04-4113 (SFD)� m � P.O. Box 1504
A 0 95 CALLE TAMPICO
tQUINTA, CALIFORNIA 92253
MA's 21 2004 t'Ol BUILDING PERMIT
EJ -o LA QUIF�TA
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
-P a` .. on Number . . . . . -_04-000041.13 Date 5/13/04
Property Address . . . . . . 79715 CASTILLE DR
APN: 609-380-998-40 -293232-
Application description . DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 112338
Owner
LENNAR HOMES OF CALIFORNIA
78401 HIGHWAY 111, STE C
LA QUINTA, CA
LA QUINTA CA 92253
Contractor
------------------------
LENNAR HOMES OF CALIFORNIA INC
78401 HIGHWAY 111, SUITE C
LA QUINTA CA 92253
WCC: OLD REPUBLIC
IN
WC: MWC10877600
11/01/04
CSLB: 728102
09/30/04
CCC: B
--------------------------
Structure Information -------------------------
Construction Type . .
. . . TYPEV - NON RATED
Occupancy Type . . ...
. . DWELLG/LODGING/LONG <=10
Flood Zone
NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION 2001
CRC
# BEDROOMS
3.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
425.00
PATIO SQ FTG
53.00
NUMBER OF UNITS
1.00
FIRST FLOOR SQ FTG
1806.00
----------------------------------------------------------------------------
Permit . . . . . .
BUILDING PERMIT
Additional desc
Permit Fee
685.00 Plan Check Fee
445.25
Issue Date . . . .
Valuation . . . .
112338
Expiration Date
11/13/04
Qty Unit Charge
Per
Extension
BASE FEE
639.50
13.00 3.5000
THOU BLDG 100,001-500,000
45.50
----------------------------------------------------------------------------
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee . . .
39.50 Plan Check Fee
9.88
Issue Date . . . .
Valuation . . . .
0
P.O. Box 1504�� VOICE (760) 777-7012
78-495 CALLS TAMPICO Tait 4 FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 04 'f)1-3 I Date: Jr•.2j-0
Applicant:
Applicant's Mailing Address:
CP fl 16�1
Arch or Engineer
Aritect or Engineer's Addre s:
2eDO�101f�sem
No.: &a-3 qS PC—
BUILDING
C
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
ffirm under penalty of perjury that I am licensed uZense
visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
a�my License, in full fort d effect.
e ass ,Ci o. ��d—
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 1, 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 ' 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.
I have and will maintain workers' compens on insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
&Gred My workeIourance carreIrnerare: ,
arter GLme�Tolicy Number
_ 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.
DatepplicanI
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.
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 I 4k
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, indemnity and hold harmless the City of La Ouinta, 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
;Date
nstruct' n; and hereby authorize rep entatives of this county to enter upon the above-mentioned property for inspection purposes.
�`Zf ' / gnatura (Applicant or Agent):
Page
2
Application
Number
04-00004113
Date
5/13/04
Expiration
Date . .
11/13/04
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
1.00
6.5000
EA MECH
EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit .
. . . . .
ELEC-NEW RESIDENTIAL
Additional
desc . .
Permit Fee
. . . .
86.71
Plan Check Fee
21.68
Issue Date
. . . .
Valuation . . . .
0.
Expiration
Date..
11/13/04
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
1806.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
63.21
425.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
8.50
-----------------------------------------
Permit .
. . . . .
PLUMBING
7 ----------------------------------
Additional
desc
Permit Fee
. . . .
146.25
Plan Check Fee
36.56
Issue Date
Valuation . . . .
0
Expiration
Date
11/13/04
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
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
Expiration
Date
11/13/04
Qty
Unit Charge
Per
Extension
Page 3
Application Number
. . . . .
04-00004113 Date
5/13/04
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 40. PLAN
1. 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
44.53
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
11.23
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
----------
Paid Credited
Due
Permit Fee Total
972.46
---------- ----- - ---- ----------
.00 .00
972.46
Plan Check Total
513.37
.00 .00
513.37
Other Fee Total
2460.76
.00 .00
2460.76
Grand Total
3946.59
.00 .00
3946.59
r
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