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05-1203 (SATT)T4'gp ot 4agArw P.O. BOX 1504 �8-495 CALLE TAMPICO - A QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT - (760)777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT j "£'ion Number . . . . y Address . . . . . X>11 description Property Zoning . . . . Application valuation 05,00.001203 Date 3/31/05 48789 LEGACY DR 658-130-011-7 -31379 - DWELLING - SINGLE FAMILY ATTACHED LOW DENSITY RESIDENTIAL 111157 owner ------------------------ Contractor '--------------- CENTEX HOMES - CENTEX HOMES -------- 2275 CORPORATE CIR 4230 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 1761 SQ. FT. MFD ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type .. . . . . . DWELLG/LODGING/CONG <=-10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC # BEDROOMS 3.00 FLOOD ZONE NO GARAGE SQ FTG 4.35.00 PATIO SQ FTG 143.00 TOT ELIGIBLE YES NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1761.00 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 681.50 Plan Check Fee 110.75 Issue Date . . . . Valuation . . . . 111157 Qty Unit Charge Per Extension BASE FEE 639.50 12.00 3.5000 -------------------------------------------------- THOU BLDG 100,001-500,00"0' 42.00 Permit . . . . . . -------------------------- MECHANICAL Additional desc Permit Fee . . . . 65.50 Plan Check Fee 4.10 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per BASE FEE. 1.00 9.0000 EA MECH FURNACE <=100K 1.00 9.0000 EA MECH B/C <=3HP/100K'BTU Extension 15.00 9.00 9.00 P.O. BOX 1504 78-495 CALLS TAMPICO VOFAX (760) 777-7011ICE (760) 777-7012 LA QuINrA, CALIFORNIA 92253 4 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: O Date:- 4 4o6�_ Applicant: Architect o E er: Applicant's Mailing Address: -W-c-hited or Engineer's Address: c. No.: /-- PZ 02- 0 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 Cod , and my Lice i�r�ll force and effect. icense Class ,,77 ense No. 1 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 stricture, 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 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 i �vt_y worker 'compensation insurance carrier anpicynur�ber amer L�L -peltt�ylNumber S�j% � I certi y that, in the pe ormance of the work for which this permit is issued, I sha I not employ any person in any manner so as to become subject to the workers' ccmpensation laws of California, and agr hat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision ate�4 Applicant WARNING: FAILURE TO SECURE WORKERS' C ENS N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND LLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTERES , 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 >� APPLICANT ACKNOWLEDGEMENT IMPORTANT Ap3lication 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 benefi*. 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 Ouinta, 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 nul' 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 informatiogA correct. I agree to comply with all city and county ordinances and state laws relating to building constructi n, and reby authorize repre tatives of this county to enter po the a ve-mentioned property for inspection purposes. ate Signature (Applicant or Agent): ' = i ,T.: s`a i -a ply rfi:. i.�L^•'�>> Page 2 Application Number . . . . . 05-00001203 Date 3/31/05 Qty Unit Charge Per Extension 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 -------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 100.36 Plan Check Fee 6.27 _ Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 .00 .0300 ELEC NEW RES - MULTI FAMILY .00 1761.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 61.64 436.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.72 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 147.75 Plan Check Fee 9.24 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 13.00 6.0000 EA PLB FIXTURE 78.00 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 193, PLAN 1, 1761 SF. BLDG. TYPE T-100. 75% REDUCTION TO PLAN CHECK r FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 Page 3. Application Number . . . . . 05-00001203 Date 3/31/05 ---------------------------------------------------------------------------- Other Fee's . . . DIF COMMUNITY CENTERS-RES 68.00 DIF CIVIC CENTER - RES 229.00 ENERGY REVIEW FEE 11.08 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 11.11 DIF STREET MAINT FAC-RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1010.11 ------------------------------ .00 .00 1010.11 Plan Check Total 130.36 .00 .00 130.36 Other Fee Total 2023.19 .00 .00 2023.19 Grand Total 3163.66 .00 .00 3163.66 Certificate of Occupancy IOF,9 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: 48-789 LEGACY DRIVE (UNIT #193) Use classification: SINGLE FAMILY ATTACHED Building Permit No.: 05-1203 y Occupancy Group: R-3 Type of Construction: V -N Land Use Zone: CT F Owner of Building: CENTEX HOMES Address: 1123 AURARIA PARKWAY #400 City, ST, ZIP: DENVER, CO. 80204 By: KIRK KIRKLAND Date: 02-16-2006 Building Official POST IN A CONSPICUOUS PLACE