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04-6450 (SFD)G P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT Application Number Property Address .-A . . . 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 X04-00006450 Date 9/27/04 78370 VIA DIJON 604-032-999-24 -305212- DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 182517 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 SFD ----- Construction Type . . . . . TYPEV -'NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 426.00 PATIO SQ FTG 236.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 2990.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 930.00 Plan Check Fee 604.50 Issue Date . . . . Valuation . . . . 182517 Qty Unit Charge Per Extension BASE FEE 639.50 83.00 3.5000 THOU BLDG 100,001-500,000 290.50 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 70.50 Plan Check Fee 14.63 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension A P.G. Boz 1504 78-495 CALLS TAMPICO ` VOICE (760) 777-701 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: /0 •zz- Applicant: *tqct or Engineer: IV U&Wa Appiicant's naming Address: Architect or Engineer's Address: -1_000 20,. 1 &ft- Sr No.: 38.3 C/S_ OUILVI1Yti rCKmI i L)hULAKATIONS 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 i full force and effect. No. -7d rJ/ O cense Class --tiCtl�e Date /0 tea-ontractor �( 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.). ( j 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 i ued workers' �ompensationiasorance carrierr anjd�p lic7y nu r a anter, 0� !! LC Policy Number /(/! !�/L/(/ J�[o at) _ 1 certdy that, n 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, 1 shall forthwith comply with those provisions. 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 APPLICANT A IMPORTANT Application is hereby made to the Director of Buildingand Safety NT ACKNOWLEDGEMENT APermitn. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work snperformed under or li ps set forth on thispu ca 0 to an ��tt 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 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. ate G ��� Q Sig(Applicant or Agent): Page 2 Application Number . . . . . 04-00006450 Date 9/27/04 Qty Unit Charge Per 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 .00 16.5000 EA MECH B/C >3-15HP/>100={-500KBTU .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 . . . . 128.17 Plan Check Fee 44.86 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 2990.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 104.65 426.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.52 Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 189:75 Plan Chec=< Fee 47.44 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 7.00 .7500 EA PLB GAS PIPE >=5 , 5.25 1.00 ---------------------------------------------------------------------------- 15.0000 EA PLB.GAS METER r. 15.00 Permit . . . GRADING PERMIT Additional desc . 1 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 24. PLAN 3Z, 2990 SF. PERMIT r; M FA Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 1333.42 Page 3 Application Number . . . . . 04-00006450 Date 9/27/04 ---------------------------------------------------------------------------- Special Notes and Comments .00 DOES NOT INCLUDE BLOCK WALL, 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 60.45 DIF FIRE PROTECTIO-N-RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RE3 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RE3 502.00 STRONG MOTION (SMI) - RES 18.25 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 1333.42 .00 711.43 .00 2483.70 .00 4528.55 .00 Credi--ed Due .00 1333.42 .00 711.43 .00 2483.70 .00 4528.55 E CL Certificate of Insulation Your home has been insulated with John Mansville Fiberglasinsulation products, which are designed for today's safety standards and tomorrov/s 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 wN 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 Job Name: La Quinta Del Oro Tract: 30521 Plants 3Z Phase: 7 Lot No: 24 Job Address: SFR- 78-370 Vla Dijon, La Qulnta, CA Ceiling Area: R-30 batt insulation Exterior Wall sR-13 batt insulation Between Floors: Garage Ceiling: With. Living Above Non - Access: -3 Sloping Areas Overhangs: Access Attic: With Living Above Interior Walls: Subcontractor ... 0 J Insulation, Inc. 72-227 Adelaid St, Thousand Palms, CA 92278 p4), �Signed: M b t� �M Mike Dickerson, General Manager - Palm Springs Division R -means resistance to heat floor. 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. Southwest Inspecti©n and Testing, Inc. 10826 South Norwalk Blvd., Santa Fe Springs, CA 90670 (562) 941-2990 - (714) 526-8441 • Fax (562) 946-0026 REGISTERED INSPECTORS'S DAILY REPORT s I Jo D�tgja TYPE OF fff Reinforced Concrete ❑ Strcictural Steel Assembly ❑ Quality Control INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other REQUIRED ❑ Reinforced Masonry ❑ Asphalt Job Address .3 6*'0A (/,, ^ [`V ) i O /�/ , at � City , Job Name Per ii No. Issu-dd By or Type of Structure Architect Material Description (type, grade, source) f ), /) 0 rZ `7 U(� J Engineer '�r ZM f .x k-- / 3 /_ 1O Contractor 67WAJ4 k No I l` S Inspector(s) Name ; l6p%lo Ir -(J/.-/ Subcontractor 1 _ ��,LlPGla�/ 1"C / 'L TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOE. PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED, ETC. OaseeuadI-1k lak c &lu &-f 3S"- V4J2Pj G.P CQvC(?eLe F04 Sk a ON 6,e4ve. 06'(1Cjlej 13y,4SSoc,� 0/-'C SE.t o CYli'Ac)eKSCU)" �. CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLI.. WECIIONWF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGISTERED INSPECTOR k6ov y S- y 5 7 C SPECIALTY NO. AGENCY CONTINUED ON NEXT PAGE ❑ PAGE 2:OF —_ TIME IN TIME OUT RE9. HOURS I O.T. HOURS CYLINDERS 7-3u All inspections based on a mWmum of 4 hours and over 4 hours - 8 hour minimum. Irrk�addition, any inspecj�+ppn extending past noon hour will be an 8 hour mini /.l A . Approved by -- uperintendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOi.DENROD - JOB SITE COPY