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SFD (04-3724)50465 Los Verdes Way 04-3724 a, O p BUILDING & SAFETY DEPARTMENT „O =Boz 1?Soa , - (760)777-7012 i 78._a95-CLLE TAMPICO FAX (760) 777-7011 oF _ U Lw QuINw CALIFORNIA 92253 INSPECTION REQUESTS (760)777-7153 CITY Or- L.A clUICJ'6A BUILDING PERMIT A 1ic_a toriE Number._04-0.0.0.0-3•_7.24 Date 4/27/04 Property Address 50465 LOS VERDES WY . APN: 772-250-999-106 -30357 - Application description-. •DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application valuation a . 227594 owner Contractor ---- ------------------ ----------'-' ---------- TOLL CA V TOLL BROS, INC. C/O KEVIN D DUERMIT .73121 FRED WARING DRIVE, #100. 89-01'-E MOUNTAIN.VIEW 200 PALM DESERT CA '9226'0 SCOTTSDALE AZ 85258 .`:...•.. WCC ,. _OAL & HAMILTO, WC`: 1A264I?0047`2301 09/01/04 CSLB: 777699.. .04/30/06 CCC: B ---------------- -- --- ----- Structure Information -------------------.------ Construction Type . . . . . TYPE V - NON RATED Flood Zone . . . . .. . . NON -AO FLOOD ZONE Other struct info . . . CODE EDITION 2001 -CBC FIRE SPRINKLERS NO. GARAGE SQ FTG 495.00 PATIO SQ FTG 39.9.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 2631.00 Permit . . . . . BUILDING PERMIT Additional desc Permit Fee 1014.00- Plan Check Fee 659.10 Issue Date Valuation 206561 Qty Unit' -Charge - Per Extension BASE FEE 639.50 107.00 3.5000 THOU BLDG 100,001-500,000 374.50 ---------------------------------------------------------------------------- Permit . . MECHANICAL Additional desc,. Permit Fee. 124..50 Plan Check Fee 31.13 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE. 15.00 P.O. BOX 1504 w VOICE (760) 777-7012 ' 79-495 CALLS TAM►ICO FAX (760) 777-7011 LA Qutr*Tw, CALIFORNIA 92253 4v a INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04 S'N4 Date: fS • /8'yq Applicant: Architect or Engineer: Applicant's Mailing Address:' ect or Engineer's Address: _Cs atg D S nnelh BUILDING PERMIT DECLARATIONS reby aftrm nrreder LICENSED CONTRACTOR'S DECLARATION 1 he venaffy, d perjury drat 1 am ioermed under Provisions of Chapter 9 (commencing with Season 7000) d Division 3 d ria Business and Proi¢uionefs and my, License lug lance and w leax cDense No. Dat'1 4_ areaaraer "roll (eco# as Zru . J herby affam under penalty of poluoy teal 1 amemwoOWNER DER DECLARATION Y or Y tat fequlas a Proffer b from the Coebacbns' Stat Licence Iaw for the toiovrlg moron (s« 7031.5. Business and Proftee m Codi: Any ataAement tat he or she Is farradpursuent foa L r ovr. dea+oistL or Doper any joe ar. prior b b isswneos. also regains t» app:cw t for M Pan"b 90 a ApAd and Pnotassbns Code) nx that ha or b the provisions d the Cnxwacbrs' Stale Lae Law (Cfrpbr 9 (own l"Wcing with Secion 7000) d Division 3 d the Business the appiant b a cit ewrpt tear/renle and the basis for the aiaged Wwj% ere. Any violaion d Sedwn 7031.5 by any app6cwd fora par& sublacts U t as owner d to penalty d nd more tan tiw Iamdred afotans tYSW0 t Business and Cproperty. or my ode: I'm ==t: License Low does do the wok, and rie Ift eta runt Is note w 4m or eft for sale(Sec 7044, sold within one hkrgNff Of herself Or through his or her own arpbyees, Provided that the hVrowmer s am not Wendedor ortarodan owner of property who sale. K. Or howeyar ft bui ft of mvmvwnw t is U t ss owner Of t» yn d owner-pi ider wi hsps tie burden d proving tat he arshe dd not build or bprove br the purposed sale.} stab License Law not aontrsa*g with sunaacbR b O0° ft Project (Sec. 7044. Business and Piolessions Code: The Contractors' apply loan owner of property who builds or itnpnows theiron, ed who aoonatraets ler the projects with a contractors) licensed pursuant b the Contracbns' Stat License Law.). U 1 am exempt under Sec _ . B.3 P.C. for tis reason Dab Owner 1 hereby am under penalty perjury one d the following dWORKERS eclarations: •COMPENSATION DECLARATION ffw _ 1 haw and wi maltase a GWWC to d consent b setons" leor r wkers' compensation, as provided for by Section 3700 d Labor the lCode. ler the peAormeoe d the work leh t r whicis pert.& is Issued 1 h"Lundavr and wiN mainlain oompentation Insurance, as required by Section 3700 d toe Labor Code. ler the P010n once d the work ler which this permit is tin u I 1 n number ane: /esr!1°r —t iL, U.7 F 2 c'4 D ole 4 '7 a,-; (j 1 _ IiSeri fy tat in the putor m al the work for whirl tis Penh rs issued. l shah not ampbY any peep+ in any mann so as b beoona subject b the workers' F9 I: m 9 -r -m I laws of Caibria. a0 apse tat K I should become subject b the wakens' oonpensalion provisions of section 3700 of the labor Code. I shat bft th compy with two provisiom (,, na i t_ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED 71tOUSAp DOLLARS (St00AW). IN ADDITIONTO THE COST OF COMPENSATION. DAMAGES AS SECTPROVIDED FOR IN ION 3708 OF THE LABOR CODE, VnVtEST, AND ATTORNEYS FEES. . I hereby affwm ander pasty Of perjury tat two is a construction CONSTRUCTION LENDING AGENCY landing agency ler the Perbmwwe of the work ler whish this porn* is Issued (Sec. 3097. Civ. C.). Lender's Natio Lenders Address A IMPORTANT Appialion is hereby made b to Dincbr d APPLICANT ACKNOWLEDGEMENT 1. Each pennon upas whose ade 10 this snug and safety for a peva& subject b tee conditions and restrictions sef bath on tis sppieation, Issued es o upon d this b0n is made, each person at Whose request and for whose benefit work is pedorraed under or purswrd b any pem& aPpicabM the owner, and the applicant, each aprons b. and shat. defend. Indemnify and hold larmbss the Ckyd a Aulr", Ks 2 agents and employres br any ad or omission related b the work being Perfomred under or fotowirg issuance d this pegn oAny peer Issue a ler * result d tic appication becomes nut and void K wok is not commenced within 180 d4Ys from date d issuance d such Peva&, or 1 certify that I bare orad tis days wN vAiw & b cenxMation. olion. sed hereby a uthorize and date trot the shove iMomation le aoreat I ogee b comply with at city end Of this county b enter upon the ti01ed Y county ordinance; and state tors relating b banding property for inspection purposes, . 1 0 70AP-pOkLw d orAQentr Page 2 Application Number 04-00003724 Date 4/27/04 Qty Unit Charge Per Extension 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 33.00 8.00 6.5000 EA MECH VENT FAN ;52.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 116.99 Plan Check Fee 26.89 Issue Date . . . . Valuation' 0 Qty Unit Charge Per Extension BASE FEE 15.00 2631.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 92.09 495.00 -----------------------------------------------------------7---------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.90 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 189.00 Plan Check Fee 43.88 Issue Date Valuation 0 Qty Unit Charge Per. Extension BASE FEE 15.00 20.00 6.0000 EA PLB FIXTURE 120.00 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 6.00 .7500 EA PLB GAS PIPE >=5 4.50 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 SFD - LOT 1.06, CAMINA-A.. PERMIT DOES 1 Page 3 Application Number . . . . . 04-00003724 Date 4/27/04 ---------------------------------------------------------------------------- Special Notes and Comments NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. ----------------=----------------- Other Fees . . . ------------------------------------------ . . . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 65.91 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC -'RES 502.00 STRONG MOTION (SMI) - RES 20.65 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ------------------ Charged Paid Credited Due Permit Fee Total ---------- 1459.49 ---------- -------------------- .00 .00 1459.49 Plan Check Total 761.00 .00 .00 761.00 Other Fee Total 2511.56 .00 .00 2511.56 Grand Total 4732.05 .00 .00 4732.05 1 09/17/2004 00:28 FAX 7149212187 ALLIANCE MECHANICAL [a 007 INSTALLATION CERTIFICATE age I of 13) CF -6R S Los Fri T.AN it—41031 Site Address Permit Number An itlstallation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required; however, use of this form to provide the information is Optional.) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(b). JU&C—LYMMS: Headng Equipment Equip. Nof F.fBcitsley.� Duct Duet or Hewing Hearing Type (pkB' CEC Certified Mfr Name Identical (AFUE,1.u,) Loaoon Piping 1..024 Capacity - utput of marc 1 :� c�AlAC Amc... 4.2` �— Cooling Equipment Equip. „UC Certified Comprgwr s of Efficiency Duct Cooling Cooling Nam Type (pkg. unit Mfr Naand Identical (SEER, ac.p Location Duct Load ly AlT on K c—G. rF� —71�_ 12. 1 • > rtrads greater than or equal to. 1, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -IR) submitted for compliance with. the Energy Efficiency Standards for residential buildings, and 3) equipment (hat meets or exceeds the appropriate requirements for manufactured devices from the ,lppllance clenry Regulations or Pan 6), where applicable. ALLIANCE MECHANICAL HVAC ignatule, ate Iling Subcontractor (Co. Name) WATER HEATING SYSTEMA. OR General Contractor (Co. Name) OR Owner : Distribution Newer CEC Certified Mfr Type (Std, If Rain- culation, 0 of Identical Uledr Input (kW Tank volume Effi- cieocy� Standby= Estcnul Iruuluioa Type Name d1. Model Number Point-of--Usc) Control Type SYN—ms Or 641 ft) Wiens) (EF, Rt:) Loss (Ys) R -valuer 2 For srnaq gw storage (rated input of less that or equal to 75,000 9tA tr), electric resistance and bear PUMP W&W heaters. IIS{ Energy Factor. For large gm storaga water beaten (rated input of v=tcr than 7s,000 BnsMr), list Recovery Ef gocy, Standby loss and Rated Input, For instantaneous gas water beaten, list Retavery Eftciency and Rated Input. 7. R -t 2 attcrnal insulation b Mandatory for storage water haters with an anergy motor of less duo 0,58, Faucets & Shower Heads: All faucets and showerheads installed are certified to the Commission, pursuant to Title 24, Pan 6, Scction 111, 1, the undersigned, verify that equipment listed above my signature is: 1) the actual equipment installed; 2) equivalent to or more efficient than that specified in the certificate of eomplience (Form CF -1R) submitted for compliance with the Ene►gy Efficiency Standards for residential buildings; and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance 1clency Regalatfons or Part 6), where applicable, Signatwc, Date COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Compliance Forms August 2001 A-23