05-5153 (SFD)PJ(Aii' BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T,iht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: r-05=0000515
Property Address: 81579—RANCHO- SANTANA DR
APN: _ 767-200-999-57 -312022-
Application description: DWELLING - SINGLE FAMILY DETACHE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 185758
�4* Applicant: rchitect or Enginee
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
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
Date: 11/23/05
- i v
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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.
LicensF"
lass: B License No.: 728102
Dater fo tractor:
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 civilpenalty of not more than five hundred dollars ($500).:
(_) 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 ISec. 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 contractorls) 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 ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address: 1�
LQPERMIT
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
Yissued.
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 became subject to the workers' compensation laws.of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
f 3)00 of the Labw-iCytje, I shall forthwith comply with those provisions.
WARNING: FAKURE TO SECURE W4al)ERS' 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 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 building construction, and hereby authorize representatives
of this unty enter upon thea ve-mentioned property pection p poses.
ate: ture (Applicant or Agent):
b Application Number . . . . . 05-00005153
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
f
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
598.0.0
----------------------------------------------
.0200
ELEC
GARAGE OR N.ON-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
0
LQPERMIT
y Application Number .
. . . . 05-00005153
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 9.00.00
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
5/22/06.
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 57,. 2961 SF
PLAN 2B/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
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