05-5125 (SFD)w 1t
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T,iht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: C05 00005125' Owner:
Property Address: 52225 SILVER—STAR TR LENNAR HOMES
APN: 767-200-999-13 -312021- 40'004.COOK STREET
Application description: DWELLING - SINGLE FAMILY DETACHED PALM DESERT, .CA 92211
Property Zoning: LOW DENSITY RESIDENTIAL (760) 601-3100
Application valuation: 173670
VOICE (760)'777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/21/05
Contractor: �UU5
Applicant: Architect or Engineer: LENNAR HOMES OF CALIFORNIA IN C/�'OF
I 40004 COOK ST.
PALM DESERT, CA 92211
�Q ` (� (951) 817-3600
Lic. No.: 728102
________________________ --- ______________________________________--- __________________________--- ___
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
�.I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 000) Of.
f Division.3 of the Bu�sandfessionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: License No.: 728102 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
' issued.
Date: Contractor: ' 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
OWNER -BUILDER DECLARATION - insurance carrier and policy number are:
I hereby affirm under penalty of perjury th am exempt from the Contractor's State License Law for the Carrier AON RISK SRVC Policy Number MWC11148500
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California,
_ . permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I, s Auld become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 700 of the La r I shall forth 'th comply with those provisions.
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).: e: plicant: -
(_ 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 WARNING: FAILURE TO SECURE WO S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or hevown employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale: If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES.
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 J. - - - - APPLICANT ACKNOWLEDGEMENT
1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of' conditions and restrictions set forth on this application. .
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a'result of this application,
( 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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: Q,
Lender's Address:
LQPERMIT
of La Quints, its officers, agents and employees for any act or omission related to the,work bang
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
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city an ounty ordinaes and state laws relating to building construction, and hereby authorize representatives
of th oun to enc
nter upon the above-mentionedWorn purposes.
to ignature (Applicant or Agent)
LQPERMIT
Application Number .
. . . . 05-00005125
Permit . . . .BUILDING
PERMIT
Additional desc .
Permit Fee . . . .
898.50 Plan Check Fee
146.01
Issue Date
Valuation . .
173670
Expiration Date
5/20/06
Qty Unit Charge
Per.
Extension
BASE FEE,
639.50
74.00 3.5000
THOU BLDG 100;001-500,000
259.00
Permit . ...
MECHANICAL
Additional desc
Permit Fee
95.00 Plan Check Fee
5.94
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
3.00 6.5000
EA MECH VENT FAN
19.50
1.00 G.5000
DA P-4DCII, 'B11IIAUOT IIOOD
G.50
Permit
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee
124.53 Plan Check Fee
7.78
Issue Date
Valuation
0
Expiration Date
5/20/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2742.00 .0350
ELEC NEW RES -.1 OR 2 FAMILY'
95.97
678.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
13.56
Permit
PLUMBING
Additional desc _
Permit Fee . . . .
161.25 Plan Check Fee
10.08
Issue.Date
Valuation
0
Expiration Date
5/•20/06
Qty Unit Charge
Per,
Extension
BASE FEE
15.00
15.00 6.0000
EA PLB FIXTURE
90.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
Application Number . . . . .. 05-00005125
Permit '. PLUMBING
Qty.Unit Charge Per
Extension
1.00- 7.5000 EA PLB WATER HEATER/VENT
'7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 9.00.00 EA PLB LAWN SPRINKLER SYSTEM
9.00
9.00 .7500 EA PLB GAS PIPE >=5
6.75
1.00 - 15.0000 EA PLB GAS METER
------------------------------------------------------------------
15.00 -.
=---------
y
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 - 2742 SF. LOT 13, PLAN 1AR/3 CAR
GARAGE 678 SF.PERMIT DOES NOT
INCLUDE POOL, SPA,.BLOCK WALLS OR
DRIVDIVAY APPROACII. 75% REDUCTION TO
i
PLAN CHECK FEES DUE TO MULTIPLE _.
ISSUANCE OF SAME PLAN TYPE
- - ------------------------------
-- --------------- -
Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES
Other
-------
20.00
DIF COMMUNITY CENTERS -RES
97.00,
DIF CIVIC CENTER - RES
.366'.00
ENERGY REVIEW FEE
58.40 ;
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
17.36•
DIF STREET MAINT"FAC-RES
-15.00
* DIF TRANSPORTATION - RES
1098.00
Fee summary -._. Charged ,- Paid -. Credited
Due.
Permit Fee Total 1294.28 .00 .00
1294.28
Plan-Check'Total 169.81 ..00 .00
169.81
Other Fee Total 2500.76 .00 .00
2500.76
Grand Total 3964.85 .00 .00
3964.85
LQPERMII f