The URL can be used to link to this page

SFD (04-3692)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT Application Number Property Address . . . . . APN: Application description Property Zoning ..Application valuation BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 04-000-03692 Date 4/26/04 81255 MUIRFIELD VILLAGE 762-410-013-13 -28838 - DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 365747 Owner ------------------------- Contractor' TOLL CA V ------------------------ TOLL BROS, INC. C/O KEVIN D DUERMIT 73121 FRED WARING DRIVE,.#100 8901 E MOUNTAIN VIEW 2.00 • PALM DESERT CA 92260 SCOTTSDALE AZ 85258 WCC: ROGAL & HAMILTO. WC:., WA264DO0472301 09/01/04 CSLB: 777699.. ;04/30/06 CCC: B ------=------------------- 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 785.00 PATIO SQ FTG 1,058:00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 4162.00 Permit ---------------------- BUILDING PERMIT Additional desc Permit Fee''. 1570.50 Plan Check Fee 1020.83 Issue.Date . . . ... Valuation 365747 Qty Unit Charge Per Extension BASE FEE 639.50 266.00 3.5000 --------------------- THOU BLDG 100,001-500,000 931.00 ------------------------------------------------=------ Permit ELEC-NEW RESIDENTIAL Additional desc Permit. Fee 243.91 Plan. Ch-e:ck--Fee,-----"�' 60.98 Issue Date. Valuation 0 Qty Unit Charge Per to xtension y P.O. Box 1504 s t�a�w 7-7012 VOICE (760) 77 78-495 CALLE qAM►ICO FAX (760) 777-7hi i LA QUIN7A, CALIFORNIA 92253 4 4 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: _t05f - ,¢ Applicant: Applicants Mailing Address: Date: Architect or Engineer: Architect or Engineer's Address: Lic. No.. LWILUINtj PERMIT DECLARATIONS I heteby affirm underLICENSED CONTRACTOR'S DECLARATION peruNy d perjury that 1 am licensed Code. and my License is ti U tome and attest. under provisions Of om Chapter 9 (omer ** with Section 7000) of Division 3 of the Business and Prolessiorols License icense No. 1-17 b q 1:� Dab C«wac+orl 1 hereby sffirtn under penalty d perjury ttmal I am OWNFJ243ULDER DECLARATION sky re oouty ttat terpins t permit b ronsbu m � from the Con110CIO s' State License Law for the following reason (Sec. 7031.5. Business and Prdessions Code: Any Statement that he or she k ioenaad i^pOMa• dernoisln, or neper any sinrcturr, priorlo, its ksuance, also requres the appicsnt khr tt>, pamtl b ass, sipped and Prdesslons Code) or that he or a the d the Contrari W Stale Lim" Law (Chapter 9 (oommeneirg with Section 7000) d Division 3 d the Business the applicant b a cavi f70°n� ttmenaltorn and the basis ter the aieped examp6on. Any violation d Section 7031.5 by" applicant bra permit subjects th 1. as owner d the penalty d not more than %* hundred doiars (i560).): DroPer'Y. or my WMWYees with wages as their $ob compensation, will do the work, and the structure I$ not Mended or offered for sale (Sec. 7044, Business and PrOlumns Code: The Conbacfore stab License Law does not appy to an awrer of property who builds or improves thereon, and who does the work himself wither one y or of nom his or her own errpbyees. Orovided that the improvements an not MendedSold or offered for sale. I(. fwweyw. the buWV or irpuvement is U 1, as owner d the r d ti OMR1 -buildw will lave the burden d pwirp that he or she did not build or kr pm ve for to purpose a sale.). Stab Owner Of the Law does not PoPerty. am exclusively aontratthg with licensed contactors b tonstru� the project (Sec. 7044. Business and Piotessbru Code: The Contractors' apply b an om w of property who builds or inprwes thereon, and who contracts for the projects with s corwaetor(s) icensed purwani b the Cw acbW State License Law.). U I am exempt under Sec. . BA P.C. for this reason Dab Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the foiowkV declaration: _ I have the work for D�k issued. and will maintain a certificate d sh b e � woAcers' compensation. as provided for by Section 3700 d the Labor Code. for the performance mlt _ I have and wit maintain workers' cartmpensaban irwnnce. as required by Section 3700 d the Labor Code. for the perforrnance d the work for which this pelf. is q �Ay�worlc4 mpensation insurance Artier and number aro: Carrier Qri�c9 HC(Y1► /TYib, Poic7, Npmber�i.,l� Urr%i % Z3f}r _ 1 celtify that, in the PerkxrnaAft at the work for which this perm a'ssued. I shall not employ any Person in any manner so as b beoonne subject b the workers' oomrmpem>:sfmon hors d California. and agree ttaL If I should become subject b the workers' compensation provisions d section 3700 d the Labor Code. I SIW fortinvith comply with those WwAsiors 1 Date Applicant:_ (1n t WARNINk FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND SECCIVIFINES UP TO ONE HUNDRED CODE. OUSAND. DOLLARS (1100.000). W ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. N fTERFST, AND ATTORNEYS FEES. . 1 hereby affirm under penally of perjury that therek a oon:tnactiorn CONSTRUCTION LENDING AGENCY lendrmg agency ter the performance Of the work for which this pe... I is issued (Sec. 3097. Civ. C.). Lenders Name Lender's Address IMPORTANT Application Is hereby mode to the Dredw of Bulldinp AW Safet NT ACKNOWLEDGEMENT and safety fora permit subject to the conditions and restrictions set forth on this 1. Eacas a result h person n � � gyrmade, � person at whose request and for whose benefit work is perbmmed under of pursuant b any item* offCwS spats and employees for arty act or omtsskm related to thew agrees b. and chap. defend, indemnify and hold hardens the City d 6M the owner. and ft applicant- each La OuMa. its 2 AnyyPepermit permit Issued as • result d this application becomes Hutt and void it wort�not corrmeneed within 190 performed under or d days � issuance� d issuance d such pemmi or Cos' tion d work for 180 days wN subject pem ! b cancellation. I certify that l have road this application and state that the above Information is com ect I agree b comply with sit city and county ordinances and state taws retstinp b bulding construction, and hereby authorize representatives of this county to enter upon the above-Irrontioned ' ` property ter inspection purposes. . Date 2 0 "i Sigr a (Applicant or Agenq: ,;in :/ Yet. Page. 2 Application Number 04-00003692 Date 4/26/04 Qty Unit Charge Per Extension BASE FEE. 15.00 4162.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 145.67 4162.00 --------------------------------------------------------------------- .0200 ELEC GARAGE. OR NON-RESIDENTIAL 83'.24 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 . . . . 169.00 Plan Check Fee 12.75 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15:00 .4.00 9.0000 FA MECH FURNACE <=100K 36.00 4.00 16.5000, EA MECH B/C >3-15HP/>100K-500KBTU 66.00 7.00 6.5000 EA MECH VENT FAN 45.50 1.00 --------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit PLUMBING Additional desc . 'Permit Fee 265.50 Plan Check Fee 66.38 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 27.00 6.0000 EA PLB FIXTURE 162.00 1.00 45.0000 EA PLB SEP'T'IC 45.00 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 9.00.00 EA PLB LAWN SPRINKLER SYSTEM 9.00 12.00 .7500 EA PLB GAS PIPE >=5 9.00 1.00 ----------------------------------- 15.0000 EA PLB GAS METER 15.00 .Other Fees . . . . ----------------------------------- . . . . ART IN PUBLIC PLACES -RES 414.36 'r? Page 3 Application Number -------------- . . . . . 04-00003692 Date .4/26/04 7-------------------------------------------------------------- Other Fees . . . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER -.RES 366.00 ENERGY REVIEW FEE 102.08 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 36.57 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 2263.91 ------ ---------- .00 .00 2263.91 Plan Check Total 1160.94 :00 .00 1160.94 .Other Fee Total 2958.01 .00 .00 2958.01 Grand Total 6382.86 .00 .00 6382.86