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05-2498 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO " LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: X0:5_000' 024 8� Property'Address: 79958 PARKWAY ESPLANADE N APN: 609-380-999-3 -293234- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Applicatjon valuation: 112338 Applicant: Architect or Engineer: --------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section70001 of Divisio of the Busines's and Professionals Code, and my License is in full force and effect. License 1 ass: r License No.: B / Date: 1I Contractor: -t' 0 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 ($500).: 1—) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure isnot intended or offered for sale (Sec. "7044, Business and Professions Code: The Contractors' State License'Law does not apply town 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.). (- ) 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 contractorls) 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 ISec. 3097, Civ. C.I. Lender's Name: Lender's*Address: LQPERMIT VOICE (760) 777-7012 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 f LA QUINTA, CA 92253 �f�r. `u V 3 2005 Contractor: LENNAR HOMES `OF CALIFORNIA INC Cliyc3 QHIINT A�r�9-�,'9f; 78401 HIGHWAY 111, SUITE C F LA QUINTA, CA 92253 WCC: AON RISK SRVC Lic: No.: B ------------------ 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. )[ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor r� Code, for the performance of the work for which this permit is issued. My workers' compensation insurance cagier and policy number are: " Carrier MWC11114500' 11/O1/0golicy Number 728102 _ 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 37POI o e Labor +dlhall�forpiwithply with those provisions. . ate: plia La WARNIN • FAIL RE TO SECURE WS' 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 3766 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 ount ordinances and state laws relating to building constr ction, and hereby authorize representatives of this c unty ant up the above-mentioned prop / y or inspe tion purposes. Date A Signature (Applicant or Agent): i Application Number . . 05-00002498 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 3.00 FIRE SPRINKLERS NO GARAGE.SQ FTG 425.00 PATIO SQ FTG 53.00 NUMBER OF UNITS 1.00 1ST' FLOOR SQUARE' FOOTAGE 1806.00 Permit BUILDING PERMIT Additional desc . Permit Fee 685..00 Plan Check Fee 445.25 Issue Date . . Valuation• . . . . 112338 Expiration Date 12/18/05 Qty Unit Charge Per. Extension BASE FEE. 639.50. 13.00 3.5000 THOU BLDG 100,001-500,000 45.50 Permit MECHANICAL Additional desc:. Permit .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 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9..000.0 EP, 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- 86.71 Plan Check Fee 21.68 Issue"Date . . . . Valuation 0 Expiration Date 12/18/05-, Qty Unit Charge Per Extension BASE FEE 15.00 1806.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 63.21 425.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.50. LQPERMff Application Number ---------------------------------------------------------------------------- 05-00002498 Permit PLUMBING Additional desc Permit Fee . . . . 146.25 Plan Check Fee 36.56 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 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 3.00 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 12/18/05 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and'Comments SFD -..LOT 3. PLAN 1R, 1806.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. 44.53 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 11.23 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee.summary Charged Paid Credited ----------------- ---------- -7 -------- -------------------- Due LQYERAITT Application Number 05-00002498 Permit Fee Total 972.46 .00 .00 972.46 Plan Check Total 513.37 .00. .00 513.37 Other Fee Total 2460.76 .00 .00 2460.76 Grand Total 3946.59 .00 .00 3946.59