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06-1430 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T,&t 4 ZP Q" Application Number: - 06-00001430 Property Address: 48800 LEGACY DR APN: 658-130-011-1 -31379 - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 40000 Applicant: - i Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 46 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 in full force and effect. License Class: A -B ItLicense No.: 825943 rate: I •'` ntract0 , OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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 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 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 ISec. 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.). ( 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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: LQPERA11T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/07/06 ------------------ WORKER'S 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. My workers' compensation insurance carrier and policy number are: Carrier LOCKTON CO Policy Number WC832209709 _ 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 bor Code, shall forthwith co m Iwith those provisions. /Date: t'�6 pplicant: 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 1$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. 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 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 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 A d countyordinances and state laws relating to building construction, and hereby authorize representatives �c u/n`tty to enter upon the above-mentioned pro rt for inspe es. Date: " / � '6 � ignature (Applicant or Agent):�i�� Owner: CENTEX HOMES 2275 CORPORATE CIR #230 HENDERSON, NV 89074 [DOL' Contractor: ICENTEX HOMES 41865 BOARDWALK, STE 101 \ PALM DESERT, CA 92211 (P20)862-1030 Lic. No.: 825943 ------------------ WORKER'S 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. My workers' compensation insurance carrier and policy number are: Carrier LOCKTON CO Policy Number WC832209709 _ 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 bor Code, shall forthwith co m Iwith those provisions. /Date: t'�6 pplicant: 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 1$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. 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 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 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 A d countyordinances and state laws relating to building construction, and hereby authorize representatives �c u/n`tty to enter upon the above-mentioned pro rt for inspe es. Date: " / � '6 � ignature (Applicant or Agent):�i�� I L&ERIMIT Application Number 06-00001430 " Permit . . . BUILDING PERMIT Additional desc . Permit Fee .. 349.50 Plan Check Fee 227.18 Issue DateValuation 40000 Expiration Date 10/04/06 Qty Unit Charge Per Extension BASE FEE 252.00 15.00 6.5000 THOU BLDG 25,001-50,000 -------------------------------------------------=-------------------------- 97.50 Permit . . . ELEC-MISCELLANEOUS Additional.desc . Permit Fee . . . . 25.50 Plan Check Fee.. 6.38 Issue Date . . . . Valuation . . . . 0 Expiration Date,... 10/04/06 Qty Unit Charge Per Extension BASE 'FEE 15.0.0 . 1.00 3.0000 EA ELEC PWR APP <=1 3.00 1.00 7.5000 EA ELEC PWR APP >1 TO <=10 7.50 -------------------- =------------------ =------------------------------------ Special Notes and Comments FOUNTAIN ## 8 LOCATED AT CLUB HOUSE. POWER FOR EQUIP FROM CLUB HOUSE. Fee summary. Charged Paid Credited Due Permit Fee Total 375.00 .00 .00 375.00. Plan Check Total 233.56 .00 .00 233.56 Grand Total 60.8.56 •.00 .00 608.56 I L&ERIMIT 4 iy Bin # O �g 8c�o City of La Quinta elerlil:l Piz Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico -�� La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Pert.# +M U IY30L , "I y 2. Project Address: t:T!6(5 �y _ � � Owner's NameCg:0,�, ' A. P. Number: 5-&— 130 —01 Legal Description: Contractor: Address: Address: ZRIN-6—A-CQUIM—AL &=V401 City, ST, Telephone: _ Telephone: � ;��;� Project Description: City, ST, Zip: L �1r � tiZtJ T,�-- Telephone: Vml State Lic. # : City Lic. #: V N Tyk�.l� ( fg 9 f Arch., Engr., Designer: Address: City, ST, Zip: ""- Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person� Sq. Ft.: #Stories: Units: Telephone # of Contact Person: . SL'+ �."' `.1',39 Estimated Value of Project: ` 2-0©� E APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING. PERMIT FEES 2 Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan' 2nd Review, ready for correctionsrissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 7, o - � CITY OF LA QUINTA BUILDING & SAFETY DEPARTMENT M OF rN� �`,. 10 777-7012 INSPECTIONIREOUEST LINE 777-7153 ier CENTEX DESTINATIONS Aractor CENTEX HOMES nit Ni imhar 06-1430 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES 3ADDRESS— UNTAIN #8 ,UB HOUSE 48-800 LEGACY DR. LOCATION AND POWER FROM TYPE OF INSPECTION I DATE I INSP. IPORARY POWER BACKS PLUMBING / WASTE ELECTRICAL / GROUNDING )TINGS / STEEL JCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED 1Y TO WRAP ,MING (COMBINATION) !ll If,u M FrTPir' I OUGH PLUMbINU Ill lr-'W hA1=r'WAI`IIf.AI COVER NO WORK UNTIL ABOVE SIGNED ERIOR GYP. BD. DRYWALL -ERIOR LATH 3 TEST 'TIC ABANDONMENT NER CONNECTION 'TIC / GREASE INTERCEPTOR MASONRY INSPECTIONS OTINGS / STEEL ND BEAM POOL / SPA / WATER FEATURE INSPECTIONS E-GUNITE / SETBACKS 3 PLUMBING 3 GAS 3 ELECTRICAL E -PLASTER ALARMS / BARRIERS FINAL INSPECTIONS MP. USE OF PERMANENT POWER ECTRICAL UMBING :CHANICAL IBLIC WORKS DEPARTMENT )MMUNITY DEVELOPMENT DEPT. VAL / JOB COMPLETED /_ / % , rf ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING