05-4239 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO t
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
05-6.0004239
77745 TRADITION DR
658-130-011-14 -31379
DWELLING - SINGLE FAMI1
LOW DENSITY RESIDENTIAL
104440
rchitect or
-----------------
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: 825943 License No.: W 832209708
Date:t0- Z _' 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 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 135001.:
(_ I 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 contractorls) 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/21/05
Owner:
CENTEX HOMES
2275 CORPORATE CIR #230
HENDERSON, NV 89074
Contractor:
CENTEX HOMES
901 N. GREEN VALLEY PKWY, 140
HENERSON
LA QUINTA, CA 92253
Lic. No.: WC832209708
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 0800 Policy Number ZURICH AMER INS
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 ofa or Code, I shall forthwith comply with those provisions.
ate: OCL f� pplicant:
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 1$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 issuarice 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 unty ordinances and to laws relating to wilding cd truction, and hereby authorize representatives
of thi ounty to enter u�pn a above-mentioned pro rty fo in ion purposes.
••,, io
y �� S nature (Applicant or Agent): -
LQPERMIT
Application Number.
05-00004239.
Structure Information
Construction Type
TYPE V --NONRATED
Occupancy Type . . .
. . DWELLG/LODGING/LONG <=10
Flood Zone . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001
# BEDROOMS
2.00
FLOOD ZONE.
NO
GARAGE SQ FTG.
1048.00
-
PATIO SQ FTG
307:00
TOT ELIGIBLE
YES
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE,FOOTAGE
1316.00
Permit
BUILDING PERMIT
Additional desc .
Permit Fee
657.00, Plan Check Fee
106.76
Issue Date . .
Valuation
104440
Expiration Date
3/20/06
- Qty Unit Charge
Per
Extension
BASE FEE
639.50
5:00 - 3.5000
-------------------------------------------
THOU BLDG 100.,001-500-,000'
--------------------------------
17.50
Permit . . .
MECHANICAL
Additional desc .
Permit Fee
70.50 Plan Check Fee
4.41
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
.3/20/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 9.0000
EA MECH FURNACE <=100K
1,8.00
2-00 9.0000
EA MECH B/C <=3HP/1.00K BTU
18.00
2.00 6.5000
EA MECH•VENT FAN
13.00
1.00 6.5000
----------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
------------
Permit . . .
ELEC-NEW RESIDENTIAL
.Additional desc .
Permit Fee
88.16 Plan Check Fee
5.51
Issue Date . . . .
Valuation
0
Expiration Date
3/20/06
Qty Unit,Charge
Per
Extension
BASE FEE
15.00
LQPERMIT
Application Number .
. . . .. 05-00004239
Permit . . . .
ELEC-NEW'RESIDENTIAL
Qty Unit Charge
Per
Extension
• 1316.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
46.06
1355.00. .0200
ELEC GARAGE OR NON-RESIDENTIAL
27.10
Permit.
PLUMBING
Additional desc .
Permit Fee-
222.75 Plan Check Fee
13.92
Issue Date . . . .
Valuation . . . .
0
Expiration Date
3/20/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
11.00 6.0000,
EA PLB. FIXTURE
•66.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
2.00 7.5000
EA PLB WATER HEATER/VENT
15.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
- 3.00
10:00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
90.00
5.00 .7.500
EA' PLB GAS PIPE >=5
3.75
5.00 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
Special Notes and Comments
SFA - UNIT 122, PLAN
1E-- FIRST.FLOOR -
1316 SQ.FT.
75% REDUCTION IN PLAN
CHECK FEES DUE TO
-
MULTIPLE ISSUANCE OF
IDENTICAL PLAN
TYPE.
Other Fees -. . . .
. . DIF COMMUNITY CENTERS -RES
68.00
DIF CIVIC,CENTER"- RES
229.00
ENERGY REVIEW FEE r
42.71
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
10.44
LQrERMrr
Application Number
05-00004239
-------- ----- -------------------------------------------------------
Other Fees . . .
DIF STREET MEANT FAC -RES
15.00
DIF TRANSPORTATION.= RES
. 1098.00
Fee summary 'Charged
Paid Credited
Due'
Permit Fee Total
1053.41'
.00 .00
1053.41
Plan Check Total
130.60
.00 .00
130.60
Other Fee Total
2054..15
.00 .00.
2054.15 ,
•Grand Total
--3238,16
.00 .00
3238.16 _,
o �"a- � Certificate of OccupancY;
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4
V
OF 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: 77-745 TRADITION DRIVE (UNIT #122)
Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) Building Permit No.: 05-4239
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