05-2520 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA,.CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
J
x0.57000-02520
79'821'PARKWAY ESPLANADE
609-600-017- - -
DWELLING - SINGLE FAMILY
LOW DENSITY -RESIDENTIAL
130681
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
LENNAR'HOMES OF CALIFORNIA
78401 HIGHWAY 111, STE C
MAQUINTA, CA
.QUINTA, CA 92253
jRirchitect or Engineer):
/ � "V
--------------------- - ------------ — — — — — — -
• LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under. penalty of perjury that I am licensed under provisions of Chapter 9 (commencing; with .
Section 7 00) of: Division 3 of the Business Professionals Code; and my License is in full force and effect.
Lice _see Class', 13 r License No..' 728102'
Datd/ /': Contractor
NER-BUILDER DECLARATION
I hereby affirm under penalty of,perjury ft am. exempt from the Contractor'sState,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, priorto its issuance, also requires the applicant for the
permit to file a.signed's[atement that he.or she is licensed pursuant to the provisions of the Contractor's State
License Law .(Chapter 9'(comme6cing with Sectiou.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 permitsubjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
• (_ )' I,"'as owner of the. property, ormyemployeeswith wages as their'sole'compensation,.will do the work, and
the structure ismot intended of offered for sale (Sec. 7044, Business and -Professions Code:- The
Contractors' State License Law;does not apply to owner of property who builds or improves thereon, '
and who does the work himself -orherself 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 yearof completion,' the owner -builder will have the burden of proving that he or she did*not build or
•improve for purpose of salea. Ir
1 _) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec.
7044, Business and Professions Code:. The Contractors' State License Law does not apply town owner of
property who builds or improves thereon, and who contracts for the projects with a contracto_r(s):licensed
pursuant to the Contractors' State License Law.).
(_ 1 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:
LQPERI%IIT
ntractor:
NNAR HOMES OF
004. COOK. ST -
LM DESERT, CA
51)`817-3600
C. No.: 728102
VOICE (760) 777-7012
FAX (760) 777-70,11
INSPECTIONS (760) 777-7153
CALIFORNIA_INC
92211
Date: 6/22/05
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one oUthe following declarations: -
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..
.1 hae and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
<C I ode, for the performance`of the'work for which this permitis issued. My workers' compensation
insurance carrier and'policy number are: - -
Carrier AON RISK SRVC Policy Number MWC11114500
I certify that, in the performance of -the work for which this permit is issued, I shall not employ any
person in any manner sous to become subject to the workers' compensation laws of California,
*:'F
agree that, if I should become subject to the workers' compensation provisions of Section
0 -of the Labor a , all forthwith comply with those.provisions.
ate;plicam:WARE TOiSECURE WO ' 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. -
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 c nty, ordinances and state laws relating to b it i construction, and he authorize representatives
of this o ty enter upon the above-mentioned prop fo inspection purposes.
Die. gnature (Applicant or Agent):
Application Number .
... . . 05-0000252.0
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
4.00
FIRE SPRINKLERS NO.
GARAGE' SQ' -'FTG
447.'00.
PATIO SQ FTG.,.
45.00
NUMBER OF UNITS
1.00.,
'1ST "FLOOR -SQUARE `FOOTAGE"
2121.00
:..-----------------------
--------------------------
Permit•-
BUILDING,..PERMIT"
Additional: desc .
- Permit Fe`e".
748.00 Plan Check Fee
486.2'0
'Issue Date' ...
- Valuation
130681
.,Expiration"Date
12/19/05
Qty'-.: Unit Charge,
Per
Extension
BASE FEE
639.50
31,.00 3.5000
<" --------------- - -
THOU BLDG 100,001-500,000
- - -- -- -- - - - - -- - ---------_-
108,50
- - - - -- - - --
PermitMECHANICAL.
Add=k.iorial desc
.
:,. •Permt'Fee
39.:50 Plan Check. Fee ..
9.88
IssueDate
Valuation _
0" '
e.
Eiration Date
xp•:
Qty. Unit, Charge
Per
Extension
- -
BASE .FEE.
15.00
' 1:'00 9.0000
EA MECH'FURNACE <'1.00K
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.
98.18 Plan Check Fee
24.55
'Issue.Date
Valuation
Expiration Date
12/19/05,
"0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2121.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY.
74.24
447..00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
8.94
LQPERMIT
•yam.
. LQPEn11T
Application Number
. . . 05-00002520
-----------------------------------------------------------------------------
Permit . . .
PLUMBING
Additional desc .
Permit Fee
152.25 Plan Check Fee
38.06
Issue Date.
Valuation
0
Expiration Date ..
12/19/05
Qty Unit'Charge
Per
Extension
BASE FEE
15.00
14.•00 6.0000
EA PLB FIXTURE
84.00
T'.0'0 .15.000'0
EA ' "PLA' BUII;DING SEWER
15. 0'0
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 • 7n500•
EA PLB „GAS PIPE >=5
='3 . 75
1.00 15.0000
EA PLB GAS METER
15.00
Permit . . .
GRADING PERMIT
Adaltiondl.desc ..
' Permit*.Fee . . . .
,15.00 Plan Check.Fee
ob
I sue Date
Valuation
0
Expiration.Date
12/19/05_'
Qty Unit :Charge
Per..,.
Extension,
BASE FEE
15:.00
Special-Notes-and.Comments..
SFD - LOT --17. PLAN. 3,
2121 SF. PERMIT
DOES.,NOT•INCLUDE BLOCK WALL, POOL, SPA
OR DRIVEWAY APPROACH.'"
------------------------
Othet.Fees . . .
. . . ..,;ART IN PUBLIC PLACES -RES.
.00
`DIF. COMMUNITY CENTERS -RES
97.00
'DI'F CIVIC --CENTER - "-RES
366-.00
ENERGY •REVIEW :FEE .
48.62
DIF"':EIRE PROTECTION -RES
97.00
GRADING'PLAN•CHECK FEE
.00. .
DIF L3BRARIES =RES
225.00
DIF` PARK'MAINT FAC '- RES
5.00
DI -F tI1ARKS/REC - RES
502.00..
,:.
STRONG MOTION "(SMI.) -RES
13.06
DIF STREET MAINT"FAC-RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged Paid Credited
Due
Application Number
Permit Fee -Total
Plan Check Total
Other Fee Total
Grand Total
LQPERAIIT
. . . . . 05-00002520.
1052.93 .00 .00
558.69 .00 .00
2466.68 .00 .00
4078.30 .00 .00
1052.93
558.69
2466.68
4078.30