06-1242 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 4 Q"
Application Number:. 06-00001242
Property Address: 81720 RANCHO SANTANA DR
APN: 767 -200 -999 -3 -312021 -
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 20000
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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LICENSED CONTRACTOR'S DECLARATION
_ I hereby affirm under penalty 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 License is in full force and effect. -
F
Licens"of
Li ense No.: 728102
iDate:NER-BUILDER DECLARATION
I hereexempt from the Contractor's 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 Contractor's 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 (8500)•;
(_) 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 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.).
(_) 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
(y: property who builds or improves thereon, and who contracts for.the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
( ) 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:
LQPERMIIT
Owner:
LENNAR HOMES OF CALIFORNIA
78401 HIGHWAY 111, STE C
LA QUINTA, CA
LA QUINTA, CA 92253
Contractor:
LENNAR HOMES OF CALIFORNIA
40004 COOK ST.
PALM DESERT, CA 92211
(760)601-3100
Lic. No.: 728102
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/04/06
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WORKER'S 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' 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
insurance carrier and policy number are:
Carrier OLD REPUBLIC IN Policy Number MWC11148500
_ 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`es 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
*INGFAI�CU��O
heLabrCoorthwith comp) with those provisions.Datc:ipplicanl.WARE TO SECURE WORKE OMPENSATION 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.
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 ccznty ordinances and state laws relating to be Iil ing construction, and hereby authorize representatives
of thi my t �enter upon the above-mentioned pr y f in tion rpose
Date: 1 V ignature (Applicant or Agent):
L y
Application Number . . . . . 06-00001242
LQPERAUT
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . . . 207.00 Plan Check
Fee
134.55
Issue Date . . . . Valuation
20000
Expiration Date 10/01/06
Qty Unit Charge Per
Extension
BASE FEE
45.00
18.00 9.0000 THOU BLDG 2,001-25,000
-----------7----------------------------------------------------------------
162.00
Permit ELEC-MISCELLANEOUS
Additional desc . .
Permit Fee . . . 31.20 Plan Check
Fee
7.80
Issue Date . . . . Valuation
. . . .
0
Expiration Date 10/01/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
36.00 .4500 EA ELEC DEVICE/FIXTURE >20
16.20
----------------------------------------------------------------------------
Special Notes and Comments
convert garage to temp. sales
officeApril 4, 2006 3:17:06,PM jjohnson
Other Fees . . . . . . ... .' ENERGY REVIEW FEE
13.46
STRONG MOTION (SMI)
- COM
4.20
Fee summary Charged Paid Credited
Due
Permit Fee Total 238.20 .00
.00
238.20
Plan Check Total 142.35 .00
.00
142.35
Other Fee Total 17.66 .00
.00
17.66
Grand Total 398.21 .00
.00
398.21
LQPERAUT
Bin #'ro
'
G City a La Quinta
Building u Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
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Project Address: - �GuGCyIQ t/G
A. P. Number:
Owner's Name:/V
Address: (il
Legal Description: 1�Z -
202 Z
City, ST, Zip:
Contractor:
Telephone: U . I Q-QA7 (20
Project Description:
Address:
City, ST, Zip:
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Telephone:
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State Lic. # :
City Lic. #:
Arch., Engr., Designer: '
Address:
City, ST, Zip:
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Telephone: eI Miu I,
State Lic. #:
Name of Contact Person: eX _'
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person: l '� (,((� _ � 0 (�
Estimated Value of Project: j000
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG .
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading, plan
r' Review, ready for correctio s/iissue C
Electrical
Subcontactor List
Called Contact Person 0
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Jrd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
'
n
Total Permit Fees