04-4490 (SFD)TWY� 1 �444"
BUILDING & SAFETY DEPARTMENT
P.O. BOX 1504
(760).777-70 12
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number
04-0-0004490--- Date 6/02/04
Property Address
44710 VIA CATALINA
' APN:
604-032-999-85-305212-
Application,description�.
DWELLING - SINGLE FAMILY
DETACHED
Property Zoning
LOW DENSITY RESIDENTIAL
Application valuation
164957
Owner
Contractor
LENNAR HOMES OF CALIFORNIA
LENNAR HOMES OF CALIFORNIA INC
78401 HIGHWAY 1.11, STE C.
78401 HIGHWAY 111,
SUITE C
LA QUINTA, CA
LA QUINTA
CA 92253
LA QUINTA CA 92253
WCC: OLD REPUBLIC IN
WC: MWC10.877600 11/01/04
CSLB: 728102,
09/30/04
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 CRC
FIRE SPRINKLERS "
NO
GARAGE SQ FTG
426.00
PATIO -SQ FTG
236.00
NUMBER OF UNITS
1.00
FIRST FLOOR -SQ FTG
2683.00
----------------------------------------------------------------------------
Permit . . BUILDING
PERMIT
Additional desc
Permit,Fee 867.00
Plan Check Fee
140.89
Issue Date .
_.,:Valuation
164957
Qty Unit Charge Per
Extension
BASE FEE -
639.50
65.00 3.5000 THOU
BLDG 1001001-500,000
227.50
Permit . . . . MECHANICAL
Additional desc
Permit Fee . . .
52.50 Plan Check Fee
3.28
Issue'Date
Valuation
0
Qty Unit:Charge Per
E'- ensNon
JUN.l 0 2004
CITY OF LA QUINTA
FINANCE DEFY.
P.O. BOX 1504.
78-495 CALLE TAMPICO VOICE (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777.7153
Application Number: (�
Applicant: �WcNtect or Engineer: Date: (04-01
Applicant's Mailing Address:
Architect or Engineer's)Address.
SOCA q9-761 _
M. No. 323 1 �
BUILDING PERMIT DECLARATIONS
I herebyaffirm under LICENSED CONTRACTOR'S DECLARATION
penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7(x10) of Division 3 of the Business and
C9de, and my License is in full force and effect. Professionals
Litrense Class /License No.
Date `1 -@on ra
I hereby affirm under penaltyof OWNER -BUILDER DECLARATION
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, atter, improve, demolish• or repair any structure, prior to itsissuance, 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 sate (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 csions ode licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec.. , BA P.C. for this reason
Date Owner
I herebyaffirm under WORKERS' COMPENSATION DECLARATION
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..
I 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
i ued y e compensation in ce carrier nd,P�i y n rr,a
er �I i/ oi�licy Number/� /W�i X7 I 06
_ I certify that, ih the performance of the work for which this permit is issued, I shall not employ an
y person in any compensation laws of California, and agree that, if I should become subject to the workers' compensation provisionsrof Sso aection 337s to 0 of thme e Labor Coto the de shall
forthwith Comply with those provisions.
WA11•
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 hereby affirm under penalty of perjury that there is a construction NSTRUrCTI CONSTRUCTION NDINNG�AGEENC � work for which this
lending Be permit is issued (Sec. 3097, Civ. C.).
Lender's Name
Lender's Address
IMPORTANT APPLICANT ACKNOWLEDGEMENT
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 pursany permit
uant to
issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity and hold harmless the City u s Write, 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 pemdt 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 county to enter upon the above-mentioned property for inspection purposes.
ate C r ature\
(Applicant or Agent):
j
Page
2
Application Number
04-00004490 Date
6/02/04
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 .
. .
-117.43 Plan Check Fee
7.34
+ Issue Date .
.
Valuation
0
Qty Unit
Charge
Per
Extension,
BASE FEE
15.00
2683.00
.0350
ELEC NEW RES"- 1 OR 2 FAMILY
93.91
426.00
0200'
ELEC,GARAGE OR NON-RESIDENTIAL
8.52
.Permit
PLUMBING
Additional desc
-
Permit Fee
171.75 .Plan Check Fee
11.56
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
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 85.
PLAN 3.
PERMIT DOES NOT
•
Page
3
Application Number
. . . .
04-00004490 Date
6/02/04
Special Notes and
Comments
,
INCLUDE BLOCK WALLS,
POOL,, SPA
OR
DRIVEWAY APPROACH.
75% PLAN CHECK .FEE`
REDUCTION APPLIED
FOR MULTIPLE
ISSUANCE
OF SAME PLAN TYPE.
Other Fees ... .
. . .
ART'IN PUBLIC PLACES -RES'
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
14.09
DIF FIRE PROTECTION -RES
97.00
GRADING.PLAN CHECK FEE
00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.0.0
DIF PARKS/REC`- RES
502.00
-
STRONG MOTION (SMI) - RES
16.49
'
DIF,STREET MAINT FAC -RES
.15.00
DIF TRANSPORTATION - RES'
1098.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1223.68
.00 .00
.1223:68
Plan Check Total
.163.07
00 .00
163.07
Other Fee Total
2435.58
..00 .00
2435.58
Grand Total
3822.33
.00 .00
3822.33