04-7808 (SATT)0 Tar
ffi BUILDING & SAFETY DEPARTMENT
'Box 1504
r (760),777-7012
• 4 5 CALLE TAMPICO FAX (760) 777-7011
Q INTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
c`� ��������• BUILDING PERMIT i
A ication Number 04-00007808 Date 12/27/04
roperty Address . . . . . . 48568 LEGACY DR
APN: 658-130-011-3 -31379 -
Tenant nbr, name UNIT #88
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 89074 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
0
P.O. BOX 1504 ��G1GJ
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number: Qy 750
Applicant:
Applicant's Mailing Address:
Architect or Engineer.
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:
or,Engineer's Address:
4 - /;I 9 ;L v
tsUILUING 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
C90e.and my Licen�sse is i ull force and effect. p
incense Class &!:: _I,ceras. �
I OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractor;' 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 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 1 am exempt under Sec. , BA P.C. for this reason
Date
WORKERS' 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
_1�of the work for which this permit is issued.
hhave and will maintain workers' compensatio insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issefl ued./IVIy w rkers' compe' sation ' nce carne 9Jjcy mV are:
tt��,,�� olicy Number �Z
—I certify that, in the performance of the work for which this permit is issued. I shaTI 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 C
forthwith comply with those provisions. ode, I shah
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION bOVERAGE 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.
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
IMPORTANT Application is hereby made to the Director of Buildingand Safety ACKNOWLEDGEMENT
A
1. Each person upon whose behalf this application is made, each person at whose request and efor conditions restrictions
whose benefi ws
ork perfo med under or icapulrsuant to an
permit
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
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 enter upon above- mentioned property for inspection purposes.
i y iZ �� 3 Signature (Applicant or Agent):
-----------------------------------------------------------------------------
Application Number .
-----------------------------------------------------------------------------
. . . 04-00007808
Per
---------------------------°`Structure
Information --------------------`-
Construction Type . .
. . . TYPE V - NON RATED
BASE FEE
Occupancy Type . . .
. . . DWELLG/LODGING/LONG <=10
9.0000
Flood Zone . . . . .
. . . NON -AO FLOOD ZONE
•27.00
Other struct info . .
. . . CODE EDITION
2001
MECH B/C <=3HP/100K BTU
# BEDROOMS
3.00
6.5000
FLOOD ZONE
NO
19.50
GARAGE SQ FTG
26.00
EA
PATIO SQ FTG
404.00
Permit
TOT ELIGIBLE
YES
RESIDENTIAL
NUMBER OF UNITS
1.00
-----------------------------------------------------------------------------
2ND FLOOR SQUARE FOOTAGE
1705.00
Permit
BUILDING PERMIT
. . . .
Additional desc . .
83.28 Plan Check Fee
5.21
Permit Fee . . . .
667.50 Plan Check Fee
108.47
Issue Date . . . .
Valuation . .
. . 107040
Qty Unit Charge
Per
Extension
Extension
BASE FEE
639.50
8.00 3.5000
-----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
28.00
Permit . . . . MECHANICAL
Additional desc
..f� 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
-----------------------------------------------------------------------------
6.5000
EA
MECH EXHAUST HOOD
6.50
Permit
ELEC-NEW
RESIDENTIAL
Additional
desc
Permit Fee
. . . .
83.28 Plan Check Fee
5.21
Issue Date
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
1705.00
.0350
ELEC NEW RES - 1 OR 2 FAMIL)
59.68
430.00
----------------------------------------------------------------------------
.0200
ELEC GARAGE OR NON-RESIDENTIAL
8.60
Permit ..
. . . . .
PLUMBING
Additional
desc
Permit Fee
. . . .
165.75
Plan Check Fee
10.36
Issue Date
. . . .
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
-----------------------------------------------------------------------------
• Application Number .
-----------------------------------------------------------------------------
. . . ., 04-00007808
129.98
Permit *. . . . . .
PLUMBING
.00
Qty Unit Charge
Per
Extension
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
Qty Unit Charge
Per
Extension
- BASE FEE
15.00
-----------------------------------------------------------------------------
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
85-88 COMPRISE BLDG.
C-4 (2 STORY, 4
UNIT - 10 LOCKOFFS, 4
- 1 CAR GARAGES]
75% REDUCTION IN PLAN
CHECK 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
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
upancYa
0 �o Certificate of Occ
gum
I•.cwroanhv
M 5
G� OF9ti Buildin & Safety Department
. 9► Y p
3
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: 48-568 LEGACY DRIVE (UNIT- #88) - - -
a
{
Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) Building Permit No.: 04-7808
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: 03-23-2006
Building Official
POST IN A CONSPICUOUS PLACE