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SFD (04-3690)ci BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTAL CAi1FORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number. . . . •04-OO:Q03'69.0' Date 4/26/04 Property Address . . . . . . 81245 MUIRFIELD VILLAGE APN: 7.62-410-012-12 -28838 - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application valuation A 333037 Owner TOLL CA V C/O KEVIN D DUERMIT 8901 E MOUNTAIN VIEW 200 SCOTTSDALE AZ 8.5258 Contractor ------------------------ TOLL BROS, INC. 73121 FRED WARING DRIVE, #100 PALM DESERT CA 92260 WCC: ROGAL & HAMILTO WC:. WA264DO0472301 09/01/04 CSLB: 777699.. 04/30/06 CCC: B -------------------------- Structure Information -------7----------------- 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 752..00 PATIO SQ FTG 561.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 3847.00 7 -------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc Permit Fee . . 1458.50 Plan Check Fee 948.03 Issue Date Valuation 333037 Qty Unit Charge Per. Extension BASE FEE _ ----6,39.50 234.00 3_5000 THOU BLDG 100,001-500,00'0_, 819.00 --------------------------------------------------- *Permit . . . ELEC-NEW RESIDENTIAL Y Additional desc �,2���'�� Permit. Fee 164.69 Plan Check Fe_e_ __-�+ 41.17 Issue Date. . . . Valuati �n 0 Qty Unit Charge Per Extension P.O. BOX 1504 U�/� , 78-495 CALLS TAMlICO w VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 44a INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: Applicant: I Architect or Engineer. Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.. BUILDING PERMIT DECLARATIONS 1 hereby affirm under LICENSED CONTRACTOR'S DECLARATION Icy d once Y that I am icenceo under Provisions d Chapter 9 (Mmmencing with Sedco 7000) d Division 3 d the Business and Professionals Code. and my Ikarus le ti full burse and effect License Class Ucensallo._ n-Y-)hG'- I hereby affirm underOWNER-BUI DER DECLARATION penally d P«iun that 1 am armnpt from the CantfDOOM' Stab lioense Law for the following reason (Sec. 7031.5. Business and Professions Coda. Any C11y orrmmerM drat lila W b •alter. Ynpr ons. den+oiKh. or repair any structure, prior b Its it sranoe. also requirsatees the applicant for to permit a Ila a signed and Pmftsskxu Code) Phe is e e the provisions d dos C«mtrac tors' Stab Lbenae Law (Ct+sPfer 9 (Commencing with Section 7000) d Division 3 d the Business or dust he a she is exempt dnersirom and the basis for the alleged examp6pn. Any violation d Section 7031.5 by any applicant lor a permit subjects penaay of not more than firs hundred dollars (5500).): U I. as owner Of the property. Or my empbyees with wages as their sole Compensation, wN do the work, and the swcture is not Intended or ollemd for sale (Sec 7011, Business and Professions Code: The Conhracfars' Stab Lkerse Law does not appy b an owner of property who builds or Improves thereorm, and who does oro work Smwithin � or through his or her own employees, Provided that the irtpr0v6n=ft are not Intended or offered for sale. If, however, the bti I n or inprovemenl a U 1, as owner d the Y d � the °unman -builder wA have burden d provifg that he or she did not buld or improve for the purpose d sale.} State �� Low does not am er0�ely corrtractlg with Icensed Contractors b construct doe project (Sec. 7044. Business and Professions Code: The Ca+trsclors' appy b an owner at property who builds Or Improves dmeieorL and who contracts for one projecw ts lM a eontrac tors) icensed pxu antb the Contractors- Stale License Low.).U I am exempt under Sec. . S.3 P.C. for Cis reason Date Owner 1 hereby affirm under penalty d WORKERS' COMPENSATION DECLARATION _ I have and will maintain of consent to seWnwm or workers• d one work for whidm this pen. k issued �n� as Provided for by Section 3700 d the labor Code. for doe perfor"" _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the performance d doe work for which Cis permit is issued. works ompensation i strsnce carrier andCarrier policy number are: _ I oe It the POleT Number --A Zi0 0 p L4 7 Lai � ( � taws d d the work for Much this parrot a rssued.11 t�'aM not employ any person in any rener so as to become txib}ee! b the workers' forthwith �y with ia. and agree "mal K I stnould become subject b dme workers' oompensatien provisions d Section 3700 d the Labor Code.1 rhinal Date Appicafrt ► f'11 I Qf() i Qit 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. MEREST. AND ATTORNEYS FEES. . I hereby affirm ands CONSTRUCTION LENDING AGENCY ICY d PerIuY ttmat doers is a oomCruction laming agency urs the performance d the work ter wdmid "tis Pen. I is issued (Sec. 3097. Civ. C.). Lenders Name Lenders Address IMPORTANT Application is hereby nide to one D mcW of APPLICANT ACKNOWLEDGEMENT 1. Each person upon whose behalf this ung and Safety for a permit subject b the conditions and restrictions set forth on this application, Issued es o result d this application, ��Ocation isms ee.� person at whose request and for whose benefit work is performed under or pursuant b any permit officers, agents and employees for any act or omission rotated foto the wont, each w to. and chat. defend. indemnity and hid hmammless the City d La Oulrnta. Alt 2 Any permit Issued as a result d "is application becomes nul and void it work nool� med ne�n�n 50 d ysa s trorn Issuanced e oof Issuance d such Pa., or txssation d work ter 180 days wM subject penrit b carnxllation. I Certify that 1 move read this application and state that the above infonaation is conscX 1 construction. and hereby atAtmorize representatives d Cos county to upon the above-mentioned property agree 10 COCTOY With 80 for inspection and county posor canoes and stale laws relating b puid;ng Date \142 LlSignature (Applicant or Agent): Page 2 Application Number . . . . . 04-00003690 Date 4/26/04 Qty Unit Charge Per Extension BASE FEE 15.00 3847.00 .0350 ELEC NEW RES -.1 OR 2 FAMILY 134.65 752.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 15.04 ---------------------------------------------------------------------------- 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 150.00 Plan Check Fee 37.50 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3.0.0 9.0000 EA MECH FURNACE <=100K 27.00 3.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 49.50 8.00 6.5000 EA MECH VENT FAN 52.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 195.00 Plan Check Fee 48.75 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE. 15.00 21.00 6.0000 EA PLB FIXTURE 126.00 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 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 ---------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 332.59 Page 3 Application Number . . . . . 04-00003690 Date 4/26/04 ---------------------------------------------------------------------------- Other Fees . . . . . . . DIF COMMUNITY CENTERS -RES 97.00 DI.F CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 94.80 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 15.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 33.30 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Permit Fee Total 1983.19 Plan Check Total 1075.45 Other Fee Total 2865.69 Grand Total 5924.33 Paid Credited Due ---------- ---------- ---------- .00 .00 1983.19 .00 .00 1075.45 .00 :00 2865.69 .00 .00 5924.33 FROM. FAX NO. :7607771596 Jan. 13 2004 04:47PM P1 ..N.oy{;.,,-..•-. ,:r3:rT;d'�iF$gii2��x . —, ..,,,w+--,,. .CITY OF LA QUINTA '• "�" : BUILDING & SAFETY DEPARTMENT OF 1-0- 777-7012 INSPECTION REQUEST LINE 777-7153 ' Owner `�'OLL BROTHERS Contractor TOLI. RRD ZEKS _ Permit Number 04-3690 E POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS L--=81-245MdRFIELD`VWLAG:C SFD LOT 12 PLAN V1IR,AMONTE A PERMIT DOES NOT INCLUDE BLOCK WALL,-Y001,�, SPA O ION DATA INSP. TEMPORARY POWER U/G ELECTRICAL /_GROUNDING FOOTINGS / STEEL CONCRETE SLAB ' 130 NOT POUR CONCRETE UNTIL ABOVE SI 1� ROOF NAIL / PRE -ROOF 1-7-1 �a OKAY TO WRAP a )41NG (COMBINATION) _ ,fUGH ELECTRIC ROUGH PLUMBING _ ROUGH MECHANICAL INSULATION Q COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP, BD. (DRYWALL) n- q EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT ' SEWER CONNECTION / O crnTr , l+ncwcc ,wTc e/C OT/lC/ MASONRY I'VSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS - PRE-GUNITE / SETBACKS_...- U/G PLUMBING _ U/G GAS U/G ELECTRICAL _- PRE -PLASTER (ALARMS/ BARRIER) FINAL INSPECTIONS PL I IMBING R ANICAL PL+000 WORKS DEPARTMENT 8L COMMUNITY DEVELOPMENT DEP f. /Z- 3 "0 y • •A!_•_ FINAL- / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGI-tT TO TURN ON UTILITIES OR OCCUPY BUILDING