05-4197 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 5-,_00004197
Property Address:. 77737 TRADITION DR
APN: 658-130-011-14 -31379 -
Application description: DWELLING - SINGLE FAMILY
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 107085
Applicant:
�chitect or
T4ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CENTEX HOMES
2275 CORPORATE CIR #230
HENDERSON, NV 89074
PICT 2 6.1®05 Contractor:
CENTEX HOMES
CITY
QI!!n(�� 901 N. GREEN VALLEY PKWY, 140
F Oj=pr HENERSON
LA QUINTA, CA 92253
Lic. No..: WC83220970,8
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/21/05
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LICENSED CONTRACTOR'S DECLARATION
LICENSE D
----------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions 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
� / !�
tractor: ( i(� r -
�[ issued.
11-1 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
OWNER -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 the Lab ode, 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
rr ��// '
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
J'v.� licant:
(_) 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.). '
1 _ 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 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
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 buildi construction, and hereby authorize representatives
of this county totter■u/Pon the abo e -mentioned p eny ion'purposes.
OSi ure (Applicant or Agent): AW
LQPERMrr,, ,
Application Number 05-00004197
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
108.47
Issue Date . .
Valuation . .
. . 107085
Expiration Date
3/20/06
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
5.94
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
3/20/06
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
83.34 Plan Check Fee
5.21
Issue Date . .
Valuation
0
Expiration Date
.3/20/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
LQPERMTT
Application Number .
. . . : 05-00004197
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 .
Permit Fee . . . .
174.75 Plan Check Fee_
10.92
Issue Date . . . .
Valuation
e3/20/06
0
Expiration Date
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.5.00 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
3/20/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------_------------------------
Special Notes and Comments
SFA - PLAN 2G,.UNIT 121.-
FIRST FLOOR -
1705 SQ.FT.
LIVING, 75%
REDUCTION TO PLAN CHECK
FEE DUE TO
MULTIPLE ISSUANCE OF
SAME PLAN TYPE.
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
LQPERMTT
Application Number
. . . . .
05-00004197
-----------------------
Other Fees .
-
. . . . . .
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
.1098.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1035.59
.00 .00
1035.59
Plan Check Total
130.54
.00 .00
130.54
Other Fee'Total
2055.09
00 .00
2055..09
Grand Total.
3221.22
.00 .00
3221.22
LQPERMIT
Certificate of Occupancy
INcw.eonan �
'
G� OFT'19�
Building & Safety Department
b
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: 77-737 TRADITION DRIVE (UNIT#121)
Use classification: SINGLE FAMILY ATTACHED (With Lock-offs) Building Permit No.: 05-4197
Occupancy Group: R-1 Type of Construction: V-N Land Use Zone: CT
Owner of Building: CENTEX HOMES Address: 1123 AURARIA PARKWAY #400
City, ST, ZIP: DENVER, CO. 80204
By: KIRK KIRKLAND
Date: 11-02-2006
Building Official
POST IN A CONSPICUOUS PLACE
11-C4