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04-7262 (SATT)1 w �F�4�rw 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 . . . . . ;�0-4 0-0-0-0-7-262 __ _ __ Date 11/17/04 Property Address . . . . . . 45773-CLASSIIC DR APN: 658-130-011-5 -31379 - Tenant nbr, name . . . . . . UNIT #37 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 n F' 'I � LA QUINTA (702) 990-0800 CA 92253, WCC: ZURICH AMER INS NOV 19 20 4 WC: 832209708 10/01/05 CSLB: 825943 10/31/05 cs(� CCC: A -B Structure Information -----------------.-------- Construction Typ • :'-----�—r . 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�� VOICE (760) 777-7012 T-Vf 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Z) 7�(o a Date: l � • .04 Applicant: Applicant's Mailing Address: chitect or Engineer: W H /I rchitect or Engineer's Address: Lic. No. C, / 2.1 2_0 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapterl) (commencing with Section 7000) of Division 3 of the Business and Professionals C de, and my License is i full force and effect. �r 9 2 C 4 -3 License Class_ ,cense No.7 `f Date /1'11'0 Tactor dfwrex ywgeS 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.). 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 WORKERS' COMPENSATION DECLARATION 1 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. XI 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 er�issued. wo rs' compensation ,ns a carrier _ 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 provia'fenc, 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 . 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 shat, 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 160 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 qaLer upon the above-mentioned property for inspection purposes. Date _ 1` ,gnature (Applicant or Agent - r Page 2 Application Number . . . . . 04-00007262 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 - i705 SQ.FT. LIVING,3 LOCKOFF UNITS,R-3 OCCUPANCY. (TRANSIENT OCCUPANCY) TYPE V -N CONSTR. W/ AREA SEPARATION WALL, 2001 CODES. [UNITS 37-40 COMPRISE 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 Page 3 Application Number . . . ... 04-00007262 Date 11/17/04 ---------- ----------------------------------------------------------------- Special Notes and Comments BUILDING B-1 (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