04-7757 (SATT)Tit(f,4 4 a. *Z
BUILDING & SAFETY DEPARTMENT
Box 1504
(760),777-7012
)5 CALLE TAMPICO FAX (760) 777-7011
UINTA, CALIFORNIA 92253 INSPECTION. REQUESTS (760) 777-7153
BUILDING PERMIT
)er. . . . . 04-00007757 Date 12/27/04
. . . . . 48592 EGACY DR
APN: 658-130-011-3 -31379 -
Tenant nbr, name . . . . . UNIT # 79
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
P.O. Box 1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Applicant:
•
VOICE (760) 777-7012
so ���f��N
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
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I Architect or Engineer: Date: -2
o-4piicanrs mailing Address:
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Address:
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BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
e, and my Licey{se i full force and effect./L -e ��
�nse Class na�
License No.
/Date I Z r�6� rI C/r
✓ OWNER -BUILDER DECLARATION
I 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 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 perrnit 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 s
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.).
U 1 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
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
,� t sued My yorker§compensation in nce caner�yd olicy number are:
,Oemee—V • icy Number Jfr 2"7_AM q u
_ 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, I shall
forthwithcomply with those previsions.
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.
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 BuildingAPPLICANT
ACKNOWLEDGEMENT
Safety a
orth on this
1. Each person upon whose behalf this application is made, each person at whosee Irequest a defoorrestrictions
r whose benefit s
rk perfo fined under or pulrsuant 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.
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 stale laws relating to building
construction, and hereby authorize re sentatives of this county to�nteron the above-mentioned property for inspection purposes.
� �
ignature (Applicant or Agent
;at e .
-i` - - - - - - - - - - - - - - - - - - - '- - - - - - - - - - -----------------------------------------------
Application
- - ------------------------------------------Application Number 04-00007757
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
Permit . . . .
. .
BUILDING PERMIT
Additional desc
. .
Permit Fee . .
. .
667.50 Plan Check Fee
433.88
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
Permit . . . .
. .
MECHANICAL
Additional desc
. .
Permit Fee . .
. .
95.00 Plan Check Fee
23.75
Issue Date . .
. .
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
20.82
Issue Date . .
. .
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
Permit . . . .
. .
PLUMBING
Additional desc
. .
Permit Fee . .
. .
174.75 Plan Check Fee
43.69
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
-417 --------------------------------- ------------------------------------------
�' Application Number . . . . . 04-00007757
-----------------------------------------------------------------------------
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
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
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
(TRANSIENT OCCUPANCY) TYPE VN.W/AREA"
SEPARATION WALLS, 2001 CODES.[UNITS
77-80 COMPRISE BUILDING C-1 (2
STORY, 4 UNITS - 10 LOCKOFFS, 4 - 1 CAR
GARAGES)]
----------------------------------------------------------------------------
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 Charged Paid Credited
-----------------
Due
----------------------------------------
Permit Fee Total 1035.53 .00 .00
1035.53
Plan Check Total 522:14 .00 .00
522.14
Other Fee Total 2055.09 .00 .00
2055.09
Grand Total 3612.76 .00 .00
3612.76
LW � �
Certificate of Occupancy.
�?. Iucpwoan�sn�4�
Building J & Safety/ Department
OF 'T
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: 48-592 LEGACY DRIVE (UNIT #79)
Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) Building Permit No.: 04-7757
Occupancy Group: R-1 Type of Construction: V -N Land Use Zone: CT
Owner of Building: CENTEX HOMES
Building Official
Address: 1123 AURARIA PARKWAY #400
City, ST, ZIP: DENVER, CO. 80204
By: KIRK KIRKLAND
Date: 03-27-2006
POST IN A CONSPICUOUS PLACE