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05-2515 (SFD)M P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number:05-000025T5� Property Address: 79963—PARKWAY ESPLANADE N APN: 609-380-999714 -293234- Application description: DWELLING - SINGLE FAMILY DETACHED, Property Zoning: LOW DENSITY RESIDENTIAL P' Application valuation: 130681 Applicant: rchitect 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'70 01 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License(CIS. LicenseNo:: B ontractor: �1 , .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 permitsubjects 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 is not 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.improvementis 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.). ( 1 I am exempt under Sec. , B.&P.C. for thi's 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 VOICE (760) 777-7012 FAX (760) 777=7011 INSPECTIONS (760) 777-7153. Date: 6/21/05 Owner: LENNAR HOMES OF CALIFORNIA J Q 78401 HIGHWAY 111, STE C �7 LA QUINTA, CA LA'QUINTA, CA 92253 Jni�y f cary Contractor:QUlfdr LENNAR HOMES OF CALIFORNIA IN.0 cD�F�j A 78401 HIGHWAY 111, SUITE C 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 io self -insure for workers' compensation, as.provided .for by Se6on:3700 of the Labor Code, for the performanceof the work for which this permit is issued. Fhave 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 / 0 1 / 0 Solicy Number 728102 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in anymannerso as'to become subject -to the workers' compensation laws of California, =agree if I should become subject to the workers' compensation provisions of Section bo , 6sha11 Ihwith comply with dose provisions. tot: WARN( G: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - APPLICANT'ACKNOW LEDGEMENT IMPORTANT Application is'hereby made to the Director of Building and Safety for a permit subject to the conditions andrestrictions 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 t at I have read this application and state that the above information is correct. I agree to comply with all city and ounty o inane and to laws relating to it ing construction, and hereby authorize representatives of this c unty t ent p e above-mentioned pro ert for inspection rposes. ignature (Applicant or Agent): r 1 Application.Number . . . . . 05-00002515 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 --------------------------------------------------- 2121.00 PermitBUILDING PERMIT Additional desc Permit Fee . . . . 748.00 Plan Check Fee 121.55 Issue Date . . . Valuation . . . . 130681 Expiration;Date 12/18/05 Qty Unit Charge Per. Extension BASE.FEE 639.50' 31:00 3.5000 THOU., BLDG 100,001-500,000 108.50 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. 9.00 1.00 6.5000 ---------------------------------------------------------------------------- EA •MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 98.18 Plan Check Fee 6.14 Issue Date . . . . Valuation . . . . 0. Expiration Date 12/18/05 Qty Unit Charge Per Extension BASE FEE 15.00 2121.00 .0350 ELEC.NEW RES-- 1 OR 2 FAMILY 74.24 447.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.94 LQPER➢4Tf Application Number . . . . . 05-00002515 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 152.25 Plan Check Fee 9.52 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 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 . 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 14. PLAN 3R, 2.121 SF. PERMIT DOES NOT INCLUDE BLOCK WALL, :POOL, SPA OR DRIVEWAY APPROACH. 15% PLAN CHECK FEE REDUCTION APPLIED FOR MULTIPLE ISSUANCE OF SAME PLAN TYPE. ---=---=-------------------------------------------------------------------- Other Fees . . . . . . . ART IN PUBLIC PLACES -RES .00 DI•F COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW -FEE.. 12.16 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 13.06 DIF STREET•MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due LQPERAIIT i LQPERMIT Application Number . . . 05-00002515 -- - - - - - - - - - -- - - --- Permit'Fee Total --- - - - - -- 1052.93 ---- - - - - ----- .00. - - - - - -- .00 ---- - - - - -- 1052.93 Plan Check Total 139.68 .00 00 139.68 Other Fee Total 2430.22 .00 .00 2430.22 Grand Total 3622.83 .00 .00 3622.83 LQPERMIT