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05-2507 (SFD)P.O. BOX 104 78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY. DEPARTMENT BUILDING PERMIT Application Number: 05-00002507 Property Address: 79878 PARKWAY ESPLANADE N APN: 609-380-999-8 -293234- Application, description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 126924 Applicant: 11__4rchitect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section7 00) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.. License la"ss Ucense.No.: 728102 ' ontractor: IL U OWNER -BUILDER DECLARATION I hereby affirm under penalty of 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 ($500).: ' (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure isnot 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 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.). 1 _ I 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 Owner: LENNAR HOMES OF CALIFORNIA 78403 HIGHWAY 11.1, STE C LA QUINTA, CA LA QUINTA,, CA 92253 Contractor: LENNAR HOMES OF CALIFORNIA 40004. COOK ST. PALM DESERT, CA 92211 (951)817-3600 Lic. No,.: 728102 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/21/05 c �1 r 2['u5 CITY - WORKER'S COMPENSATION, DECLARATION I hereby affirm under penalty of 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 YIissued. -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 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 so as to become subject -to the workers' compensation laws of California, and agree that; if I should become subject to the workers' compensation provisions of Section - 37, of, -t Labor C='f co ply with those provisions. i. �'� �at'e: C pplicant: '4- - ` WARNIN FA URE TO SECURE WOR S' 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. J' 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 Ouinta, 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 q iunty ordinances and state laws relating to building construction, and hereby authorize representatives of this CO my to nt the above-mentioned prope fpr inspection p c oses. Date: 11 f nature (Applicant or Agent): Application Number 05-00002507 Structure Information Construction.Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONE <=10 Flood Zone . . . . . NON -AO FLOOD. -ZONE Other struct info . . . . . CODE.EDITION 2001 CRC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 425.00 PATIO SQ FTG 53.00 NUMBER OF UNITS 1.00 ` 1St.'FLOOR SQUARE FOOTAGE --------------------------------- 2061.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 734.00 Plan Check Fee 477.10 Issue Date'..'. Valuation. 126924 Expiration Date 12/-18/05 Qty Unit.Charge Per Extension BASE FEE 639.50 27.00 3.5000 THOU BLDG 100,001-500,000 94:50 'Permit `MECHANICAL Additional desc . Permit.Fee . . 57.50 Plan Check Fee 14.38 :Issue Date Valuation 0 Expiration Date 12%18/05 Qty Unit.Charge Per Extension BASE FEE 15.00 2.06 9.0000 EA MECH FURNACE <=100K ,18.00 2.00 90000 EA MECH B/C <=3HP/10.OK BTU 18.0.0 1.00 6.5000 EA MECH..EXHAUSt'.HOOD 6, 0 Permit . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 95.64 Plan Check Fee 23.91 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/18/05 Qty Unit Charge Per Extension BASE FEE 15.00 2061..00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 72.14 425.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.50 LQPERAITT LQPERMTT Application Number . . . . . 05-00002507 - ------------------------- Permit . . . ------------------------------------- PLUMBING ------------- Additional desc . Permit Fee . . . . 164.25 Plan Check Fee 41.06 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/18/05 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. GO j.500.0 EA PLB WATER^F HEATER/ VENT; -. 7.50- .50- 1.00_ 3.00.00 1. 0'6 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 . . . 15.0'0 ..Plan Check Fee .00 Issue Date Valuation 0 Expiration Date -. .12/18/05 Qty. Unit Charge Per Extension.. -BASE FEE. 15.00 Special*Notes and'.'Comments SFD.- LOT 8.. PLAN 1-CASITA, 2061 SF. PERMITDOES NOT INCLUDE BLOCK WALLS, 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 47.71 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 12.69 DIF STREET MAINT'FAC-RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited --------------------------------------------------------- Due Application Number Permit Fee Total 1066.39 Plan Check Total 556.45 Other Fee Total 2465.40 Grand Total 4088.24 LQPERMIT 05-00002507 00 .00 1066.39 00 .00 556.45 00 .00 2465.40 00 .00 4088.24