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SFD (05-2949)51429 Marbella Ct 05-2949 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Fro JUL 2 5 Application Number: 05-00002949 2005 Property Address: 51429 MARBELLA CT APN: 772-250-998-61-3134j9yOFLA 11(m.1 Application description: DWELLING - SIN SLE FAMIZY FETAC-HED --- — Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 376373 Applicant: /Architect or Engineer: & SAFETY DEPARTMENT ILDING PERMIT Owner: TOLL CA V C/O KEVIN D DUERMIT 8901 E MOUNTAIN VIEW 200 SCOTTSDALE, AZ 85258 Contractor: TOLL BROS, INC. 73121 FRED WARING DRIVE, 4100 PALM DESERT, CA 92260 (760)674-9699 Lic. No.: 777699 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/15/05 ------------------------------------------------------------------------------------------------- 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 fullforce and effect. I have and will maintain a certificate of consent to'self-insure for workers' compensation, as provided License Class: B License N .: 777699 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ate: a .tractor: — /// 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 OWNER -BUILDER DECTION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier LIBERTY MUTUAL Policy Number WA762DO04723014 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 to the workers' compensation provisions of Section 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 3700 of the Lab r Code rthwith co ply with se provisions. any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: t-2 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 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL '(Sec. Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL 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.). APPLICANT ACKNOWLEDGEMENT 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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: LQPEPNIIT 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, and hereby authod epresentatives of this county to enter upon the bove-mentioned property for inspection purposes. trate: r g nature (Applicant or Agent): Application Number . . . 05-00002949 LQPEiNIIT 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 1045.85 Issue Date . . . . Valuation . . . . 376373 Expiration Date 1/11/06 _ 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 . . . . 134.00 Plan Check Fee 39.13 Issue Date . . . Valuation . . . . 0 Expiration Date 1/11/06 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 45.67 Issue Date . . . . Valuation 0 Expiration Date 1/11/06 Qty Unit Charge Per Extension BASE FEE 15.00 LQPEiNIIT •r V Application Number 05-00002949 Extension Permit . . . . . . ELEC-NEW RESIDENTIAL ---------------------------- ----------------------------------------------- Special Notes and Comments 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 . ENERGY REVIEW FEE Permit Fee . . . . 216.00 Plan Check Fee 48.38 Issue Date GRADING PLAN CHECK FEE Valuation . . . . 0 Expiration Date 1/11/06 DLF PARK MAINT FAC - RES Qty Unit Charge Per Extension STRONG MOTION (SMI) - RES 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 . . 1/11/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------- ----------------------------------------------- Special Notes and Comments SFD - LOT 61 VENTANA-B/4'/CASITA, 4374 SF.PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 440.93 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 104.59 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DLF PARK MAINT FAC - RES 16.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 50:51 0 LQPERMIT Application Number . . . . . 05-00002949 ----------------------------7----------------------------------------------- Other Fees . . . . . . . . . DIF STREET MAINT FAC -RES. 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged ---------- Paid ---------- Credited -------------------- Due Permit Fee Total 2156.69 .00 .00 2156.69 P1an.Check Total 1179.03 .00 .00 1179.03 Other Fee Total 3012.03 .00 .00 3012.03 Grand Total 6347.75 .00 .00 6347.75 LQPEnIfT