04-7819 (SATT)i
k-1
• �IG�f�,��iV .
BUILDING & SAFETY DEPARTMENT
x 1504 (760.)•777-7012
CALLE TAMPICO FAX (760) 777-7011
JTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
. . . .04-00007819 Date 12/27/04
. . . . . 4-9553 CLASSIC DR
658-130-011-4 -31379 -
. . . . . . UNIT # 109
Application description . . . DWELLING - SINGLE FAMILY ATTACHED
Property Zoning . . . . . . ..t, LOW DENSITY RESIDENTIAL
Application valuation . . . 107085
a
Owner Contractor.
--------------------------------- ---------------------------------
CENTEX HOMES CENTEX HOMES
2275 CORPORATE CIR #230 901 N. GREEN VALLEY PKWY, 140
HENDERSON, NV 89074 HENERSON
LA QUINTA, CA 92253
(702)990-0800
WCC: ZURICH AMER INS
WC: 832209708 10/01/05
CSLB: 825943 10/31/05 -
CCC: A -B
P.O. BOx 1504 • �� VOICE (760) '777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 04- -781 q Date:
Applicant: ` Architect or Engineer:
Applicant's Mailing Address:
maj
Arch��(JL7 r ngineer's Address:
tic. No.: _&I- /; gate
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 Lice a is' u11 force and effect.
ice
cense Class cerise
No. e
l_ _ 2)r - 0 + 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 stricture, 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 ft 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 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 1 am exempt under Sec. , BA P.C. for this reason
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.
^ have and ill maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this pernit is
2 issued. w9� com ensation i nce cariei,�n oli number arg:
Carrier'Tv 6' k y ! old icy Number 71 2 09 7 O!
_ I certify that, in t e 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
A�t
F4)CAr -
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 ($1 ,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 A
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a 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 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 inforaatio rs correct. I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this count to enter !!y9\" above-mentioned property for inspection purposes.
ate � �' 5 a r 1 S ure (Applicant or Agent):
---:--PP-----------------_--------------------------------------------------
Application Number . . . 04-00007819
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-'------------------------ 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
# BEDROOMS 3.00
FLOOD ZONE NO
GARAGE SQ FTG 26.00
PATIO SQ FTG 407.00
TOT ELIGIBLE YES
NUMBER OF UNITS 1.00
1ST FLOOR SQUARE FOOTAGE 1705.00
----------------------------------------------------------------------------
Permit BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 667.50 Plan Check Fee 108.47
Issue Date . . . . Valuation . . . . 107085
Qty Unit Charge Per Extension
BASE FEE 639.50
8.00 3.5000 THOU BLDG 100,001-500,000 28.00
----------------------------------------------------------------------------
Permit MECHANICAL
Additional desc . .
Permit Fee . . . . 95.00
Issue Date
Plan Check Fee . . 5.94
Valuation . . . . 0
Qty
Unit Charge
Per
Extension
Extension
BASE FEE
BASE
FEE
15.00
3.00
9.0000
EA
MECH
FURNACE <=100K
27.00
3.00
9.0000
EA
MECH
B/C <=3HP/100K BTU
27.00
3.00
6.5000
EA
MECH
VENT FAN
19.50
1.00
----------------------------------------------------------------------------
6.5000
EA
MECH
EXHAUST HOOD
6.50
Permit
Additional desc
Permit Fee . . . .
Issue Date . . . .
ELEC-NEW RESIDENTIAL
83.34 Plan Check Fee . . 5.21
Valuation . . . . 0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
1705.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
59.68
433.00
----------------------------------------------------------------------------
.0200
ELEC GARAGE OR NON-RESIDENTIAL
8.66
Permit
PLUMBING
Additional
desc . .
Permit Fee
. . . .
174.75 Plan Check Fee
10.92
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
t'
BASE FEE., .
15.00
15.00
6.0000
EAS
PLB FIXTURE
90.00
1.00
15.0000
EA
PLB BUILDING SEWER
15.00
3.00
7.5000
EA
PLB WATER HEATER/VENT
22.50
1.00
3.0000
EA
PLB WATER INST/ALT/REP
3.00
-------------------------------------------=--------------------------------
I
*.Application Number . . . . . 04-00007819.
----------------------------------------------------------------------------
Permit . . . . PLUMBING
Qty
Unit Charge Per
Extension
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
PLAN 2G -
FIRST FLOOR - 1705 SQ.FT.
_LIVING, 3,
LOCKOFF UNITS,R-3
OCCUPANCY.
(TRANS.IENT OCCUPANCY) TYPE
V -N CONSTR.
W/ AREA SEPARATION WALL,
2001 CODES.
[UNITS 109-112 COMPRISE
BUILDING D-5
(2 STORY 4 UNIT, 10
LOCKOFFS,
4 - 1 CAR GARAGES)] 75%
REDUCTION
TO PLAN CHECK FEE DUE TO
MULTIPLE ISSUANCE
OF SAME PLAN TYPE.
---------------------------------------=------------------------------------
Other Fees
. . . . . . . DIF COMMUNITY CENTERS -RES
68.00
DIF CIVIC CENTER - RES
229.00
ENERGY REVIEW'FEE
43.39
DIF FIRE PROTECTION -RES
78.00
DIF LIBRARIES - RES
158.00
DIF PARK MAINT FAC - RES
3.00
DIF PARKS/REC - RES
352.00
STRONG MOTION (SMI) - RES
10.70
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
Permit Fee Total 1035.59
Plan Check Total .130.54
Other Fee Total 2055.09
Grand Total 3221.22
Paid Credited Due
---------- -=-------- ----------
.00 .00 1035.59
.00 .00 130.54
.00 .00 2055.09
.00 .00 3221.22
Certificate of Occupancy
OF9 Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that,. at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 48-553 CLASSIC DRIVE (UNIT #109)
Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) Building Permit No.: 04-7819
Occupancy Group: R-1 Type of Construction: V -N Land Use Zone: CT
Owner of Building: CENTEX HOMES Address: 1123 AURARIA PARKWAY #400
City, ST, ZIP: DENVER, CO. 80204
By: KIRK KIRKLAND
Date: 04-07-2006
Building Official
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