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05-5184 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00.005184 Property Address: `81739 RANCHO SANTANA DR APN: 767-200-999-12 -312021- Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 191643 Tiht 4 4.Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: LENNAR HOMES 40004 COOK STREET DETACHED PALM DESERT, CA 92211 (760)777-9920 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: .12/02/05 Contractor: Applicant: r itect or Engineer: LENNAR HOMES OF CALIFO (� I� 4000.4 COOK ST. A PALM DESERT, CA 92211 JAN 1 $ 1000 _ Lic. No.: 728102U _ CI F>►�AAI),p C CEPTprTA � 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: Secti 7000) f 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 Lice r�s Cl a s: B License No.: 728102 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate: Cc actor: 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 r insurance carrier and policy number are: I hereby affirm under penalty of perjury I am exempt from the Contractor's State License Law for the Carrier AON RISK SRVC 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 pursuant to the 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 00 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: D licant: (_ 1 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 WARNI G: FA URE TO SECURE WOR ER '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 NALTIES 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.). (_ 1 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.). (_ 1 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: LQPERMIT 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 ilding construction, and hereby authorize representatives of this unt to enter upon above-mentioned a for inspection p oses. ate: gnature (Applicant or Agent) LQPERMIT Application Number . . . . . 05-00005184 Permit . . . BUILDING PERMIT Additional desc . . 4 Permit Fee . . . . 961.50 Plan Check Fee 156.25 Issue Date . . . . Valuation . . . . 191643 Expiration Date 5/31/06 Qty Unit Charge Per Extension BASE FEE 639.50 92.00 3.5000 THOU 'BLDG 100,001-500,000 322.00 Permit MECHANICAL Additional desc . Permit Fee . . . . 101.50 Plan Check Fee 25.38 Issue Date . . . . Valuation 0 Expiration Date 5/31/06 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 ---------------------- 6.5000 ---- EA MECH ----------- EXHAUST HOOD --------------------------- 6.50 ------------ Permit . . . ELEC-NEW RESIDENTIAL Additional desc.. Permit Fee 134.81 Plan Check Fee 8.43 Issue Date Valuation 0 Expiration Date 5/31/06 Qty Unit Charge Per Extension BASE FEE 15.00 3026.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 105.91 695.00 -------------------------=-------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.90. Permit . . . •PLUMBING Additional desc . Permit Fee . . . . '195.75 Plan Check Fee 12.24 Issue Date . . . . Valuation 0,. Expiration Date 5/31/06 Qty Unit Charge Per Extension BASE FEE 15.00 19.00 6.0000 EA PLB FIXTURE 114.00 1.00 15.0000 F EA PLB BUILDING SEWER • 15.00 LQPERMIT LQPERMrr Application Number 05-00005184 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 2.00 7.5000 -EA PLB WATER HEATER/VENT 15.00 1.00 - 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 13.00 .7500 EA PLB GAS PIPE >=5 9.75 1.00 15.0000 EA PLB GAS METER ----------=-------------------------------------------------------- 15.00 --------- Permit GRADING PERMIT Additional desc . rPermit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/31/06 Qty Unit Charge .Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 12, 3026 SF. PLAN 3AR INCLUDES 695 SF. GARAGE. PERMIT DOES NOT INCLUDE POOL,'SPA, BLOCK WALLS OR DRIVEWAY.APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ---------- Other Fees .. . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 62.50 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 19.16 DIF STREET MAINT FAC -RES 15.00 _DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1408.56 .00 .00 1408.56 Plan Check Total 202.30 .00 .00 202.30 Other Fee Total 2506.66 .00 .00 2506.66• Grand Total 4117.52 .00 .00 4117.52 LQPERMrr