04-4314 (SFD)- -- - - y, pec '
0
BUILCING & SAFETY DEPARTMENT
P. Box Box 1504 (760).777-7012
OFTY�' 195 CA: LLE TAMPICO FAX (760) 777-7011
nI.
'''
JUN 6 2004 LFAQUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
CITY OF LA Q BIN BUILDING PERMIT
'FINANCE DEPT.
Application Number . . . . . SOA 0A=0=0-43'1.4 :Date: 6/09/04
Property Address . . . . . 79734 PARKWAY ESPLAN:�DE N
APN: .609-380-998-66 -293232-
Application description . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . . LOW DENSITY RESIDENTEAL
Application valuation . . . . 112338
Owner Contractor
LENNAR HOMES OF CALIFORNIA LENNAR HOMES.OF 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.: MWClD877600 11/01/04
CSLB: 7281J2 09/30/04
CCC: B
------------=------------- Structure Information ---------------------
construction Type TYPE V - NON RATED.
Occupancy.Type DWELLG/LODGING/CONG <=10.
Flood Zone . . NON -AO FLOOD ZONE
Other struct info CODE EDITION '2001 CRC
# BEDROOMS 3.00
FIRE SPRINKLERS,. NO
GARAGE SQ FTG '425.00
PATIO SQ FTG 53.00
NUMBER OF UNITS 1.00
FIRST FLOOR SQ FTG 1806.00
Permit .. . . . . . BUILDING PERMIT
Additional desc
Permit Fee 685.00 Plan Check Fee 111.31
Issue Date . . Valuation 112338
Qty Unit Charge Per Extension
BASE FEE 6.39.50
13.00 3.5000 THOU BLDG 100,001-500,000 45.50
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL
Additional.desc
Permit Fee 39.50 Plan Check Fee 2.47
Issue Date Valuation _ 0
Qty Unit Charge. Per
Extension
P.O. BOX 15 04
78-495'CALLELLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number: 0/-/- 411_�31 LArchtect
Applicant: or Enaineer-
Applicant's Mailing Address:
or Engine
PIFI
S� C4 °19101
Lic. No.: N:
tsUILVING PERMIT DECLARATIONS
r
e '
, 1
VOICE (760) 777.701:
FAX (760) 777.701
INSPECTIONS (760) 777.7153
Date: 69' /6-0
I hereby affirm under penaltyof LICENSED CONTRACTOR'S DECLARATION
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 License i 'n full force and effect.
cense Classe. �� a
/Date r U �onhactor
I hereby affirm under penaltyof OWNER -BUILDER DECLARATION
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
himself or herself or through his or her own employees, provided that the improvements are not intended or R red fordsa er.m It. however. thenbuand ilding or impthe work
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 urpose of sale.).
fOV°^�nt ms
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 1 am exempt under Sec. , BA P.C. for this reason
Date Owner
I hereby affirm under penaltyof WORKERS' COMPENSATION DECLARATION
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 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
i u M coo
're ' compensati urance Carrie d oli n m rare: permit is
farrier Policy Number Lil4,/}�
_ I certmy ulat. in the performance of the work for which this Pertnt is issued, I shall not employ an workers'
me subject
compensation laws of California, and agree that, i► I should become subject to the workers' compensation provis onsro Sso aections to b37OO oft bor ode I shell
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.
I hereby affirm under penalty of perjury that there is a construction lend lCONending
aRUn TIONtt a NDINNGG AGEENoC>� work for which this
9
Lenders Name I
permit is issued (Sec. 3097, Civ. C.).
Lenders Address P2���
IMPORTANT ation APPLICANT ACKNOWLEDGEMENT
Ais hereby made the Director Building and Safety for
Each
Person upon whose behalf this application
permit subject to the conditions and restrictions set forth on this application.
1. n is made, each person at
issued as a result of this application, the owner, and the applicant, each awhose request and for whose benefit work is performed under or pursuant to any pernft
grees to, and shall, defend, indemnity and hold harmless the City of La Cuirta, 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 dayti 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 corect 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_ature
---� (Applicant or Agent):
Page
2
Application Number .
. .
. . 04-00004314 Date
6/09/04
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
1.00
6.5000
EA
MECH EXHAUST HOOD
6.50
------=---------------------------------------------------------------------
Permit . . .
. . . .ELEC-NEW RESIDENTIAL
Additional desc.
Permit Fee
86.71 Plan Check Fee
5.42
Issue Date
Valuation
.0
Qty Unit
Charge-
Per
Extension
BASE FEE
15.00
1806.00
.0350
ELEC NEW RES - 1 OR 2 F_!�MILY.
63.21
425.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
8.50
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 =ee ..
.00
Issue Date .
. . .
Valuation
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
Special Notes
and Comments
SFD - LOT.66.
PLAN 1R.
PERMIT DOES NOT
Page 3
Application Number
04-00004314 Date
6/09./04.
---------------------------------------------------------------------
Special.Notes and
Comments
"
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
11.13
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
11.23
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
109.8.00
Fee summary
Charged
Paid Credited.
Due
Permit Fee Total
972.46
.00 .00
972.46
Plan Check Total
128.34
.00 .00
128.34
Other Fee Total
2421.36
.00 40
2427.36
Grand Total
3528.1.6
.00 .00
3528.16