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05-5194 (SFD)—.1 4.O4OX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:05-0_0005.194_ T-it4t °f 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Property Address: 81677 RICOCHET WY APN: 767-200-999-34 -312021- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 191643 Applicant:Architect or Engineer: -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) 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: " actor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury 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 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 (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: J� LQPERMIT Owner: LENNAR HOMES 40004 COOK STREET PALM DESERT, CA 9221 (760)777-9920 Contractor: LENNAR HOMES OF 40004 COOK ST. PALM DESERT, CA (951)817-3600 LiC. No.: 728102 CALI VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/02/05 92211 ------------------- WORKER'S COMPENSATION DECLARATION 1 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. 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, nd agree that, if I sh become subject to he workers' compensation provisions of Section 00 of the Labor C h Ifo ith mply with those provisions. 4ate: plicant: ILURE TO SECURE WO S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA ENALTIES 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 Ouinta, 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 a plication becomes null and void if work is not commenced within 180 days from date of issuan of uch permit, or cessation of work for 180 days will subject permit to cancellation. I certify hat I have read this application and state a bove information is correct. I agree to comply with all city i1countfoedinancpo; and state laws relating uil n constructi and hereby authorize representatives oft ounty o nrn t ove-mentioned r pe n urposes. Date: nature (Applicant or Age 0 Application Number . . . . . 05-00005194 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 . Issue Date . . . . Valuation. . Expiration Date 5/31/06 Qty Unit Charge Per BASE FEE 19.00 6.0000 'EA PLB FIXTURE 1.00 15.0000 EA PLB BUILDING SEWER LQPERMre 12.24 0 Extension 15.00 114.00 15.00 Application Number . . . . . 05-00005194 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 34, 3026 SF. PLAN 3CR 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 Permit Fee Total 1408.56 Plan Check Total 202.30 Other Fee Total 2506.66 Grand Total 4117.52 LQPERMIT Paid Credited Due ---------- ---------- ---------- .00 .00 1408.56 .00 .00 202.30 .00 .00 2506.66 .00 .00 4117.52