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04-7257 (SATT)-r BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 ,LA- QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 y . BUILDING PERMIT Application Number 04--00-00-72.57 Date 11/17/04 ,Property Address .. . . . . . , #; LEGACY DR APN: 658=-130"-011-2- -31379 - Tenant nbr, name . . . . . UNIT #24 Application description . . . DWELLING - SINGLE FAMILY ATTACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . ' ;83452 Owner ------------------------ Contractor CENTEX HOMES ------------------------ CENTEX HOMES 2 2 QRP; E—C.LR #-2}3 0 901 N. GREEN VALLEY PKWY, 140 HEI RSON/XA 89074 HENERSON DNV LA QUINTA CA 92253 V 19 2004 L (702) 990-0800 WCC: ZURICH AMER INS CITY WC: 832209708 10/01/05 F)F1AhIGE DEPT. ANCEDE T. CSLB: 825943 10 31/05 / CCC: A -B -------------------------- 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 2.00 FLOOD ZONE NO GARAGE SQ FTG :00 PATIO SQ FTG 396.00 TOT ELIGIBLE YES NUMBER OF UNITS 1.00 -------------------- SECOND FLOOR SQ FTG 1316.00 -------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additionaldesc Permit Fee . . . . 567.50 Plan Check Fee 92.22 Issue Date . . . . Valuation . . . . 83452 Qty Unit Charge. Per Extension BASE FEE 414.50 34.00 4.5000 THOU ----------------------------------------------------------------------------- BLDG 50,001-100,000 153.00 Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . 70.50 Plan Check Fee 4.41 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: 7a•S% Date: • G` Aonlirant- Applicant's Mailing Address: chltect or Engineer: wNA —Architect or Engineer's Address: ic. No.: C / 2-17— v 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 Professionats Codes and my License is in f force and effect. � g 2 5 9L�3 icense Class icense No. ate %� — ti,, ntractor 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 Contractor' 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 cf 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 ma'ntain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. M wor rs' compensation ii ou a'nce carrier�n�pq�ic nu era Carrier �bi 0— (/� p6, old icy Number __ Y3 a— .1 3� % 0j- 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 groves& WARNING: FAILURE TO SECURE WORKERS' COMPENSAT16N 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 perl'ury 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 Lenders 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 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 en on the above-mentioned property for inspection purposes. ate ignature (Applicant or Agent): Page 2 Application Number . . . . . 04-00007257 Date 11/17/04 Qty Unit Charge Per Extension 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 ----------------------------- ELEC-NEW RESIDENTIAL Additional desc Permit Fee 68.98 Plan Check Fee 4.31 Issue Date . . . . 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 BASEBASE 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 5:00 .7500 EA PLB GAS PIPE >=5 3.75 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 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 21-24 COMPRISE BLDG. A-8 (2 STORY 4. UNIT - 10 LOC.KOFFS, 4 - 1 CAR GARAGES)] 75% Page 3 Application Number ---------------------------------------------------7 . . . . . 04-00007257 Date 11/17/04 Special Notes and Comments ------------------------ 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 _ Certificate of Occupancy INw�aonnzm4.� �ot � c OF9 Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building s 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: 48-692' LEGACY DRIVE (UNIT #24) { Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) Building Permit No.: 04-7257 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. By: KIRK KIRKLAND Date: 12-19-2005 Building Official POST IN A CONSPICUOUS PLACE