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04-7758 (SATT)s� �F�Q�rw BUILDING & SAFETY DEPARTMENT OX 1504 (760):777-7012 ;*CALLS TAMPICO FAX (760) 777-7011 INTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 4 BUILDING PERMIT u ' c� n Number. 04-00.0.017r7,5'8 Date 12/27/04 Pr ty Address `5t4=LEGAC-YKDR PN: 658-130-011-3 -31379 - Tenant nbr, name . . . . . . UNIT# 80 Application description . DWELLING SINGLE FAMILY ATTACHED Property Zoning . . . . . . LOW DENSITY RESIDENTIAL : Application valuation . . . . 83452 ti 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 4 P.O. Box 1504 ��G� • 78-495 CALLS TAMPICO 1� � VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 9225344 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: n4- 7 7 5A Date: �2�- cscr -- Applicant: I Architect or Erigineer: Applicant's Mailing Address: Address: No. _e— /%,11,0 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 ad Professionals Cyde, and my Lice a i full force and effect. �,L 5-1 */ 3 icense Class cense No. /62' fP OWNER -BUILDER DECLARATION affirm I hereby arm 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 structure, prior to its issuance, also requires the applicanffor 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 1, 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.). (--) 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 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 to 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 theperforrmance of the work for which this permit is o� issu . My�%ork�errs'' compensation i nce Cartier nd policy number ark /`a"'er !7olicy Number;1ZVT _ 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, 1 shall forthwith comply with those provisions. y)�� i �'Date 3 � � pplicent WARNING: FAILURE TO SECURt 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. 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.). Lenders Name Lenders Address IMPORTANT Application is hereby made to the Director of BuildingAPPLICANT CKNOWLEDGEMENT Safety or ato the 1. Each person upon whose behalf this application is made, each person at permit e o'er questa d forwhosewhose benefit work snperfo s set imied under or puorth on this rsuant 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. 1 certify that 1 have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and slate laws relating to building construction, and hereby authorize representatives of this county to a upon the above-mentioned property for inspection purposes. Xidate Z'_ vJ ignature (Applicant or Agent): _ L •_ y} 4 Application Number 04-00007758 ---------------------------------------------------------------------------- Structure Information Construction Type TYPE V -NON RATED ;t Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 2.00 FLOOD ZONE NO PATIO SQ FTG 396.00 TOT ELIGIBLE YES NUMBER OF UNITS 1.00 2ND FLOOR SQUARE FOOTAGE 1316.00 --------------------------------------------------------------------- ------ Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 567.50 Plan Check Fee 368.88 Issue Date . . . . Valuation . . . . 83452 Qty Unit Charge Per Extension BASE FEE 414.50 34.00 4.5000 THOU BLDG 50,001-100,000 153.00 ---------------------------------------------------------------------------- Permit MECHANICAL Additional desc . . Permit Fee . . . . 70.50 Issue Date Plan Check Fee . . 17.63 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL .Additional desc Permit Fee . . . 68.98 Plan Check Fee 17.25 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1316.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 46.06 396.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 7.92 Permit PLUMBING Additional desc . . Permit Fee . . . . 141.75 Plan Check Fee 35.44 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 11.00 6.0000 EA PLB FIXTURE 66.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 1.00 3.000O .EA PLB..WATER..INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 ----------------------'------------------------------------------------------ ,0il. Application Number . . . . 04-00007758 ---------------------------------------------------------------------------- Permit . . . PLUMBING Qty Unit Charge Per Extension 5.00 .7500 EA PLB GAS PIPE >=5 3.75 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 1F - SECOND FLOOR - 1316 SQ.FT. LIVING, 2 LOCKOFF UNITS. R-3 OCCUPANCY (TRANSIENT OCCUPANCY) TYPE VN W/AREA SEPARATION WALLS 2001 CODES [UNITS 77-80 COMPRISE BUILDING C-1 (2 STORY 4 UNIT - 10 LOCKOFFS, 4 - 1 CAR GARAGES)] ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES 68.00 DIF CIVIC CENTER - RES 229.00 ENERGY REVIEW FEE 36.89 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 8.34 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total ------------------------------ 863.73 .00 .00 863.73 Plan Check Total 439.20 .00 .00 439.20 Other Fee Total 2046.23 .00 .00 2046.23 Grand Total 3349.16 .00 .00 3349.16 Certificate'of Occupancy 4 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: 48-584 LEGACY DRIVE -(UNIT #80) Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) Occupancy Group: R-1 Type of Construction: V -N Owner of. Building: CENTEX HOMES Building Official Building Permit No.: 04-7758 Land Use Zone: CT Address: 1123 AURARIA PARKWAY #400. City, ST, ZIP: DENVER, CO. 80204 By: KIRK KIRKLAND Date: 03-27-2006 IN A CONSPICUOUS PLACE