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SFD (05-2201)51496 Marbella Ct 05-2201 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUdNTA, CALIFORNIA 92253 T-iht °f 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 0" 5__00.0.0.2.2.0.1 Property Address: 51496 MARBELL_A CT ) APN: 772-250-998-52 -31349 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 376373 Applicant: I or Engineer: " /9r d b4 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, #100 PALM DESERT, CA 92260 (760)674-9699 Lic. No.: 777699 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/07/05 ------------- ---- -------------------------------------------------------------- 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 Business and Professionals Code, and my License is in full force and effect. License Class: ense o.: 699 D ontractor: NER- ILDER DECLARAT 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).: (_) 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.). (_) 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 contractors) licensed pursuant to the Contractors' State License Law.). (_ 1 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: LQPER111IT 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. X1 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 LIBERTY MUTUAL Policy Number WA762DO04723014 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 I should become subje t to the workers' compensation provisions of Section 3700ofthe Labor Code, I shall fort ith comp y wi t✓those provisions. 'Date: /— pplic t: WARNING: FAILURE TO SECURE CERS' CO EP NS BION COVERAGEY NLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CR NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADD ION 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 '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 constructioand hereby a ihorize representatives of this coun y to enter upon the above-mentioned prop fo, inspect' }i purpose !' .Datrrz;ep ignature (Applicant or Agent): l LQPERMU Application Number . . . . . 05-00002201 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 ------------------------------------7--------------------------------------- 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 12/04/05 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 12/04/05 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 9.000Q EA' MECH B/C <=3HP/100K BTU 27.00 .00 16.5000 EA MECH B/C >3-15HP/>100K-500K13TU .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 . . 12/04/05 Qty Unit Charge Per Extension BASE FEE 15.00 I LQPERM[T Application Number . . . . . 05-00002201 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 Plan Check Fee 48.38 Issue Date . . . . Valuation 0 Expiration Date 12/04/05 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 12/04/05 Qty Unit Charge Per' Extension BASE FEE 15.00 ---------------------- 7 ----------------------------------------------------- .Special Notes and Comments SFD - LOT 52 VENTANA-B/4'/CASITA, 4,374 SF.PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL,SPA OR DRIVEWAY APPROACH ---------------------------------------------------------------------------- Other Fees . . . . . . . ART IN PUBLIC PLACES -RES 440.93 COMMUNITY CENTERS -RES 97.00 _DIF 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 DIF PARK MAINT FAC - RES 16.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 50.51 If LQPEnlIT Application Number . . . . . 05-00002201 ----------------------- Other Fees . . . -----=------ . . . . . . ----------- DIF STREET --------------- MAINT FAC -RES --------------- 1S.00- 5.00DIF DIFTRANSPORTATION - RES 1098.00 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 3012.03 .00 .00 3012.03 Grand Total 6347.75 .00 .00 6347.75