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SFD (05-2950)51461 Marbella Ct 05-2950 P.O., BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00002950 Property Address: 51461 MARBELLA APN: 772-250-998-60 Application description: DWELLING - SING Property Zoning: LOW DENSITY RES Application valuation: 311768 BUILDING & SAFETY DEPARTMENT ILDING PERMIT JUL 2 5 Owner: V TOLL CA V -31349 - C/O KEVIN D DUERMIT E FAMI'FYCD.E H6D 8901 E MOUNTAIN VIEW 200 D.ENTIA`E!NANCF SCOTTSDALE, AZ 85258 Applicant: Architect or Engineer: GC1 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: License Date: 7 S ontractor: / OWNER -BUILDER tClN 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 _ 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 dr 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 _ 1 1, 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: Lender's Address: LQPERMIT Contractor: TOLL BROS, INC. 73121 FRED WARING DRIVE, 4100 PALM DESERT, CA 92260 WCC: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/15,/05 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. 'Phave 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 ins an arrier and policy number 16 «ier olicy Number I certify that, in the performs a of the work for which this permit is issued, I shall not a any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, Ishall fo-rthw`ithh comply with t thh9JSe proves nes. Date: scant: /i'/ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 and state laws relating to building construction, and hereby authorize representatives of this county to enter upon above-mentioned property for in ection purposes. Date: ! .. gnature (Applicant or Agent): // Application Number . . . . . 05-00002950 Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 721.00 PATIO SQ FTG 435.00 NUMBER OF UNITS 1.00 ------------------------------------------------------=--------------------- 1ST FLOOR SQUARE FOOTAGE 3612.00 Permit BUILDING PERMIT. Additional desc . Permit Fee . . . . 1381.50 Plan Check Fee 897.98 Issue Date . . . . Valuation . . . . 311768 _ Expiration Date . . 1/11/06 Qty Unit Charge Per Extension _ BASE FEE 639.50 212.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 742.00 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 169.50 Plan Check Fee 42.38 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 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 49.50 11.00 6.5000 EA MECH VENT FAN 71.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit Additional desc . Permit Fee . . . Issue Date . . . . Expiration Date . . Qty Unit Charge 3612.00 .0350 721.00 .0200 LQPEnflT ELEC-NEW RESIDENTIAL 155.84 Plan Check Fee . Valuation 1/11/06 Per BASE FEE ELEC NEW RES - 1 OR 2 FAMILY ELEC GARAGE OR NON-RESIDENTIAL 38.96 0 Extension 15.00 126.42 14.42 Application Number . . . . . 05-00002950 Permit. . . PLUMBING Additional desc . . Permit Fee 225.75 Plan Check Fee 56.44 Issue Date . . . . Valuation . . . . 0 Expiration Date'. 1/11/06 Qty Unit Charge Per Extension BASE FEE 15.00 26.00 6.0000 EA PLB FIXTURE 156.00 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 7.00 .7500 EA PLB GAS PIPE >=5 5.25 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 60, PIEDRA/A. 3612 SF. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA. OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 279.42 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00, ENERGY REVIEW FEE 89.80 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 31.17 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited --------------------------------------------------------- Due LQPERMff /^ . Gt LQPEPNITT Application Number Permit Fee Total Plan Check Total Other Fee Total Grand Total . . . . 05-00002950 1947.59 .00 .00 1947.59 1035.76 .00 .00 1035.76 2805.39 ..00 .00 2805.39 5788.74 .00 .00 5788.74