04-6446 (SFD)i
P.O.. Box 1504°
,,78-495_CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING PERMIT
Application Number . . .
Property Address
APN:
Application description
Property Zoning . . .
Application valuation . .
Owner
LENNAR HOMES OF CALIFORNIA
78401 HIGHWAY 111, STE C
LA QUINTA, CA
LA QUINTA CA 92253
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
04-0000644.6--,' Date 9/27/04
78340 VIA DIJON
604 -032 -999 -21 -305212 -
DWELLING - SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL
162251
Contractor
------------------------
LENNAR HOMES OF CALIFORNIA INC
78401 HIGHWAY 111, SUITE C
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/LONG <=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
559.00
Issue Date . . . .
Valuation . . . .
162251
Qty Unit Charge
Per
Extension
BASE FEE
639.50
63.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
220.50
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee . . . .
52.50 Plan Check Fee
13.13
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
.4 4
P.O. Box 1504 "
78-495 CALLS TAMPICO Tuf
LA QUINTA, CALIFORNIA 92253
BUILDING $ SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's Mailing Address:
VOICE (760).777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: /D ' Z 2-U`l
Archit t or Engineerl�
chltect or Engineer's Address:
�z t k o-1-� {—
S A l
Lic. No.: 7J a'3
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
Code, and my License is in full force and effect. -1
rise Class cense No. ` Q
r _
OWNER43UILDER DECLARATION
1 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 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. , 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
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
issued. f� wo er% compensation'
ensation i ce.carrier and policy nu er are:
i[1 U • A� 111J �licy Number M ) (� OTS :) "i (4 a C)
_ I certify th , 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' compensation provisions of Section 370
forthwith comply with those provisions. 0 of the Labor Code, i shall
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.
1 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 Safety ACKNOWLEDGEMENT
ty 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 o1 La Ouirda, 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 county to enter upon the above-mentioned property for inspection purposes.
Date -gnatum (Applicant or Agent):
Page 2
Application Number . . . . . 04-00006446 Date 9/27/04
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
111.00
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
28.77
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-REESIDENTIAL
9.24
Permit . .
. . . PLUMBING
Additional desc
Permit Fee .
. . .
171.75
Plan Cheek Fee
42.94
Issue Date
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
17.00
6.0000
EA
PLB
FIXTURE r
102.00
1.00
15.0000
EA
PLB
BUILDING SEWER
15.00
1.00
7.5000
EA
PLB
WATER HEATER/VEN-
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 21.
PLAN 2R,
2595
SF.
PERMIT
Page 3
Application Number
. . . . .
04-00006446 Date
9/27/04
----------------------------------------------------------------------------
Special Notes and
Comments
DOES NOT INCLUDE BLOCK
WALLS,
POOL, SPA
OR DRIVEWAY APPROACH.
------------------------------------------------------------•----------------
Other Fees . . .
. . . . . .
ART IN PUBLIC PL1,CES-RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
55.90
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
643.84
.00 .00
643.84
Other Fee Total
2477.12
.00 .00
2477.12
Grand Total
4335.28
.00 .00
4335.28
Certificate of Insulation ! coo Py
Your home has been insulated with John Mansville Fiberglas: insulat;on products, which are designed
for today's safety standards and tomorrow's energy requsrements.
Fiberglass is inorganic and therefore permanently noncombustible, so it does not have to be treated
with fire -retardant chemicals that will likely lose their effectiveness overtime. It. has not been treated
with chemica's 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 insulation have been professionally insta'led in this home to provide the
following thermal performance.
Lennar Homes
Job Name: La Quinta Del Oro Tract: 30521 Plan# 2 Phase: 7
Lot No: 21 Job Address: SFR- 78.340 Via Dijon, La QuTnta, CA
Ceiling Area: R-38 batt insulation Garage Ceiling:
With Living Above
Non -Access:_
B Sloping Areas
Exterior Walls R-13 belt insulation Overhangs: Access Attic:
With Living Above
Between Floors: Interior Walls:
Subcontractor ...0 J Insulation, Inc.
Signed:
72.227 Ade'aid St, Thousand Pa'ms, CA 92276
Mike Dickerson, General Manager - Palm Springs Division
R -means resistance to heat fow. The higher the R -value, the greater the insulating power.
Ask your builder for the fact sheet on R-va!ues. Keep this certificate with your otter
valued papers. if you ever sell this home. this certificate should be passed on to the buyer.