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SFD (04-3693)i �y �F (4p Qa«rw BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 (760)77 7-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 Application Number Property Address . . . APN: Application description Property Zoning .Application valuation. BUILDING PERMIT .04-0!0003693 1 Date 4/26/04 8126\5 MUIRFIELD VILLAGE 762-410-014-14 -28838 - . . . DWELLING SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 376373 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 DESERT CA 92260 Qty Unit Charge Per BASE FEE 277.00 3.5000 THOU BLDG 100,00-1-500,000 ---------------��'==-=---=a=- --------------------------------- Permit ELEC-NEW RESIDENTIAL Additional desc Permit. Fee 1.82.69 Plan Check Fee. Issue Date. . . . . Valuation Qty Unit Charge Per Extension 639.50 969.50 -- ---------- 11.42 0 Extension 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 730.-00 PATIO SQ" FTG 650:00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- FIRST FLOOR SQ FTG 4374.00 Permit BUILDING PERMIT Additional desc Permit Fee 1609.00 Plan Check Fee 261.46 Issue.Date . . . ... Valuation .376373 Qty Unit Charge Per BASE FEE 277.00 3.5000 THOU BLDG 100,00-1-500,000 ---------------��'==-=---=a=- --------------------------------- Permit ELEC-NEW RESIDENTIAL Additional desc Permit. Fee 1.82.69 Plan Check Fee. Issue Date. . . . . Valuation Qty Unit Charge Per Extension 639.50 969.50 -- ---------- 11.42 0 Extension P.O. BOX 1504 l�r�� VOICE (760)n77-701278-495 CALLE TAMIICO FAX (760) 777-7tll LA QUINTA, CALIFORNIA 92253 4 4 a INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number. Dpi 36ga Date: M._: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.. t3UILUINU PERMIT DECLARATIONS LICENSED CONTRACTORS DECLARATION Coode. and my Eis in tura form a 1 areby affirm m under Desalt& amperpryand that 1 am icensea under Provisions Of em� Chapter 9 (aoencinp with S*Cb0n 7000) a Division 3 a to Business and Piolessionals loesser effect Uoanaa tis R License No. tfrm underOWNER$U4.DER DECLARATION 1 hereby s penally a Dorf ury riot 1 am exempt from the Contradois' Stals License Law ter the k6owYq reason (Sec. 7031.6. Business and Prasssfons Coda Any sttaaftrw that he at mffty that � k a permit b pct alien. imp over. den+OGstL or repair any structure. pia b Its umbo. also requires the applicant ler ria presale b ria a signed pwwj" to the provisions a tha ContracbW stab License Law (CMpter 9 (Cormmeneing with Section 7000) of Division 3 aria Business CoriW P ) amst ahe a she is exempt rimehom anbas d the is ler the sleged exemplum Any violation a Section 7031.5 by any appianl ter s p 1-- subjects U I, as owner a the Penalty a not more than ire hundred dogs- (M600).r property. or my employees with wages as their sob Compensation. WE do the wok and the taructus Is not i fended a ofered for cab (sec, 7041, Business and Praessionsrou Coag: The Contracbrs• state License Law does not appy b an owner a property who bui is a improves thereon, and who doss the wok sold withihirnself n one herself a though his a her own errrpbyees, provided that the improvements are not intended a offered for sale. If. however. the buMN or inprovenent is Yaw a completion the owner will have the burden a proving that he a she did not build a inprove kw the pupose a sob.). U I. as owner Of the property. am axdusively contracting with loaned contractors 10 CWWA d the project (Sec. 7044. Business and Professions Code: The Contractors• state License Law does not appy b an owner a property who bolds a improves rieiaon. and who contracts ler the pialects with a cont acto(s) i0ensed passant b the Contractors• Stab Lhense Law.). U I am exempt under sec . 8A P.C. fairs reason Date Owner 1 hereby affirm under WORKERS' COMPENSATION DECLARATION DAY a perjury one a the following declarations: _ I have and wa nv"ai► s cer ifiate a consent loserinsue for workers• Compensation, as provided for by Section 3700 a the Labor Code. ler tme performance a the work ler wc hih this pen. Is issued _ I have and will maintain workers' Compensation insurance. as required by section 3700 of the Labor Code, for the performance of the work for which Cris pang k � �is�sue My rker' mpassstion instance carrier and policy number aro: Carrier �lC - COW that b the Porky Number 4 0(c err ia the work ler wtrch this permit is issued. I shall no(empby any person in any mariner so as to become subject brie workers' rnsation tanK Of Cafibnnia, and agree blot. Y i should become subject b the workers' Compensation provisions of Section 3700 a the Labor Code. I shat iorthwith comply with those provisions. 10, WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE S UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED C E. *Mp S DOLLARS (2RN y.0). th ADDfT1ON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS, RfTFREST, AND ATTORNEYS FEES. . I hereby affirm undo CONSTRUCTION LENDING AGENCY penalty a De1fu!Y ani finers is a oonsbuc*on lending agency for the perfomwae a the work ler which this Pemrt is issued (Sec. 3097. Civ. C.). Lenders Name Lenders Address IMPORTANT Application is hereby mode 10 the Dowlera APPLICANT ACKNOWLEDGEMENT t. Each person upon whose lmeFnaff Cis ung and Safety lor a permit WNW b the conditions and restrictions set fort on this apprrafim Issued es o result a Cosa morn b made, each person at whose request and for whose benefit work is peromned oder or prrsusni 10 any permit officers. agents and motion• the owner. and the applicant, each agrees b, and shag, defend. indemnify and hold hearress the City a La Ou1rta• its employees for any ad or omission related 10 the work being Performed under or fotioWi V issuance of this pemrL 2 Any permit Issued as a result of this application becorrmes null and void l(work is not Commenced within 190 day: from date a Issuance a such permrrt or Cos. a work for 180 days wig subject permit b anceftation. I Certify that I have read this appiafion and state that the above Intormatim is Correct 1091 to comply with all dt and count ordinances and state laws m4&Q 10 Wllding Corutrudion. and hereby author representatives a ars 0omty b err upon the aboveinenfiamed Y Y DroPertY � inspex-tion purposes. . Date L Signature (ADpkwd or Agent): Page 2 Application Number 04-00003693 Date 4/26/04 Qty Unit Charge Per Extension BASE FEE 15.00 4374.00 ..0350. ELEC NEW RES - 1 OR2 FAMILY 153.09 730:00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 14:60 Permit. . . . . GRADING PERMIT Additionaldesc . 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.. 9.78 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 .16.50.00 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 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 9.0'000 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 7 ------------------------------------------ and Comments SFD - LOT 11 VENTANA-A/4'/CASITA. Page 3 Application Number .. 04-00003693. Date 4/26/04 Special Not and Comments ------------------------------ PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH ---------------- -------------- Fees ART IN PUBLIC PLACES -RES 440.93 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 DIFPARKS/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