05-4194 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: OS -0_0004194, D Q a Owner:
Property Address: 77729 TRADITION DR CENTEX HOMES
APN: 658-130-011-14 -31379275 275 CORPORATE CIR #230
Application description: 'OCT DWELLING - SINGLE FAMILY ATTACHED l• 2 6 i ENDERSON, NV 89074
Property Zoning: LOW DENSITY RESIDENTIAL '
Application valuation: 106680 I C19YO
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/20/05
Contractor:
Applicant: _ f rchitect or Engineer: CENTEX HOMES
901 N. GREEN VALLEY PKWY, 140'
HENERSON
LA QUINTA, CA 92253
Lic. No.: WC832209708
------------,-------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION'
hereby affirm under penalty of perjury that I am licensedunderprovisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: 825943 License No.: WC832209708 for by Section 3700 of the Labor Code, for the performance of the. work for which this permit is
01, issued.
ractor: 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 "
WNER-BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier 0800 Policy Number ZURICH AMER INS
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that,.in the performance of the work for which this permit is issued,.I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of th abor Code, I shall forthwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by e,
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:a4 • Applicant:
(_ 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of .property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
.improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.). APPLICANT ACKNOWLEDGEMENT
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code:. The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
( 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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: r
LQPERMTP
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 b • in nstruction, and hereby authorize representatives
of this county to enter upon the above-mentioned prop y r in ction purposes.
(Applicant or Agent):
LQPERMIT
Application Number
". 05-00004194
Structure Information
Construction Type
TYPE V - NON RATED
Occupancy Type
DWELLG/LODGING/LONG <=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
•340.00
-TOT ELIGIBLE
YES
NUMBER OF UNITS
1.00
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1ST FLOOR SQUARE FOOTAGE
1705.00„
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
664.00 Plan Check Fee
431.60
Issue Date . . . .
Valuation . .
. . 106680
Expiration Date
3/19/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
7.00 3.5000
-------------------------------------------------------
THOU BLDG 100,001-500,000
-----
24.50
----------------
-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 6.5000
EA MECH VENT FAN
19.50
1.00 6.5000
------_--------------------------------------------------
EA MECH EXHAUST HOOD
--------------
6.50
------
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee
82.80 Plan Check Fee
20.84
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
3/19/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
LQPERMIT
LQPERMFr
Application Number
05-00004194 .
Permit . . . . . .
ELEC NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
1705.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
59.68
406.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
8.12
Permit . . .
PLUMBING
Additional desc .
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
22.5.0
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
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Special Notes and Comments
SFA, PLAN 2D, UNIT 118
r FIRST FLOOR
1705 SQ.FT:LIVING
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
LQPERMFr
Application Number
05-00004194
Permit Fee Total
1031.55
---- ---
.00
------
.00
----------
1031.55
Plan Check Total
519.88
.00
.00
519.88
Other Fee Total
2055.09
.00
.00
2055.09
Grand Total
3606.52
.00
.00
3606.52
LQPERMIT
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Ce,rtificatoof Ocdupancy
a
of Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
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Code, certifying that, at the time of issuance, this structure was in compliance with the
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provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
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BUILDING ADDRESS: 77-729 TRADITION DRIVE (UNIT #1181
Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) • Building Permit No.: 05-4194
Occupancy Group: R-1 Type of Construction: V -N Land Use Zone: CT
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Owner of Building: CENTEX HOMES Address: 1123 AURARIA PARKWAY #400
City, ST, ZIP: DENVER, CO. 80204
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By: KIRK KIRKLAND
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Date: 10-30-2006
Building Official
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i POST IN A CONSPICUOUS PLACE
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