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FSS2018-0030ADDITIONAL SITES CHRONOLOGY CONTACTS NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL APPLICANT FIRE SPRINKLER SYSTEMS INC 705 E HARRISON ST SUITE 200 CORONA CA 92879 (949)348-8162 JUDYL@FIREINC.NET BILL TO FIRE SPRINKLER SYSTEMS INC 705 E HARRISON ST SUITE 200 CORONA CA 92879 (949)348-8162 JUDYL@FIREINC.NET CONTRACTOR FIRE SPRINKLER SYSTEMS INC 705 E HARRISON ST SUITE 200 CORONA CA 92879 (949)348-8162 JUDYL@FIREINC.NET OWNER LA QUINTA HOUSING 1, LLC 27285 LAS RAMBLAS, SUITE 230 MISSION VIEJO CA 92691 (949)348-8162 rrichards@woodbridge pacific.com CONDITIONS Description: MONTERRA / FIRE SPRINKLER / PLAN TYPE 2 Type: FIRE SPRINKLER Subtype: RESIDENTIAL - TRACT HOMES Status: FINALED Applied: 2/6/2018 AMA Parcel No: 767860008 Site Address: 81825 FOUR SEASONS PL LA QUINTA,CA 92253 Approved: 2/6/2018 AMA Subdivision: TR 32742 Block: Lot: 8 Issued: 2/6/2018 AMA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: 2/20/2018 RGR Valuation: $0.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: FINANCIAL INFORMATION Printed: Thursday, January 26, 2023 3:53:49 PM 1 of 3 Permit Details City of La Quinta PERMIT NUMBER FSS2018-0030 BOND INFORMATION INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES FIRE FINAL**RGR 2/20/2018 2/20/2018 APPROVED REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS NOTES 1ST PERMIT TECH (1 DAY) ARMANDO MAGALLON 2/6/2018 2/7/2018 2/6/2018 APPROVED PLANS WERE PRE-APPROVED BY RIVERSIDE COUNTY FIRE. RON WILL BE ACCEPTING COUNTY FIRE'S APPROVAL. PLANS WILL ONLY HAVE A "RESIDENTIAL ADDITIONAL FEE" OF $171 SINCE PLAN CHECK WAS ALREADY COMPLETED. PER RON FOR MASTER PLANS SEE FSS2018-0028 PARENT PROJECTS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #CHECK #METHOD PAID BY CLTD BY FIRE SPRINKLER SYSTEMS - SINGLE FAMILY DETACHED 101-0000-42421 0 $156.00 $156.00 2/6/18 R31836 230628 CHECK FIRE SPRINKLER SYSTEMS INC AMA Total Paid for FIRE FEES: $156.00 $156.00 RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 $10.00 2/6/18 R31836 230628 CHECK FIRE SPRINKLER SYSTEMS INC AMA Total Paid for RECORDS MANAGEMENT FEE: $10.00 $10.00 TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 $5.00 2/6/18 R31836 230628 CHECK FIRE SPRINKLER SYSTEMS INC AMA Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 $5.00 TOTALS:$171.00 $171.00 Printed: Thursday, January 26, 2023 3:53:49 PM 2 of 3 Permit Details City of La Quinta PERMIT NUMBER FSS2018-0030 ATTACHMENTS Printed: Thursday, January 26, 2023 3:53:49 PM 3 of 3 Permit Details City of La Quinta PERMIT NUMBER FSS2018-0030 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/26/2023 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: FIRE SPRINKLER/RESIDENTIAL - TRACT HOMES FSS2018-0030 81825 FOUR SEASONS PL 767860008 MONTERRA / FIRE SPRINKLER / PLAN TYPE 2 Owner: LA QUINTA HOUSING 1, LLC 27285 LAS RAMBLAS, SUITE 230 MISSION VIEJO, CA 92691 Applicant: FIRE SPRINKLER SYSTEMS INC 705 E HARRISON ST SUITE 200 CORONA, CA 92879 Contractor: FIRE SPRINKLER SYSTEMS INC 705 E HARRISON ST SUITE 200 CORONA, CA 92879 (800)915-3473 LIc. No.: 684600 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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: C16, C36, C10, B License No.: 684600 Date: Contractor: 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 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 the work for which this permit is issued. I 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: INSURANCE COMPANY OF THE WEST Policy Number: WSD503131407 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. Date: Applicant: 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 to enter upon the above-mentioned property for inspection purposes. Date: Signature (Applicant or Agent): Date: 1/26/2023 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: FSS2018-0030 81825 FOUR SEASONS PL 767860008 MONTERRA / FIRE SPRINKLER / PLAN TYPE 2 Owner: LA QUINTA HOUSING 1, LLC 27285 LAS RAMBLAS, SUITE 230 MISSION VIEJO, CA 92691 Applicant: FIRE SPRINKLER SYSTEMS INC 705 E HARRISON ST SUITE 200 CORONA, CA 92879 Contractor: FIRE SPRINKLER SYSTEMS INC 705 E HARRISON ST SUITE 200 CORONA, CA 92879 (800)915-3473 LIc. No.: 684600 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -Detail: FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT FIRE SPRINKLER SYSTEMS - SINGLE FAMILY DETACHED 101-0000-42421 0 $156.00 Total Paid for FIRE FEES: $156.00 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS:$171.00