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06-1273 (ELEC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00001273 Property Address: 48786 CLASSIC DR APN: 658-130-011-18 -31379'- Application description: ELECTRICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1000 Applicant: 44w BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I Architect or Enginee MAR n2006 CITY OFLA QUINTA Owner: CENTEX HOMES 2275 CORPORATE CIR #230 HENDERSON, NV 89074 Contractor: CENTEX HOMES 41865 BOARDWALK, STE 101 PALM DESERT, CA 92211 (720)862-1030 Lica No.: 825943 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/29/06 ------------------------------------------------------------------------------------------------- . LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury 1 am licen ed - er provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Gsirt ss and Prof nals Code, an my License is in full force and effect. License Class: At_ , L' ense . 825943 M. Dat 94? `"tip '� o OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 70 1. , Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, olish, 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 Contractor's 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 155001.: (_) 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 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.). (_ 1 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.). (_ 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: �1 LQPERMIT WORKER'S 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 Z� Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier LOCKTON CO Policy Number WC832209709 I certify that, in the perform ce of the work for which this permit is issued, I shall not employ any person in any man so a to beco subject to the workers' compensation laws of California, and agree that, if ould come s bject t e workers' c pensation provisions of Section 3700 of the L Code, I shat o hwit comply with se rovisions. Date Ap lic n WARNING: FAILURE O S URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO E 0 CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000 N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 p it, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that above infor ation ' co rect. I agre comply with all city and county ordinances and state laws relating to 'ding cons tion, tion, nd h7preby au3pdr2e representatives of this county to enter upon. the above-mentioned o rty for n (S tion urpos. _ i Dat Signa ure (Applicant or g r� IR LQPERMIT Application Number . . . . . 06-00001273 Permit . . . ELEC-TEMPORARY POWER Additional desc . . Permit Fee . . . . 30.00 Plan Check Fee ..00 Issue -Date . . . . Valuation . . . . 0 Expiration Date 9/25/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 15.0000 EA ELEC TEMPORARY POWER POLE .15.00 ---------------------------------------------------------------------------- Special Notes and Comments 200 AMP TEMP POWER POLE Fee summary Charged ------------------------------------- Paid Credited Due Permit Fee Total 30.00 -------------------- .00 .00 30.00 Plan Check Total .00 .00 .00 .-00 Grand Total 30.00 .00 .00 30.00 Bin # City Of La QUitlta Building U Safety Division Permit # P.O. Box 1504,78-495 Calle Tampico La Quinta, CA92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address.` �id ►� lbov* LAO Owner's Name: A. P. Number: ,,30 -- 0 t Address: ytf((.-6' Legal Description: City, ST, Zip: � Qosi:�—TL 41 Contractor: Telephoner - Address- Project Description: City, ST, Zip: Item Amount Telephone:in RIM State Lic. # : CityLic. #: Arch., Engr., Designer:. Address: City, ST, Zip: Called Contact Person Telephone:. State Lic. #: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: #Units: Telephone # of Contact Person:'760- - (fie Z- s ) 03 0 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction. Flood plain plan Plans resubmitted Mechanical Grading. plan 2q° Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ?'d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person' A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees i i 1 IAi i --P'7 o - ' ,u /flyl� k. 1. ir�f�n��� l _-- .�' �� �� �t � � � .� ' � /� •ISL.., .,. y. ! r !meq ,•;�, ;a �� �. .�� • if 1��� l• t � �I `Cjf IS ISIS e'MR! � � � � 1! �• /fes/ I: "Jtt �' etrEr.` ,.•,., .: �......:,. WAZ I IMN i'