05-5275 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: r 05-00005275
Property Address: 77696_TRADITION DR
APN: 658-130-011-12 -31379 -
Application description:' DWELLING - SINGLE FAMILY ATTACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 111157 ,
,Applicant: rchitect or Engineer:
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 Code, and my License is in full force and effect.
License Class A -B License No.: 825943
Date: l tractor:
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 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 ($500).:
(_) 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.).
(_) 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.).
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:
LQPERMIT
Owner:
CENTEX HOMES
2275 CORPORATE CIR #230
® HENDERSON; NV 89074
1AN 9,6 p C . tor:
X HOMES
N. GREEN VALLEY PKWY, 140
HE DERSON, NV 89074
( 02)990-0800
c. No.: 825943
VOICE (760) 777-7012
FAX (760) 777-701.1
INSPECTIONS (760) 777-7153
WORKER'S COMPENSATION DECLARATION
110
Date: 12/01/05
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.
K I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
r� 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.
ate:
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.
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 this unty to enter upon the above-mentioned property for inspection purposes.
G�
Da i8lgnature (Applicant or Agent):
Application Number •.
05-000052.75
------ -Structure Information
'1761 SQ. FT. MFD
-----
Construction Type ..
. TYPE V - NON RATED.
Occupancy Type
DWELLG/LODGING/LONG <=10
" Flood Zone
NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
200.1 CBC
# BEDROOMS
3.00
FLOOD ZONE
NO
-
GARAGE SQ FTG
435."00
PATIO SQ FTG.
143.00 `.
TOT ELIGIBLE
YES
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
1761:00
*Permit . . .
BUILDING PERMIT.
Additional desc .
Permit Fee . . . .
681.50 Plan Check Fee
110.7.5
Issue Date . . . .
Valuation
111157
Expiration Date
5/30/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
12.00 3.5000
THOU BLDG 100,001-500,000
42.00
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
1.00 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
100.36 Plan Check Fee
6.27 .
Issue Date
Valuation ..
0
Expiration Date
5/30/06
Qty Unit Charge
Per
Extension
BASE FEE
15.'00
- LQPERMU
,
A
• Z
Application Number. .
. . . 05-00005275
Permit . .
ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
..00 .030.0
ELEC NEW RES - MULTI FAMILY
00
1761.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
61.64
436.00 .0200
ELEC.-GARAGE OR NON-RESIDENTIAL
8.72
1.00 15.0000
EA ELEC TEMPORARY POWER POLE
15.00
Permit . . _ ... .
PLUMBING
Additional desc .
Permit Fee . . . ..
147.75 Plan Check Fee
9.24
Issue Date . . . .
Valuation . . .
0
Expiration Date
5;/30/06•
Qty Unit Charge
Per
Extension
BASE FEE
15.00
.13.00 6.0000
EA PLB FIXTURE
78.00
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
i 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
Special Notes and Comments
SFA = UNIT 263, PLAN
1R, 1761 $F.
BLDG.K-7
TYPE T -100R. 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
11.08•
DIF FIRE PROTECTION -RES
78.00
GRADING PLAN CHECK'FEE
.00
LQPERMFr
= Application Number
05-00005275 f
------------------ ----------------------------------------------
Other Fees .
. . . . . .
-
DIF LIBRARIES RES
158.00
DIF PARK MAINT FAC _ RES
3.00
DIF PARKS/REC - RES
352:00
STRONG MOTION (SMI) - RES
11.11
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
-Fee summary
-----------------
Charged
Paid Credited
Due.-
ue -
Permit Fee Total
1010.11
.00 .00
1010.11
Plan Check Total
130.36
:00 00
130.36
-Other Fee Total
2023.19
00 .00
2023.19- ~
Grand Total
3163.66
.00 .00
3163.66 '
LQPERMIT
-
-
I
Certificate of Occupancy
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OF'I1Building & Safety Department
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This Certificate is issued pursuant to the requirements of Section MY of the California Building
..
r
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.
P i E
BUILDING ADDRESS: 77-696 TRADITION DRIVE (UNIT #263)
4
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Use classification: SINGLE FAMILY ATTACHED Building Permit No.: 05-5275
Occupancy Group R-3 Type of Construction: V -N' Land Use Zone: CT
a f
Owner of Building: CENTEX HOMES Address: 1123 AURARIA PARKWAY #400
e
City, ST, ZIP: DENVER, CO. 80204
By: KIRK KIRKLAND
! �"l 'Date: 02-08-2007
;i
Building Official
SS
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