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06-0077 (SATT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: - Property Address: APN: Application description Property Zoning: Application valuation: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 1-06-00000077 1 48648 CLASSIC DR 658-130-011-16 -31379 - DWELLING - SINGLE FAMILY ATTACHED LOW DENSITY RESIDENTIAL 107040 Zj����ct or Engineer: Vbty'�r 4,50CL VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/20/06 Owner: D d CENTEX HOMES 2275 CORPORATE CIR #230 HENDERSON, NV 89074 ((JJ MAY I q� '-'�lAtitCe neo„ Contractor: CENTEX HOMES 901 N. GREEN VALLEY PKWY,.140 HENERSON LA QUINTA, CA 92253 Lic. No.: WC832209709 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: 825943 License No.: WC832209709 _ 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 � Date:. '��'�tract • v11� 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. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier 0800 Policy Number LOCKTON CO following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Cod I shall comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by forthwith �. any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: : 1 ate: �O O�TOSEZRE (_ ) 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 WARNING: FAIL WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). (_ 1 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.). 1 _ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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: Lender's Address: LQPERMIT 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 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 cgpnty to enter upon jWabove-mention4414�for inspection purposes. 10o d`nature (Applicant or Agent): -1 Application Number . . . . 06-00000077 LQPERMIT N 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 2.001 # BEDROOMS 3.00 FLOOD ZONE NO GARAGE SQ FTG 26.00 PATIO SQ FTG 404.00 TOT ELIGIBLE YES NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 2ND FLOOR SQUARE FOOTAGE 1705.00 - Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . 667.50 Plan Check Fee 433.88 Issue Date Valuation . . . . 107040 Expiration Date 7/19/06 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 Plan Check Fee 23.75 Issue Date . . . Valuation . . . . 0 Expiration Date 7/19/06 Qty Unit Charge Per Extension 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 . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 83.28 Plan Check Fee 20.82 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/19/06 Qty Unit Charge Per Extension BASE FEE 15.00 LQPERMIT N Z . . LQPERMIT Application Number . . . . . 06-00000077 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension , 1705.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 59'.68 430.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 8.60 Permit . . . PLUMBING Additional desc . Permit Fee . . 174.75 Plan Check Fee-. 43.69 Issue.Date Valuation 0 Expiration Date 7/19/06 Qty Unit Charge Per Extension BASE FEE 15.00 . 15.00 6.0000 EA 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 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 Expiration Date 7/19/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFA - BLDG.. N-3,UNIT157 PLAN 2HR - SECOND FLOOR - 1705 S.F. LIVING ---------------------------------------------------------------------------- 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 LQPERM[T Application Number . . . . . 06-00000077 Fee summary ----------------- Charged Paid Credited --------------------- Due Permit Fee Total ---------- 1035.53 ---------- .00 .00 1035.53 Plan Check Total 522.14 .00 .00 522.14 Other Fee Total 2055.09 .00 .00 2055.09 Grand Total 3612.76 .00 .00 3612.76 0