05-2443 (SATT).0-. 416
P.O. BOX 1504
78-495 CALLE TAMPICO .
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
05=00002443:
48492 LEGACY DR
658-130-011-9 -31379 -
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
114757
-A�tchitect or Enc
el�EJA.d
TA-t!t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
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: AA -B License No.: 825943
Sate 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 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 _ 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
Owner:
CENTEX HOMES
2275 CORPORATE CIR #230
HENDERSON, NV 89074
Contractor:
CENTEX HOMES
901 N. GREEN -VALLEY PKWY, 140
HENDERSON, NV 89074
(702)990-0800
Lic. No.: 825943
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760).777-7153
Date: 6/17/05
-----------------------------------------------
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.
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, 1 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 Lab�o/d1/9F I forthwith comply with those provisions.
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 f80 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 on above-mentioned pr a for ' ion purposes.
Date ��� Signature (Applicant or Agent):
Application Number . . . . . 05-00002443
------ 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
1.10.
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
LQPERMIT
y
LQPERMIT
Application Number
Permit . . . . .
. . . . . 05-00002443
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
1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00
-----------------------------------------------------=----------------------
Permit . . .
Additional desc .
Permit Fee
Issue Date . . . .
Expiration Date . .
PLUMBING
147.75 Plan Check Fee . . 9.24
Valuation . . . . 0
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
249, PLAN 2, 1863 SF.
BLDG . I'- 5
TYPE T-100.
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
1
LQPERMIT
Application
Number
05-00002443
----------------------------------------------------------------------------'
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
.00
3179.80
9
1
LQPERMIT
.01tq,.c
L
0 otef OccuCertifca opancy
OFBuilding & Safety Department
4
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: 48-492 LEGACY DRIVE (UNIT #249)
Use classification: SINGLE FAMILY ATTACHED (Town Homes) Building Permit No.: 05-2443
}
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
i
Date: AUGUST. 10, 2006
Building Official
POST IN A CONSPICUOUS PLACE