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04-8283 (SFD)79878 Amora Dr 04-8283 N IIIIIIIIIIIDIIIVIIIIIII 34 IE P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT Application Number . . Property Address . . . . . . APN: Application description . . . Property Zoning . . . . . . . Application valuation . . . . BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 04-OOb08!,88 Date 3/18/05 79878 AMORA DR 609-380-999-64 -293234- DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 145328 Owner Contractor LENNAR HOMES OF CALIFORNIA LENNAR HOMES OF CALIFORNIA INC 78401 HIGHWAY 111, STE C 78401 HIGHWAY 111, SUITE C LA QUINTA, CA LA QUINTA CA 92253 LA QUINTA CA 92253 U WCC: AON RISK SRVC WC: MWC11114500 11/01/05 kH 012005 CSLB: 728102 09/30/06 CCC: B CI ®'FILA you u e Information ------------------------- Construction _ FINANCE EPT. T PE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CRC # BEDROOMS 5.00 FIRE SPRINKLERS NO GARAGE SQ FTG 418.00 •PATIO SQ FTG 45.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 2387.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 800.50 Plan Check Fee 520.33 Issue Date . . . . Valuation 145328 Qty Unit Charge Per Extension BASE FEE 639.50 46.00 3.5000 THOU BLDG 100,001-500,000 161.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 39.50 Plan Check Fee 9.88 Issue Date . . . . Valuation 0 Qty Unit Charge Per 1.00 9.0000 EA 1.00 9.0000 EA BASE FEE MECH FURNACE <=100K MECH B/C <=3HP/100K BTU Extension 15.00 9.00 9.00 P.O. Box 1504 • VOCE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 r LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 195`1- 1 0 3 Applicant: Applicant's Mailing Address: VV Date: 3.3 •C 5 Architect r ngineer: Architect or Engineer's Address: Lic. No.: Z?j q BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION ZI erebyaffirm under penalty a perjury that I am licensed under provisions of Chapter 9 ( 000mmencing with Section 7000) of Division 3 of the Business and Professionals de, and my License is in ful f and effect. / Oense Class / License No. .Date d Contractor ✓ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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.). U I am exempt under Sec. BA P. . for this reason " DateIT),-6) -'Owner WORKERS' 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. / ' hal and y,ill pnaintain workers' compensation insurance, as required by Section 370 the,Labor Code, for the performance of the work for which this permit is IV compensation insurance carrier a yumyeIff (I (L) Cartier Policy Number "` I certify that, in the performance of the work for which this perms is issued, I s II 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 forpwith comply with those provisi ns. Date 10 Applicant lt d"tZ6 WARNIN : FAI URE TO SECURE WORKERS' C PENSATION 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. 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 APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety 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 count to ter upon the ove-mentioned property for inspection purposes. Date ./ Signature (Applicant or Agent): Application Number . 04-00008283 I Page 2 Date 3/18/05 Qty Unit Charge Per Extension 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 106.91 Plan Check Fee 26.73 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 2387.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 83.55 418.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.36 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 170.25 Plan Check Fee 42.56 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 1.00 15.0000 EA .PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 5.00 .7500 EA PLB GAS PIPE >=5 3.75 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 Qty Unit Charge Per Extension BASE FEE 15.00 ---7-----------------------'------------------------------------------------- Special Notes and Comments SFD - LOT 6.4. PLAN 3YR, 2387 S.F., , PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY. REVIEW FEE 52.03 „ y..r. •I.: ._ ._.. �.: - _ -.. . . _�....-.. _ .. .. ... .. _ � -. _ .,a. sv..r� `'s'+ri� ..�. ..w.r,trvv.n�.. i +t�.T-V Southwest Inspection and Testing, Inc. 10826 South Norwalk Blvd., Santa Fe Springs, CA 90670. (562) 941-2990 • (714) 526-8441 • Fax (562)946-0026 FSWrITobNo. Date6san! v ; ., REGISTERED INSP.ECTORS'S DAILY REPORT ❑ Quality control TYPE OF Reinforced Concrete ❑ Fire Steel Assembly ❑ Other ` INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing t REQUIRED ❑ Reinforced Masonry [I Asphalt City Job Address c G • Permit I ::::T:d By Job Name Architect Type of Structure Material Description (type. grade. source) Engineer Contractor / ` j Subcontractor inspectors) Name %' I TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS. ON SAMPLES. INSPECTION SUMMARY•— LOCATIONS OF WORK INSPECTED, TEST TS OF MA KEN 'MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE &'WORK REJECTED, JOB PROBLEMS; PROGRESS, RIDE TR NO'S OF INCLUDES INFORMATION ABOUT AMOUNTS OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC: f�Jr'y� "ea C CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICAB CTIONS OF THE GOVERNING BUILDING LAWS. r � SIGNATURE OF REGISTER SPECTOR O AGENCY O s fl 1C/ •rI O 6(n 3 CONTINUED ON NEXT PAGE ❑ PAGE OF TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDERS ,3 Z f -5o All inspections based on a min of 4 hours and over 4 hours - 8 hour minimum. In addition, ns T: extending past noon hour will bean 8 hour minimum. Approved by roject Superintendent �1 Page 3 Application Number . . . . . 04-00008283 Date 3/18/05 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 14.53 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1132.16 ------------------------------ .00 .00 1132.16 Plan Check Total 599.50 .00 .00 599.50 Other Fee Total 2471.56 .00 .00 2471.56 Grand Total 4203.22 .00 .00 4203.22