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04-8326 (SFD)BUILDING & SAFETY DEPARTMENT P.O. Box 1.504 (760).777-7012 78-495 CALLE TAMPICO "k r '� 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 1.11, STE C LA'QUINTA,- LA QUINTA. IE 04-00008.32b '7"=' , -Date, 3/22/05 43322 PARKWAY ESPLANADE E` ,F 609-380-999-82 -293234- DWELLING'- SINGLE FAMILY DETACHED -LOW DENSITY RESIDENT -AL 128508 Contractor ------------------------ LENNAR HOMES OF CALIFORNIA INC ~" 78401 HIGHWAY 111, SUITE C LA'QUINTA CA 92253 Qty Unit.Charge Per 1.00 9.0000 EA 1.00 9.0000 EA. BASE FEE MECH•FURNACE <=100K MECH B/C <=3HP/100K BTU Extension 15.00 91.00 9.00 AYK 012005. U WCC: AON RISK SRVC WC: MWC18.114500 11/01/05 CSLB: 7281D2 09/30/06 CITY OFIAQUINTA CCC: B FINANCE DEPT. -------------------------- ructure 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 447.00. . PATIO SQ FTG 45.00 -NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 2083.00 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 741.00 Plan Check Fee 120.41 Issue Date . . . . Valuation 128508 Qty Unit Charge Per Extension BASE FEE 639.50 29.00 3.5000 THOU BLDG 100,001-500,000±{ 101.50 ------------------------------------------------------------------------------ ,Permit MECHANICAL Additional desc Permit Fee . . . . 33.00 Plan Check Fee 2.06 Issue Date . . Valuation . . . 0 Qty Unit.Charge Per 1.00 9.0000 EA 1.00 9.0000 EA. BASE FEE MECH•FURNACE <=100K MECH B/C <=3HP/100K BTU Extension 15.00 91.00 9.00 P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 10 4- 93 Z( Date: 3-3/ -6b'— Applicant: Archie t &itect-orEngin]eJer's gineer: Applicant's Mailing Address: rchAddress. A—Lic. 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 Co>ie, and Licgr�e is in full force and effect. 'ol_ cense Class 1� i cense No. n 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. , B.& 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 the performance of the work for which this permit is issued. ��i 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 ued. My workers' compensation ins a car rad 9 isy qu�np�G¢re, �arrier icy Number ��(, 1 I. l 1 ?f MQ _ I certify that, in the performance of the work for whic 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 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 Ouinta, 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. Date / ` V� Signature (Applicant or Agent) Page 2 , Application Number . . . . 04-00008326 Date 3/22/05. ----------------------------------------------------- Permit.. . ELEC-NEW RESIDENTIAL Additional.. desc Permit Fee . . . . 96.85 Plan Check Fee-. 6.05 Issue Date . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 2083.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 72.91 447.00 ..0200 ELEC GARAGE,OR NON-RESIDENTIAL 8.94 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 146.25 Plan.Check Fee 9.14 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE,15.00 - .13.00 6.0000.EA PLB FIXTURE 78.00 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 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 82. PLAN 2R, 2083 SF.'PERMIT DOES NOT INCLUDE BLOCK WALL, 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 12.04 DIF FIRE PROTECTION -RES 97.00 i, Page 3 Application Number . . . . . 04-00008326 Date 3/22/05 .Other Fees . . . . ... 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 12.85 DIF STREET MAINT.FAC-RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1032.10 .00 .00 1032.10 Plan Check Total 137.6,6 .00 00 137..66 Other Fee Total 2429.89 .00 .0)0 2429.89 Grand Total 3599.65 .00 .00 3599.65 J -