SFD (04-8102)51557 Marbella Ct
04-8102
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number .
. . . . 04-00008102 Date 1/25/05
Property Address
51557 MARBELLA CT
APN:
772-250-998-57 -31349 -
Application description
DWELLING - SINGLE FAMILY
DETACHED
Property Zoning . .
. . . LOW DENSITY RESIDENTIAL
Application valuation
376373
Owner
Contractor
TOLL CA V
TOLL BROS, INC.
C/O KEVIN D DUERMIT
.73121 FRED WARING
DRIVE; #100
8901 E MOUNTAIN VIEW
200 PALM DESERT
CA 92260
SCOTTSDALE
AZ 85258
WCC: MARSH USA INC.
WC: ..WA762D004'723014 09/01/05
CSLB: .777699
04/30/06
-CCC: B
--------------------------
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
730.010
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'.
261.46
Issue Date . . .
a a
. .
. . 376373
Qty Unit Charge
Per
rE
Extension
277.00
BAS 05
639.50
3.5000
THOU BLD
-'5990;00
E'
969.50
-------------------------
--- CIw®F'LA,vUINm---
---------------------
Permit . . . .
MECHANICALI
FINANCE.DEPT.
Additional desc
Permit Fee . . . .
156.50 Plan Check Fee
9.78
Issue Date . . . .
Valuation
0
Qty Unit Charge. Per
BASE FEE
MECH FURNACE <=100K
MECH B/C >3-15HP/>100K-500KBTU
MECH VENT FAN
3.00 9.0000 EA
3.00 16.5000 EA
9.00 6.5000 EA
Extension
15.00
27.00
49.50
58.50
e^ t
P.O. Box 1504 /; ,
w VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: O q j 10 .-7_ Date: 02 •/y• OS
Applicant:
Applicant's Mailing Address:
Archit ct or Engineer:
—mac,✓!S 42-h14
—ArctTitect or Engineer's Address:
ic. No.: _ C-23 -7"7 Q -/
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty 11f onceperjurya that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Vie, and ss License i i full force and effect. —1 6 9 Q
/License Class 1 cense No.
/hate 2- t T—Q-r Contractor1 p L ► 1)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U 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 or 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.).
U 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.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' 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.
)!Lk.l 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
sue c , wyrkers' compensati urance carrier and policy number are:
rier /'// %L iy C. AS -"Policy Number &/'7G 21D 004 723 0 /4
_ 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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
/ Date 9 Applicant
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.
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
Lenders Address
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 Ouinta, 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.
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 the above-mentioned property for inspection purposes.
to Signature (Applicant or Agent): —
•;
Page
2
Application Number . . . . . 04-00008102 Date
1/25/05
Qty Unit Charge Per
Extension
1.00 6.5000 EA MECH EXHAUST HOOD
----------------------------------------------------------------------------
6.50
Permit . . . . . . ELEC-NEW RESIDENTIAL.
Additional desc
Permit Fee 182.69 Plan Check Fee
11.42
Issue'Date . . . . Valuation . . . .
0
Qty Unit Charge Per
Extension
BASE FEE
15.00
4374.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY
153.09
730.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL
--------------------------------------------------------------7--------------
14.60
Permit . . . . . . PLUMBING
Additional desc
Permit Fee . . . . 216.00 Plan Check Fee
12.10
Issue Date Valuation . . . .
0
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
Qty Unit Charge Per
Extension
-BASE FEE
----------------------------------------------------------------------------
15.00
Special Notes and Comments
SFD - LOT 57 VENTANA-A/4'/CASITA, 4374
S.F. PERMIT DOES NOT INCLUDE BLOCK
WALLS, POOL, SPA OR DRIVEWAY
APPROACH.75% REDUCTION TO PLAN CHECK FEE
DUE TO MULTIPLE ISSUANCE OF SAME PLAN
TYPE
----------------------------------------------------------------------------
Other Fees .' . . . . . . . . ART IN PUBLIC PLACES -RES
440.93
Page 3
Application Number
----------------------------------------------------------------------------
. . . . .
04-00008102 Date
1/25/05
Other Fees . . .
. . . ... .
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
26.15
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
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
Paid Credited
Due
Permit Fee Total
----------
2179.19
------------------------------
.00 .00
2179.19
Plan Check Total
294.76
.00 .00
294.76
Other Fee Total
2933.59
.00 .00
2933.59
Grand Total
5407.54
.00 .00
5407.54