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SFD (04-3688)agwo BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . •04-00003688 Date 4/26/04 Property Address . . . . . . 81235 MUIRFIELD VILLAGE APN: 762-410-011-11 -28838 - Appl.ica.tion description . . DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW-DENSITY RESIDENTIAL ..Application valuation_ '076373 Owner TOLL CA V C/O KEVIN D DUERMIT 8.901 E MOUNTAIN VIEW 2.00 SCOTTSDALE AZ 85258 Contractor ------------------------ TOLL BROS, INC. 73121 FRED WARING DRIVE, #100 PALM DESEY2T CA 92260 Qty Unit Charge Per. BASE FEE 277.00 3.5000 THOU BLDG 100,001-50 Permit ELEC-NEW RESIDENTIAL Additional.desc . Permit. Fee 1.82.69 Pla Issue Date •. . . . . Val Qty Unit Charge Per Ext 0, 0-00 �- nCheck Fee' ua ion ension 639.50 969.50- 45.67 0 Extension WCC: ROGAL & HAMILTO WC:. •WA264D00472301 09/01/04 CSLB: 777699.- 04/30/06 CCC: B -------------------------- Structure Information -----------------7------- 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 730.00 • PATIO SQ FTG 650•.00 NUMBER OF UNITS •1.00 FIRST FLOOR SQ FTG 4374.00 Permit BUILDING PERMIT': r Additional desc Permit Fee 1609.00 Plan Check Fee 1045.85 Issue Date Valuation 376373 Qty Unit Charge Per. BASE FEE 277.00 3.5000 THOU BLDG 100,001-50 Permit ELEC-NEW RESIDENTIAL Additional.desc . Permit. Fee 1.82.69 Pla Issue Date •. . . . . Val Qty Unit Charge Per Ext 0, 0-00 �- nCheck Fee' ua ion ension 639.50 969.50- 45.67 0 Extension 94cu P.O. BOX 1504 • VOICE (760j 797-7012 78-495 CAVE TAMttCo FAX (760) 777-7011 LA QUINTA. CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 3 609j Date: W=1 - Applicant's - Applicant's Maajng Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of pe*xr that I am licensed wider Provisions of Chapter 9 (commencing with section 7000) of Division 3 of to Business and ftiessionNs Code. and my L.k"a it in lull force and attest License License No. 1 hereby affirm under OWNER$tn oER DECLARATION per of perjury fit I am aampl from fe CamackxV Stats License Law for the following reason (Sec. 7031.5. Business and Probations Cods: Any cky «may Qat I -SWM a pertNt b construct. alter. knpmn. denwistL or repair any struckm priorlo Is kwAr oe. also roes the applicant for fs pamdt b No a signed stabment that he or she is -sensed pursuant b the provisions of fe Contractors' State license Law ( OOK 9 (commencing with Section 7000) of Division 3 of M Buskers and Pwfessions Code) or fat in or she's exempt limas ore and the basis for the 01090d exemnption. Any violation of section 7031.5 by any applicant for a panic subjects the applicant b a ctA penalty d not man fan five hradree doiian;(UW0 y U 1, as owner offs pnapenty, or my enhpbyses with wages as their $010 compensation, will 60 the work and the structure Is not I deeded or ollm for sale (Sec 7044• Buskers and Professions Code: The Cor*ocbrs' state License Law does not apply to an owner of property who builds or improves 1 erem and who does fe work himself or herself or through his or her own employees, provided that the knprovemeMs aro not intended or ofbred for sale. p, however. fe buidrhg or knprovement 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 sob.). U L as owner of the property. am exclusively contracting with licensed contractors b construct the pry (Sec. 7044, Business and Professions Code: The contractors' Stab License Law does not apply to an owner of propedy who bolds or improves thereon, and who contracts for the projects with a contrador(s) iosnsed pursuarM lo the Conkadors' State License Law.). (, I am exempt under Sec . B.3 P.C. for itis mason Dab Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: _ I ha s w owbfic*e cfcroswd b $694M re for wwkeW compensation, as provided for by Section 3700 of the i - Code, for the peAortmmanop Pa., is Issued —I have and will maintain workers' compensation khsumm. as required by section 3700 of the Labor Code. for the performance of the work for w hid this per.. 16 Cartier VI( issued. II �J - - - - - ** insurance carrier and poky number are: nVy >l in the 8f P� Number Pefomsmhae the work for which Ctrs permit is issued. l shall not employ any person in any manner so as to become subjed b the workers' Mop aonon Laws of Caifomia. and agree that. 91 shout become subject b to workers' compensation provisions of Section 3700 of the Labor Code, I sIW kxtwft Y with base provisions, Date Appicanl WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINESUP TO ONE f BOR C -D F_WTEp DOLLARS ($100.000). IN ADDITION TO TIME COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE. RITEREST, AND ATTORNEY'S FEES. . 1 hereby affirm ander penally of perjury fat temiCONSTRUCTION LENDING AGENCY s a oonsfructicn brI& agency for fs performance of to work for whidh itis permit is issued (Sec. 3097. Cit. C.). Lendefs Name Lender's Address IMPORTANT Application is hereby made b the Dkecbr ofAPPLICANT ACKNOWLEDGEMENT BuBdinp and Safety for a Permit subject b the conditions and restrictions set bit on itis appica6m Each person upon whose behhalf thi 1. s application IS made, each Person at whose request and for whose benefit work is performed under or pursuant b any Par it Issued a result of this application, the owner. and the appicar0, each agrees b. and shall. defend, indemnity and hold harmless City of Le Ouir" its 2 An agents and employees for any ad or omission related fo the work being performed under or following issuance w IIs Any P assured ss .result 0f sic application becomes null and void If work is not commenced within 180 days from date of issuance of such Pa.. or cessation of work for 180 days will subject pet., b cancellation. 1 certify that I have read this application and state that the aboveb ' correct. 189 b comply with all city and county ordinances and state lows tetaw constru'cti'on. and hereby autforirs representatives of this county upon te bovarrontioned property for inspection purposes. to bukling Date `'1 D U signature (Applicant or AWdy t Page 2 . Application Number . . . . . 04-00003688 Date 4/26/04 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 14.60 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc . . Permit Fee . . . . 156.50 Plan Check Fee 39.13 Issue Date . . . . Valuation . . . . 0 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 9.00 6.5000 EA MECH VENT .FAN 58.50 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . . PLUMBING Additional desc Permit Fee 216.00 Plan Check Fee 48.38 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 Special'Notes and Comments SFD - LOT 11 VENTANA-A/4'/CASITA. Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 2179.19 Page 3 Application Number . . . . . 04-00003688 Date 4/26/04 ---------------------------------------------------------------------------- Special Notes and Comments .00 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 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 ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 2179.19 .00 1179.03 .00 3012.03 .00 6370.25 .00 Credited Due .00 2179.19 .00 1179.03 .00 3012.03 .00 6370.25