05-4255 (SFD)ti_:
P.O. BOX 1504
78-495'CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING' & SAFETY DEPARTMENT
BUILDING. PERMIT
Application Number: 0.5-00.0.04.25.5 Owner:
Property Address: 77757 TRADITION DR CENTEX HOMES
APN: 658-130-011-14 -31379 - 2275 CORPORATE CIR #230
Application description: DWELLING - SINGLE FAMILY ATTACHED HENDERSON, .NV 89.074'
Property Zoning: = LOW DENSITY RESIDENTIAL
Application valuation: 107144
DContractor:
Applicant: "/Architect or Engineer: oC� INS CENTEX HOMES
901 N. GREEN VALLEY PKWY, 140
C6T� of:Qt
La. t�l@lTA HENERSON
�1!lP+ocev&7�., -. LA QUINTA, CA 92253
Lia'. No.: WC832209708
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed underprovisions 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 Clas7,f--'J
s: 82594433 License No.: WC832209708
-1<1'e)0_4 -'Jtontraaor: _� D
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 o 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.).
1 _ 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/21/05
-----------------------------------------------
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 of the abor Code, I shall forthwith comply with those provisions.
Da)O "1 scant: /✓
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 state laws relating to building construction, and hereby authorize representatives
• of this c nnty to enter u the above-mentioned pro rt ;fo ns n purposes.
//(� i
DatE: � - Signature (Applicant or Age/1ES� -
Application Number
05-00004255
.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
411.,00
TOT ELIGIBLE
YES -
NUMBER OF UNITS
1.00
2ND FLOOR SQUARE FOOTAGE.
1705.00
Permit
BUILDING) PERMIT
Additional desc .
Permit Fee
667.50 Plan Check Fee
108.47
Issue Date
Valuation
107144
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
. . . MECHANICAL
Additional desc .
Permit Fee . . . .
9.5:00 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
83.42 Plan Check Fee
5.21
Issue Date . . .
Valuation . .
. . 0
Expiration Date
3/20/06
Qty Unit Charge-
Per
Extension
BASE FEE
15.00
LQPERMIT
Application Number .05-00004255
Permit . . ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
1705.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
59.68
437.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
8.74
Permit ." . . .
PLUMBING
Additional desc .
Permit Fee . . . .
174.75 Plan Check Fee
10.92
Issue Date
Valuation
0
Expiration Date
3/20/06
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
3/20/06
Qty Unit Charge
Per
Extension
----------------------------------------=-----=-----------------------------
BASE FEE
15.00
Special Notes and Comments
SFA - BLDG. L -3, -UNIT
127, PLAN 2E
SECOND FLOOR - 1705 SQ.FT. 75%
REDUCTION TO PLAN CHECK FEES 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
DIF STREET MAINT FAC -RES
15.00
e
LQPERMIT
Application Number
. . . .
05-00004255
Other Fees . .
. ... .
'DIF TRANSPORTATION
- RES
1098.00
Fee summary
Charged
Paid
Credited
Due
Permit Fee'Total
1035.67
.00
..00
1035.67"
Plan Check.Total
130.54
.00
.00
130.54
Other Fee Total
2055.09
.00
.00
2055.09
Grand Total
3221.30
.00
.00
3221.30
T
Certificate of Occupancy..14
OF9 Budding & Safety Department
F
a This Certificate is issued pursuant to the requirements of Section 109 of the California Building
r 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: 77-757 TRADITION DRIVE (UNIT #127)
Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) Building Permit No.: 05-4255
Occupancy Group: R-1 Type of Construction: V -N Land Use Zone: CT
z
Owner of Building: CENTEX HOMES Address: 1123 AURARIA PARKWAY #400
ti>
.City, ST, ZIP: DENVER, CO. 80204
�.--� By: KIRK KIRKLAND
Date: 11-06-2006
Building Official
i
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