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05-2510 (SFD)J P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4&t " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number:05-00002510 Property Address: 79-915 PARKWAY ESPLANADE N APN: 609-380-999-11 -293234- Application description: DWELLING :SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 145328 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 000) cf Division 31of the Busine s and Professionals Code, and. my License. is in full force and effect. License lass: B License No.: 728102 Datentractor. QW, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 0. from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires 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 sheds 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 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 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the. project (Sec. 7044, Business and Professions Coder 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: I Lender's Address: IV /1 LQPERNfIT Owner: LENNAR HOMES OF CALIFORNIA 78401 HIGHWAY 111, STE C LA QUINTA,. CA LA QUINTA, CA 92253 Contractor: LENNAR HOMES OF CALIFORR 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 V AlQV C1 3 ?005 �p� WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the 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 peimit 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,workerscompensation insurance carrier and policy number aie: - 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 she Id become subject to the workers' compensation provisions of Section 00 0 he Labor shall forth ith-comply with those provisions. 'bate: pplicant: WARN( G: FA LURE TO SECURE WOR S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJEC r 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 fora 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 whoserequestand 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 cityand c my ordinances and state laws relating to building construction, and hereby authorize representatives of this cou ty to mer upo he above-mentioned Iii y for inspectio purposes. ,Pate: Signature (A Application Number . . . . . 05-00002510 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 418.00 PATIO SQ FTG 45.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2387.00 Permit . . . BUILDING PERMIT Additional desc Permit Fee . . . . 800.50 Plan Check Fee ..130.08 Issue Date Valuation '. 145328 Expiration Date 12/18/05 Qty Unit Charge Per Extension BASE FEE 639.50 46'.00 3.5000 ------------------------------------ THOU BLDG 100,001-500,000 ------------------------------------ 161.00 ---- Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 39.50 Plan Check Fee 2.47 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 9.0000 EA MECH B/C,<=3HP/100K BTU 91.00 1.00 6.5000 EA MECH EXHAUST HOOD. -6.50 -------------------------- ------------------k-------------------------------- Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 106.91 Plan Check Fee.. 6.68 Issue Date Valuation . . . . 0 Expiration Date 12/18/05 Qty Unit Charge Per Extension BASE FEE 15.00 2387.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 83.55 418.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.36 LQPERAIIT . Application Number . . . . 05-00002510 ---------------------------------------------------------------------------- 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 15.000'0 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 1S.000.0. EA PLB 'GAS METER 15'.00 Permit . . . 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 11. PLAN -3Y, 2387 S.F.. 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 36.6..00 ENERGY,REVIEW FEE 1,3.:01 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 14.53 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 LQPERMIT LQPERMIT Application Number . . . 05-00002510 Fee summary ----------------- Charged ---------- Paid ---------- Credited ---------- Due ---------- Permit Fee Total 1132.16 .00 .00 1132.16 Plan Check Total 149.87 .00 .00 149.87 Other Fee Total 2432.54 .00 .00 2432.54 Grand Total 3714.51 .00 .00 3714.57