04-4313 (SFD)BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012.
CSM -8- 5 C A
OFT' ----7 r LLE TAMPICO FAX (760) 777-7011
A Q, LA` QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760)-777-7153
16 2004 BUILDING PERMIT
A QUlml'A
Appoh ®yt�i8t!!N.rbe . . . . . 000431-3 Date 6/09/04
Y ud •-
Property Address . . 79718 PARKWAY.ESPLANADE N-
APN: .609 -380 -998 -65. -293232 -
Application description . DWELLING -.SINGLE FAMILY DETACHED
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation 143093
Owner Contractor
LENNAR HOMES OF CALIFORNIA LENNAR HOMES DF CALIFORNIA INC
_78401 HIGHWAY.111, STE C 78401 HIGHWAY 111, SUITE C
LA QUINTA, CA LA QUINTA CA '92253
LA QUINTA CA 92253
WCC: ' OLD REPUBLIC IN
WC: MWC1D877600 11/01/04
CSLB: .7281J2 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
# BEDROOMS 5.00'
FIRE SPRINKLERS NO
GARAGE -SQ FTG 447.00.
PATIO SQ FTG 45.00
NUMBER OF UNITS 1.00
FIRST FLOOR SQ FTG 2338.00
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Permit BUILDING PERMIT
Additional desc
Permit Fee. 793.50 Plan Check Fee 515.78
Issue.Date . . Valuation 143093
Qty Unit Charge Per Extension
BASE FEE 639.50
44.00 3.5000 THOU BLDG 100,001-500,000` 154.00
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Permit . . . MECHANICAL
Additional.desc
Permit.Fee . . 51.00 Plan Check' --Tee 12.75
Issue Date Valuation 0
Qty Unit Charge. Per Extension
P.O. BOX 1504 _. �^r'1�7tiA
78-495 CALLE TAMPIt:D Td4f
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's Mailing Address: _ -
or
or
Lic. No.:�-
BUILDING PERMIT DECLARATIONS
-
VOICE (760) 777.701:
FAX (760) 777-701;
INSPECTIONS (760) 777.715_
Date: .0 - /(- UCi
LICENSED hereby affirm under penaltyof LICENSED CONTRACTOR'S DECLARATION
perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my Licen s in full force and effect. ^/� /�
�Li
-cense Class ense No. /o 51 o —
I hereby affirm under persalt of OWNER -BUILDER DECLARATION
Y 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 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structule 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 worts
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 t 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 f colons odeos) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , 8.8 P.C. for this reason
Date - Owner
.I hereby affirm under penalty of perjury one of the following deo arattiionsRS' COMPENSATION DECLARATION
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 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
12dss ��f1 �ompensaburance carie I' n m r
rk
/.Carrier a Policy Number -� �9�
_ I Celli th t rn the performance Of the work for which this permit is issued. I Shall not employ an workers*me suect to the
compensation laws of California. and agree that. if I should become subject to the workers' compensation provisions ro SSO aections to b3700 Of the Labor Code. I shell
forthwith comply with those provisions. /� /
/ Date t �t_a""4 �
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 penalty of perjury that there is a construction lending CONSTRUCTION
LENDING AGEENoCI� work for which this
agencypermit 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 a
1. Each person upon whose behalf this application is made, each application.
issued as a result of this application. the owner, and the applicant, each agrees to, and shallrequest , defend, for indemn ty e benefit and hold harrk is mless under
ty o La nay �fts permit
officers, agents and employees for any as 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 perniL of
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 taws relating to building
construction. and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
Si ature
(Applicant or Agent):
Page
2
Application
Number .
. . . 04-00004313 Date
6/09/04
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
2.00
9.0000
EA MECH FURNACE <=100K
18.00
2.00
9.00,00
EA MECH B/C <=3HP/100K BTU
18.00
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Permit
ELEC-NEW RESIDENTIAL
Additional
desc
_ Permit Fee
105.77 Plan Check Fee
26.44
Issue Date
Valuation
0
. Qty
Unit Charge
Per
Extension
BASE FEE
15.00
2338.00
.0350
ELEC NEW RES - 1 OR 2 F.AMILY
81.83
447.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
8.'94
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Permit .
. . . . .
PLUMBING
Additional
desc
Permit Fee
. . . .
165.00 Plan Check 7-ee•.
41.25
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
7:5000
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
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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
65. PLAN 2Z.
PERMIT DOES NOT
-INCLUDE BLOCK WALL,�POOL,
SPA OR
r '
Page
3
Application Number.
. . .
04-00004313 Date
6/09/04
Special Notes and
Comments
DRIVEWAY APPROACH.<
v
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Other Fees . . .
. . . ... .
ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97:00
DIF.CIVIC CENTER.- RES
366.00
ENERGY REVIEW FEE
51.58
DIF FIRE PROTECTION-:R.ES
97.00
GRADING PLAN CHECK F.EE
:00
DIF LIBRARIES - RES
225.00
-DIF PARK MAINT FAC - RES
5.00
DI -F PARKS/REC = RES
502.00
STRONG MOTION..(SMI) - RES
14.30
DIF STREET MAINT*FAC-RES
15.00
DIF TRANSPORTATION - RES
.1098.00
Fee summary
Charged
Paid. Credited
Due
Permit Fee Total
1130.27
.00' .00
1130.27
Plan Check Total
596.22
.00 .00
596.22
Other Fee'Total
2470.88
.00 .00
2'470:)88
Grand Total
4197.37
.00 .00
r
4197.37
-