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05-4245 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: ff``V tl" CT05_700004245 77749 TRADITION DR 658-130-011-14 -31379 - DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 83452 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT rchitect or Engineer: 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/21/05 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION 1 -hereby affirm under penalty of perjury that I am licensed under provisionsof 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 V+ �j— _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate�/� actor: 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 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 oftheContractor's State and agree that.Al 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 that he or she is exempt therefrom and the basis for the. alleged exemption. Any violation of Section 7031.5 by- e700 abor Code, I shall forthwith comply with those provisions. ' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: at pplicant: 1) y (_ 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 1, 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: 1 LQPERMIT 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each.agrees to,'and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as,a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. ' I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and §We laws relating to uilding cc truction, and hereby authorize representatives of s county to enter upon above-mentioned pro rt r in on purposes. D 'a• �$~ gnature (Applicant or Agent): LQPERMIT Application Number . . 05-00004245. 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 2.00 FLOOD ZONE NO GARAGE . S Q FTG .00 ` PATIO SQ -FTG 396.00 TOT ELIGIBLE YES NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 2ND FLOOR SQUARE FOOTAGE 1316.00 Permit . . . BUILDING PERMIT• Additional desc . Permit Fee. . . . . 567.50 Plan Check Fee 92.22 Issue Date . . . . Valuation 83452 Expiration Date 3/20/06 Qty Unit Charge Per Extension BASE FEE 414.50 34.00 4.5000 ---------------------------------------------------------------------------- THOU BLDG 50,001-100,000 153.00 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 PUP14ACE <=100K 18.00 2.00 9.0000 EA . MECH B/C <=3HP/100K 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 . . . 68.98 Plan Check Fee-. 4.31 Issue Date Valuation 0 Expiration Date 3/20/06 Qty Unit Charge Per Extension BASE FEE 15.00 Application Number 05-00004245 Permit ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 1316.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 46.06 396.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 7.92 Permit . . PLUMBING Additional desc `. Permit Fee 132.75 Plan Check Fee 8.30 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 5.00 .1500 EA PLB GAS PIPE >=5 3.75 1.00 15.0060 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 - BLDG. L-4, UNIT 124,.PLAN 1F = SECOND 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 36.89 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 8.34• DIF STREET MAINT FAC -RES 15.00 LQPERMff Application Number 05-00004245 --------------------- -------------------------------------------------------- Other Fees . . . . . . . . . - DIF TRANSPORTATION RES 1098.00 Fee summary Charged Paid Credited Due ---- --- Permit Fee Total ---------- 854.73 ---------- .00 --------•-- ---------- .00 854.73 Plan Check Total 109.24 .00 .00 109.24 Other Fee Total 2046.23 .00 .00 2046.23 Grand Total 3010.20 .00 .00 3010.20 F - Certificate of Occapancy. Wf 444 Irrmovn'®� t of�ti Building & Safety Department i 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: 77-749 TRADITION DRIVE (UNIT #124) Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) Building Permit No.: 05-4245 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 �z By: KIRK KIRKLAND ' �d Date: 11-02-2006 Building Official t POST IN A CONSPICUOUS PLACE