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04-6447 (SFD)I P.O. Box 1504 78-495 CALLS TAMPICO -= LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT Application Number . Property Address APN: Application description Property Zoning . . . . . Application valuation . . Owner BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 -0 0006447 Date 9/27/04 78350 VIA DI -JON 604-032-999-22 -305212- DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 166553 LENNAR HOMES OF CALIFORNIA 78401 HIGHWAY 111, STE C LA QUINTA, CA LA QUINTA CA 92253 Contractor ------------------------ LENNAR HOMES OF CALIFORNIA INC 78401 HIGHWAY 111, SUITE C LA QUINTA CA 92253 WCC: OLD REPUBLIC IN WC: MW210877600 11/01/04 CSLB: 723102 09/30/04 CCC: B -------------------------- Structure Information ---------------------- Construction Type . . . . . TYPEV - NON RATED . Occupancy Type . . . . . . DWELLG/LODGING/LONG c=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 488.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 2640.00 ----------------------------------------------------------------7----------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 874.00 Plan Chec=t Fee 568.10 Issue Date . . . . Valuation . . . . 166553 Qty Unit Charge Per Extension BASE FEE 639.50 67.00 3.5000 THOU BLDG 100,001-500,000 234.50 ----------------------------- Permit . . . . . . ---------=------------------------------------- MECHANICAL Additional desc Permit Fee . . . 65.50 Plan Check Fee 16.3.8 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension P.O. Box 1504 7$-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: 6 Applicant's .•..- I � I or Engineer: or Engineer's Ad •Lic. No. �;'a 3U BUILDING PERMIT DECLARATIONS VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153, Date: /d - 22-U 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. ` O cense Class [� -cense No.l _ ate I '(] ontractor_ It 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 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 contractors) 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. X-1 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 - sue Myy worl�ers' rA pensat10n ' nce carrier and poly numb r �rrier �l JJ! A Jn 1—Policy Number I certify that, n the performance of the work for which this permit is issued, I shall not 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. Date lD 'Ja-6 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.). Lenders Name A Lender's Address LY APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of BuildingandCNT A 1. Each person u Safety permit subject to the conditions and restrictions set forth on this application. pe 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 of 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 r resentatives of this county to enter upon the above mentioned property for inspection purposes. to u 0 Signature (Applicant or Agent): i r� r Application Number. . . . . . 04-00006447 i Page 2 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 BFU 9.00 4.00 6.5000 EA MECH VENT FAN '26.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 116.64 Plan Check, Fee 29.16 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2640.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY. 92.40 462.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.24 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 189.00 Plan Check Fee 47.25 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 6.0000 EA PLB FIXTURE 120.00 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/RE? 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 6.00 .7500 EA PLB GAS PIPE >=5 4.50 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 22. PLAN 1Y, 2640 SF. PERMIT Page 3 Application Number . . . . . 04-00006447 Date 9/27/04 ---------------------------------------------------------------------------- Special Notes and Comments DOES NOT INCLUDE BLOCK WALLS, POOL, SPA 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 56.81 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 16.65 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged ---------- Paid Credited Due Permit Fee Total 1260.14 ------------------------------ .00 .00 1260.14 Plan Check Total 660.89 .00 .00 660.89 Other Fee Total 2478.46 .00 .00 2478.46 Grand Total 4399.49 .00 .00 4399.49 N1 to C .4 rz Lo E CL 0 Certificate of Insulation ! Your home has been insulated with John Mansville Fiberglas insulation products, which are designed for today's safety standards and tomorrotiis energy requirements. Fiberglass is inorganic and therefore permanently noncombustible, so it does not have to be treated with Fre-retardant chemicals that wi!I likely lose their effectiveness over time, It has not been treated with chemicals that can corrode wring or metal. Fiberglass will not absorb moisture nor will it settle over time as may other insulation materials. This also certif.es that insulation have been professionally installed in this home to provide the following thermal performance. Lennar Homes Job Name: La Qulnta Del Oro Tract: 30529 Plantar 1Y Phase: 7 Lot No: 22 Job Address: SFR -78-350 Via Dijon, La Quints, CA Ceiling Area: R-30 batt insula+ion Exterior Walls R-13 batt insulation Between Floors: Signed: Garage Ceiling: Non -Access: With Living Above & Sloping Areas Overhangs: With Living Above interior Walls: Access Attic: Subcontractor...0 J Insulation, Inc. 72-227 AdeWd St, Thousand Palras, CA 92276 Mike Dickerson, General Manager -Palm Springs Division R -means resistance to heat flow. The higher the R -value, the greater the insulating paver. Ask your builder for the fact sheet on R•values. Keep this certificate with your other valued papers. If you ever sell this home, this certificate should be passed on to the buyer. 0