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04-3985 (SFD)I BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7013 OF .— r8-4N9-5-e-a;L�c � TAMPICO FAX (760) 777-1011 LIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 a►. E JUL 14 204 ,► BUILDING PERMIT p l l c �a r1RA -1 �Dtt�3A A � 2 e f04-0-0-0-03`985 Date 5/10/04 Pro er y. ddress .. . . . 80335 TORREON WY APN: 772-250-997-134'-31349 - Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 262610 Owner - Contractor TOLL CA V TOLL BROS, INC. C/.0 KEVIN D DUERMIT 73121 FRED WARING DRIVE, #100 8901 E.MOUNTAIN VIEW 200 PALM DESERT CA 92260 SCOTTSDALE AZ 85258 - WCC: ROGAL & HAMILTO WC: WA26DO04723013 09/0,=/04 CSLB: 777.699 04/30/06 CCC: B --------------------------- Structure Information -------------------------- Construction Type . . . . . TYPE V.- NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . A NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2.001 CBC. # BEDROOMS 3.00 FIRE SPRINKLERS' NO GARAGE SQ FTG 62500 PATIO SQ FTG 233.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- FIRST FLOOR SQ FTG 3047.00 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee .1210.00 Plan Check Fee 196.63 Issue Date . . . . Valuation 262610 Qty Unit Charge Per Extension BASE FEE -639.50 163.00 3.5000 THOU BLDG 100,001-500,000 570.50 ---------------------------------------------------------------------------- Permit . . . . MECHANICAL Additional desc Permit Fee 127.50' Plan Check Fee 7.97 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension P.O. BOx 1504• �� VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 6 4 _3 g6_S Applicant: Applicant's Mailing Address: Lo? Date: Architect or Engineer: Architect or Engineer's Address: At^c-- < .A ,WC—N_'o. Ca -_23 7t;>1 BUILDING PERMIT DECLARATIONS it A 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 C and my License is in full force and effect. j icense Class ense No. e T!'/J — d7� ontractor k OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt"rom 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.). U 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.). U I am exempt under Sec. , BA 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' compensa ion insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' c mpensation i�rance carrier and poli y number ar amer � i X nic 'tZ-�� blicy Number �. � a� c� 5�,_, U/ _ 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, I shall forthwith comply with tfjose provisions. 7 -i3 --<� WARNING: FAILURE TO SECURE WORKERS' C9 ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND - OLLARS ($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 Lenders Address (� APPLICANT ACKNOWLEDGEMENT IMPORTANT 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, indemnify and hold harmless the City of La Quinta, 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 authoriz�rer resentatives of this county to enter upon the above mentioned property for inspection purposes. ateign(Applicant or Agent): :;4, Page 2 Application Number . . . 04-00003985 Date. 5/10/04. Qty Unit.Charge Per Extens-=on 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 8.00 6.5000 EA MECH VENT FAN 52.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc Permit Fee 134.15 Plan Check Fee 8:39 Issue Date Valuation 0 - C Qty. Unit'Charge Per Extens=on BASE FEE 15.00 3047.00. .0350 ELEC NEW RES - 1 OR 2 FAMILY 106.65 625.00 .0,200 ELEC GARAGE OR NON-RESIDENTIAL 12.50 Permit ... . . . PLUMBING Additional desc Permit Fee 207.75 Plan Check Fee 12..99 Issue Date Valuation 0,,. Qty Unit Charge Per Extens_on BASE FEE 15.0.0 23.00 6.0000 EA PLB .FIXTURE 138-.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT .7.50 1.00 3.000.0 EA PLB WATER'INST/ALT/REP 3.00 1.00 9:0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 7.00 .7500 EA PLB_.GAS PIPE ->=5 5 .25 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 Extens=on BASE FEE 15.00 Special Notes and Comments LOT 101. 3047 S.F. SFD. BELIZE Page 3 Application Number . . . 04700003985 Date 5/10/04 ----------------------------------------------------------------------- Special Notes and.Comments i CONTEMPORARY +4. PERMIT DOES NOT INCLUDE BLOCKWALLS;POOL/SPA,OR.DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . . . . . ART IN PUBLIC -PLACES -RES 153.86 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 19.66 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 26.15 DIF STREET MAINT FAC -RES 15.00' DIF TRANSPORTATION - RES 1098.00 .Fee summary Charged Paid Credited Due . Permit Fee Total 1694.40 .00. .00 1694.40 Plan Check Total 225.98 .00 .00 225.98 Other Fee Total 2604.67 .00` .00 2604.67 Grand Total 4525.05 .00 .00 4525.05 zg3 OF LA QUINTA FM ®ows�� "BUILD NG & S;-, yETY DEPARTMENT 7pf 7012 e+ �N�SPECTREQUEST LINE -7153 - • Ce � - . Owner Contractor Permit Number ' 04-3.98 'POST ON JOB IN CONSPICUOUS PLACE : INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 80-335 TORREON WAY SFD - LOT 134, BELIZE -SB +4. PERMIT DOES NOT INCLUDE BLOCK WALLS, TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL / GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL B VE SIGNED ROOF NAIL / PRE -ROOF �' d OKAY TO WRAP ley FRAMING COMBINATION OUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL a EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G. GAS U/G ELECTRICAL PRE -PLASTER ALARMS/,BARRIERS " FINAL INSPECTIONS TEMP.USE OF PERMANENT POWER �1- -/ d5 ELECTRICAL PLUMBING FJ CHANICAL � BLIC WORKS DEPARTMENT y0 BS' COMMUNITY DEVELOPMENT DEPT. flS FINAL / JOB COMPLETED ®S ABOVE APPROVALS DO. NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING