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05-4259 (SFD)P.O. BOX 1504 _78495 CALLE TAMPICO "LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning:. Application valuation: Applicant: 05-00004259 77781 TRADITION 658-130-011-14 DWELLING - SINGL LOW DENSITY RESID 106635 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT DR —31379 — E FAMILY ATTACHED Architect -------------------------.--------'--------- - ------- 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.: WC832209708 Dat 0 .�PC1 Contractorr OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 Codel 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.). (_) 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.I. Lender's Name: Lender's Address: LQPERMIT Owner: CENTEX HOMES 2275 CORPORATE CIR #230 HENDERSON, NV 89074 Contractor: CENTEX HOMES 901 N. GREEN VALLEY PKWY, -140 HENERSON - LA QUI NTA, CA 92253 Lic. No.: WC832209708 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 Labor Code, I shall forthwith comply with those provisions. at pplican?'. / 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 anter on the above-mentioned prop fo ion purposes. ' eYR.:^! %moi Dat �^' . C) ignature (Applicant or Agent): LQPERMIT Application Number 05-00004259 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 377.00 TOT ELIGIBLE YES NUMBER OF UNITS 1.00 2ND FLOOR SQUARE FOOTAGE 1705.00 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 664.00 Plan Check Fee 107.90 Issue Date Valuation . . . . 106635 Expiration Date 3/20/06 Qty Unit Charge,, Per Extension BASE FEE ..639.50 7.00 _ 3.5000 --------'------------=------------------------------------------------------- THOU BLDG 100,001-500,000 24.50 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 82.74 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 . . . . . . 05-00004259 Permit . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 1705.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 59.68 403.00 ..0200 ELEC GARAGE OR NON-RESIDENTIAL 8.06 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-2, UNIT 132,PLAN 2F - SECOND FLOOR - 1705 SQ.FT.75% < REDUCTION IN PLANCHECK FEES DUE TO MULTIPLE ISSUANCE OF IDENTICAL PLANTYPE. ----------------- Other Fees . . . ---------------------------- . . . . DIF COMMUNITY CENTERS -RES -- 68.00 DIF CIVIC CENTER - RES 229.00 ENERGY REVIEW FEE 43.16 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 LQPERMIT Application Number 05-00004259 ------------------------------------------------------------------------ Other Fees DIF TRANSPORTATION - RES 1098.00. . Fee summary Charged Paid Credited Due Permit Fee Total - ---- 1031.49 ---------- .00 ---------- ---------- 0*0 1031.49 Plan Check Total 129.97 .00 .00 129.97' Other Fee Total 2054.86 .00 .00 2054.86 Grand Total 3216.32 .00 .00 .3216.32 Certificate of 0 0 Y' I.�C.O�AD417F7i ��[�,j 4 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: 77-781 TRADITION. DRIVE (UNIT #12.2 Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) Building Permit No.: 05-4259 Occupancy Group: R-1 Owner of Building: CENTEX HOMES Building Official Type of Construction: V -N Land Use Zone: CT Address: 1123 AURARIA PARKWAY #400 City, ST, ZIP: DENVER, CO. 80204 By: KIRK KIRKLAND Date: 11-09-2006