04-7282 (SATT)T4hf 4 4 a"
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760),777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
Application Number . .
. . . 04-00007282 _� Date 11/17/04
Property Address . . .
. . . 48-693 CLASSIC DR
APN:
658-130-011-5 -31379 -
Tenant nbr, name . . .
. . . UNIT # 60
Application description
. . . DWELLING - SINGLE FAMILY
ATTACHED
Property Zoning . . . .
. . . LOW DENSITY RESIDENTIAL
Application valuation .
. . . 107085
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
n n
WCC: ZURICH AMER
INS
WC: 832209708
10/01/05
NOV 1 9 2004
CSLB: 825943
10/31/05
CCC: A -B
---
Structure Information
o_ri Type
TYPE V - NON RATED
Occupancy Type . . . .
. . DWELLG/LODGING/CONG <=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
FIRST FLOOR SQ FTG
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 Plan Check -Fee
5.94
Issue Date . . . .
Valuation . . .
. 0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
P.O. Box 1504 444"
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: 404- %o?.f Date: I I lQ•DH
Applicant:
Applicant's Mailing Address:
--Architect or Engineer:
,—Architect or Engineer's Address:
Ic. No.:
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
e, and my License is in((u11 force and effect. /
License Class_ /License No.
t? 57 f
Date �' 1 / —0ontrectorC= t ��irL %r h6w"%r f
OWNER -BUILDER 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 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 contractor(s) licensed pursuant to
the Contractors' State License Law.).
U 1 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.
�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
i ued.
M=e ompeivation i ance carrier
I certify that, in the performance of the work for which this permt 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 thole provision -Z,.,.
/atepli.nt
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
Lender's Address
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 Quinta, 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 t .s county t enter upon the above-mentioned property for inspection purposes.
ate f� f / ignature (Applicant or Ag t
Page 2
Application Number . . . . . 04-00007282 Date 11/17/04
Qty Unit Charge
Per
Extension
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
83.34 Plan Check Fee
5.21
Issue Date
. . . .
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
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
-------------------------------------7--------------------------------------
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.
(TRANSIENT
OCCUPANCY) TYPE
V -N CONSTR.
W/ AREA SEPARATION
WALL,
2001 CODES.
[UNITS 57-60.COMPRISE
.
Fee summary
------------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged . Paid
1035.59
Page
3
Application Number . . . .
04-00007282 Date
11/17/04
----------------------------------------------------------------------------
Special Notes and Comments
.00
BUILDING B-8 (2 STORY 4 UNIT,
10
LOCKOFFS, 4 - 1 CAR GARAGES)]
75%
REDUCTION TO PLAN CHECK FEE DUE
TO
MULTIPLE ISSUANCE OF SAME PLAN
TYPE.
-----------7-----------------------------------------------------------------
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
------------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged . Paid
1035.59
.00
130.54-
.00
2055.09
.00
3221.22
.00
Credited Due
.00
1035.59
.00
130.54
.00
2055.09
.00
3221.22
Certificate of Occupancy
INcaroRATM .
isa
G 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: 48-693 CLASSIC DRIVE (UNIT #57)
Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) Building Permit No.: 04-7282
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: 02-21-2006
Building Official
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