04-8329 (SFD)BUILDING: & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLE TAMPtco FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number
Property Address . . . .
APN:
Application description
Property Zoning . . . . .
Application valuation . .
Owner
LENNAR HOMES OF.CALIFORNIA
78401 HIGHWAY 111, STE C
LA QUIN6
LA QUIN .CA rP-�,RI
AFR 012005
CITY OF LA
53
04`0.0_00.8"329 Date 3/22/05
43266 PARKWAY ESPLANPDE,E
609 -380 -999 -84 -293234 -
DWELLING - SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL
143155
Contractor
LENNAR HOMES OF CALIFORNIA INC
78401 HIGHWAY 111; SUITE C
LA QUINTA CA 92253
WCC: AON RISK.SRVC
WC: MWC11114500 11/01/05
CSLB: 728102 09/30/06
CCC: B,
------ Structure Information SFD
---.--
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/LONG <=10
Flood Zone . . . . .
. . NON -AO FLOOD ZONE
Other struct info . .
. . CODE EDITION 2001 CBC
# BEDROOMS.
5.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
418.00
PATIO SQ FTG
45.00
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
2349.00
--------------------------------------------------------------------
Permit . . . . .
BUILDING PERMIT
Additional.desc
Permit Fee
793.50 Plan Check Fee
128.95
Issue Date . . . .
Valuation
143155
Qty Unit Charge
Per
Extension
BASE FEE s
639.50
44.00 3.50.00
---------------------------
THOU BLDG 100,001-500,000
154.00
Permit. . . . . . .
--------------------------------------------------
MECHANICAL
Additional desc
Permit Fee
47.00 Plan Check lee
1.50
Issue Date . . .
Valuation
0
Qty Unit Charge
.Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE <=100K
9.00
1.00 16.5000
EAMECH B/C >3-15HP/>100K-SOOKBTU
16.50
P.O. BOX 1504 • �G���w
iirl VOICE (760) 777-7012
78-495 CALLS CALIFORNIAO FAX (760) 777-7011
LA QUINTA, LIFOR9225344 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Date:
Applicant: c i or�EngiiineMr's
Applicant's Mailing Address: chitect ord ss:
-1--tic. No.:
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 License{ full force and effect.M-9102—
� 1 D2_
'License Class
)/ �icense No.
.Date ontractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 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 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).):
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
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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.
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
�y, is ued. My workers' compensation i��rance carrier �n�1 1' nu era
�rier If')'}l� �IicyNumber `f��� ,�U��1 M)
_ I certify that, in the performance of the work for which tris permit is issued, rshall not.employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
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.
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
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 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.
I certify that I have read this application 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-mentioned property for inspection purposes.
ate `Signature (Applicant or Agent):
Page
2
Application' Number
04-00008329 Date
3/22/05
Qty Unit Charge
Per
Extension
1.00 6.5000
EA MECH EXHAUST HOOD.
6.50
Permit .... . .
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee
105.58 Plan Check Fee
6.60
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15-.00
2349.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
82.22
418.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
8.36
Permit
PLUMBING
Additional desc
Permit Fee . . . .
164.25 Plan Check Fee
10.27
Issue Date
Valuation
0
Qty Unit Charge
Per
Extension
BASE FEE
15'.00-,.•
16.00 6.0000
EA PLB FIXTURE-
96.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1•.00 7.5.000
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 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 84. PLAN 2YR,
2349 SF. PERMIT
DOES NOT INCLUDEW BLOCK
WALL, POOL; SPA
OR DRIVEWAY APPROACH.
75% PLAN CHECK FEE
REDUCTION APPLIED FOR
MULTIPLE ISSUANCE
OF.SAME PLAN TYPE.
t
Other Fees . . . .
. . . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
w
'Page 3 -
Application Number
04-00008329
Date
3/22/05
'Page 3 -
Application Number
04-00008329
Date
3/22/05
------------------- ----------------------------------------------------------
Other Fees
DIF CIVIC CENTER -
RES
366.00
ENERGY REVIEW FEE
12.90
DIF.FIRE PROTECTION
-EES
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
14.31
DIF STREET.MAINT FAG -RES
15:00
DIF TRANSPORTATION
- RES
1098.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1125.33
.00
.00
1125.33
Plan Check Total
147.32
.00
.00
147.32
Other Fee Total
2432.21
00
.00
2432.21
Grand Total
3704.86
."00
.00
3704.86