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05-4249 (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: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ' X05 00004249 77769 TRADITION DR 658-130-011-14 -31379 - DWELLING - SINGLE FAMILY ATTACHED LOW DENSITY -RESIDENTIAL 107085 rchitect or Engineer: LICENSED CONTRACTOR'S DECLARATION Owner: CENTEX HOMES 2275 CORPORATE CIR #230 HENDERSON,-.NV 89074 O � C��rrontractor: CENTEX HOMES 901 N. GREEN VALLEY PKWY, 140 HENERSON C®+ LA QUINTA, CA 92253 Lic. No.: WC832209708 .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 LicenseNo.: WC832209708 �y �i C ractor: 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).: (_) 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 didnot 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 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. 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 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 theLabor Code, I shall forthwith comply with those provisions. i� ate: O�L� 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 ($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 st laws relating to. building construction, and hereby authorize representatives of this county to enter .upon t above-mentioned property 4efiJDAWction purposes. (Applicant or Agent)' '{ Application Number . . . . 05-00004249 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 oBLDG 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 LQPERMIT 1 LQPERMIT Application Number . . 05-00004249 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 43.69 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 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-2, UNIT 129, PLAN 2C FIRST FLOOR - 1705 S.F. 75% REDUCTION IN PLANCHECK 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 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 LQPERMIT Application Number 05-00004249 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF STREET MAINT FAC -RES 15..00 DIF TRANSPORTATION - RES .1098.0.0 Fee summary Charged Paid Credited Due Permit Fee Total 1035.59 .00 .00 1035.59 Plan Check -Total 163.31 .00., .00 163.31 Other Fee Total 2055.09 .00 .00 2055.09 Grand Total 3253.99 .00 .00 3253.99 LQPERMIT Certificate of Occupancy 4 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: 77-769 TRADITION DRIVE (UNIT #1291 Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) Building Permit No,: 05-4249 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: 11-09-2006 Building Official POST IN A CONSPICUOUS PLACE