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04-7201 (SATT)'.J R 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 04=0.0.0-0_7.201 Date 11/16/04 48680 .LEGACY DR 658-130-011-2 -31379 - . . . ADA UNIT #25 . . . DWELLING - SINGLE FAMILY ATTACHED . . LOW DENSITY RESIDENTIAL 107085 Owner ,.Contractor ------------------------- ------------------------ CENTEX HOMES CENTEX HOMES 2275 CORPORATE.CIR #230 901 N. GREEN VALLEY PKWY, 140 H LN11ZJ1SZ1T NV 89074 HENERSON (� Q In LA QUINTA CA 92253 U (702) 990-0800 NOV 1 9 2004 rJ WCC: ZURICH AMER INS WC: 832209708 10/01/05 CITY OF LA QUINTA, CSLB: 825943 10/31/05 K.' ICF DEPCCC: A -B . 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 407.00 TOT ELIGIBLE YES NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 1705.00 --------------------'-------------------------------------------------------- Permit . . . . . BUILDING PERMIT Additional desc Permit Fee 667.50 .Plan Check Fee 433.'88 Issue Date . . . Valuation . . . . 107085 Qty Unit Charge Per Extension BASE FEE 639.50 8.00 3.5000 THOU BLDG 100,001-500,000 28.00 -----------------7---------------------------------------------------------- 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 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04- 70i 1 Date: I (' (9 •d I' App Kant. Applicant's Mailing Address: chitect or Engineer: W HA -Architect or Engineer's Address: �Lic. No.: '112 9 2 O t3UILUINU 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 Code, and my License is irlfull force and effect.g Z S 4 cense Class_ K cense No. 7 r 413 ,,Pate //— Iq —0 4,—tractor CMV 7eX #OiW C5 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.). (, 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. 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 issued. wo ' compensation m nce carnes d�olic number are: Camer-Xtv 11101, �licy Number E Qpm I certity that, in the performance of the work for which this permit is issued, I st all 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. WARNING: FAILURE TO SECURE WORKERS' COMPENS�TION 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 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 ,1 Lenders Address N 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, indemnity and hold harmless the City of La Quinta, its officers, agents and employeesfor 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 county to enter u the above-mentioned property for inspection purposes. ate 1 — D ignature (Applicant or Agent): A �: �� a -.. �Y.rF t?� •.l :� - • r f^ Page 2 Application Number . . . . 04-00007201 Date 11/16/04 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 . . . . 83.34' 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 59.68 433.00 ------------------=- .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.66 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 ---------------------------------------------------------------------------- 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 2AH - FIRST FLOOR (SUITE #1 ACCESSIBLE) - 1705 SQ.FT. LIVING, 3 -LOCKOFF UNITS, R-3 OCCUPANCY (TRANSIENT OCCUPANCY) TYPE V -N W/AREA SEPARATION WALLS. 2001 CODES. [UNITS 25,26,27 & 28) a Page 3 Application Number . . . . 04-00007201 Date 11/16/04 Special Notes and Comments COMPRISE BUILDING A-5 (2 STORY•4 UNIT - 10 LOCKOFFS, 4 -1 CAR GARAGES)] ---------------------------------------------------------------------------- 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 Fee summary - Charged Paid Credited Due Permit Fee Total 1035.59 .00 .00 1035.59 Plan Check Total 522.16 00 .00 522.16 Other Fee Total 2055.09 .00 .00 2055.09 Grand Total 3612.84 00 .00 3612.84 Certificate of Occupancy 4 Building &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: 48-680 LEGACY DRIVE (UNIT #25 Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) Building Permit No.: 04-7201 Occupancy Group: R-3 Type of Construction:V-N Land Use Zone: CT I Address: 1123 AU PARKWAY #400 Owner of Building: CENTEX HOMES City, ST, ZIP: DENVER, CO. 80204 r-� By: STEVE TRAXEL Date: 12-01-2005 Building Official POST IN A CONSPICUOUS PLACE