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05-1196 (SATT)U O' J� BUILDING & SAFETY DEPARTMENT X 15 LLE TAMPICO (760).777-7012 OF FAX (760) 777-7011 UINTA, G� CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 . BUILDING PERMIT _ Application Number . . . . 05-00001196-1 Date 3/31/05 Property Address . . . . . . 48651 LEGACY DR APN: 658-130-011-8 -31379 - Application description DWELLING - SINGLE FAMILY ATTACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 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/LONG <=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 3.5000 THOU --------------------------------------------------- BLDG 100,001-500,000 108.50 7 ------------------------- 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. Box 1504 4 4 ��/�G� Y VOICE (760) 777-7012 78-495 CALLS CALIFORNIA FAX (760) 777-7011 La QulNra, LIFORN92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: O �— 41. y.(� Date: Applicant: Architector Egg*n r: A Applicant's Mailing Address:, ----Architect or Engineer's Address: . No.: _ G 12- -1Z1.1 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 in fu7trce and effect. :cense Class /i cense No. *Z�g%�� Z �. �te b: on�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 ($500).): U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). U I, as owner of the property. am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ,r$dA f�y wo`kQrs' compensation ' once carrier an cy number a amer `! 1t �— 1 F Policy Number �t%j 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, i should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio at 3f plicant WARNI G: FA URE TO SECURE WORKERS' O PE ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN OLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTERE AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY 1 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 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 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 informal . Lgats correct gree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to e r upo the ove-mentioned property for inspection purposes. ate 6 �� Si nature (Applicant or Agent): t Page 2 Application Number . . . . . 05-00001196 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 t." .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.T1 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 -.--------------------------------------------------------------------------- 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 205, 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 t Page 3 Application Number . . . . . 05-00001196 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 Certificate of Occupancy ot I RATM G� OF 9► Y p Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building 3 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: 48-651 LEGACY DRIVE (UNIT #205) Use classification: SINGLE FAMILY ATTACHED Building Permit No.: 05-1196 Occupancy Group: R-3 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 I _ By: KIRK KIRKLAND Date: 03-21-2006 - Building Official POST IN A CONSPICUOUS PLACE