04-6449 (SFD)P.O. B_ 0X:,.1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
_BUILDING PERMIT
Application Number
Property Address . . .
APN:
Application description
Property Zoning . . . .
Application valuation .
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
04-00006449— Date 9/27/04
. . . 78360 VIA DIJOI`
604-032-999-23 -305212-
. . . DWELLING - SINGLE FAMILY DETACHED
. . . LOW DENSITY RE-EIDENTIAL
. . . 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 . .
. . . TYPEV - 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 100,001-500,000
220.50
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL
Additional desc
Permit Fee52.50
Plan Check Fee
3.28
Issue Date . . . .
Valuation . . .
. 0
Qty Unit Charge
Per
Extension
Application Number ... . 04-00006449
Page 2
Date 9/27/04
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
1.00
9.0000
EA
MECH
FURNACE <=10CK
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 CR 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
1.00
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
---------------------------------------------------7------------------------
Special Notes
and Comments
SFD - LOT
23. PLAN 2R,
2595
SF.
PERMIT
41
Fee summary Charged
Permit Fee Total 1214.32
Plan Check Total 160.96
Other Fee Total 2435.20
Grand Total 3810.48
Paid Credited Due
---------- ---------- ----------
.00 .00 1214.32
.00 .00 160.96
.00 .00 2435.20
.00 .00 3810.48
Page
3
Application Number . . . . .
04-00006449 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 Fees . . . . . . . . .
ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
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 MAID!' FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
Permit Fee Total 1214.32
Plan Check Total 160.96
Other Fee Total 2435.20
Grand Total 3810.48
Paid Credited Due
---------- ---------- ----------
.00 .00 1214.32
.00 .00 160.96
.00 .00 2435.20
.00 .00 3810.48
1
P.O. BOJi 1504
78-495 CALLE TAMPICO VOICE (760) 777-701:
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Date: .Ott
Applicant: chi ct or Engineer:
VaIAA1W\ i 1 Yfr1:(1V'
Hppiicanrs maning Address:
ineer's
Ito
6k- o I
Lic. No.: -J g FD LA Cb
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.
,--ticense Class e2 ense No. t 0 0—
Date- % I�- DL ontractor 1
OWNER• 3UILDER 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 1, 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
-4of 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
issu M workers' compensation i ce carrier and polic number
Carrier, {`j�. ►(-p ��-jrr ` o Number M LU t � Do
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' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
ate `i� q Applicant
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
I 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.).
Lender's Name
Lenders Address
IMPORTANT Application is hereby made to the Director of Buildingand Safety ACKNOWLEDGEMENT
1. Each tY Permit subject to the conditions and restrictions set forth on this application.
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 of La Quints, its
officers, agents and employees for any act or omission related to the work being perforated 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 retailing to building
construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
Date v ignature (Applicant or Agent):
Certificate of Insulation r
Your home has been insulated with John Mansvii:e Fiberglas insulation products, which are designed
for today's safety standards and tomorrovis energy requirements.
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 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 insulation have been professionally installed in this home to provide the
following thermal performance.
Lennar Homes
.lob Name: La Quinta Del Oro Tract: 30521 Plan# 2 Phase: 7
Lot No: 23 Job Address: SFR- 78-360 Via Dijon, La Quinta, CA
Ceiling Area: R-36 batt insulation
Exterior Welts R-'13 batt insula'ion
Between Floors:
Garage Ceiling:
With Living Above
Overhangs:
With Living Above
Interior Walls:
Non -Access:_
& Sloping Areas
Access Attic:
Subcontractor ...0 J Insulation, Inc.
72-227 Adelaid St, Thousand Palms, CA 92276
Mike 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
valued papers. It you ever sell this home, this certificate shou'd be passed on to the buyer.