Detail
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
DESCRIPTION
ACCOUNT
CITY
AMOUNT
CONDENSER/COMPRESSOR
101-0000-42402
0
$80.50
DESCRIPTION
ACCOUNT
CITY
AMOUNT
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$53.66
DESCRIPTION
ACCOUNT
CITY
AMOUNT
EXHAUST HOOD
101-0000-42402
0
$13.42
DESCRIPTION
ACCOUNT
CITY
AMOUNT
EXHAUST HOOD PC
101-0000-42600
0
$5.37
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FURNACE
101-0000-42402
0
$80.50
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FURNACE PC
101-0000-42600
0
$53.66
DESCRIPTION
ACCOUNT
CITY
AMOUNT
VENT FAN
101-0000-42402
0
$67.10
DESCRIPTION
ACCOUNT
CITY
AMOUNT
VENT FAN PC
101-0000-42600
0
$26.85
Total Paid for MECHANICAL 2019: $381.06
DESCRIPTION
ACCOUNT
CITY
AMOUNT
MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2019 UPDATE
101-0000-20310
0
$1,331.00
Total Paid for MULTI -SPECIES RESIDENTIAL: $1,331.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NEW CONSTRUCTION PERMIT 2019
101-0000-42400
0
$1,706.14
Total Paid for NEW CONSTRUCTION PERMIT 2019: $1,706.14
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NEW CONSTRUCTION PLAN CHECK 2019
101-0000-42600
0
$1,257.87
Total Paid for NEW CONSTRUCTION PLAN CHECK 2019: $1,257.87
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BACKFLOW DEVICE
101-0000-42401
0
$13.42
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BACKFLOW DEVICE PC
101-0000-42600
0
$5.37
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BUILDING SEWER
101-0000-42401
0
$26.83
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BUILDING SEWER PC
101-0000-42600
0
$18.78
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$187.88
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$187.88
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$40.25
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 5+ OUTLETS PC
101-0000-42600
0
$26.83
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$13.42
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$8.05
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$13.42
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$13.42
Total Paid for PLUMBING 2019: $555.55
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE - MAJOR
101-0000-42416
0
$21.00
Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $21.00
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
QTY
AMOUNT
TUMF 2018 - SINGLE FAMILY DWELLING
224-0000-20320
0
$2,310.00
Total Paid for TUMF 2018: $2,310.00