05-1190 (SATT)V
BUILDING & SAFETY DEPARTMENT
P. ox (760).777-7012
6 4 1
` O
8-40�A AMPICO J FAX (760) 777-7011
NT A IFORNIA 92253 INSPECTION REQUESTS 760 777-7153
( )
G`�pNC�pEQ�' BUILDING PERMIT
FNP .
Appli ion Number . . . . 05-000011.9 Date 3/31/05
Property_Address 48813 LEGACY DR
APN: 658-130-011-7 -31379 -
Application description DWELLING - SINGLE FAMILY ATTACHED
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 114757
Owner Contractor
CENTEX HOMES CENTEX HOMES
2275 CORPORATE CIR #230 901 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 1863 SQ. FT. MFD -----
Construction Type . . . . . TYPE V - NON RATED
Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10
Flood Zone . . . . . . . . NON-AO FLOOD ZONE
Other struct info . . . . . CODE EDITION 2001 CBC
# BEDROOMS 3.00
FLOOD ZONE NO
GARAGE SQ FTG 418.00
TOT ELIGIBLE YES
NUMBER OF UNITS 1.00
1ST FLOOR SQUARE FOOTAGE 1863.00
----------------------------------------------------------------7-----------
Permit . . . . . . BUILDING PERMIT
Additional desc
Permit Fee . . . . 692.00 Plan Check Fee 449.80
Issue Date . . . . Valuation . . . . 114757
Qty Unit Charge Per Extension
BASE FEE 639.50
15.00 3.5000 THOU BLDG 100,001-500,000 52.50
-------------------------------------------------------- ------------------
Permit . . . . . . MECHANICAL
Additional desc
Permit Fee 65.50 Plan Check Fee 16.38
Issue Date . . . . Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE .15.00
1.00 9.0000 EA MECH FURNACE <=100K 9.00
1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00
4.00 6.5000 EA MECH VENT FAN 26.00
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: D s_ i / 90 Date: lq.4• Dr
Applicant: Architect or En 'ne :
Applicant's Mailing Address: rchitect or Engineer's Address:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under It 'of perjury that I am licensed under provisions of Chapter 9 (comm ncing with Section 7000) of Division 3 of the Business and Professionals
Code and my Lice s� force and effect.
nse CI ss �� %� ,cense No.
e / o/C ntractor (,�TL%L
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 1, 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 1 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
�f u My w kers' compensation insjirartce carrier a licn7umbgr
mer : ! ��L I Number
_ I certify that,, in the performan 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,ifJ should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions_ y
WARNINS: FAILURE TO SECURE WORKER Y'5APEWT'ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUS DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTE ST, 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
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.1 agree to comply with all city and county ordinances and state laws relating to building
construction and her by authorize representatives of this county to enter on he ab e- entioned property for inspection purposes.
to ignature (Applicant or Agent):
Application Number . . . . . 05-00001190
Page 2
Date 3/31/05
Qty Unit Charge
Per
Extension
1.00
----------------------------------------------------------------------------
6.5000
EA MECH EXHAUST HOOD
6.50
Permit . .
. .
ELEC-NEW RESIDENTIAL
Additional
desc . .
Permit Fee
. . .
103.57 Plan Check Fee
25.89
Issue Date
. . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
00
.0300
ELEC NEW RES - MULTI FAMILY
.00
1863.00
.0350"•
ELEC NEW RES - 1 OR 2 FAMILY
65.21
418.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
8.36
1.00
--------------------------------------------------
15.0000
EA ELEC TEMPORARY POWER POLE
I
15.00
. .
. . . .
PLUMBING
Additional
desc
Permit Fee
. . . .
147.75 Plan Check Fee
36.94
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
187, PLAN
2, 1863 SF. BLDG.
TYPE T-100.
----------------------------------------------------------------------------
Other Fees
. . . . .
. . . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
68.00
DIF CIVIC CENTER - RES
229.00
Page 3
Application Number
----------------------------------------------------------------------------
. . . . .
05-0000.1190 Date
3/31/05
Other Fees .
. . . . . .
ENERGY REVIEW FEE
44.98
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
11.47
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
Paid Credited
Due
Permit Fee Total
-----------
1023.82
------------------------------
.00 .00
1023.82
Plan Check Total
529.01
.00 .00
529.01
Other Fee.Total
2057.45
.00 .00
2057.45
Grand Total
3610.28
.00 .00
3610.28
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Square footage call
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Property Information --::-1r
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-
Certificate of Occupancy
OBuilding & Safety Department
w
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
a
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: 48-813 LEGACY DRIVE (UNIT #187)
Use classification: SINGLE FAMILY ATTACHED Building Permit No.: 05-1190
{
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: 02-16-2006
Building Official
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