05-2323 (SFD)r .
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT'
BUILDING PERMIT
Application Number: �65-00002323--
Property Address: 43210 PARKWAY ESPLANADE E
APN: 609-380-999786 -293234-
Application description: DWELLING'- SINGLE FAMILY DETACM
Property Zoning: LOW. DENSITY RESIDENTIAL
Application valuation: 136306
Applicant: -----rrchitect or Engineer:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
LENNAR HOMES OF CALIFORNIA
78401 HIGHWAY 111, STE C
® U LA QUINTA, CA
�J LA QUINTA, CA 92253
SEP 2 7
Contractor:
LENNAR HOMES OF CALIFORNIA INC
CI Yorr LA 3�A 78401 HIGHWAY 111, SUITE C
F1Ed�+NCE®SPY. LA QUINTA, CA 92253
WCC: AON RISK SRVC
Lic. No.: B
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of •perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70 ) of Division 3 of the Bus' and Professionals Code, and my License is in full force and effect.
License CI •s: License No.: B
. Date: If di Xnntractor:
OWNER•BUILDER DECLARATION
hereby affirm under penalty of perjury that I 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).:
() I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and oo
_
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 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.).
(_) 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: -
LQPERi11IT
Date: 6/13/05
-----------------------------------------------
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
Yissued.
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
insurance carrier and policy number are:
Carrier MWC11114500 11 / 0 1 / 0 Solicy Number 728102
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 gree that, if I s ould become subject to the workers' compensation provisions of Section -
7 0 o Labor shall fort it comply with those provisions.
plicant:
WARNING: FAI URE TO SECURE WO S' 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 sei 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.
Icertify that I have read this application and state that the above information is correct. I agree to comply with all
city and county o inarices and state laws relating to buil ' construction, and hereby authorize representatives
of this co ty to ntfi.uportthe above-mentioned pro y f� r inspection urposes.
ignature (Applicant or Agent):
Application Number .
. . . . •05-00002323
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
# BEDROOMS
4.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
425.00
PATIO SQ FTG
53.00
NUMBER OF, UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
2225.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . .
769.00 Plan Check Fee
499.85
Issue Date
Valuation . . .
13630.6
Expiration Date
12/10/05
Qty Unit Charge
Per
Extension
BASE FEE
639.50
37.00• 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,•000
129.50
Permit ... .
MECHANICAL
Additional desc .
Permit Fee . . . .-
39.50 Plan Check Fee
9.88
Issue Date . . . .
Valuation . . . .
'0
Expiration Date
12/10/05
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
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee
101.38 Plan Check Fee
25.35
Issue Date . . . .
Valuation . . . .
0
Expiration Date
12/10/05
QtyUnit Charge
Per
Extension
BASE FEE
15.00
.2225.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
77.88 '
- 425.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
8.50
'LQPERMIT
LQPERMIT
Application.Number .
. . . . 05-00002323
----------------------------------------------------------------------------
Permit . . .. PLUMBING
Additional desc .
Permit Fee
152.25 Plan Check Fee
38.06
Issue Date
Valuation . . .
. 0
Expiration Date,.
12/10/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00"
14.00 6.0000
EA PLB FIXTURE
84.00
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
5.00 .7500
EA PLB GAS PIPE >=5
3.75
1..00 -15.0000
EA PLB GAS METER.
15.00
Permit . . . GRADING PERMIT
Additional dese .
Permit Fee . . .
•15.00 Plan Check Fee
.00
Issue Date
Valuation . . .
. 0.
Expiration Date.
12/10/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 86. PLAN 4R,
2225 SF. PERMIT
DOES NOT INCLUDE BLOCK WALL, POOL, SPA
OR DRIVEWAY APPROACH.
----------------------------------------------------------------------------
Other Fees . . . . .
. ART IN PUBLIC-PLACES-RES
.00
DIF COMMUNITY CENTERS-RES
97.0.0
DIF CIVIC CENTER - RES
366:00
ENERGY REVIEW FEE
49.99
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 MOTTON (SMT) - RES
1,3.63
DIF STREET MAINT FAC-RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary' -Charged
Paid Credited
Due
LQPERMIT
V
Application Number
. . . . .
05-00002323
Permit Fee Total
1077.13
.00
.00
1077.13
Plan Check Total
573.14
.00
.00•
573.14
Other Fee Total.
2468.62
.00'
.00
2468.62 -
Grand Total
4118.89.
.00
.00
4118.89