04-7809 (SATT)BUILDING & SAFETY DEPARTMENT
3ox 1504 (760)•777-7012
5 CALLS TAMPICO FAX (760) 777-7011
JINTAf'CALiFORNIA 92253 INSPECTION. REQUESTS (760) 777-7153
BUILDING PERMIT
er . . . . 04-00007809 Date 12/27/04
. . . . . . 48560 LEGACY DR
658-130-011-3 -31379 -
_ . . . . . . . UNIT #91
Application description DWELLING - SINGLE FAMILY ATTACHED
Property Zoning . . . . LOW DENSITY RESIDENTIAL
Application valuation �107040'
Owner ` Contractor.
--------------------------------- ---------------------------------
CENTEX HOMES CENTEX HOMES
2275 CORPORATE CIR #230 901 N.' GREEN VALLEY PKWY, 140
HENDERSON, NV 8.9074 HENERSON
LA QUINTA, CA 92253
(702)990-0800
WCC: ZURICH AMER INS
WC: 832209708 10/01/05
CSLB: 825943 10/31/05•
CCC: A -B
P.O. Box 1504 �����
78-495 CALLE TAMPICO VOICE (760) 777-7012
LA QUINTA, CALIFORNIA 92253 4VFAX (760) 777-7011
INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: [�4- ��Qy Date: 'LS --
Applicant: Architect r Engineer:
Applicant's Mailing Address:chltect or Engineer's Address:
Lic. No. e—o'/Z �f Z V
'BUILDING PERMIT DECLARATIONS
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
C;Pft, and my Lice ful ce and effect.
icense Class �l icense No./�_ `fl Z��
ate /YContractor �'�'i�T�� 14--on,,r e.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 stricture, 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 Contractors' 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).):
U 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 or 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.).
U 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 contractors) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' 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.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the rfor mance of the work for which this
�w�ed, �Iy wort�es compensation ins a carrier and gq� nye permit is
artier �-1//- r2 -1y icy Number g !�r(��'%O $
_ 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
compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code,rI shall
forthwith comply with those provisions.
scant
WARNING: FAILURE TO SECURE WORKE ' MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOU D DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name
Lender's Address A
LI
IMPORTANT Application is hereby made to the Director of Buildingand ANT ACKNOWLEDGEMENT
1. Each person upon whose behalf this application is made, each person at Permit
request and forrestrictionsnditions and
whose benefit s
work performed under or pulrsuant to an
issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity and hold harmless the City of La Ouinta, its
permit
officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building
construction, andherebyauthorize representatives of this county to enter upon the ab e -mentioned property for inspection purposes.
ate ) '/$ignature (Applicant or Agent):
e� .
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Application Number . . . 04-00007809
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Structure Information
Construction Type TYPE V - NON RATED
Occupancy Type DWELLG/LODGING/LONG <=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 404.00
TOT ELIGIBLE YES
NUMBER OF UNITS 1.00
2ND FLOOR SQUARE FOOTAGE 1705.00
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Permit BUILDING PERMIT
Additional desc
Permit Fee . . . . 667.50 Plan Check Fee 108.47
Issue Date Valuation . . 107040
Qty Unit Charge Per Extension
BASE FEE 639.50
8.00 3.5000 THOU BLDG 100,001-500,000 28.00
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Permit MECHANICAL
Additional desc
i..
Permit -Fee 95.00
Issue Date
Plan Check Fee 5.94
Valuation . . . . 0
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
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6.5000
EA
MECH
EXHAUST HOOD
6.50
Permit
Additional desc
Permit Fee . . . .
Issue Date . . . .
ELEC-NEW RESIDENTIAL
83.28 Plan Check Fee . . 5.21
Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 15.00
1705.00 ..0350 ELEC NEW RES - 1 OR 2 FAMILY 59.68
430.00 ..0200 ELEC GARAGE OR NON-RESIDENTIAL 8.60
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Permit
Additional desc
Permit Fee
Issue Date
PLUMBING
165.75 Plan Check Fee . . 10.36
Valuation . . . . 0
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.
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'� Application Number . . . . 04-00007809
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Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
7.00 .7500 EA PLB GAS PIPE >=5
5.25
1.00 15.0000 EA PLB GAS METER
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15.00
Permit GRADING PERMIT
.00
Additional desc .. . I
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Qty Unit Charge Per
Extension
BASE FEE
15.00
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Special Notes and Comments
PLAN 2H - SECOND FLOOR - 1705.SQ.FT.
LIVING. 3 LOCKOFF UNITS. R-3 OCCUPANCY
TANSIENT OCCUPANCY) TYPE V -N W/AREA
SEPARATION WALLS. 2001 CODES. [UNITS
89-92 COMPRISE BLDG. C-5 (2 STORY, 4
UNIT - 10 LOCKOFFS, 4 - 1 CAR GARAGES]
75% REDUCTION IN PLAN CHECK FEES DUE TO
MULTIPLE ISSUANCE OF IDENTICAL PLAN
TYPE.
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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
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
------------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged Paid
1026.53
.00
129.98
.00
2055.09
.00
3211.60
.00
Credited Due
.00
1026.53
.00
129.98
.00
2055.09
.00
3211.60
�-- caCert�fito of Occupancy
f
V - •
VT
C
OF g Y p 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: 48-560 LEGACY DRIVE (UNIT #91)
i
I Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) Building Permit No.: 04=7809
r
t
Occupancy Group: R-1 Type of Construction: V -N. Land Use Zone: CT
—
i
2
a
Owner of Building: CENTEX HOMES Address: 1123 AURARIA PARKWAY #400
City, ST, ZIP: DENVER, CO. 80204
By: KIRK KIRKLAND
Date: 03-23-2006
Building Official
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