04-7789 (SATT)r
t
E
BUILDING &
SAFETY DEPARTMENT
c; O. Box 1504
�p
(760).777-7012
495 CALLE TAMPICO
+
FAX (760) 777-7011
D '` + UINTA, CALIFORNIA
92253 INSPECTION REQUESTS
(760) 777-7153
BUILDING. PERMIT
on Number
04-0-0.0.0171 89
Date 12/27/04.
Pro ty Address':. . .
. . 48600 LEGACY DR
658-130-011-3 -31379
-
Tenant nbr, name
UNIT # 75
Application description
. . . DWELLING - SINGLE FAMILY ATTACHED
Property Zoning . . . .
. LOW. DENSITY RESIDENTIAL
Application valuation
:'. ':106635
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
E
P.O. BOX 1504
7$-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
rlppiicatlon NUMDer: Uc+
Applicant:
Applicant's Mailing Address:
Architect
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: , a. 567 -
or Engineer's Address:
No. C / �1Z o
tSUILUINU PERMIT DECLARATIONS
Z
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 e, and my License i in full�gfce and effect. /�
,canse Class /j ,cense No._ 0_ -r3
E
FS
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 permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
U 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work
himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner -builder will have the burden cf proving that he or she did not build or improve for the purpose of sale.).
(, I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
(--) I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance
--$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 performance of the work for which this permit is
ue My workers compensation ip.*um6ce carrier and number are•
artieril / /T old icy NumberZ'L'
_ 1 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
forthwith comply with those provisions.
icant
WARNING: FAILURE TO SECURE WORK '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.
LENDING AGENCY
I hereby arm under penalty of perjury that there is a construction lending agency
CONSTRUCTION
e cyor�
affirm 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 CKNOWLEDGEMENT
Safety or A
orth on this
1. Each person upon whose behalf this application is made, each person at we whose request and forwhosewhose benefiwork snperfo s set fmred under or pulrsuant to any 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.
1 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 the above-mentioned property for inspection purposes.
ate 2-�1 ig�S nature (Applicant or Agent):
Application Number fi;' . r'. 0'4-00007789
----------------------------------------------------------------------------
-------------------------- Structure Information -------------------------
Construction Type . . . . . TYPE V - NON RATED
Occupancy Type . . . . . . DWELLG/LODGING/CONG <=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 377.00
TOT ELIGIBLE YES
NUMBER OF UNITS 1.00
2ND FLOOR SQUARE FOOTAGE 1705.00
----------------------------------------------------------------------------
Permit BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 664.00 Plan Check Fee 431.60
Issue Date Valuation . . . . 106635
Qty Unit Charge Per Extension
BASE FEE 639.50
7.00 3.5000 THOU BLDG 100,001-500,000 24.50
>::-----------------------------------------------------------------------------
Permit MECHANICAL
• Additional desc
Permit Fee . . . . 95.00
Issue Date . . .
Plan Check Fee . . 23.75
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
. . . .
82.74 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
403.00
--------------------------7-------------------------------------------------
.0200
ELEC GARAGE OR NON-RESIDENTIAL
8.06
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
--------------------------------------------------------------
r� Application Number . . . . . 04-00007789
----------------------------------------------------------------------------
--------------
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 2F - SECOND FLOOR - 1705.SQ.FT.
LIVING. 3 LOCKOFF UNITS. R-3 OCCUPANCY
(TRANSIENT OCCUPANCY) TYPE VN W/AREA
SEPARATION WALLS, 2001 CODES JUNITS
73-76 COMPRISE BUILDING C-2 (2
STORY, 4 UNITS - 12 LOCKOFFS)]
----------------------------------------------------------------------------
Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES
68.00
DIF CIVIC CENTER - RES
229.00
ENERGY REVIEW FEE
43.16
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 1031.49' .00 .00
1031.49
Plan Check Total' 519.86 .00 .00
519.86
Other Fee Total 2054.86 .00 .00
2054.86
Grand Total 3606.21 .00 .00
3606.21
0
I
"ORO
,- Certificate of Occupancy
artment
of 9Building & Safety Department
F
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: 48-600 LEGACY DRIVE (UNIT #75)
Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) Building Permit No.: 04-7789
a
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
POSTINA CONSPICUOUS PLACE