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SFD (07-0480)51272 Marbella Ct 07-0480 Q. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 1 07-00000480 _` 51272 MARBELLA CT 772-250-998-45 -31349 - DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 376373 BUILDING.& SAFETY DEPARTMENT BUILDING PERMIT Owner: TOLL CA V C/O KEVIN D DUERMIT DETACHED 8901 E MOUNTAIN VIEW 2.00 SCOTTSDALE, AZ 85258 rchact or Engineer: 5ou.v&S C 1 q (405-1 LICENSED CONTRACTOR'S DECLARATION 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 Businesynd Professionals Code, and my License is in full force and effect. Licen a Class: B Li 4enseo.: 777699ate: (. ntractor:OWNER-BUILDCLARATION 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 1$5001.: (_ 1 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 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 contractorls) licensed pursuant to the Contractors' State License Law.). 1 _ I 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: / If LQPERMIT Contractor: TOLL BROS, INC. 73121 FRED WARING DRIVE PALM DESERT, CA 92260 (760)674-9699 Lic. No.: 777699 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/14/07 t#D 2 14AR 0 2 2007 CITY OF LA QUINTA FINA CE DEPT. 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 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, if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwit c ply ith those provisions. te:` plicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATI COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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 city and county ordinances an state laws relating to building construction, and hereby authorize representatives of this unty to enter upo he above-mentioned property for/Inspection purposes te: ignature (Applicant or Agent): P. Application Number . . . . . 07-00000480 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 . . Additional desc . Permit Fee . Issue Date Expiration Date . BUILDING PERMIT 1609.00 8/13/07 Plan Check Fee 1 1045.85 Valuation 376373 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 . . . . 134.00 Issue Date . . . . Expiration Date . . 8/13/07 Plan Check Fee'. . 39.13 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 .00. 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU .00 .00 22.5000 EA MC B/C >15 <=30HP/500K-1M BTU .00 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 . Issue Date . . . . Valuation Expiration Date 8/13/07 Qty Unit Charge Per BASE FEE LQPERMIT 45.67 0 Extension 15.00 Application Number . . . . 07-00000480 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 4374.00 .0350 ELEC NEW RES -.1 OR 2 FAMILY 153.09 730.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.60 ----.--•---------------------------------------------------------------------- Permit PLUMBING Additional desc . . Permit Fee . . . . 216.00 Issue Date . . . . Expiration Date . . 8/13/07 Plan Check Fee . . 48.38 Valuation . . . . 0 Qty Unit Charge Per BASE FEE Extension -----------------------------------7---------------------------------------- Special Notes and Comments 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 . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . GRADING PERMIT 15.00 8/13/07 Plan Check Fee .00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 -----------------------------------7---------------------------------------- Special Notes and Comments SFD - LOT 45 VENTANA-SPANISH COLONIAL, 4374 SF.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 440.93 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER.- RES 995.00 ENERGY REVIEW FEE 104.59 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 33.00 LQPERMIT Application Number . . . . . 07-00000480 ---------------------------------------------------------------------------- Other Fees . . . . . . . DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 50.51 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary ----------------- Charged ---------- Paid Credited -------------------- Due Permit Fee Total 2156.69 ---------- .00 .00 2156.69 Plan Check Total 1179.03 .00 .00 1179.03 Other Fee Total 5082.03 .00 .00 5082.03 Grand Total 8417.7.5 .00 .00 8417.75 LQPERMIT