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05-4187 (SFD)I F, P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number.05-00004187 Owner: Property. Address: 77713 TRADITION DR CENTEX HOMES APN: 658-130-011-14 -31379 - 2275 CORPORATE CIR #230, Application description: DWELLING - SINGLE FAMILY ATTACHED HENDERSON, NV 89074 Property Zoning: LOW DENSITY RESIDENTIAL D Application valuation: 107085 (� OCT 2 6Covi tractor: Applicant: rchitect or Engineer: ?005 `CENTEX HOMES 9f01 N. GREEN VALLEY PKWY, 140 C17YOF��I�T LA QUINTA, CA 92253 Fl�a��%E iDEpT ( 02)990-0800 ic. No.': 825943 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. n License No.: 825943 ,gate' 0 •Z; ntr ctor: / OWNER -BUILDER DECLARATION - I hereby affirm under penalty of perjury that 1 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).: (_ 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.). ' 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: 1 LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/20/05 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ 1 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 ZURICH AMER. INS Policy Number WC832209708 _ 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 L bor Code, ,y 1 shall forth iti)h comply with those provisions. ilr 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 (5100,000). 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 behalfthis 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 ate laws relating to buildin onstruction, and hereby authorize representatives of this county to enter u on above-mentioned art 9#TVection purposes. to O v nature (Applicant or Agent)' LQPERMIT Application Number . . . . . 05-00004187 Structure Information Construction Type . . . . . 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 1ST FLOOR SQUARE FOOTAGE 1705:00 _ Permit BUILDING PERMIT Additional desc . Permit Fee 667.50 Plan Check Fee 433.88 Issue Date Valuation 107085 Expiration Date 3/19/06 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 23.75 Issue. Date . . . . Valuation 0 Expiration Date 3/19/06 Qty Unit Charge Per Extension BASE FEE 15.00 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 6.5.000 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 _ 20.84 Issue Date Valuation 0 Expiration Date 3/19/06 Qty Unit Charge Per Extension BASE FEE 15.00. LQPERMIT LQPERMIT Application Number 05-00004187. Permit . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 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 r_ Permit Fee 174.75 Plan Check Fee 43.69 'Issue Date Valuation 0 Expiration Date 3/19/06 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 Expiration -Date 3/19/06 Qty Unit Charge Per Extension BASE.FEE 15.00 --------------------------------------------------- ------------------- Special Notes and Comments •------ SFA - UNIT 114, PLAN 2GR - FIRST,FLOOR - 1705 SQ.FT. ----------------------------------------_----------- 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 a Application Number . . . . . 05-00004187 Permit Fee Total- -- - - - - ----- 1035.59 - - - - - ----- .00 - - - - - -- .00. ---- - - - - - - 1035.59 Plan Check Total 522.16 .00 .00 522.16 Other Fee Total 2055.09 .00 .00 2055.09 Grand Total• 3612.84 00 .00 3612.84.. LQPERMIT - . r ■jV Certificate of Occupancy \� 4 �oF9 Building & Safety Department { This Certificate is issued pursuant to the requirements of Section 109 of the California Building i 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. r s =� BUILDING ADDRESS: 77-713 TRADITION DRIVE (UNIT #114)'° r Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) Building Permit No.: 05-4187 Occupancy Group: R-1 Type of Construction: V -N Land Use Zone: CT i z Owner of Building: CENTEX HOMES Address: 1123 AURARIA PARKWAY #400 i City, ST, ZIP: DENVER, CO. 80204 `. By: KIRK KIRKLAND -Date: 10-27-2006 Building Official ;: - POST IN A CONSPICUOUS PLACE