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04-4474 (SFD)7-- -- o`` BUILDING & SAFETY DEPARTMENT C -k4 P.O. BOX 1504 V (760).777-7012 OF 78-495 78-495 CALLE TAMPICO ` FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT k Application Number . . . . . 04-00004474-_=� DaEe• 6/02/04 Property Address . . . ... . 78415 VIA CALIENTE APN: 604-032-999-111 -305212- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . 178268. Owner -------------.----------- LENNAR HOMES OF CALIFORNIA .78401 HIGHWAY"111, STE C LA QUINTA, CA LA QUINTA CA -92 --------------------- Construction Typ Contractor ------------------------ LENNAR HOMES OF CALIFORNIA INC 78401 HIGHWAY 111, SUITE C LA QUINTA CA 92253 WCC: OLD REPUBLIC IN WC: MWC10877600 11/01/04 CSLB: 728102 09/30/04 CCC: B ormation. ------------------------- - NON RATED Occupancy Type . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CRC FIRE SPRINKLERS NO GARAGE SQ FTG 465:..00 PATIO -SQ FTG 358.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 2874.00 - --------------------------------------------------------------------------- Permit BUILD-ING PERMIT Additional desc Permit Fee . . . 916.00 Plan Check Fee 595.40 Issue Date Valuation . . . . 178268 Qty Unit Charge Per Extension BASE FEE 639.50 79.00 3.5000 THOU BLDG 100,001-500,000:. 276.50 ---------------------------------------------------------.------------------- Permit . . . . . MECHANICAL Additional desc Permit Fee 59.00 Plan Check Fee 14.75 Issue Date . . . . Valuation 0 Qty Unit Charge P.er Extension -- P.O. Box 1504a 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: VOICE (760) 777-7012 FAX (760) 777-701 1 INSPECTIONS (760) 777-7153 Date: (o • 4 `may' Arch' ect or Engineer: Architect or Engineer's Address: Lic. NO.: 323 u BUILDING PERMIT DECLARATIONS 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 Licen is in full force and effect. �nse Class � 'License No. t o a" OWNER -BUILDER DECLARATION I hereby affirm under penalty of 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U 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 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.). U I am exempt under Sec. . BA P.C. for this reason Date - Owner WORKERS' 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, fort performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3760 of the Labor Code, for the performance of the work for which this i sued,./may 1+tprk rs' om ansa ' surance carrier1d qIi um r a permit is Cartier - Q G� IC�Yi/�W1(/ p Number 1 l�f �,//�y�%J _ I certity that, r the performance of the work for which this pertmt is issued, I shall not em to an y person in any compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of ection anner so as to become of t subject Code. to the workers' shall forthwith comply with those provisions. Date LIP ` Applicant 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 herebyaffirm under CONSTRUCTION LENDING AGENCY 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 APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a perftt 1. Each person upon hose behalf this application is made, each person at Permit subject request and for hto the rose benefit work stions and reStric np se forth on this rtned under or pursuant to 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 Guirda, 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 18Q days will subject permit to cancellation. I certify that 1 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-mentionedro for p party inspection purposes. ate % ' ature (Applicant or Agent): Application Number . . 04-00004474 Page 2 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/100K BTU 9.00 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 --------------------------------------------------------------------7------- Permit ELEC-NEW RESIDENTIAL Additional desc Permit Fee 124.89 Plan Check Fee 31.22 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension. BASE FEE 15.00 2874.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 100.59 465.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.30 -----------=--=------------------------------------------------------------- Permit PLUMBING Additional.desc Permit Fee . . . . 183.75 Plan Check Fee 45.94 Issue Date . . . . Valuation . . . . 0 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 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 7.00 .7500 EA. PLB GAS PIPE >=5 5.25 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 Qty Unit Charge Per Extension BASE FEE 15.00 -----------------------------------------------------------------=---------- Special Notes and Comments SFD - LOT 111. PLAN 2Y. PERMIT DOES NOT r Page 3 Application Number . . . . . 04-00004474 Date 6/02/04 ---------------- ------------- Special Notes.and 7 -------------- Comments, --------------------- --------.--- INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. Other Fees . . . . . . . . .' ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES, 97.00 DIF CIVIC CENTER -'RES 366.00 ENERGY REVIEW FEE 59.54 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 17.82 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION -RES 1098.00 Fee summary ----------------- Charged ---------- ---------- Paid Credited -------------------- Due Permit Fee'Total Fee Total 1298.64 .00 ..00 1298.64 Plan Check Total 687.31 .00 .00 687.31 Other -Fee Total 2482.36 .00 .00 2482.36 Grand Total 4468.,31 .00. .00 4468.31 Certificate of Insulation S COPY Your home has been insulated with Certain Teed Fiberglass insulation products, which are designed for todays safety standards and tomorrows energy requirements. Fiberglass is inorgan.'c and therefore permanently noncombustible, so, it does not have to be treated with fire -retardant chemicals that will likely lose their effectiveness over time. It has not been treated with chemicals that can corrode wiring or metal. Fiberglass will not absorb moisture nor will it settle over time as may other insulation ma:eria!s. This also certifies that insulation have been pro!essionaity installed in this home to provide the follmving thermal performance. Job Name: Lenner Homes, Inc. Tract: 30521 Plan# 2Y Phase: 4' Lot No: 111 Job Address: SFR -78-4 IS Via Caliente, La.Quints, CA Ceiling Area: R-38 blown -in fiberglass insUation Exterior Well sR-13 batt insulation Between Floors: Garage Ceiling: Non -Access: With Living Above .8 Sloping Areas Overhangs: With Living Above Interior Walls: Access Attic: Subcontractor ...0 J Insulation, Inc. 72.227 Adelaid St, Thousand Palms, CA 92276 Signed:M On Mike Dickerson, General Manager - Palm Springs Branch R -means resistance to heat flow. The higher the R -value, the greater the insulating power. Ask your builder for the fact sheet on R -values- Keep this certificate with your other valued papers. If you ever sell this home: this certificate should be passed on to the buyer.