04-6458 (SFD)A
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BUILDING & SAFETY DEPARTMENT
w�P 0 -130 1504
�78-4.95�`CAiLE TAMPICO FAX (760)'777-701 1
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a
I �„-r LA QUINtkit CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number 04-00006458 Date . 9/27/04
Prop re ty Address . . . . . . �78`3-2-0^VIA PAVION_ q
APN: 604_032-999-44 -305212-
Application'descri,ption DWELLING SINGLE FAMILY DETACHED
Property Zoning LOW DENSITY.RESIDENTIAL
Application valuation 162251
Owner Contractor
LENNAR HOMES OF CALIFORNIA LENNAR HOMES OF CALIFORNIA INC
78401 HIGHWAY '111, STE C'. 78401 HIGHWAY 111, SUITE C
LA QUINTA,-CA` LA QUINTA CA 92253
LA QUINTA. CA 92253
WCC: OLD REPUBLIC IN
WC: MWC10877600 11/01/04
CSLB: 728102 09/30/04
CCC.: B
-------------------------- 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'
FIRE SPRINKLERS NO
GARAGE SQ FTG 462.00
PATIO SQ FTG 358.00
NUMBER OF UNITS 1.00
FIRST FLOOR SQ FTG 2595.00
-----------------------------------------------------------------------------
Permit . . . BUILDING PERMIT
Additional desc
Permit Fee 860.00 Plan Check Fee 139".75
Issue Date Valuation . . 162251
Qty Unit Charge- Per Extension,
BASE FEE 639.50
63.00 3.5000 THOU .BLDG 100,001500,000 220.50
Permit . . . MECHANICAL
Additional desc
Permit Fee 52.50 Plan Check Fee 3.28
Issue. Date Valuation . . . . .0
Qty Unit Charge Per Extension
P.O. Box 1504 a4 4. ��/�G�
78-495 CALLS TAMPICO Y VOICE (760) 777-701
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Q _ to 1451e Date: lD • 2.a • 01
Applicant: ---Ar Itect or Engineer:
iuu�A�. in �'?(
Applicant's Mailing Address: chltect or E ineer' Addr s:
8/7k Qjid
'c. No.. �� J
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (com ncing with Section 7000) of Division 3 of the Business and Professionals
Ce, and my License is in full force and effect.
nse Class_ icense No. tJ
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 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 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 burden 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. , B.& 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
�( of the work for which this permit is issued.
/&.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
Iwo mp sation i nce carter and policy u ber
a er Ai su policy Number _ � Y� IAS IVr�,
� 11 g
_ I certify that, the performance of the work for which this permit is issue , 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 provisions.
ate J Applicant l
WARNING: 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 ($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.
I herebyaffirm under CONSTRUCTION LENDING AGENCY
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
IMPORTANT Application is hereby made to the Director of Buildingand APPLICANT
ACKNOWLEDGEMENT
Safety apermit 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 ofLa 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 i.
ssuance of such permit, or
cessation of work for 180 days will subject permit to cancellation.
I certify that t 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 countytoenter upon the above-mentioned property for inspection purposes.
/bate o v � Signature (Applicant or Agent): FSS( l
Application Number
. .
. 04-00006458 Date
9/27/"04
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
2.00
6.5000
EA
MECH VENT FAN
13.00
.1.00
6.5000
EA
MECH EXHAUST HOOD
6.50
Permit
.ELEC-NEW RESIDENTIAL
. Additional
desc
Permit Fee
115.07 Plan Check_ Fee
.7.19
Issue Date
Valuation
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
2595.00
0350
ELEC'NEW RES - 1 OR 2 FAMILY
90.83
- 462.00
.0200
ELEC'GARAGE OR NON-RESIDENTIAL
9.24
Permit
PLUMBING "
Additional
desc
Permit Fee
171.75 Plan Check Fee
10:74
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
1.007.5000
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
7.00
.7500
EA
PLB GAS PIPE >=5
5.25
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
BASE FEE
15.00
Special Notes
'and Comments
SFD - LOT
44.'PLAN 2R,
2595
SF. PERMIT
Page
3
Application -Number.
04-00006.458 Date
9/27/04
------------------------------------------------------------------------------
Special Notes and
Comments
DOES NOT INCLUDE BLOCK
WALLS,
POOL, SPA
OR DRIVEWAY APPROACH.
75% PLAN
CHECK FEE
REDUCTION APPLIED
FOR MULTIPLE
ISSUANCE
OF SAME PLAN TYPE.
Other Fee's. . . .
. . . . .
ART IN PUBLIC PLACES -RES
J .00
DIF COMMUNITY CENTERS -RES
97.00,
DIF CIVIC CENTER - RES
366.0.0
ENERGY REVIEW FEE,
13:98
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
16.22
DIF STREET,MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary.
Charged
Paid-. Credited
Due
Permit Fee Total
1214.32
.00 .00
1214.32
Plan Check Total
160.96
..001.. :00
160.96 '.
Other Fee Total
2435.20
.00 .00
2435.20
Grand Total
3810.48
.00 .00
,810.48
COPY -
Certificate ®g insulation
Your home has been insulated with John Mansville Fiberglas: insulation products,. which are designed
For today's safety standards and tomorrow's Energy requirements. -
n " y Fiberglass is inorganic and therefore permanently noncombustible, so it does not have to be treated
v with fire -retardant chemicals that will likely lose their effectiveness over time. It has not been treated
v
�. with chemicals that can corrode wiring or metal. Fiberg?ass•will not absorb moisture nor will it
settle over time as may other insulation materials.
This also certifies that insulation have been professionally instayed in this home to provide the
following thermal performance.
Lennar Homes
Job Name: Le Quinta Del Oro Tract:. 30521 Plan# 1 Phase: 7
Lot No: 19 _ Job Address: SFR -78-320 Via Pavion, La Quinta, CA
Ceiling Area: R-313 batt insulation Garage Ceiling: Non -Access:
- - With Living Above & Sloping Areas y .,
`' Exterior Wells R-13 batt insulation, Overhangs: Access Attic: -
_ With Living Above'
N -Between Floors: Interior Walls:IL q ,
i
Subcontractor ... 0 J Insulation, Inc.
0 72-227 Adelaid St, Thousand Palms, CA 92276 _
Signed: 11' � s µ-
iu ' )Nike Dickerson, General Manager; -Palm Springs Division ;
R -means resistance to heat flow. The higher the R -value, the greater the insulating power.
Ask your builder for the fact sheet on R -values. Keep this certificate with your other -
o = _ valued papers. if you ever sell this home, this certificate_ should be passed on to the buyer.