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05-2887 (SFD)• P.O. BOX 1504 1 6 40". 78=495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 05-00002887 Owner: Property Address: 79770 PARKWAY ESPLANADE S LENNAR HOMES APN: 609-590-034- - - 78401 HIGHWAY Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA Property Zoning: LOW DENSITY RESIDENTIAL LA QUINTA, CA Application valuation: 152664 Applicant: ,--'Zrchitect or Engineer: � ]j VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 OF CALIFORNIA 111, STE C 92253 tlMAContractor: AR HOMES OF CALIFORNIA INC O1 HIGHWAY 111, SUITE C QUINTA, CA 92253 R O g 2UU6AON RISK SRVC {/ C . No.: B 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 my License is in full force and effect. License C_ i�ss: ^* License No.: 13 /Date,_ ontractor: Y OWNER -BUILDER DECLARATION I hereby'affirm underpenaltyof perjury that I am exempt from the Contractor's 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 Contractor's 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 ($5001.: (_ 1 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 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.). 1 _ 1 1, 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.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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: LQPERMIT ------------------ WORKER'S COMPENSATION DECLARATION Date: 7/12/05 I hereby affirm under penalty ofperjury 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 issued. My workers' compensation insurance carrier and policy number are:' Carrier MWC11114500 11 / 0 1 / 0 Solicy Number 728102 I certify that, in the performance of the work for which 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 provisioris of Section 700 of the Labor Code, I shall forthwith comply with those provisions. ate: Z� plicant: WARNING: FAILURE TO SECURE WO RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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. 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 thio ;Sty o enter upon the above-mentioned pro erty for inspectio purposes. istet/ ignature (Applicant or Agent): Application Number . . . . . 05-00002887 Permit Additional desc . Permit Fee . . . . Issue Date . . . . Expiration Date . . Qty Unit Charge 2511.00 .0350 LQPERMIT ELEC-NEW RESIDENTIAL 111.39 Plan Check Fee Valuation 1/08/06 Per BASE FEE ELEC NEW RES - 1 OR 2 FAMILY 27.85 0 Extension 15.00 87.89 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 5.00 FIRE SPRINKLERS NO GARAGE SQ FTG 425.00 PATIO SQ FTG 53.00. NUMBER OF UNITS 1.00 --------------------------------------------------------------------=------- 1ST FLOOR SQUARE FOOTAGE 2511.00 Permit BUILDING PERMIT Additional desc . . Permit Fee . . 825.00 Plan Check Fee 536.25 Issue Date Valuation . . . . 152664 Expiration Date 1/08/06 Qty Unit Charge Per Extension BASE FEE 639.50 53.00 3.5000 ---------------------------------7------------------------------------------ THOU BLDG 100,001-500,000 185.50 Permit MECHANICAL Additional desc . Permit Fee . . . . 46.00 Plan Check Fee 11.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/08/06 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 VENT FAN 6.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit Additional desc . Permit Fee . . . . Issue Date . . . . Expiration Date . . Qty Unit Charge 2511.00 .0350 LQPERMIT ELEC-NEW RESIDENTIAL 111.39 Plan Check Fee Valuation 1/08/06 Per BASE FEE ELEC NEW RES - 1 OR 2 FAMILY 27.85 0 Extension 15.00 87.89 Application Number . . . . . 05-00002887 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per DOES NOT INCLUDE BLOCK WALL, Extension 425.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.50 Permit . . . PLUMBING DIF COMMUNITY CENTERS -RES 97.00 Additional desc . 366.00 ENERGY REVIEW FEE Permit Fee . . . . 170.25 Plan Check Fee 42.56 Issue Date . . . . Valuation . . 0 Expiration Date . . 1/08/06 DIF PARKS/REC - RES Qty Unit Charge Per 15.26 Extension DIF STREET MAINT FAC -RES 15.00 BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 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 Issue Date Expiration Date . . 1/08/06 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 52. PLAN 4Y, 2511 SF. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. --------------------------------------------------------------------7------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 53.63 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 15.26 DIF STREET MAINT FAC -RES 15.00 LQPERMIT Application Number . . . . . 05-00002887 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . .DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1167.64 .00 .00 1167.64 Plan Check Total 618.16 .00 .00 618.16 Other Fee Total 2473.89 .00 .00 2473.89 Grand Total 4259.69 .00 .00 4259.69 LQPERMTT