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04-6444 (SFD)4 Tdf 4 4 QU&I BUILDING & SAFETY DEPARTMENT P:0. Box 1504 (760),777-7012 78-495 CALLE TAMPICO. FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 A, OCT 2 2 2334 It Application Number Property APN :onoHsa,:9<< Applicatidescription . . . Property Zoning . . . . . . . Application valuation . . . G PERMIT 4-000V06-44471 Date 9./27/04 `78330 -VIA DIJON' 604-032-999-20 -305212- DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 186652 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 Qty Unit'Charge Per Extension WCC: OLD REPUBLIC IN WC: MWC10877600 11/01/04 CSLB: 728102 09/30/04. CCC: B -------------------------- St'ructure Information ------------------------- Construction Type . ... . . TYPEV - 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 637.00 PATIO SQ FTG. 236.00. NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 2990:00 ---------------------------------- Permit ... . . . . ------------------------------- BUILDING -PERMIT ----------- Additional desc Permit Fee . . . . 944.00 Plan Check.Fee 613.60 Issue Date . . . . Valuation 186652 Qty Unit Charge Per Extension BASE FEE 639.50 87.00 3.5000 THOU BLDG 100,001-500,000 3,04.50 ---------------------------------------------------------------------------- Permit MECHANICAL .Additional desc Permit Fee 70.50 Plan Check Fee 17.63, Issue Date . . . . Valuation . . . . 0 Qty Unit'Charge Per Extension P.O. Box 1504 78-495 CALLS TAMPICO � VOICE (7 60) 777-7(11: LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: /d•22.0�{ Applicant: hi ct or Engineer: &94M M 12h" l Q Applicant's mailing Address: Architect or Engineer's Add ss: /foo ;? /&Ac S,4 04 qa -iro / Lip. NO.: 3 a 3 q � BUILDING 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 C de, and my License jS in full force and effect. -1�- ( D cense Class A ;cense No. Date �6 • ontractor_ OWNER43UILDER 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 fora 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 structureis 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 1, 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 Crooner 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 37.00 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 ,t� }est M yvoyke�s sompensafion ' rance carrier'ar�d policy number g �rrier�/�G/ liLlO[�G /policy Number /�((�f�G ,q /LP6,0 sr _ I certify that, in 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' compensafion provisions of Section 3700 of the Labor code, 1 shall forthwith comply with those provisions. ate Q� a `o plicant 1,.�op�L 9— 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. CONSTRUCTION LENDING AGENCY 1 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.). Lenders Name Lenders Address CA IMPORTANT Application is hereby made to the Director of Buildingand Safety ACKNOWLEDGEMENT T ty 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, indemnity and hold harmless the City o1 La 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 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 rept' sentatives of this county to enter upon the above-mentioned property for inspection purposes. ate ! �%` a'0 Signature (Applicant or Agent): /`�� a ,oa , i Page 2. Application Number .04-00006444 Date 9/27/04 Qty Unit Charge. Per 9 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 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 . . . 132.39 Plan Check .'Fee 33.10 Issue Date Valuation . . . 0 Qty, Unit Charge Per Extension BASE FEE 15.00 2990.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 104.65 '. 637..00 .0200 ELEC GARAGE.OR NON-RESIDENTIAL 12.74 Permit PLUMBING Additional desc Permit Fee 189.75 Plan Check Fee 47.44 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge. Per Extension BASE FEE 15.00 20.00 6.0000 EA PLB FIXTURE 12000 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 20 PLAN 3XZ, 2990 SF. PERMIT- Page 3 Application Number . . . . . 04-00006444 Date 9/27/04 ----------------------------------------------------------------------------- Special Notes and Comments DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, OR DRIVEWAY APPROACH Other Fees . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES .97.0.0_ DIF CIVIC CENTER - RES 366.00 ENERGY'REVIEW FEE 61.36 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 18.66 DIF STREET MAINT FAC' -RES 15.00' DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credite3 Due Permit- Fee Total 1351.64 .00 .00 1351.64 Plan Check Total, 711.77 .00 .00 711.77 Other Fee Total 2485.-02 .00 .00 2485:02 Grand Total 4548.43 .00 .00; 4548:43 C-(DPY ' Certificate ®f 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. e Rberglass is inorganic and thereforepermanently noncombustible, so it does not a to be treated " with fire -retardant chemicals that will likely lose their effectiveness over time. It has not been treated with chemicals that can corrode wiring or metal. Fiberglass will not absorb moisture nor will it settle over time as may other insulation materials. This also certifies that insu_ iation have been professionally installed in this home to provide the following thermal performance. Lennar Hornes Job Name: La Quinta Del Oro Tract: 30521 Plank 3Z Phase: Z Lot No: 20 Job Address: SFR- 76-330 Via Oijon, La Quinta, CA c Ceiling Area: R-30 batt insulation Garage Ceiling: Non -Access: N With Living Above & Sloping Areas LO c _ L ` Exterior.Walls R-13 batt insulation- Overhangs: Access Attic: a- With Living Abov® . N Between Floors: Interior Walls: Subcontractor...0 J Insulation, Inc. r 0 72-227 Adelaid St, Thousand Palms, CA 92276 Signed: 1ul' C� .t P Q N Mike. Dickerson, General Manager - Palm Springs Division - R -means resistance to heat flow. The higher the R -value, the greater the_ insulating power. -va'ues. Keep this certificate with your other Ask your builder for the fact sheet on R 0 valued papers. If you.ever sell this home, this certificate should be passed onto the buyer.