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07-1601 (SFD)51173 Marbella Ct 07-1601 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 07-00001601 51173 MARBELLA CT 772-250-998-69 -31349 - DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 32.1400 T4ht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: TOLL CA V C/O KEVIN D,DUERMIT DETACHED 8901 E MOUNTAIN VIEW 200 SCOTTSDALE, AZ 85258 Architect or Engineer: kjq M C-- LICENSED CONTRACTOR'S DECLARATION - I hereby affirm under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a Professionals Code, and my License is in full force and effect. License Class: pBLicen e N : 777699 i O Date: C ractor: OWNER -BUILDER DILLARATION 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).: (_ 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 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.). 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.). ( ) 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:A Lender's Address/jam, — LQPERMIT Contractor:. D TOLL BROS, INC. 73121 FRED WARING DRIVE, #1 PALM DESERT, CA 92260 (760)674-9699 LiC. No.: 777699 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/04/07 JUN 29 2001 !?t1-11 Q11111T CITYwe nFfi. WORKER'S COMPENSATIONDECLARATION 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. VI 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 ZURICH AMERICAN Policy Number WC387821301 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, iflMshouldme subject to the wo ters'compensation provisions of Section 3700 of the Lal forthwith co ply h those provisions. D fT29 licant WARNIN(: FAIL RE TO SECURE WORKERS' COMPENSATIO COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 0100,000). 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 t t I have read this application and state that the above information is correct. I afire to comply with all city a county ordinances and state laws relating to building co truction, and hereby author' a representatives of s county to enter upon the above-mentioned property for i pection purpose, o Date:' azure (Applicant or Agent): . Application Number . . . . . 07-00001601 LQPERMIT 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 756.00 PATIO SQ FTG 324.00 NUMBER OF UNITS 1.00 -----------------------------------------------------------=---------------- 1ST FLOOR SQUARE FOOTAGE 3741..00 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 1416.50 Plan Check Fee 920.73 Issue Date Valuation 321400 Expiration Date 12/01/07 Qty Unit Charge Per Extension BASE FEE 639.50 222.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 777.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 118.00 Plan Check Fee 29.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/01/07 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 16.5000. EA MECH B/C >3-15HP/>100K-500KBTU 33.00 7.00 6.5000 EA MECH VENT FAN 45.50 1.00 6.5000 ----------------------------------------------------------- EA MECH EXHAUST HOOD ---------------- 6.50. Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 161.06 Plan Check Fee 40.27 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/01/07 Qty Unit Charge Per Extension BASE FEE 15.00 3741.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 130.94 756.00 .0200 -------------------------- ELEC GARAGE OR NON-RESIDENTIAL -------------------------------------- 15.12 ------ - - - - -- LQPERMIT ' G• LQPERMIT Application Number . . . Extension 07-00001601 FEE Permit . . . PLUMBING SFD - LOT 69, SANTA ROSA/SB, 3741 S.F. Additional desc . . WALLS, POOL, SPA OR DRIVEWAY APPROACH. 2001 Permit Fee . . . . 192.75 CODES Plan Check Fee 46.13 Issue Date . . . . 303.50 Valuation . . 0 Expiration Date . . 12/01/07 ENERGY REVIEW FEE 92.07 Qty Unit Charge Per 140.00 Extension .00 DIF LIBRARIES - RES BASE FEE 15.00 21.00 6.0000 EA PLB FIXTURE 126.00 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 .00 1.5000 EA PLB VACUUM BRKR >5 .00 3.00 .7500 EA PLB GAS PIPE >=5 2.25 1.00 ---------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Permit GRADING PERMIT Additional desc . . Permit Fee . . . . 15.00 Issue Date . . . . Expiration Date . . 12/01/07 Plan Check Fee . Valuation . . . 00 0 Qty Unit Charge Per Extension BASE FEE 15.00 ___7 ------------------------------------------------------------------------ Special Notes and Comments SFD - LOT 69, SANTA ROSA/SB, 3741 S.F. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . ART IN PUBLIC PLACES -RES 303.50 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 92.07 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 32.14 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due Application Number . . . . . 07-00001601 Permit Fee Total 1903.31 .00 Plan Check Total 1036.63 .00 Other Fee Total 4902.71 .00 Grand Total 7842.65 .00 LQPERMIT .00 .00 .00 .00 1903.31 1036.63 4902.71 7842.65