04-7203 (SATT)i
Tldf 4 4 a*&
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number
Property Address
APN:
Tenant nbr, name
Application description
Property Zoning . . . .
Application valuation .
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
004-00007203 _ - - Date 11/17/04
4'8648 LEGACY -DR
658-130-011-2 -31379 -
. . . UNIT #•33
. . . DWELLING - SINGLE FAMILY ATTACHED
LOW DENSITY RESIDENTIAL
106680
Owner Contractor
------------------------- --------------=---------
CENTEX HOMES CENTEX HOMES
2275 CORPORATE CIR #230• 901 N. GREEN VALLEY PKWY; 140
HENDERSON NV 89074 HENERSON
D n LA QUINTA CA 92253
!rte (702) 990-0800
WCC: ZURICH AMER INS
NOV 19 2004 WC: 832209708 10/01/05
CSLB: 825943 10/31/05
CITY OF LA QUINTA CCC: A -B
---------""=*"'AF"-"T----- 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
340.00
TOT ELIGIBLE
YES
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
FIRST FLOOR SQ FTG
1705.00
Permit . . . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
664.00 Plan Check Fee
431.60
Issue Date . . . .
Valuation
106680
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 Plan Check Fee
23.75
Issue Date
Valuation . .
. . 0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
P.O. Box 1504 • �����
f�
78-495 CALLS TAn1PIC0 VOICE (760) 777-7012FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Date: k • q. 014
Applicant: --Architect or Engineer:
Applicant's Mailing Address: w N A
chitect or Engineer's
Address:
c. No.
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
C de, and my Licens is in full force and effect. C�
ense Class 1-Li�cense No. 2 ` �3
/Date -0C�ctor (1 EA!%EX /Jdollff S
OWNER -BUILDER DECLARATION
1 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
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
rn �i ._I jy wo ' compensation insy�a�c� carrier a polis numbs are:
�C�' GGA - lcy Number 3 O� % O k
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
forthwith comply with those prdbisians.
�'
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.).
Lenders Name
Lenders Address 10 A
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 person 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 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 issues 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 c ty to upon the above-mentioned property for inspection purposes.
ate `P —(0 ignature (Applicant or Age
Page 2
Application Number . . . . . 04-00007203 Date 11/17/04
Qty
Unit Charge
Per
Extension
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
82.80 Plan Check Fee
20.84
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
406.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
.8.12
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
1.00
9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
7.00
.7500
EA PLB GAS PIPE >=5
5.25
1.00
--------------------------------7-------------------------------------------
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 2D -
FIRST .FLOOR
- 1705 SQ.FT.
LIVING,.3
LOCKOFF UNITS,
R-3
OCCUPANCY
(TRANSIENT
OCCUPANCY) TYPE V -N
W/AREA SEPARATION WALLS.
2001 CODES.
[UNITS -33-36
COMPRISE
BUILDING A-7 (2
L,
Page 3
Application Number
. . . . .
04-00007203 Date
11/17/04
----------------------------------------------------------------
Special Notes and
Comments
,STORY 4 UNIT - 12
LOCKOFFS)]
----------------------------------------------------------------------------
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
s Fee summary
------------------
Charged
Paid Credited
Due
Permit Fee Total
----------
1031.55
------------------------------
.00 .00
1031.55
Plan Check Total
519.88
.00 .00
519.88
Other Fee Total.
2055.09
.00 .00
2055.09
Grand Total
3606.52
.00 .00
3606.52
L,
3
Certificate ofOccupanCY
TA
i ,.yCy,, ros
OF Buildin , & Safety Department.
This Certificate is issued pursuant to the requirements of Section 109. of the California Building
E
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.
i
BUILDING ADDRESS: 48-648 LEGACY DRIVE (UNIT #33)
Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) Building Permit No.: 04-7203
7
Occupancy Group: R-3 Type of Construction: V -N .Land Use Zone: CT
i
Owner of Building:. CENTEX HOMES Address: 1123 AURARIA PARKWAY #400
City, ST, ZIP: DENVER, CO. 80204
By: KIRK KIRKLAND
Date: 12-19-2005
Building Official
POST IN A CONSPICUOUS PLACE