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05-5155 (SFD)*-P.Or"$OX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tiht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: �25-0 00 05155 Property Address: 81678 RANCHO SANTANA DR APN: 767-200-999-6 -312021- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 185758 Applicant:.-Archi ect or Engineer: LICENSED CONTRACTOR'S DECLARATION - 'l hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License lass: E1 License No.: 728102 ,,,,tate.)I1Dontractor: // OWNER -BUILDER DECLARATION I hereby affirm under penalty of pert alI am exempt 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 ($500).: (_ 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 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.). (_ 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: I LQPERMIT Owner: LENNAR HOMES 400.04 COOK STREET PALM DESERT, CA 92211 (760)777-9920 Contractor: LENNAR HOMES OF CALIFORN 40004 COOK ST. PALM DESERT, CA 92211 / (951)817-3600 Lic. No.: 728102 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 I Date: 11/23/05 -lqN 18 _ YpF 106 / 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 AON RISK SRVC 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 as to become subject to the workers' compensation laws of California, and agree that, if I hould become subject to the workers' compensation provisions of Section 37(00 of the L r o hall forthwith co ply with those provisions. ate: `� pplicant: WARNING: F ILURE TO SECURE WOR R ' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL NALTIES 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 ounty ordinances and state laws relating to b ' g onstruction, and hereby authorize representatives of this c unty enter upon th ove-mentioned prop y for spection urposes. e: gnature (App or Agent): 4i Application Number . . . . 05-00005155 Permit . . BUILDING PERMIT Additional desc . Permit Fee . . . . 940.50 Plan Check Fee 152.83 Issue Date . . . . Valuation 185758 Expiration Date . . 5/22/06 Qty Unit Charge Per Extension BASE FEE 639.50 86.00 ----------------------------------------------------------------------=----- 3.5000 THOU BLDG 100,001-500,000 301.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 101.50 Plan Check Fee 6.35 Issue Date . . Valuation 0 Expiration Date 5/22/06 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 . . . . 130.60 Plan Check Fee 8.16 . Issue Date Valuation . . . . 0 Expiration Date 5/22/06 Qty Unit Charge Per Extension BASE FEE 15.00 2961.00 0350 ELEC NEW RES - 1 OR 2 FAMILY 103.64 598.00 ---------------------------------------------------------------------------- .02.00 ELEC GARAGE OR NON-RESIDENTIAL 11.96 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 199.50 Plan Check Fee 12.47 Issue Date . . . Valuation . . . . 0 Expiration Date 5/22/06 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 6.0000 EA' PLB FIXTURE 120.00 1.00 15.0000 EA PLB BUILDING SEWER 15..00 LQPERMTT LQPERMIT Application Number . . . . . 05-00005155 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 10.00 .7500 EA PLB GAS PIPE >=5 7.50 1.00 15.0000 -------------------------------------------------------------------7-------- 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 5/22/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT.6, 2961 SF PLAN 2A/3 CAR GARAGE 598 S.F. 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 1 366.00 ENERGY REVIEW FEE 15.28 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 18.57 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged --------------------------- Paid Credited Due Permit Fee Total ------------------------------ 1387.10 .00 .00 1387.10 -Plan Check Total 179.81 .00 .00 179.81 Other Fee Total 2458.85 .00 .00 2458.85 Grand Total 4025.76 .00 00 4025.76 LQPERMIT