05-1197 (SATT)T4hf 4 4 4"
BOX 1504
�5(C
ALLE TAMPICO
TA,'CALIFORNIA 92253
BUILDING PERMIT
bion Number
ty Address . 118: 4043
APN:
Application description
Property Zoning . . . .
Application valuation
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
c05-1--00-001197 Date 3/31/05
+4;� LEGACY DR
658-130-011-8 -31379 -
DWELLING - SINGLE FAMILY ATTACHED
LOW DENSITY RESIDENTIAL
130955
Owner
Contractor
CENTEX HOMES
CENTEX HOMES
2275 CORPORATE CIR #230
•901 N. GREEN VALLEY PKWY,
140
HENDERSON
NV 89074 HENDERSON
NV 89074
(702) 990-0800
WCC: ZURICH AMER
INS
WC: WC832209708
10/01/05
CSLB: 825943
10/31/05
CCC: A -B .
------ Structure Information
2119 SQ. FT. MFD
-----
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type .. . .
. . . DWELLG/LODGING/CONG <=10
Flood Zone . . . . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION 2001
CBC
# BEDROOMS
3.00
FLOOD ZONE NO
GARAGE SQ FTG
420.00
PATIO SQ FTG
114.00
TOT ELIGIBLE YES
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
2119.00
Permit . . . . . .
BUILDING PERMIT
Additional desc
Permit Fee . . . .
748.00 Plan Check Fee
121.55
Issue Date . . . .
Valuation . . . .
130955
Qty Unit Charge
Per
Extension
BASE FEE
639.50
31.00 3.50,00
---------------------------------------------------
THOU BLDG 100,001-500,000
108.50
Permit . . . . . .
-------------------------
MECHANICAL
Additional desc
Permit Fee . . . .
72.00 Plan Check Fee
4.50
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE <=100K
9.00
1.00 9.0000
EA MECH B/C <=3HP/100K BTU
9.00
P.O. Boz 1504
78-495 CALLE TAMPICO �II���
FAX (760) 777-7011
II VOICE (760) 777-7012
LA QUINTA, CALIFORNIA 92253T-Vf4 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:
Date: _
Applicant: Architect) En 'ne
Applicant's Mailing Address: Architect or Engineer's Address:
c.'No.: /Z9Z c2
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 and Professionals
de, and my Licens iinfuyforce and effect. /
License Class cense No.
ate ontractor_ _
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 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 contractor(s) 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
_Xof the work for which this permit is issued.
J 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
2sU M �gfl9srs' compensation ' nce carrier and cy tuber are
arrier ✓ ` i Policy Number _ 7 0 ((,�,
I certify that, in the performance of the work for which this permit is issued, I shah nbt employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree at, if I hould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with thoseprovisions.
WARNING: FAILURE TO SECURE WORKERS' CPMYrENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND D LLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTERES . 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 , f
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each persoi at whose request and for whose benefit work is performed under or pursuant 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 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 cancell
I certify that I have read this application and state that the above into
anon i corre I agree to comply with all city and county ordinances and state laws relating to building
const/ruction, and hereby authorize repr tatives of this county to nter upon the b ve-mentioned property for inspection purposes.
�e Signature (Applicant or Agent):
r,.
Application Number
05-00001197
Page 2
Date 3/31/05
Qty Unit Charge
Per
Extension
5.00
6.5000
EA MECH VENT FAN
32.50
1.00
6.5000
EA MECH EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit . .
. .
ELEC-NEW RESIDENTIAL
Additional
desc ..
Permit Fee
. . . .
112.57 Plan Check Fee
7.04
Issue Date
. . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
.00
.0300
ELEC NEW RES - MULTI FAMILY
.00
2119.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
74.17
420.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
8.40
.. 1.00
15.0000
EA ELEC TEMPORARY POWER POLE
15.00
----------------------------------------------------------------------------
Permit . .
. . . .
PLUMBING
Additional
desc
Permit Fee
. . . .
177.75 Plan Check Fee
11.11
Issue Date
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
18.00
6.0000
EA PLB FIXTURE
108.00
1.00
15.0000
EA PLB BUILDING SEWER
15.00
1.00
7.5000
EA PLB WATER HEATER/VENT
7.50
1.00
3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00
9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
7.00
.7500
EA PLB GAS PIPE >=5
5.25
1.00
----------------------------------------------------------------------------1
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
SFA - UNIT
208, PLAN
4, 2119 SF. BLDG.
TYPE T-200.
75% REDUCTION
TO PLAN CHECK
FEE DUE TO
MULTIPLE ISSUANCE
OF SAME
PLAN TYPE
-----'-----------------------------------------------------------------------
Other Fees
. . . . .
. . . . ART IN PUBLIC PLACES -RES
.00
V
Page 3
Application Number
. . . . .
05-00001197 Date 3/31/05
Other Fees . . .
. . . .
DIF COMMUNITY CENTERS -RES
68.00
DIF CIVIC'CENTER - RES
229.00
ENERGY REVIEW FEE
12.16
DIF FIRE PROTECTION -RES
78.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
158.00
DIF PARK MAINT FAC - RES
3.00
DIF PARKS/REC - RES
352.00
STRONG MOTION (SMI) - RES
13.09
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
Paid Credited
Due
Permit Fee Total
----------
.1125.32
------------------------------
.00 .00
1125.32
Plan Check Total
144.20
..00 .00
144.20
Other Fee Total
2026.25
.00 .00
2026.25
Grand Total
3295.77
.00 .00
3295.77
V
Certificate of Occupancy
G�
OF Building Y p & 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: 48-643 LEGACY DRIVE (UNIT 208)
Use classification: SINGLE FAMILY ATTACHED (TOWN HOMES Building Permit No.: 05-1197
Occupancy Group: R-1 Type of Construction: V -N Land Use Zone: CT
Owner of Building: CENTEX HOMES Address: 1123 AURORA PARKWAY
City, ST, ZIP: DENVER, CO 80204
By: KIRK KIRKLAND
Date: MARCH 28, 2006
Building Official
POST IN A CONSPICUOUS PLACE