04-7276 (SATT)T -df 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=0.0.0.0_7-2_7_6 Date 11/17/04
Property Address . . .
. . . 48717 CLASSIC DR .
APN:
658-130-011-5 -31379 -
Tenant nbr, name . . .
. . . UNIT #50
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
HEND
RSON NV
89074 HENERSON
LA QUINTA
CA 92253
(702) 990-0800
NOV 1 9 2004
WCC: ZURICH AMER INS
��
WC: 832209708
10/01/05
CSLB: 825943
10/3'1/05
CIrl �' 1 V^^1TA
CCC: A- B
-------------
F=,��,"7
P.O. Box 1504�� VOICE (760) 777-7012
T4hf
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: V - %i 7 (v Date: I k' l q' o q
Applicant:
Applicant's Mailing Address:
—Architect or
rchitect or
Lic. No.
Engineer: VV H A
Engineer's Address:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of -Division 3 of the Business and Professionals
Coe, and my License is in full force and effect. �y �� p
icense Class Q ase No. a 7
Bete — U Contractor TE_c Ye)
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.).
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. , 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 perrnit is
i d. M orke compensation insurance carrier a olic number are:^
e1 -Z491 _ icv Number .
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 provisiori-�_
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 � N
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 slate 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 representativ s of this co to enter upon the above-mentioned property for inspection purposes:
,'-Date r N—a ��ignatre (Applicant ):
Page 2
Application Number 04-00007276 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
--------------------------------------------------
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 49-52
COMPRISE
,1
Page 3
Application Number
04-00007276 Date
11/17/04
----------------------------------------------------------------------------
Special Notes and
Comments
BUILDING B-4 (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
----------
Paid Credited
Due
Permit Fee Total
1035.59
------------------------------
.00 .00
1035.59
Plan Check Total
130.54
.00 .00
130.54
Other Fee Total
2055.09
.00 .00
2055.09
Grand Total
3221.22
.00 .00
3221.22
:o
,- te of 0ccupancy
oCertifica
QUM&
I -D% �MM
0 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: 48-717 CLASSIC DRIVE (UNIT #50)
Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) Building Permit No.: 04-7276
Occupancy Group: R-3 Type of Construction: V -N Land Use Zone: CT
j
Owner of Building: CENTEX HOMES Address: 1123 AURARIA PARKWAY #400
City, ST, ZIP: DENVER, CO. 80204
By: KIRK KIRKLAND
Date: 01-18-2006
Building Official
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