04-4306 (SFD)(i Uuq
I :BUILDING,& SAFETY DEPARTMENT
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0F1 FAX (760) 777-7011
-LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 7.77-7153
BUILDING PERMIT
Application. Number Dat -9e 6/09/04
Property Address 79755 PARKWAY ESPLANADE N
APN: .609-380-998-59, --2932327
Application description DWELLING - SINGLE FAMILY DETACHED
.Property Zoning LOW DENSITY RESIDENTIAL
Application valuation 1.12338
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: MWC1C877600
11/01/04
CSLB: 7281C2
09/30/04
CCC: B
--------------------------
Structure Information -------- ---------------
Construction Type . .
. . . TYPE V.- NON RATED.
.Occupancy Type . . .
. DWELLG/LODGINO/CONG <=10
Flood Zone . . . ...
. . . NON -AO FLOOD,ZONE
Other struct info ...
. . . CODE EDITION 2001
CRC
BEDROOMS
3.00*
FIRE SPRINKLERS NO
GARAGE -SQ -FTG
425.0.0
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
445.25
Issue Date . . . .
-Valuation
112338
Qty Unit Charge
Per
Extension
BASE FEE
639.50
13.00 .3.5000
THOU BLDG 100,001-500,000;.,45.50
- - - - - - - - - - - - - - - - -- - - - - - - - - -
Permit . . . . . .
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ---
MECHANICAL
- - - - - - 7
Addit,ional.'de'sc
Permit Fee . . . .
39.50 Plan Check Fee
9.88
Issue Date . . .' .
Valuation
0
-Qty Unit Charge.
Per
Extension
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 0g -
Applicant:
Applicant's Mailing Address:
TW�p
BUILDING & SAFETY DEPARTMENT
VOICE (760) 777.701:
FAX (760) 777-7,01,
INSPECTIONS (760) 777-7153
Date: & - 1(o 4V
or Enoinr>Pr
1A CA Oral D 1
tic. No.:
BUILDING PERMIT DECLARATIONS
I hereby affirm under penalty of LICENSED CONTRACTOR'S DECLARATION
Y once a that I am licensed under Drnvisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and r Lice is al full force and that
a �'—
nse Class_ T% License No'1/a --'
' Date `rO'1
Co—nt,.tor
i --------------
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: An)
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 signec
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 ffered fordsale.' If, howeveproves r. thenbuandildi who does the 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 u mprovement is
U 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions 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 Owner
I hereby affirm under penalty of perjury one of the following dec 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
I-GaIru wo iter ysl�mpensation nce carrier a olicy qum r re-*
ti7!! olicy Number (// �J f�
.Fury trial. in the performance of the work for which this perm'i't i issued. I shall not employ an
compensation laws of California, and agree that, if I should become subject to the workers' compe sonnsa in any manner so as io become subject to the workers'
forthwith comply with those provisions. pensation provisions of Section 3700 of the Labor Code, I shall
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
agency
LENDING AGENCY
9 genc y for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lendees 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 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, indemnity and hold harmless the City of La Guinta, 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 dayd 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.
mate �Q ' ature
// (Applicant or Agent):
Page
2
Application
Number .
. . . . 04-00004306 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.*.
21.68
Issue Date
. . . .
Valuation
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
1806.00'
.0350
ELEC NEW RES,- 1 OR 2 FAMILY
63.21
42.5.00
.0200,
ELEC GARAGE OR NON-RESIDENTIAL
8.50
-----------------
Permit .
-----------------------------------------------------------
. . . . .
PLUMBING
Additional
desc
Permit Fee
. . . .
146.25 Plan Check Fee
36.56
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
59'. PLAN 1.
PERMIT.DOES NOT
Page
3
Application Number
04-00004306 Date
6/09/04
Special Notes and Comments
INCLUDE BLOCK WALL,
POOL, SPA
OR
DRIVEWAY APPROACH.
'Other Fees . . . .
. . . . .
ART IN PUBLIC PLACES -RES
00
DIF COMMUNITY CENTERS -RES
97.00
DIF.CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
44.53
DIF FIRE PROTECTION-F_ES
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
1098.00
Fee summary
Charged
Paid Creditec
Due
Permit Fee Total
972.46
.00 .CO
.9-72.46
Plan Check Total
513.37
00 C0
513.37
Other. Fee Total
2460.76
.00 CO
2460.76
Grand Total
3946.59
.00 C0
3946.59