05-5243 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
44 "
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
0.5Z_0.00052 33
Property Address:
77764 TRADITION DR
APN:
658-130-011-13 -31379 -
Application description:
DWELLING - SINGLE FAMILY ATTACHED
Property Zoning:
LOW. DENSITY RESIDENTIAL
Application valuation:
124970
Applicant:
rchitect or Engineer:
(J 14)4- C 12� Zo
-----------------
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 BusinessRd Professionals Code, and my License is in full force and effect.
Lic se Class: A -B License No.: 825943
tractor: -
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 ($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 floes 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 -I.
( 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: 'taw,
Lender's Address: F1
i
LQPERMIT
Owner:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/30/05
"25
ORATE CIR #230
NV 89074
90� N. GREEN VALLEY PKWY, 140
HENDERSON, NV 89074
(702)990-0800
Lic. No.: 825943
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 LOCKTON CO Policy Number WC832209709
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
3n7000 of the Lab r o e, II forthwith comply with those provisions.
ate: I- w plicant:
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 county to enter upon the above-mentioned property for inspection purposes.
/�
e: � � t b �O 5i ure (Applicant or Agent): � V \ /� f
Application Number .
. . . 05-00005243
---=-- Structure Information
1946 SQ. FT. SFA
-----
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . .. DWELLG/LODGING/CONG <=10
Flood Zone . .
. . NON -AO FLOOD ZONE'
Other,struct info . .
. CODE EDITION
2001 CBC
# BEDROOMS
3.00
GARAGE SQ'FTG
437.00
PATIO -SQ FTG
383.00.
TOT ELIGIBLE
YES
NUMBER OF UNITS .'
1.00
----------------------.------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
1946.00
.
Permit
BUILDING PERMIT
Additional desc .
Permit Fee.
727.00 Plan Check Fee
472.55
Issue Date
Valuation . .
. . 124970
Expiration Date
5/29/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
25.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
87.50
Permit . . . .MECHANICAL
Additional desc..
Permit Fee . . . .
65.50 Plan Check Fee
.. 16.38
Issue Date
Valuation . .
. 0
Expiration Date. .
5/29/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00•
1.00 9.0000
EA MECH FURNACE <=100K
9.00
1.00 9.0000
EA_ MECH B/C <=3HP/100K BTU
9.00
4.00 6.5000
EA MECH VENT FAN
26:00
-1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . .
ELEC-:NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
106.85 Plan Check Fee
26.71
Issue Date . . . .
Valuation
0
Expiration Date
5/29/06
Qty. Unit Charge
Per
Extension
BASE FEE
15:00
.00 .0300
ELEC NEW RES - MULTI FAMILY
.00'
LQPERMIT - ...
Application Number,
05-00005243
Permit '.
ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
1946.00
.0350
ELEC NEW RES '- 1 OR 2 FAMILY
68.11
437.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
8.74
1.00
----------------------------------------------------------------------------
15.0000
EA ELEC TEMPORARY POWER POLE
15.00
Permit
. .
PLUMBING
- Additional
desc .
Permit Fee
165.75 Plan Check Fee
41.44
Issue Date
Valuation . . . .
0
Expiration.Date
5/29/06
Qty Unit Charge
Per.
Extension
BASE FEE
15.00
16.00
6.0000
EA PLB FIXTURE
96.00
1.00
15.0000
EA PLB BUILDING SEWER
15.00
1.00
7.5000
EA -PLB WATER HEATER/VENT
7.50
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
5/29/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
--------------------------------------------------
Special Notes
--------------------------
and Comments
SFA - UNIT
276, PLAN
3, 1946 SF. BLDG.
TYPE T-200.
BLDG. J-2
Other Fees
.
. . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
68.00
DIF CIVIC CENTER - RES
229.00
ENERGY REVIEW FEE
47.26
DIF FIRE PROTECTION -RES
78.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
158.00
DIF PARK MAINT FAC -' RES
3.00
DIF PARKS/REC - RES
352.00
STRONG MOTION (SMI) - RES
12.49
LQPERMIT
LQPERMIT
Application.Number
•. .
05-00005243..
-----------------_---------------------
Other Fees . .
. . . . .
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged
---------
Paid Credited
Due
-----------------
Permit Fee Total
1080.10
.00 .00
.1080.10
Plan Check Total
557.08
.00 .00
557.08
Other Fee Total
2060.75
.00 .00
2060.75 -
- Grand Total
3697.93
.00 .00
3697.93
LQPERMIT
Certificate of. Occupancy
4 4�12daz
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: 77-764 TRADITION DRIVE (UNIT #276)
Use classification: SINGLE FAMILY ATTACHED
Occupancy Group: R-3
Owner of Building:. CENTEX HOMES
—dot
Building Official
Type of Construction: V -N
POST IN A
Building Permit No.: 05-5243
Land Use Zone: CT
Address: 1123 AURARIA PARKWAY #400
City, ST, ZIP: DENVER, CO. 80204
By: KIRK KIRKLAND
Date: 01-18-2007