05-5191 (SFD).; O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
c&ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
05-00005191
81646 RICOCHET WY
767-200-999-23 -312021-
DWELLING - SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL
191643
/Architect or Engineer:
q o�
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section000) of Division 3 of the Busi ss d Professionals Code, and my License is in full force and effect.
Lice a Class: 13 Li nsee No.: 728102
ate ontractor: FT�`""�✓ lam_
1,101—
WNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that 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).:
I—) 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, 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
1 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
Owner:
LENNAR HOMES
40004 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
a
VOICE (760)-777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/02/05
i JAN � 810
0U
7bi
CiryF/Nw�.FL41DIn.._
. 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.
1 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
3700 agorae
La o e, I hall forthwith comply with those provisions.
a plicant:
WARNING: AILURE TO SECURE WO 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 t t I have read this application and state that t e above information is correct. I agree to comply with all
city and c unty 'in
and state laws relating to b ild' onstruction, and hereby authorize representatives
of this my t ant r upon th bove-mentioned pro for inspection purp es.
ate: ature (Applicant or Agent):
LQPERMTT
Application Number .
. . . . 05-00005191
Permit
BUILDING PERMIT
Additional desc .
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-
2.24Issue
IssueDate . . . .
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
EA PLB BUILDING SEWER
15.00
LQPERMTT
LQPERMIT
Application Number
05-00005191
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 .
Permit 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 23, 3026 SF.
PLAN 3B 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