05-0809 (SFD)1504 ` (JV1-
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
1
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
05`00000.809mwf
81636 RANCHO SANTANA DR
767-200-999-2 -312022-
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
185758
Tityl 44*4PQ"
1_�rcthJitect or Engineer
IrT"U�_
Lic. No.: OOR SE FOOT
c �
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.
License lass: B license No.: 728102
Date: Co D actor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I 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 1, 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: M_
Lender's Address:
LQPERMTT
kRTMENT
IT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/21/05
Owner:
LENNAR HOMES
40004 COOK STREET
PALM DESERT, CA 92211
(760)777-9920
Contractor:
LENNAR HOMES OF CALIFORNIA INC
40004 COOK ST.
PALM DESERT, CA 92211
(951)817-3600
Lic. No.: 728102
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations: -
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 should become subject to the workers' compensation provisions of Section
%700 of the L bor shall forthwith comply with those provisions.
D� V pplicant:
WARNING: FAILURE TO SECURE WOR S' 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. '
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 Quints, 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 construction, and hereby authorize representatives
of this o my to ntei upon above-mentioned prop inspection purposes.
te: nature (Applicant or Agent):
Application Number . . . . . 05-00000809
Permit
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee
. . .
.940.50
Plan Check Fee
611.33
Issue Date
. . . .
Valuation
185758
Expiration
Date
5/20/06
Qty• Unit Charge
Per
Extension
BASE
FEE
639.50
86.00
--------------------=--------------=----------------------------------------
3.5000
THOU BLDG
10q,001-500,000
301.00
�• Permit
. . .
MECHANICAL
Additional-desc
.
Permit Fee
. . . .
101.50
P1an.Check Fee
25.38
Issue Date
. .
Valuation . . . .
0
Expiration
Date
5/20/06
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
32.65
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date..
5/20/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00,
2961.00
•.0350
ELEC
NEW RES -1 OR'2 FAMILY
103.64
598.00
------------------------
.0200'
----------------------------------------------------
ELEC
GARAGE OR NON-RESIDENTIAL
11.96
Permit
. . .
PLUMBING
Additional
desc-.
Permit Fee
199.50
Plan Check Fee
49.88
Issue Date
. . .
Valuation
0
Expiration
Date
5/20/06
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
LQPERMrr
Application Number .
. . . . 05-00000809
r
'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
----------------------------------------------------------------------------
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`.
5/20/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 2, 2961 SF
PLAN 2B/3 -CAR
GARAGE'598 S.F. PERMIT DOES NOT. INCLUDE
POOL, SPA, BLOCK WALLS
OR DRIVEWAY
APPROACH
-----------------------------.-----------------------------------------------
Other Fees .
. . . . ART.IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER.- RES
366.00
ENERGY REVIEW FEE
61.13
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
719.24 200.00 .00
519.•24
Other Fee Total
2504.70 .00 .00
2504.70
Grand Total
4611.04 200.00 .00
4411.04
LQPERMIT