06-2935 (SATT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
` 06-00002935, _
'45245 SEELEY DR UNIT 1C
604-040-999-2 -31116 -
DWELLING - SINGLE FAMILY
TOURIST COMMERCIAL
71752
T-it4t 4 4 Qum&
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CP DEVELOPMENT
77-564 COUNTRY
PALM DESERT, CA
rchitect or Engineer:
LA QUINTA, LLC
CLUB DRIVE
92211
Contractor:
LENNAR HOMES OF
40004 COOK ST.
PALM DESERT, CA
(760)601-3100
Lic. No.: 728102
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
CALIFORNIA INC
92211
-
Date: 8/07/06
--------------------=---------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided ^
License ss: B License No.: 728102
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ate: 9 / 0 tractor:
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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier OLD REPUBLIC IN Policy Number MWC11148500
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuanttothe provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
• License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor I shall forthwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
I
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
ate: scant:
(_) 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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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:
LQPERMIT
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.
1 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
oI t ' county to enter upon the above-mentioned property,$r inspection purposes.
n ' _
Date: `7 10 S' ture (Applicant or Agent):
Application Number
. . . . 06 -00002935 -
Permit . .
BUILDING PERMIT
Additional desc .
Permit Fee
513.50 Plan Check Fee
83.45
Issue Date . .
Valuation
71752
Expiration Date
2/03/07
Qty Unit Charge
Per
Extension
BASE FEE
414.50
22.00 4.5000
----------------------------------------------------------------------------
THOU BLDG 50,001-100,000
99.00
Permit MECHANICAL
Additional desc..
Permit Fee
70.50 Plan Check Fee .•
4.41•'
Issue Date
Valuation''.
0
Expiration Date
2/03/07 .
Qty Unit Charge
Per
Extension -
BASE FEE
15.00
2.00 9.0000
EA MECH FURNACE <=100K
18.00
2.00 9.0000
EA MECH B/C <=3HP/100K BTU
18.00
2.00 6.5000
EA MECH VENT FAN
13.00
1.00 - 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee
51.69 Plan Check Fee
3.23
Issue Date . . . .
Valuation . . . .
0
Expiration Date
2/03/07.
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1223.00 .0300
-------------------------
ELEC NEW RES - MULTI FAMILY
--------------------------------------------------
36.69
Permit . . PLUMBING
Additional desc .
Permit Fee . . . .
136.50 Plan Check Fee
8.53
Issue Date . . . .
Valuation . . . .
0
Expiration Date
2/03/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
13.00 6.0000
EA PLB FIXTURE
78.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
LQPERMIT
I
LQPERMIT
Application Number .. . . . . 06-00002935
Permit . . . PLUMBING
Qty Unit_ Charge Per
Extension
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
1:.00 15.0000 EA PLB GAS METER
15.00
Permit . . . GRADING PERMIT
Additional desc .
Permit Fee" . . . . 15.00 Plan Check Fee
.00
Issue Date Valuation
0 .
Expiration Date 2/03/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------
"Special.Notes and Comments
SFA (1,223 sgft) w/Porch (227 sgft).
TOT Eligible. 75% REDUCTION TO PLAN
CHECK FEES DUE TO MULTIPLE ISSUANCE OF
SAME PLAN TYPE
'2001 CBC, CMC,.CPC, 2004 CEC, 2005
'
•ENERGY CODES ' BLDG. 1-C
Other Fees . . . . . ... . . ART IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
56.00
DIF CIVIC CENTER - RES
157.00
DIF FIRE.PROTECTION-RES
45.00
DIF LIBRARIES - RES -
266.00
DIF PARK MAINT FAC - RES
16.00
DIF PARKS/REC - RES
669.00
STRONG MOTION (SMI) - RES
7.17
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary Charged Paid Credited
---------------------------
Due
-------------------------------
Permit Fee Total 787.19 .00 .00
787.19
Plan Check Total 99.62 .00 .00
99.62
Other Fee Total 2969.17 .00 .00
2969.17 ,
Grand •Total 3855.98 .00 .00
3855.98