05-2505 (SFD)P O `�&UX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: -
0 ` -0002505.
Property Address:
79910 PARKWAY ESPLANADE .N
APN: .
609-380-999-6 -293234-
Application description:
DWELLING - SINGLE FAMILY DETACHED
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
152664
Applicant: Architect 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 Business and Professionals Code, and my License is in full force and effect.
License as/s::r License No:: _ 728102
Date: v/ ontractor:
/ 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 (5500).: _
(_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
•'ihe structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State Licerise 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
improvementsare 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.).
( ) 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:
LQPERMff
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
—D 6/21/05
Owner:
LENNAR HOMES OF CALIFORNIA
4QUINTA, 01 CA 111,. STE C
LAto "✓ �1 I
LA QUINTA, CA 92253 V 2005 �!
C17'y OF
. FIR9Aa� �Q UllYpq
Contractor: �P�
LENNAR HOMES OF CALIFORNIA INC
40004 COOK ST.
PALM DESERT, CA 92211
(95i)817-3'6'0'0
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 for which this permit is
issued. '
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 '
370 ie Labor Cod% I shall forthwith comply with those provisions.
ate:pplicant:
WARNING: FAILURE TO SECURE WOR RS' 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 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.
1 certify that I have.read this application -and state that the above information is correct. I agree to comply with all
city and c unty ordinances and state laws relating to u' di g construction, and hereby authorize representatives
of this co my to enter u the above-mentioned pro or inspect n purposes.
Bate: ature (Applicant or Agentl: f
Application Number .
. . . . 05-00002505
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 Fee134.06.
Issue;Date . . . .
Valuation . .
. . 152664
Expiration Date
12/18/05
Qty Unit Charge
Per
Extension
BASE FEE
639..50
53.'00 1.5000
THOU BLDG 100,001-500,000
185.50
Permit. . . .
MECHANICAL -
Additional desc .
Permit Fee4-6.00
:Plan Check Fee
2.88
Issue Date . . . .
Valuation' . .
. .. 0
Expiration Date ,.
..12/18/05
Qty Unit Charge
Per.
Extension
-BASE FEE
15.00
1.00 •9.0000
EA MECH FURNACE <=100K
9.00
1.00 9.0:000
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 . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
111.39 Plan Check Fee
6.96
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
12/18/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2511.00 .0350
ELEC NEW RES -.1 OR 2 FAMILY
87.89
LQPERMTf
Application Number .
. . . . 05-00002505
Permit . . . . . .. ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
425.00 .0200
------------------7---------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
8.50
Permit PLUMBING
Additional desc .
Permit Fee . . .
170.25 Plan Check Fee
10.64
Issue Date . . . .
Valuation . . . .
0
Expiration Date
12/18/05 ~
Qty Unit Charge
Per
Extension
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 .
P.ermit'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 6. PLAN-,4YR;..2'511'
SF. PERMIT
DOES -NOT INCLUDE BLOCK WALL, .POOL, SPA
OR�DR3VEWAY.APPROACH..75%
PLAN CHECK 'FEE
REDUCTION.APPL�IED 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
13.41
DIF FIRE PROTECTION -RES
91.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES -RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
LQPEPN11T
LQPERA4[T
Application Number
. . . .
05-00002505
----------------------------------------------------------------------------
Other.Fees . . .
. . . . . .
STRONG MOTION (SMI) - RES
15.26. .
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1167.64
.00 .00
1167.64
Plan Check Total
154.54
.00 .00
154.54
Other Fee Total
2433.67
.00 .00
2433.67
Grand Total
3755.85
.00 ..00
3755.85