04-6365 (SFD)• IN
P.O BUILDING & SAFETY DEPARTMENT
O :..
OF 9 0 -495 C IfA��;A (760).777-7012
c�1fs FAX (760) 777-7011
LA UALIF N 92253 INSPECTION REQUESTS (760) 777-7153
e1re�`�'DE1�A
pINAN�� ILDING PERMIT
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Application Number . . . . . r,04'-00006365 Date 4/04/05
Property Address . . . . 81949 IL SERENATA DR
APN: 764-010-011-4 -30092 -
Application•description DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . LOW DENSITY RESIDENTIAL
Application valuation 196173
Owner
Contractor
K. HOVNANIAN FORECAST
HOMES
K: HOVNANIAN FORECAST
HOMES
4240 E. JURUPA ST. STE.
402
4240 E. JURUPA STREET
CHINO
CA 91710
ONTARIO
CA 91761
(909) 937-3270
WCC: ZURICH INS
WC: WC343666302
10/31/05
CSLB: 700788
10/31/05
CCC: B
--------------------------
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
CBC
FIRE
SPRINKLERS NO
GARAGE SQ FTG
920.00
PATIO
SQ FTG
208.00
NUMBER
OF UNITS
1.00
1ST
FLOOR SQUARE FOOTAGE
3066.00
--=--------------------------------------------------------------------------
Permit . . . . . ..
BUILDING PERMIT
Additional desc
Permit Fee . . . .
979.00
Plan Check Fee
636.35
Issue Date . . . .
Valuation . . .
196173
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
97.00 3.5000
THOU BLDG
100,001-500,000
339.50
----------------------------------------------------------------------------
Permit
MECHANICAL
i
Additional desc
Permit Fee . . . .
83.50
Plan Check Fee
20.88
Issue Date.
Valuation . . . .
0
Qty Unit Charge
Per
Extension,
BASE
FEE
15.00
2.00 9.0000
EA MECH
FURNACE<=100K
18.00
2.00 9..0000
EA MECH
B/C.<=3HP/100K BTU
18.00
4.00 6.5000
EA MECH
VENT FAN
26.00
1.00 6.5000
EA MECH
EXHAUST HOOD
6.50
P.O. BOX 1504
VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 04- to 365 Date: -4-RS-05"
Applicant: Architect or EPgin ger:
IV Tfn. V r N
Applicant's Mailing Address:
or
1 ✓-y� � i&. . C4 - 2 ce
tic. No.: r — s-5-
t1,UILUING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
ode, and my Liceis in full force and effect. nn,, 2Q e�
License Class 7 /License No. VQ "/ Gid
Y OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U I, as owner of the property, or my employees with wages as their sole ccmpensation, 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 or 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 bu den of proving that he or she did not build or improve for the purpose of sale.).
U 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.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I 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
yof the work for which this permit is issued.
-Phave 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
,,-<arrier
issued. My workers' compensation ins.a carrier and policy qum er re'
icy Number u_ )�z' �Lito 3 r) '1
certify that, int 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 3700 of the Labor Code, I shall
forthwith comply with those,provjBions.
WARNING: FAILURE TO SECURE WORKERS' COMPEAATION 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 _ N1 1r
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 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 info at is correct. I agree comply with all city and county ordinances and state laws relating to building
construction, and hereby autho�repr(senlatives of this co ty t enter upon th a oned property for inspection purposes.
ignApplicant or A entAgent),
13
Page
2
Application Number .
. . . . 04-00006365 Date
4/04/05
-----------------------------------------------------------------------------
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee . .
. .
140.71 Plan Check Fee
35.18
' Issue Date . .
. .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
3066.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
107.31
920.0.0
-----------------------------------------------------------------------=----
.0200
ELEC GARAGE OR NON-RESIDENTIAL
18.40
Permit . . I. .
. .
PLUMBING
Additional desc
Permit Fee . .
. .
172.50 Plan Check Fee
43.13
` Issue Date . .
. .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
. 17.00
6.0000
EA PLB FIXTURE
102.00
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
8.00
.7500
EA PLB GAS PIPE >=5
6.00
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
Qty Unit
Charge
Per
Extension
------------------7---------------------------------------------------------
BASE FEE.
15.00
Special Notes and
Comments
SFD - LOT 4, PLAN 3C,
3066 SF.
PERMIT DOES NOT
INCLUDE POOL, SPA,
BLOCK WALLS 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
63.64
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
225.00
w
Page 3
Application Number
----------------------------------------------------------------------------
. . . . .
04-00006365
Date
4/04/05
Other Fees . . . .
. . . . .
DIF PARK MAINT FAC
- RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI)
- RES
19.61
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION
- RES
1098.00
Fee summary
-----------------
Charged
Paid Credited
Due
Permit Fee Total.
----------
1390.71
--------------------
.00
----------
.00
1390.71
Plan Check Total
735.54
.250.00
.00
485.54
Other Fee Total
'2488.25
.00
.00
2488.25
Grand Total
4614.50
250.00
.00
4364.50