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04-7116 (SATT)I 4 P.O. BOX 1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 . 4 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number C04�00i 116 Date 11/16/04 Property Address . . . . . . 48764 LEGACY DR APN: 658-130-011-2 -31379 - Tenant nbr, name . . . . . . UNIT# 7 Application description . . . DWELLING - SINGLE FAMILY ATTACHED Property Zoning... LOW DENSITY RESIDENTIAL Application valuation 83452 Owner Contractor ------------------------ CENTEX HOMES ------------------------ CENTEX HOMES 2275 CORPORATE CIR #230 901 N. GREEN VALLEY PKWY, 140 HENDERSON NV 89074 HENERSON LA QUINTA (702).990-0800 CA 92253 WCC: ZURICH AMER INS Fk:NOV 19 2004 �� WC: 832209708 10/01/05 CSLB: 825943 10/31/05 CCC: A -B ---------- Structure Information Cbr. s°trrxc•t--3-on 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 ZONE NO .,,,FLOOD PATIO SQ FTG 396.00 TOT ELIGIBLE YES NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- SECOND FLOOR SQ FTG 1316.00 Permit . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 567.50 Plan Check Fee 368.88 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 17.63 Issue Date . . . . Valuation 0 Qty Unit Charge Per 'Extension BASE FEE ].5.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 P.O. Box 1504 • 'G�� VOICE (760) 777-7012 78-495 CALLE D FAX (760} 777-701 1 LA QUINTA, CALIFORNIAFOR 92253 4 4 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: Applicant: Applicant's Mailing Address: chltect or Engineer: wHA Architect or Engineer's Address: Lic. No. t$UILUING 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 License is in f II force and effect. icense Cl/assss icense No. Date �l � � 1 ctor (= AW Thai 140 ~3 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 fora 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 issued. coo ' compensatio ' urance carrier an�,po' y umberUre: ` me l �� Policy Number X ��) o p I ertify that, in the performance of the work for which thiTpermit is issued, I shall hot employ an s to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation proerson in any visions of Sanner so ection 3700 of the Labor Code. I shall forthwith comply with thg5e prd 9ipms. i WARNING: FAILURE TO SECURE WORKERS' COMPg4SATION 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 Lender's Address A- —T 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 thiWs county to ter upon the above-mentioned property for inspection purposes. Date `�--Signature (Applicant or Age J Page 2 Application Number . . . . . 04-00007116 Date 11/16/04 Qty Unit Charge Per Extension 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 17.25 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 . . . . .141.75 Plan Check Fee 35.44 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE 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 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 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 VN W/AREA SEPARATION WALLS 2001 CODES [UNITS 5 - 8 COMPRISE•BUILDING A-2 (2 STORY 4 UNIT - 10 LOCKOFFS, 4 - 1 CAR Page 3 Application Number . . . . . 04-00007116 Date 11/16/04 ----------------------- Special Notes and ----------------------------------------------------- Comments GARAGES)] ----------------------------------------------------------------------------- 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 863.73 .00 .00 863.73 Plan Check Total 439.20 .00 .00 439.20 Other Fee Total 2046.23 .00 .00 2046.23 Grand Total 3349.16 .00 .00 3349.16 Certificate of Occupancy V{ I 4 n OF9 Building & Safety Department 9 . { 3 i 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 f provisions of the Building Code and the various ordinances of the City regulating building G construction and/or use. C o� r BUILDING ADDRESS: 48-764 LEGACY DRIVE (UNIT #7) I -. �4 Use classification: SINGLE FAMILY ATTACHED (With Lock -offs) Building Permit No.: 04-7116 I 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: STEVE TRAXEL f I ! a Date: 11-15-2005 E Building Official . POST IN A CONSPICUOUS PLACE J E