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05-2506 (SFD)P.O. BOX 1504 4 78-495 CA LLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING& SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/21/05 Application Number: f -05-00002506A Owner: Property Address: 79894 PARKWAY ESPLANADE N LENNAR HOMES OF CALIFORNIA APN: 609-380-999-7 -293234- 78401 HIGHWAY 111, STE C Applicatio6'description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA Property Zoning: LOW DENSITY RESIDENTIAL LA QUINTA, CA 92253 Application valuation: 130681 Applicant: d Architect or Engineer: - ------------------------------- 7 ------------------- w 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. ?Licens Class: B License No.: <.�7 2 8 10 2 j q ✓ / Date, t V ontraaor p_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 c6unty'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 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 offeredfor sale (Sec. 7044, Business -and Professions Code: The Contractors' State License Law does not apply to ad 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 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 _ 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: LQPERn4IT Contractor: LENNAR HOMES OF CALIFORNIA INC 40004 COOK ST. PALM DESERT, CA 92211 (951)817-3600 Lic. No.: 728102 ----.------,---------------------------- =------- WORKER'S COMPENSATION ------WORKER'SCOMPENSATION 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 issued. ^ 211�1 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 certify that, in the performance of the work for which this permit is issued, I shall not employ.any personon any manner so as to become subject to the workers' compensation laws of California, d agree that, if s ould become subject to the workers' compensation provisions of Section 700 the Lab , I.shall forthwith comply with those provisions. ei pplicant: WARNI G: FAILURE TO SECURE A RKERS' 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 1 have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state Bits relating to build' g construction, and hereby authorize representatives of this ounty o enter upon the above- endo ted grope fo speaion purposes. motif( O gnature (Applica t or Agent): Application Number . . . . . 05-00002506 LQPERNIIT Structure -Information Construction Type . . . . . TYPE"V - NON RATED Occupancy Type . . . . DWELLG/LODGING/LONG <=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 Fee . . J . 748.00 Plan Check Fee 486.20 Issue Date . . . . Valuation . . . 130681 Expiratioa Date 12/18/05 Qty Unit Charge Per Extension BASE FEE '639.50' 31.00. 3.5000 THOU BLDG 100,001-500,000 108.50 Permit . . . MECHANICAL Additional desc 'Perm t:Fee . . .`. 39:50• Plan Check Fee 9.88 Issue Date . . . . Valuation 0 Expiration Date 12/18/05 Qty . .Unit Charge Per Extension BASE FEE 15.00 1.00 9. 00.00 EA, MECH-FURNACE- <=100K. 9.00 1.00 9.00.00 EA. MECH. B/C.<=3HP/.100K BTU 9.00- 1.0.0 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 0 Expiration Date 12/18/05 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 LQPERNIIT Application Number . . . . . 05-00002506 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 152.25 Plan Check Fee 38.06 Issue Date Valuation 0 Expiration Date 12/18/05 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 6.0000 EA PLB FIXTURE 8.4.0.0 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 . . . . 15.0'0 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 LOT 7. PLAN 3R, 2121 SF. PERMIT DOES NOT 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. 48.62 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 13.06 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary. Charged --------------------------- Paid Credited ------------------------------ Due LQPEMIIT Application Number . . . . . 05-00002506 Permit Fee Total 1052.93 .00 .00 Plan Check Total 558.69 .00 .00 Other Fee Total 2466.68 .00 .00 Grand Total 4078.30 .00 .00 LQPEn1IT 1052.93 558.69 2466.68 4078.30