05-2509 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ty/4
XFQ".
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application NLmber:*0:5,�0:0002-50-9
Property Address: 79899 PARKWAY ESPLANADE N
APN: 609-380-999-10 -293234-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 128508
Applicant:'chitect or Engineer:
---------------------------------------------------
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 Bu and and Professionals Code, and my License is in full force and effect. -
License!Clss: a. -i. License No.: - 728102 '
t�
/bate: ntractor-
/- - OWNER -BUILDER DECLARATION
f.hereby affirm under penalty of perjury that I am exempt.ffrom -the Contrac_ torts 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, priorto its issuance, also requires the applicant for the
permit to file a signedstatementthat 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).:'
(_ 1 1, 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"ale. 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 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:
LQPERN11T
VOICE (760) 77777012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/21/05
Owner:
LENNAR HOMES OF CALIFORNIA
78401 HIGHWAY 111, STE C
LA QUINTA, CA
LA QUINTA, CA 92253 �fD
LEU Contractor: HOMES OF CALIFORNIA INC Atl��� iJ
NNAR
:J 2005
40004 COOK ST. �,�7tLjo
PALM DESERT, CA 92211 (951)817-3600
Lic. No.: 728102
-- 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 forwhich,this permit is
issued.
OC 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 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,
an agree that, if I s ould become subject to the workers' compensation provisions of Section
3 009ftRe Laborod 'shall fort with comply with those provisions.
ate plicant:
wARNI :,.FA LURE TO SECURE WOR ERS' 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 toe and co my or inances and state laws relating to building construction, and hereby authorize representatives
of this Icolu ty ter -upon the above-mentioned pro or inspection purposes.
/--J: 4 ` gnature (Applicant or Agent]:
Application Number . . . . . 05-00002509
LQPERMIT
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
2083..00
Permit
BUILDING>PERMIT
Additional desc .
Permit Fee . . . .
741.00 Plan Check Fee
1210.41
Issue Date . . . .
Valuation
128508
Expiration Date
12/18/05
Qty. Unit Charge
Per
Extension
BASE FEE
639.50
29.00 3.5000
THOU BLDG 100,001-500,000
101.50
Permit
MECHANICAL
Additional desc .
Permit Fee
33.00 Plan Check Fee
Issue Date
Valuation . .
0
Expiration Date—
12/18/05
Qty 2Unit 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/10.0K BTU
9.00"
Permit
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee,
.96.85 Plan Check Fee..
6.05
Issue Date . . . .
Valuation . . . .
0.
Expiration Date
12/18/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2083.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
72.91
447.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
8..94
LQPERMIT
NE
LQPERMIT
Application Number .
. . . . 05-00.002509
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . .
146.25 Plan Check Fee
.9.14
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . ..
12/18/05
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 .7.5`000
EA PLB`WP:TER 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
P.ermit . . . GRADING PERMIT
Additional desc .
Permit Fee . . . .
15.00 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 10. PLAN -2R,
2083.SF. PERMIT
DOES.NOT_INCLUDE BLOCK WALL; POOL, SPA
OR DRIVEWAY APPROACH.
75% PLAN CHECK FEE
REDUCTION APPLIED FOR
MULTIPLE ISSUANCE
OF SAME PLAN TYPE.
---------------------------------
Other Fees . . . . .
-------------------------------------------
. . . . ART IN PUBLIC PLACES -RES
.00
DIF.COMMUNITY CENTERS -RES
97.00
DIF CIVIC, -.CENTER - RES
366.00
ENERGY REVIEW 'FEE.
12.04
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
12.85
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged Paid Credited
Due
LQPERMiT
Application Number
. . . . .
05-00002509
---------------------------
Permit Fee Total
1032.10
--------------------
.00
.00
------.----
1032.10
Plan Check Total
137.66
.00
.00
137.66
Other Fee Total
2429.89
.00
.00
2429.89
Grand Total
3599.65
.00
.00
3599.65
LQPERMiT