04-7796 (SATT)BUILDING & SAFETY DEPARTMENT
1504
7 CALLS TAMPICO (760).777-7012
FAX (760) 777-7011
QU NTA, CALIFORNIA 92253 INSPECTION .REQUESTS (760) 777-7153
BUILDING PERMIT
ication Number ,.,.. . 04-00007796 Date 12/27/04
Property'Address 48616 LEGACY DR
APN: 6587130-011-3 -31379 -
Tenant nbr, name . . . . .UNIT #83
Application description . . . DWELLING - SINGLE FAMILY ATTACHED
Property Zoning . . . . . . LOW_ DENSITY RESIDENTIAL
Application valuation 83452
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 VOICE (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:L.�— -J 7Q(o Date:
Applicant: Architect or Engineer:
Applicant's Mailing Address: cit t o Engineer's Address:
ic. No. C,-1,2 9AAt7
'BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under p isions of Chapter 9 (commencing with Section 7010) of Division 3 of the Business and Professionals
e, and m Licen is in I force and effect.
License Class cense No. 0 1-,? V3
✓ Date-yJ ons tractor
'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).):
(-.) 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 1, 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
of the work for which this permit is issued.
ave and will maintain workers' compensatliop4,nsurance, as required by Section 3700 of the Labor Code, for the -performance of the work for which this permit is
issue My orkers' compensation ' nce carrier c� ber re:
artie olicy Number 57 L0 7-
I certify that, in he 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
/Date Z �v/ pplicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATI 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 Buildingand Safety ACKNOWLEDGEMENT
for Permit
to the conditions and
orth on this application.
1. Each person upon whose behalf this application is made, each person at whose request restrictions
t a d s
for whose benefit w rk perfo frmed under or pursuant 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 Quinta, 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, and hereby authorize representatives of this co my to enter u the above mentioned property for inspection purposes.
ai�dh
ate- J --D � mg� (Applicant or Agent):
-----------------------------------------------------------------------------
. Application Number . . . . . 04-00007796
-----------------------------------------------------------------------------
r -------------------------*"}-`Structure
Unit Charge
Information -------------------------
.7 Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type
. . .
. . . DWELLG/LODGING/LONG <=10
FEE
Flood Zone . .
. . .
. . . NON -AO FLOOD ZONE
Other struct info
. .
. . . CODE EDITION
2001
.0200
# BEDROOMS
2.00
7.92
Permit
FLOOD ZONE
NO
GARAGE SQ FTG
.00
desc . .
PATIO SQ FTG
396.00
Permit Fee
TOT ELIGIBLE
YES
Plan Check Fee
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
2ND FLOOR SQUARE FOOTAGE
1316.00
Permit
BUILDING PERMIT
Unit Charge
Additional desc
. .
Extension
Permit Fee . .
. .
567.50 Plan Check Fee
92.22
Issue Date . .
. .
Valuation . .
. . 83452
Qty Unit
Charge
Per
Extension
1.00
15.0000
BASE FEE
414.50
34.00
-----------------------------------------------------------------------------
4.5000
THOU BLDG 50,001-100,000
153.00
Permit
MECHANICAL
WATER HEATER/VENT
Additional desc
1.00
3.0000
EA
Permit Fee . .
. .
70.50 Plan Check Fee
4.41
Issue Date . .
. .
Valuation
0
t 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 . . . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
ELEC-NEW RESIDENTIAL
68.98 Plan Check Fee . . 4.31
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
. . . .
132.75
Plan Check Fee
8.30
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
3.0000
EA
PLB
WATER INST/ALT/REP
3.00
-----------------------------------------------------------------------------
�� Application Number . . . . . 04-00007796
-- -------------------------------------------------------------------------
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
Additional desc
_ Permit Fee . . . .
Issue Date . . . .
GRADING PERMIT
15.00 Plan Check Fee . . .00
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 V -N W/AREA
SEPARATION WALLS.
2001 CODES [UNITS
81-84 COMPRISE BLDG.
C-3 (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
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
----------------------------------------
854.73 .00 .00
854.73
Plan Check Total
109.24 .00 .00
109.24
Other Fee Total
2046.23 .00 .00
2046.23
Grand Total
3010.20 .00 .00
3010.20
01
Certificate of0ccupancy;0}
c�
ofBuilding &Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
6
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
constructions and/or use.
BUILDING ADDRESS: 48-616 LEGACY DRIVE (UNIT #83)
Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) Building Permit No.: 04-7796
Occupancy Group: R-1 Type of Construction: V -N Land Use Zone: CT
z
i
Owner of Building: CENTEX HOMES Address: 1123 AURARIA PARKWAY #400
I
City, ST, ZIP: DENVER, CO. 80204
By: KIRK KIRKLAND
Date: 03-23-2006
I
Building Official
k
POST IN A CONSPICUOUS PLACE