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05-5263 (SFD). �� P.O. BOX 1504 78-495 CALLE TAMPICO LA QUI'NTA, CALIFORNIA 92253 "&t!t 4 4 Q" Application Number: E 20 T5- Property Address: 77684' TRADITION DR APN: 658-130-011-12 -31379 - Application description: . DWELLING - SINGLE FAMILY ATT Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 124970 " Applicant: BUILDING & SAFETY" DEPARTMENT BUILDING PERMIT" 1-A_`rch,tect or Engineer: 0 dao ----------------- LICENSED CONTRACTOR'S DECLARATION JAS � � 2006 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 Code, and my License is in full force and effect., License Class: A -B License No.: 825943 Date: I -y5A ntractor: 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. 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 sighed 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 ($500).: (_ 1 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 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 I 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: l LQPERMIT wner: ENTEX^HOMES 275 CORPORATE CIR #230 ENDERSON, NV 89074 CENTEX HOMES 901 N. GREEN VALLEY PKWY, 140 HENDERSON, NV 89074 (702)990-0800 Lic. No.: 825943 VOICE (760) 777-7012 FAX (760) 777-70i 1 INSPECTIONS (760) 777-7153 Date: 12/01/05 1 --------------------------7-------------------- 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. 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 insurance carrier and policy number are: Carrier LOCKTON CO Policy Number WC832209709 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 provisions. i .f� ate: %' plicant///,/�I/ 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 15100,0001. IN 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 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 th' county to enter u on the above-mentioned property for inspection purposes. Date:' ' �� _ �. ature (Applicant or Agent): v �, l \ LQPERMIT Application Number . . . . . 05-00005263 ------ Structure Information 1946 SQ. FT. SFA ----- Construction Type . . . . TYPE V - NON RATED' Occupancy Type . . . . ... DWELLG/LODGING/CONG <=10 Flood Zone . . . . NON-AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC #.BEDROOMS 3.00 GARAGE SQ FTG 437.00 PATIO SQ FTG 383.00 TOT ELIGIBLE YES NUMBER OF UNITS 1.00 --------------------------- 1ST FLOOR SQUARE FOOTAGE ------------------------------------------------- 1946.00 Permit . .. BUILDING PERMIT Additional desc . Permit Fee 727.00 Plan Check Fee 118.14 Issue Date . . . . Valuation 124970 Expiration Date 5/30/06 - Qty Unit Charge' Per Extension BASE FEE. 639.50 25.00 3.5000 THOU BLDG 100,001-500,000- 87.50 Permit . .. . MECHANICAL Additional desc . Permit Fee . . 65.50 Plan Check Fee 4.10 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/30/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.0.0 9.0000 EA MECH FURNACE <=100K. 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 4.00 6.5000 EA- MECH VENT FAN 26.00 1.00 6.5000 -----------------------------.------------------------------------------------ EA MECH EXHAUST HOOD 6.50 _ Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 106.85 Plan Check Fee 6.68 Issue Date . . . . Valuation 0 Expiration.Date 5/30/06 Qty Unit Charge Per Extension . BASE FEE 15.00 .00 .0300 ELEC NEW RES - MULTIFAMILY .00 LQPERMTT Application Number . . . . 0'5-00005263. Permit . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 1946.00 .0350 ELEC NEW RES- 1 OR 2 FAMILY 68.11 437.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.74 1.00 15.0000 EA ELEC TEMPORARY POWER POLE .15.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 165.75 Plan Check Fee 10.36 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/30/06 Qty Unit Charge Per. Extension BASE FEE 15.00 16.00 6.0000 EA PLB FIXTURE 96.00 1..00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 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 5/30/06 Qty Unit Charge Per Extension BASE FEE 15.00 a r Special Notes and Comments SFA - UNIT 260, PLAN 3, 1946 SF. BLDG.K-6 TYPE T-200 .75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ---------=---------------------=-------------------------------------------- Other Fees . . . . ... . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 68.00 DIF CIVIC CENTER - RES 229.00 ENERGY REVIEW FEE 11.81 . DIF FIRE PROTECTION -RES 78.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES - 158.00 LQPERMTT LQPERAUT Application Number 05-00005263_ ----------------------- Other Fees . ------------ . . . . . . -------------------- -- - - - -- DIF PARK MAINT FAC RES ---- - - -- -- - 3.00 DIF PARKS/REC - RES 352.00 STRONG MOTION (SMI) - RES 12.49 DIF STREET MAINT.FAC=RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged. Paid Credited Due - Permit Fee Total 1080.10 .0.0 .00. 1080.'10 Plan Check Total 139.28 .00 .00 139.28 Other Fee Total 2025.30 .00 .00 2025.30 Grand Total 3244.68 .00 .00 3244.68 LQPERAUT Certificate of Occupancy 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: 77-684 TRADITION DRIVE (UNIT #260) Use classification: SINGLE FAMILY ATTACHED Occupancy Group: R-3' Owner of Building: CENTEX HOMES !—a's., �� . - Building Official Type of Construction: V -N POST IN A Building Permit No.: 05-5263 Land Use Zone: CT Address: 1123 AURARIA PARKWAY #400 City, ST, ZI.P: DENVER, CO. 80204 By: KIRK KIRKLAND Date: 02-14-2007 r1w«0