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05-2496 (SFD)._ . P.O. BOX 1504. 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 05-00002496 79990 PARKWAY ESPLANADE N 609-380-999-1 -293234- DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 152664 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: LENNAR HOMES 78401 HIGHWAY DETACHED LA QUINTA, CA LA QUINTA, CA ,,-'A'rchitect or Engineer: OF CALIFORNIA 111, STE C 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 J Contractor: LENNAR HOMES OF CALIFORNIALINC 78401'HIGHWAY 111, SUITE C LA QUINTA, CA 92253 WCC: AON RISK SRVC Lic- No.: B Date: , 6/21/05 Al U '0V 3 0 Z405 `. CF 9: duan.,_ / ------------------------------------------------------------------------------------------------- - LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury that I am licensed underprovisionsof Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I.have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License as_s: License No.: B for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. insurance, by Section 3700 Labor ontractor.Ihave and will maintain workers' compensation as required of,the Code, for the performance ofthework for which this permit is issued. My workerscompensation OWNER- BUILDER DECLARATION - ' insurance carrier and policy number are: - I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier MWC11114500 11/O1/OGolicy Number 728102 following. reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performance of the work for which this permit is issued, I shall not employ -any construct, alter, it iprove,� demolish, or repair any structure,.prior to its issuance, also requires the applicant -for the _ person in any manner so as to become -subject to the workers' compensation laws of California, , permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's. State and agree that,, if I should become subject to the.workers' compensation provisions of Section License Law_ (Chapter 9 (commencing with Section. 7000) of Division 3 of the Business and Professions Code) or Code, I sha11'forthwith comply with those provisions. that he or she is exempt therefrom and thebasis for'the alleged exemption. Any violation of Section 7031.5 by r370hbor any applicant for a permit subjects the applicant to'a civil penalty of not more than five hundred dollars ($500).: e:licant: T +:FAILURE (_ 1 I, as owner of the property, or my. employeeswithwages 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 .'or WARNTO SECURE W R S' COMPENSATION COVERAGE ISUNLAWFUL, AND SHALL Contractors' State License Law does not. apply to an owner of property who builds improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the - DOLLARS ($100,000) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the -building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT - (_ 1 I, as owner. of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with'a contractorls) licensed - 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, ( ) I am exempt under Sec. , B.&P.C. for this reason ' the owner, -and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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.1. Lender's Name: 1� Lender's Address: 1r LQPERMIT 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 city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this co my to nt�on th above-mentioned pr for inspection purposes. Date: ignature (Applicant or Agent): � N I 1 Application Number . . . . 05-00002496 Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=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 Fee .. 536.25 Issue Date . . Valuation . . . . 152664 Expiration Date 12/18/05 Qty_ Unit Charge Per Extension BASE FEE 63'9.50 53.00 3.5000 THOU. BLDG 100,001-500,000. 185.50 Per-.mit . . . MECHANICAL Addtional.desc,. Permit Fee 46..0.0 Plan Check, Fee 11.50 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. 0.0; 6.5000 EA MECH VENT - FAN> 6.50 1;.00 6.50.00 EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL - Additional desc . Permit Fee 111.39 Plan Check Fee 27.85 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 LQPEPA11T Application Number 05-00002496 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 425.00' .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 8.50 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 170.25 Plan Check Fee 42.56 Issue Date . . . . Valuation . . . . 0 Expiration -Date 12/18/05 .-Qty, Unit Charge Per Extension BASE FEE 15.00 17.0.0 6.0000 EA PLB FIXTURE 1.02.0.0 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 15.0.000 EA PLB GAS METER 15.00 Permit . . . GRADING PERMIT Additional,desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 " E4iratioiY. Date 12/18/05 Qty 'Unit Charge Per Extension BASE FEE 15.00 Special Notes and -Comments SFD = LOT 1. PLAN 4YR, 2511 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 53.63 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 15.26 DIF STREET MAINT FAC -RES 15.00 LQPERMIT Application Number. . . . . . 05-00002496 ------------ --------------------------------------------------------------- Other Fees . . . . . . . . . DIF.TRANSPORTATION - RES 1098.00 Fee summary - - -- Charged ---- - - - - -- Paid ---------- Credited ---- - - - - ---- Due -- - - - - -- -- - - - - - - - - - - - Permit Fee Total 1167.64. .00 .00 1167.64 Plan Check Total 618.16 .00 .00 618.16 Other Fee Total 2473.89 .00 .00 2473.89 Grand Total 4259.69 .00 :00 4259.69 i LQPERMIT