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SFD (04-6425)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---0.00.0-642-5--�---- Date 9/24/04 Property Address ; .f 56465=M0_UN-TAIN_ _V-IEW-_ APN: 762-420-002-. - - Application description DWELLING -SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application valuation 322996 Owner Contractor . ------------------------ ----------- .-------- =-- TOLL BROTHERS, INC. TOLL BROS-, INC. 80380 LEGENDS WAY .73121 FRED WARING DRIVE, #100 'LA QUINTA CA 92253 PALM -DESERT CA -92260 WCC: LIBERTY MUTUAL WC: WA762DO04723014 09/01/05 CSLB: 777699 04/30'/06 CCC: B --------------------------Structure Information ------------------------- Construction Type TYPE V - 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 756.00 PATIO SQ FTG 444.00 NUMBER` OF UNITS 1.,0.0 F•I'RSV'FLOOR SQ FTG. 3741`.`00 Permit BUILDING PERMIT Additional desc Permit Fee 1420.00 P1`an Check Fee 923.00 Issue Date Valuation 322996 Qty Unit Charge Per Extension BASE FEE 639.50 223.00. 3.5000 THOU BLDG 100,001-500,000 780.50 Permit MECHANICAL Additional desc Permit' Fee . . . . 103.00 P_1_an Check Fee 25.75 Issue Date. D aluation 0 Qty- Unit Charge Per OCT 2 O 200&V4 -Extension BASE FEE015.00 PITY OF LA QUINTA FOA AAN_C XDE"PT. P.O. Box 1504 78-495 CALLS TAMPICO VOICE (760) 777-701 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-701 I 40 INSPECTIONS (760) 777-715; BUILDING & SAFETY DEPARTMENT Application Number f 474 Date: l0 •� •O y Applicant: Architect or Engineer: A2SiJt1'FGT.aR.� Applicant's Mailing Address: ToLt.- chitect or Engineer's Address: ic. No.: C�1IL-19 51 t$UILUING 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. /License Class ;cense No. -11-7 61 p l �2L —0■4- actor C:�t c a� 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.). I, 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.). (--) 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. have and will maintain workers' compensation 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 ' rice carrier and policy number are: a er L.1 %IF- -Wl Ensm%) a : olicy Number W p-7 to2 Vot�.472'� O 14 _1 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, I shall forthwith comply with those provisions. ,,Za—te_ lo- Z.o- a��c nt 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.). Lender's Name Lender's Address IMPORTANT APPLICANT ACKNOWLEDGEMENT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity and hold harmless the City o1 La Quints, its 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 the above-mentioned property for inspection purposes. Signature (Applicant or Agent): Page 2 Application Number 04-00006425 Date 9/24/04 Qty Unit Charge Per Extension 2.00 9.0000 EA MECH FURNACE <=100K 18:00' 2.00 9.0000 EA MECH B/C <=3HP./100K BTU- 18.00 7.00 6.5000 EA MECH-VENT FAN 45.50" 1.00, 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . ... ELEC-NEW RESIDENTIAL Additional desc Permit Fee 161.06 Plan Check Fee 40.27 Issue Date... Valuation 0 Qty" Unit Charge" Per. Extension BASE FEE 15.00 3741.00 .035.0 ELEC NEW RES - 1 OR 2 FAMILY 130.94 756.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 15.12 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 6.00.00 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 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 SVD - LOT 2 .PLAN SANTA ROSA-SB W/EXT - Page 3 AppFication Number . . 04-00006425 Date 9/24/04 ---------------------------------------- Special Notes -and Comments PATIO 3741 S.F.-PERMIT-DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. Other Fees . . . ART IN PUBLIC PLACES -RES 307.49 DIF COMMUNITY CENTERS -RES 97.00. DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE' 92.30 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 32.29 DIF STREET MAINT FAC -RES 15.00. `DIF TRANSPORTATION— RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1894.06 .00 .00 1894.06 Plan Check Total 1037.77 .00 00 1037.77 Other Fee Total 2837.08 .00 .00 2837.08 Grand'Total 5768.91 .00 .00 5768.91 06/23/2005 11:29 951-686-8786 WESTERR INSULATION PAGE 03/11 WesterntionL.P. RESIDENTIAL CONTRACTING 4211 Latham Street - Riverside. California 92501 • Phone: (909) 666-8760 • Fax: (909) 686-8786 License # 794484 CF6R 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: TRACT/PHASE: MUIRFIELD @ PGA WEST/ -PHASE 5 LOT#: 2 SITE ADDRESS: r56=46.5MOUNTAIN VIEWS LA QUINTA, CA CEILINGS:. BLOWN INSULATION MANUFACTURER: GREENFIBER THICKKfESS: 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 . •- _ GENERAL CONTRACTOR: TOLL BROTHERS .; BY: _ TITLE: - - - - - - - -- DATE: INSULATION CONTRACTOR: WESTERN INSULATION, L.P. LICENSE NUMBER: 794484 BY: TITLE:. PRODUCTIO M A ER DATE: JUNE 23; 2005