04-4588 (SFD)� ?. 4 44"
ihf
BUILDING & SAFETY DEPARTMENT
(760).777-7012
s FAX (760) 777-7011
IA 92253 INSPECTION REQUESTS (760) 777-7153
ILDING PERMIT
Property Address .
APN:
Application description . . .
Property Zoning . . . . . . .
Application valuation
Owner
------------------------
LENNAR HOMES OF CALIFORNIA
78401 HIGHWAY 111, STE C
LA QUINTA, CA
LA QUINTA CA 92253
04-00004588 Date 6/02/04
44690 VIA ALONDRA
604-032-999-71' -305212-
DWELLING - SINGLE FAMILY DETACHED
.LOW.DENSITY RESIDENTIAL.
166553'
Contractor .
------------------------
LENNAR HOMES OF CALIFORNIA INC
718401 HIGHWAY 111, SUITE C
LA QUINTA CA 92253
Qty 'Unit Charge Per Extension
WCC: OLD REPUBLIC
IN'
WC: MWC10877600
11/01/04
CSLB:,- 728102
09/30/04
CCC: B
--------------------------
Structure Information -----------
Construction Type . .
. . .. .TYPE V - NON RATED
Occupancy.Type . . .
. DWELLG/LODGING/LONG <=10
Flood Zone . . . . .
. . . NON -AO FLOOD ZONE
Other struct info .
. . . CODE EDITION 2001
CRC
FIRE SPRINKLERS NO
GARAGE SQ FTG
462.00
PATIO -SQ FTG
488.00
NUMBER OF.UNITS
1.00
FIRST FLOOR SQ FTG
2640.00
----------------------------------------------------------------------------
Permit
BUILDING PERMIT.
Additional desc
Permit Fee . . .
874.00 Plan Check Fee
142.03
Issue Date
Valuation . . . .
. 166553
Qty Unit Charge
Per
Extension
BASE FEE
639.50
67.00 .3.5000
THOU BLDG 100,001-500,000
234.50
Permit . . . . . .
MECHANICAL
Additional desc..
Permit Fee . . .
65.50 Plan Check Fee
4.10.
Issue Date
Valuation . . . .
0
Qty 'Unit Charge Per Extension
P.O. BOX 1504. _ _
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Applicant:
mppncam s Maning Address:
C&f 4 44"
BUILDING & SAFETY DEPARTMENT
or
54 C4 qP-701
ti. No.
BUILDING PERMIT DECLARATIONS
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: (0-1(0- D
dress:
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 Lice is in full force and effect. /�
/ License (Class_ -,cense No. I 00 w' �%
I hereby affirm under penaltyof OWNER -BUILDER DECLARATION
perjury that I am exempt from the Contractors' State License Law fort 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 Contractors' 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 fort 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 ($5003.):
(--) 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 or 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.).
U I, as owner of the property, am exclusively contracting vith licensed contractors to construct t 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.).
U 1 am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' 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 t performance
of the work for which this permit is issued.
I have and will maintain workers' compensati insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
looi sued. c �'� mpensatio ranee earner d p li Mssuedr
artier PolicyNumber Ushhaalll
certithat,i the performance of the work for which is pem it iem to an
y person in any compensation laws of California, and agree that, if I should become subject tot workers' mpensabon provisions of ection becomeanner so as to 00 of t subject
Code, to the workers'
shall
I
forthwith comply with those provisions. A
--Date (r I U - b U 6.r 1' /i! A / 1 �/ i.L
WARNING: FAILURE TO SECURE WORKERS' 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.
I hereby affirm under penaltyof CONSTRUCTION LENDING AGENCY
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
IMPORTANT APPLICANT ACKNOWLEDGEMENT
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 prsuato an
issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity and hold harmless the City of La Quints its
pent
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 applicatiori 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 county to enter upon the above-rnentioned property for inspection purposes.
ate �f , if �a / gi9nature (Applicant or Agent): 61U az�
.,1 4 .r': �i c :;•'t ic, :�t
Page
2
Application,Number .
. .
. . 04-00004588
Date
6/02/04
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
1.00
9.0000
EA
MECH
FURNACE<=100K
9.00
1.00
9.0000
EA
MECH
B/C <=3HP/10OK BTU
9.00
4.00
6.5000
EA
MECH
VENT FAN
26.00
1.00
6.5000
EA
MECH
EXHAUST HOOD
6.50
----------------------------
---------------------
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee .
. . .
116.64
Plan Check Fee
7.29
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
2640.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
92.40
462.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
9.24
----------------------------------------------------------------------------
Permit . . .
. . .
PLUMBING
Additional desc
Permit Fee
X189.00
Plan Check Fee
11.81
Issue Date .
. . .
Valuation
0
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
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
9.0000
EA
PLB
LAWN SPRINKLER SYSTEM
9.00
6.00
.7500
EA
PLB
GAS PIPE >=5
4.50
1.00
15.0000
EA
PLB
GAS -METER
15.00
-----------------------
Permit. . . .
-----------------------------------------------------
. . .
GRADING PERMIT
Additional desc
Permit Fe'e
15.00
Plan Check Fee
00
Issue Date
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
--------------------------------------------------------------
Special Notes
and Comments
-------------
SFD - LOT 71.
PLAN 1Y.
PERMIT DOES NOT
ti
Page 3
Application Number
. . . . .
04-00004588 Date
6/02/04
----------------------------------------------------------------------------
Special Notes and
Comments
INCLUDE BLOCK WALLS,
POOL,.SPA.OR
DRIVEWAY APPROACH.
75% PLAN CHECK FEE
REDUCTION APPLIED
FOR MULTIPLE
ISSUANCE
OF SAME PLAN TYPE.
-----------------------
Other Fees . . .
----------------------------------------,-------------
. . . . . .
ART IN PUBLIC PLACES-RES
.00
DIF COMMUNITY CENTERS-RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
14.20
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
"16.65
DIF STREET MAINT FAC-RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
----------
Paid Credited
Due
Permit Fee Total
1260.14
------------------------------
.00 .00
1260.14
Plan Check Total
165.23
.00 .00
165.23
Other Fee Total
2435.85
.00 .00
2435.85
Grand Total
3861.22
.00 .00
3861.22