05-2511 (SFD)P.O +13OX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T,it!t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 05-000.0251-1
Property Address: 79931 PARKWAY ESPLANADE N
APN: 609-380-999-12 -293234-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property. Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 136306
Applicant:
,ee<chitect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm underpenalty of perjury that I amlicensed under provisions of Chapter 9 (commencing with
Section 7 0) of Division3 of the Busines to d Professionals Code, and my License is in full force and effect.
License C ss:Li ense No.: B
ate:. .l ntractor:
lNER-BUILDER DECLARATION
- I hereby affirm under penalty of perjury that I a Ampt from the Contractor's State License Law for the -
-: following reason (Sec. 7031 .5, Business and Pro essions 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 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*Qivision 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):
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 Coe: 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 herselfthrough'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.).
(_) 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 ) I am exempt under Sec. B.&P.C. far -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
78401 HIGHWAY 111, STE C
LA QUINTA, CA
LA QUINTA, CA 92253
Contractor:
LENNAR HOMES OF CALIFORNIA
78401 HIGHWAY 111, SUITE C
LA QUINTA, CA 92253
WCC: AON RISK SRVC
Lic. No.: B
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/21/05
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WORKER'S COMPENSATION. DECLARATION
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. '
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 MWC11114500 11/01/OBolicy Number 728.102
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 shM
bject to the workers' compensation` provisions of Section
0 of a Labor Cowi comply with those,provisions.
n
te: plicant:
WARNING: FAILU TO SECURE WORK1Q. COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS J$1 00,000). 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, eachagrees 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 resultof"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 c Unty or ' ances a d state laws relating to building construction, and hereby authorize representatives
of this my toe ter n th bove-mentioned p y for inspection purposes.
Date: nature (Applicant or Agent):
Application Number .. . . . . 05-00002511
LQPER UT
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
425.00
PATIO SQ FTG
53.00
NUMBER OF UNITS
1.00
IST FLOOR SQUARE FOOTAGE,
2225.00
Permit
BUILDING PERMIT
Additional desc .
Permit :Fee
769.00 Plan Check Fee
499.85
Issue -Date . . .
Valuation .'. . .
136306
Expirati'bn Date
12/18/05
Qty Unit.Charge
Per
Extension
BASE'FEE
639.50
37.00 3.5000.THOU
. BLDG 100,001-500,000
129.50
Permit . . .
MECHANICAL
Additional desc .
Permit -Fee . . . .
39.50 Plan Check Fee:
-.9.88
'Issue' Date
Valuation
0 .
Expiration bate
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
9.00
1.00 6.5000
EA MECH EXHAUST HOOD
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .• .
Permit Fee . . . .
101.38 Plan Check Fee..
25.35
Issue Date
Valuation
0
Expiration Date
12/18/05,
Qty Unit Charge
Per
Extension
."BASE FEE
15.00
2225.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
77.88
425.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
8.50
LQPER UT
Application Number . . . .
. 05-00002511
----------------------------------------------------------------------------
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
84.00
1.00 15.0000,EA -PLB
BUILDING SEWER
is:.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.OQ00 EA
PL''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 15.00
Plan Check-Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date 12/18/0.5
Qty Unit Charge Per
Extension
BASE FEE
15.00
Special Notes and Comment's
SFD -LOT 12. PLAN'4R, 2225
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
49.'99..
DIF FIRE.PROTECTION-RES
97.00
GRADING PLAN CHECK FEE
0.0
DIF LIBRARIES -.RES
225.00
DIF PARK MAINT FAC - RES
5:0,0
QIF PARKS./REC.- RES
502.00
STRONG MOTION (SMI) - RES
13.63
DIF STREET MAINT FAC-RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
------------=--------------
Paid Credited
------------------------------
Due
LQPERAIIT
+ Application Number
. . . . .
05-00002511
• Permit Fee Total
1077.13
.00
.00
1077.13
Plan Check Total
573.14
.00
.00
573.14
Other Fee Total
2468.62
00
.00
2468.62
Grand Total
4118.89
.00
.00
4118.89
a
LQPERAIIT