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SFD (04-6424)�i BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495-CALLE TAMPICO FAX (760) 777-7011 LA QY!NTA, CALIFORNIA 92253 INSPECTION REQUESTS .(760) 777-7153 BUILDING PERMIT Application Number . . . Property Addre.a*s., APN: Application description Property Zoning Application valuation Owner TOLL.- CA V C/O KEVIN . D DUERMI'T 8901'E MOUNTAIN VIEW 200 SCOTTSDALE AZ 85258 9- 0—_0-0 __4 —2-4---? _---Date. 9/24/-04 5643_5 MOUNTAIN VIE 762-420-001= DWELLING SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL' 376373 Contractor, y. ------------------ TOLL BROS - -- ---------- TOLL-BROS, INC. 73121 FREDWARING DRIVE, #100 PALM DESERT. CA 92260 Additional desc Permit Fee 134.00 Issue Date . . . Qty, Unit Charge Per CITY OF.LA QUINTAL FINANCE DEPT. * 33.50 0 Extension WICC:, LIBERTY MUTUAL WC:, WA762DO04723014 09/01/05 CSLB: 777699 04/30/06 CCC: .3 - -------------------------- Structure Information ----------------- ------- Construction Type . ... . . TYPE - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone NON -AO FLOOD -ZONE, Other struct info 'CODE EDITION 2001 CRC FIRE SPRINKLERS NO GARAGE SQ FTG 730.,00 PATIO, SQ FTG 650.00 .-NUMBE-R',OF.1UNITS 60 FIRST FLOOR SQ FTG 4374.00 ---------------------------------------------------------------------------- Permit . . . BUILDING PERMIT Additional desc Permit Fee 16-09.00 Plan Check Fee,,. 1045.85 Issue Date . . . . Valuation 376373 Qty Unit Charge Per. Extension BASE FEE 639.50 277.00 3.5000 THOU BLDG 100,001-5001000 969.50 ---------------------------------------------------------------------------- Permit MECHANICAL Additional desc Permit Fee 134.00 Issue Date . . . Qty, Unit Charge Per CITY OF.LA QUINTAL FINANCE DEPT. * 33.50 0 Extension AP. P.O. Box 1504 VOICE (760) 777-701' 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUIN7A, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: L'D ZD O C/ ADDlicant: Applicant's Mailing Address: chltect or Engineer: 'ToLt. 4%A -r m I Me—Tvtit.Y Architect or Engineer's Address: ic. No.: _ �Z"13 <1 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. cense Class b ,cense No. ,Bate -Za- ontractor�� 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.). (--) 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. . B.& 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. I have and will maintain workers' compensafon insurance, as required by Section 3700 of the Labor Code, for the performance of. the work for which this permit is issued. My workers' compensation ' rence carrier and policy number are: C�rt'er L. I LRdLi Mvi 0 A � olicy Number aI A, -T 6Zflpo4"tZ3014 _ 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, 1 shall forthwith comply with those provisions. 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.). Lenders Name Lender's Address IMPORTANT Application is hereby made to the Director of Buildingand APPLICANT ANT CKNOWLEDGEMENT Apto conditions and ermit1. Each person upon whose behalf this application is made, each person at whose request and efer whose benefit e work srestrictions ned under or pulrsuant to an issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity and hold harmless the City of La Ouinta, its permit 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. I 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 bove-mentioned property for inspection purposes. to 1 n- Z. o • 04 /Signature (Applicant or Agent): Page 2 Application Number 04-00006424 Date 9/24/04 Qty Unit Charge, Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K ,. 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 ' 9.00 6.5000 EA MECH,VENT FAN 58.50 1.00 6.5000 EA MECH EXHAUST HOOD .6.50 Permit . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee N182.69 Plan -Check Fee 45.67 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 14.60. Permit PLUMBING Additional desc-. Permit Fee . . . . ,216.00 Plan Check Fee 54.00 Issue -Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15,.0 0 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 1 PLAN VENTANA CONTEMP a Page 3 Application Number . . . 04-00006424 Date 9/24/04 " Special Notes and Comments W/CASITA & EXT PATIO 4374 S.F. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. - d ----------------------------------------------------------------------------- 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 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 37.63 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098:00 Fee'summary Charged 'Paid Credited Due Permit Fee Total 2156.69 .00 .00 2156.69 Plan Check Total 1179.02. .00 .00 .1179.02 Other Fee Total 2988.15 00 .00 2988.15 Grand'Total 6323.86 00 .00 6323.86 01/23/2004 09:19 9096868786 WESTERN INSULATION PAGE 02/06,,, y 'uwluTESTEjKN INSULATION, L.P., 4211 Latham Street, Riverside, California 92501 Tel. (909) 686.8760 Fax (909) 686.8786 CF6R INSULATION CERTIFICATE THIS 1S TO CERTIFY THAT INSULATION, HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: TRACTIPHASE: MUIRFIELD @ PGA WEST I PHASE 1 LOT#: 1 AITE ADDRES��SA 2435'MOUNTAIN VIEW, LA QUINTA, C CEILINGS: BATTS MANUFACTURER: JOHNS MANVILLE THICKNESS; . 11^ R- VALUE: R-30 EXTERIOR WALLS: BATTS MANUFACTURER: JOHNS MANVILLE THICKNESS: 6 3/4" R= VALUE: R-19 GABLEENDS & PLUMBING SAYS BATTS MANUFACTURER: JOHNS MANVILLE THICKNESS: 3 1/2" R- VALUE: R-11 GENERAL CONTRACTOR: TOLL BROTHERS BY: ! TITLE: I DATE: s . INSULATION CONTRACTOR: WESTERN INSULATION, L.P. LICENS ' .. MBER: 794484 BY TITLE: P OCTioN MANAGER DATE' JAPAJARY 23, 2004 5 06/23/2005. 11:29 951-686-8786 WESTERN INSULATION PAGE .02/11 • Western tion L.P. k RESIDENTIAL. CONTRACTING _4211 Latham Street • Riverside-Calffornia 92501 -Phone: (909) 686-8760 • Fax: (909) 686-8786 License 4 794484 CFf R INSULATION CERTIFICATE THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH •THE.CURRENT ENERGY REGULATION; CALIFORNIA ADMINISTRATIVE CODE, TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: TRAC I /VtIASE: MUIRFIELD @ PGA WEST / PHASE 5 LOT#: 1 SITE ADDRESS: t56ZL4:"NQUNTAINXIEWN - LA QUINTA, CA ------------------------------------------------------------------ CEILINGS: BLOWN INSULATION MANUFACTURER: GREENFIBER THICKNESS: 8.1" R- VALUE: R-30 CEILINGS; BATTS MANUFACTURER: KANUF THICKNESS: 10 R- VALUE: R-30 EXTERIOR WALLS: BATTS .MANUFACTURER. KANUF THICKNESS: 6 1/4" R—VALUE: R-19 GABLE ENDS & PLUMBING BAYS BATTS MANUFACTURER: KNAUF THICKNESS: 3.1/2" R- VALUE: R-11 ..__Q.EN.ERA"fM_TPj%OTOR_. TOLL BROTHERS rt BY: TITLE: DATE: INSULATION CONTRACTOR: WESTERN INSULATION, L.P. LICENSE NUMBER: 794484 TITLE: PRODUC 'ION�WANAGER DATE: JUNE 23, 2005