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SFD (05-3310)51031 Marbella Ct 05-3310 ?:O.*X 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 1,05-0.0003310 j 51031 MARBELLA CT 772-250-998-36 -31349 - DWELLING - SINGLE FAMILY DET LOW DENSITY RESIDENTIAL 376373 ,,_ rchitect or Engineer: " i z ` 3 r, ;' eF u'f ftt v . G SAF Y DE MENT BUILDING PER AUG 18 1005 Owner: CITYOFl.q TOLL CA V F11 Cf r /4 C/O KEVIN D DUERMIT 8901 E MOUNTAIN VIEW 200 SCOTTSDALE, AZ 85258 Contractor: TOLL BROS, INC. 73121 FRED WARING DRIVE, #100 PALM DESERT, CA 92260 WCC: LIBERTY MUTUAL Lic. No.: B VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/01/05 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: License No.: B for by Section 3700 of the Labor Code, for the performance of the work for which this permit is /Date: ntractor: [ issued. Y\ 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier WA762DO04723014 09/01/0 6olicy Number 777699 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject t the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forth w' c ply wit thos provisions. 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).: ateQ pplicant: 1_) 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 WAR ING: FAILURE TO SECURE WOR. ' COMPE TIO VERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). 1 _) 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.). (—).1 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: om LQPERMIT 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 city and county ordinances and state laws relating to building construction, a hereby au orize representatives of this, county to enter upon t above-mentioned property fo in pection poses. gate: nature (Applicant or Agent): Application Number 05-00003310 LQPERMIT Structure Information 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 FIRE SPRINKLERS NO GARAGE SQ FTG 730.00 PATIO SQ FTG 650.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 4374.00 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 1609.00 Plan Check Fee 261.46 Issue Date . . . . Valuation . . . . 376373 Expiration Date 1/28/06 Qty Unit Charge Per Extension BASE FEE -639.50 277.00 3.5000 ---------------------------=------------------------------------------------ THOU BLDG 100,001-500,000 969.50 Permit ' MECHANICAL Additional desc. Permit Fee . . . . 156.50 Plan Check Fee 9.78 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/28/06 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 16.5000 EA MECH B/C >3-15HP/>100K-SOOKBTU 49.50 9.00 6.5000 EA MECH VENT FAN 58.50 1.00 6.5000 -------------------------------------=-------------------------=------------ EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 182.69 Plan Check Fee 11.42 Issue Date Valuation . . . . 0 Expiration -Date 1/28/06 Qty Unit Charge Per Extension BASE FEE 15.00 4374.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 153.09 730.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.60 LQPERMIT Application Number . . . 05-00003310 Permit . . . PLUMBING Additional desc . Permit Fee . . 216.00 Plan Check Fee 12.10 Issue Date Valuation . . . . 0 Expiration Date 1/28/06 Qty. Unit Charge Per Extension BASE FEE 15.00 24.00 6.0000 EA PLB FIXTURE 144.00 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 10.00 .7500 EA. PLB GAS PIPE >=5 7.50 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 Expiration Date 1/28/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 36 VENTANA-B/CASITA, 4374. S.F. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH.75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 440.93 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 26.15 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 16.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 50.51 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 LQPERM[T Application Number . . . . . 05-00003310 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 2179.19 ---------- .00 -------------------- .00 .2179.19 Plan Check Total 294.76 .00 .00 294.76 Other Fee Total 2933.59 .00 .00 2933.59 Grand Total 5407.54 .00 .00 5407.54 LQPERMIT 1 CITY OnLAUU INTA BUNS FETY E ARTMENT _.�1 12 I�I� Qi?EST LINE F19SA 777-7153 Owner TOLL BROTHERS, INC. Contractor TOLL BROTHERS, INC. Permit Number 05-3310 POST ON JOB IN CONSPICUOUS PLACE INRECTgaAWST:SGGN ALL..AP_PLICABLE SPACES 51-031 MARBELLA COURT JOB ADDRESS - - - SFD — LOT'36, VENTANA-B/CASITA. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL/ GROUNDING FOOTINGS / STEEL CONCRETE SLAB - G DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF OKAY TO WRAP Z -� ING COMBINATION -,SOUGH ELECTRIC ROUGH PLUMBING -.2 Y 4 ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS / BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL P'' IMBING -- ANICAL FUBLIC WORKS DEPARTMENT 17--7-0(0 COMMUNITY DEVELOPMENT DEPT. (- FINAL / JOB COMPLETED // -B - OL ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING