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05-2437 (SATT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: °F�Ww BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 05-00002437 48432 LEGACY DR 658-130-011-10 -31379 - DWELLING - SINGLE FAMILY ATTACHED LOW DENSITY RESIDENTIAL 114757 /Architect or Engineer: vvN A di2-92o Owner: CENTEX HOMES 2275 CORPORATE_CIR #230 HENDERSON, NV 89074 q/i�4;7 VV O�OMES REEN VALLEY PKWY, 140 }'� N, NV 89074 �A\\OQL:0800 825943 -------------------------------------------------- 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: A -B Lice a No.: 825943 Date: �octor: OWNER -BUILDER DECLARATION 1 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 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.). (_ ) 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: LQPERNIIT VOICE (760)'777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/17/05 WORKER'S COMPENSATION DECLARATION 1 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. /V 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 ZURICH AMER INS Policy Number WC832209708 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 Cod;,Z3 s h comply ith those provisions. i plicant:� dn. 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 (5100,000). 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 Quirita, 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 hereb authorize representatives of this co ty to enter upon the 6'%e -mentioned property Cis e Dae: gnature (Applicant or Agent): Application Number . . . . . 05-00002437 ------ Structure Information 1863 SQ. FT. MFD ----- 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 FLOOD ZONE NO GARAGE SQ FTG 418.00 TOT ELIGIBLE YES NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1863.00 Permit . . . BUILDING PERMIT • Additional desc Permit Fee . . . . 692.00 Plan Check Fee 112.45' Issue Date Valuation '. . . . 114757 - Expiration'Date 12/14/05 Qty Unit Charge Per Extension BASE FEE 639.50 15.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 52.50 Permit . . . MECHANICAL - Additional desc . Permit Fee . . . . 65.50 Plan Check Fee 4.10 Issue Date . . . . Valuation . . . . 0 Expiration Date .12/14/05 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 . . . . 103.57 Plan Check Fee 6.47 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/14/05 Qty Unit Charge - Per. Extension BASE FEE 15.00 .00 .0300 ELEC NEW RES - MULTI FAMILY .00 X LQPERMIT w Application Number . . . . . 05-00002437 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 1863.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY •65.21 418.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.36 15_0000 1_00 ------- -------- EA ELEC TEMPORARY POWER POLE -------------------------------------------------- .15.00 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 147.75 Plan Check Fee 9.24 Issue Date . . . . Valuation . . 0' Expiration Date 12/14/05 Qty Unit Charge Per Extension BASE FEE 15.00 13.00 6.0000 EA PLB FIXTURE 78.00 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 12/14/05 Qty. Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFA - UNIT 238, PLAN 2R, 1863 SF. BLDG.G-4 TYPE T -100R. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 68.00 DIF CIVIC CENTER - RES 229.00 ENERGY REVIEW FEE 11.25 DIF FIRE PROTECTION -RES 78.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 158.00 LQPERMIT N LQPERAIIT Application Number . . . . . 05-00002437 ---------------------------------,----------------------------------------.--- Other Fees . . . . . . . DIF PARK MAINT FAC - RES 3.00 DIF PARKS/REC - RES 352.00 STRONG MOTION (SMI) - RES 11.47 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00• Fee summary Charged Paid Credited Due ----------------- Permit Fee Total ---------- 1023.82 ----------,---------- .00 ---------- .00 1023.82 Plan Check Total 132.26 .00 .00 132.26 Other Fee Total 2023.72 .00 .00 2023.72 Grand Total 3179.80 ..00 J .00 3179.80 Certificate of Occupancy, 4 r?. Lcacvnnhn4�� of TBuilding & Safety Department This Certificate is issued pursuant to the requirements of Section 109'0'f 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: 48-432 LEGACY DRIVE (UNIT #238) aa Use classification: SINGLE FAMILY ATTACHED Building Permit No.: 05-2437 E Occupancy Group: R-3 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: 04-20-2006. Building Official POST IN A CONSPICUOUS PLACE