04-7255 (SATT)A A
Tdf 4 * (4"
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
BUILDING PERMIT
Application Number . . . 04-000.07255_ Date 11/17/04
Property Address. . . . . . . 48696 LEGACY DR
APN: 658-130-011-2 -31379 -
Tenant nbr, name . . . . . ►. UNIT #21
Application description . . . DWELLING - SINGLE FAMILY ATTACHED
Property Zoning . . . . . LOW DENSITY RESIDENTIAL
Application valuation 107085
Owner Contractor
------------------------ ------------------------
CENTEX HOMES CENTEX HOMES
2275 CORPORATE CIR #230 901 N. GREEN VALLEY PKWY, 140
HEN ERSON%� NV 89074 HENERSON
D �" a (70.4)INTA 990-0800 CA 92253
+ WCC: ZURICH AMER INS
NOV 99 2004 � WC: 832209708 10/01/05
CSLB: 825943 10/31/05
CITY CF LA's QUINTA CCC: A- B
- - - - - - - - --FW*,,;.--E DEPT. Structure Information
Construction Type . . . . . TYPE V - NON RATED
Occupancy Type . . . . . . DWELLG/LODGING/CONG <=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
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Permit . . . . . . BUILDING PERMIT
Additional desc
Permit Fee . . . 667.50 Plan Check Fee 108.47
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
-------------------=--------------------------------------------------------
Permit . . . . MECHANICAL
Additional desc . .
Permit Fee . . . . 95.00 Plan Check Fee 5.94
Issue Date . . . . Valuation 0
Qty Unit Charge Per Extension
BASE FEE 15.00
P.O. BOX 1504
78-495 CALLS TAMPICO Tldf Ot
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Application Number: 04- 7af.5
A3r,l Date: l • q • 6�
Applicant's Mailing Address:
chitect or Engineer:
WHA
rchitect or Engineer's Address:
c. No.
tSUILUINU FLKMIT 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
e, /
and my License ' in full force and effect. g ZS 943
License Class_ icense No.
,-rfate !- 19 —V 41tontractor %110M'1E S
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).):
(__) 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
Xof 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
issued.Xorl�pwl compensation T§wmarrce camel pCgumber are:
rrie olicy Number A a 9_Zos'
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 provisio*l5\
/9-U
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.).
Lender's Name Q
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, 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 t nter upon the above-mentioned property for inspection purposes.
ate � ign" ature (Applicant or Agent .
•' i_'11,
1 3 1
Page
2
Application
Number
04-00007255 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.
83.34 Plan Check Fee
5.21
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
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Permit . .
. . . .
PLUMBING
'Additional
desc
Permit Fee
. . . .
174.75 Plan Check Fee
10.92
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
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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 2G -'FIRST FLOOR
- 1705 SQ.FT.
LIVING, 3 LOCKOFF UNITS,R-3
OCCUPANCY..
(TRANSIENT
OCCUPANCY) TYPE
V -N CONSTR.
W/ .AREA SEPARATION
WALL,
2001 CODES.
(UNITS 21-24
COMPRISE
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged Paid
1035.59
.00
Page
3
Application,Number . . . . . 04-00007255
Date
11/17/04
Special Notes and
Comments
BUILDING A-8 (2 STORY 4 UNIT, 10
LOCKOFFS, 4 1 CAR
GARAGES)] 75%
REDUCTION TO PLAN
CHECK FEE DUE TO
MULTIPLE ISSUANCE
OF•SAME PLAN TYPE.
----------------------------------------------------------------------------
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
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged Paid
1035.59
.00
130.54
.00
2055.09
.00
3221.22
.00
Credited Due
.00
1035.59
.00
130.54
.00
2055.09
.00
3221.22
oCoilCertificate of OcC upancy.
Ti4 4
I RATM
OF. 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.
(0410
BUILDING ADDRESS: 48-M LEGACY DRIVE (UNIT #21)
Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) Building Permit No.: 04-7255
k
j
Occupancy Group: R-3 Type of Construction: V -N Land Use Zone: CT
z
j Owner of Building: CENTEX HOMES Address: 1123 AURARIA PARKWAY #400
j
City, ST, ZIP: DENVER, CO. 80204
By: KIRK KIRKLAND
` b Date: 12-19-2005
f
Building Official
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