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04-8280 (SFD)79926 Amora Dr 04-8280 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 . . Owner ------------------------ LENNAR HOMES OF CALIFORNIA 78401 HIGHWAY 111, STE C LA QUINTA, CA LA QUINTA inpr--et 92 BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 ;O:II0;0 0;0,8!280 Date 3/18/05 79926 AMORA DR 609-380-999-61 -293234- DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 130681 Contractor ------------------------ LENNAR HOMES OF CALIFORNIA INC 78401 HIGHWAY 111, SUITE C LA QUINTA CA 92253 IIIIIII VIII III II I IIII 62 IE WC: MWC 11114 5 0 0 11/01/05 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 . . Owner ------------------------ LENNAR HOMES OF CALIFORNIA 78401 HIGHWAY 111, STE C LA QUINTA, CA LA QUINTA inpr--et 92 BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 ;O:II0;0 0;0,8!280 Date 3/18/05 79926 AMORA DR 609-380-999-61 -293234- DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 130681 Contractor ------------------------ LENNAR HOMES OF CALIFORNIA INC 78401 HIGHWAY 111, SUITE C LA QUINTA CA 92253 WCC: AON RISK SRVC NrK 012005 WC: MWC 11114 5 0 0 11/01/05 CSLB: 728102 09/30/06 --------------- CITY OF LA QUINTA CCC: B' FINANCE DEPT ure Information ------------------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG.<=10 Flood Zone . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CRC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 447.00 PATIO SQ FTG 45.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 2121.00 ------------------- Permit . ------------------------------------------------ . . . . . BUILDING PERMIT -------- Additional desc . . Permit Fee . . . . 748.00 Plan Check Fee 486.20 Issue Date . . . . Valuation . . . . 130681 Qty Unit Charge Per Extension BASE FEE 639.50 31.00 3.5000 THOU BLDG 100,001-500,000 108.50 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 39.50 Plan Check Fee 9.88 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 r P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-701 1 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: Date: • 31- oS Architectr En ineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 ereby affirm under nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Licen a in full force and effect. /may License Class License No. V 1 ✓ Date b ) 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.C. for this reason Date Owne 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. I h e and ill aintain workers' compensation insurance, s required y Section 3700 of the Labor Code, for the performance of the work for which this permit is / s workers' compensation insurance carrier i elf V Carrier Policy Number I certify that, in the performance of the work for which this permit is issu d, 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 pr v sions. 7 I--- /Date ✓l Applicant WARNING: FAIL RE 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 /constructio , and hereby authorize representatives of this county to enter upon the above-mentioned properly for inspection purposes. v Date dJ Signature (Applicant or Agent): '+ra'r�7'.r., �..zaromr�v .....:"„"",r"^�•.v.—.y..,.rr•..w. ��,.}}}`ts'r�.;` "`.. .. t _ - -..ay- - ..-_:fir• - .�P - - :'_=..:+t- - - - :- __:�:. �. _. - -�. .. • . and Testin .Inca. - . Southwest Inspection a g� 10826 South Norwalk Blvd.,�Santa Fe Springs, CA 90670. (562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026 [��T Job No. Date o �! v a S REGISTERED INSP.ECTORS'S DAILY REPORT Quality Control Reinforced Concrete ❑ Fire. Proo i Steel Assembly 0 Other TYPE OF Fire. Proofing INSPECTION ❑ Post Tensioned Concrete ❑ 9 REQUIRED ❑ Reinforced Masonry ❑ Asphalt City Job Address C iA v-, , . A 7—L\ T Job Name i Type of.Structure. Material Description (type, grade. source) Inspectors) Name Permit No. Architect - Engineter Contractor Subcontractor �5 TESTS PERFORMED Issued By LSLUMP . QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES TYPE OF SAMPLE- INSPECTION SUMMARY'- LOCATIONS OF WORK INSPECTED, TEST SAMPLE OUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBERS -TAKEN, -WORK REJECTED, -JOB PROBLEMS" GTYPE &RDENTR NO OF INCLUDES INFORMATION ABOUT AM TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOOTS TORQUED) CHECKED; ETC: i_ rA n C G i_ 4 1 T •So T� `Z � l.� _7 6z 7cy— f _�z 7 Y— CERTIFICATION OF COMPLIANCE 1 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. SIGNATURE OF REG{STE:� l SP � N0. AGENCY SPECIALTY I CONTINUED ON NEXT PAGE ❑ PAGE 4 OF TIME IN TIME OUT REG. HOURS - O.T. HOURS CYLINDERS 3 Z 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 B hour minimum. Approved by roject Superintendent Page 2 Application Number . . 04-00008280 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 98.18 Plan Check Fee 24.55 Issue Date Valuation . . . . 0 Qty Unit Charge Per 'Extension BASE FEE 15-00 2121.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 74.24 447.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.94 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 152.25 Plan Check Fee 38.06 Issue Date . . Valuation 0 Qty Unit Charge Per.' Extension BASE FEE 15.00 14.00 6.0000 EA PLB FIXTURE 84.00 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 -------------- 7------------------------------------------------------------- Permi.t . . . . . 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 -------------------'-------------------------------------------------------- Special Notes and Comments SFD.- LOT 61. PLAN 3, 2121 SF. 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 48.62 1 0 Page 3 Application Number . . . . . 04-00008280 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 13.06 DIF STREET MAINT FAC -RES 15.00 DIF -TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1052.93 ---------- -------------------- .00 .00 1052.93 Plan Check Total 558.69 .00 .00 558.69 .Other Fee Total 2466.68 .00 .00 2466.68 Grand Total 4078.30 .00 .00 4078.30 0