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04-4018 (SFD)P.O. Box 1504 BUILDING & SAFETY DEPARTMENT (760),777-7012 1Ico, FAX (760) 777-7011 RNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Qty Unit. Charge Per Extension CITY OF LA QUINTA App! i ra'�ri��2U•r�,n•'�-��r (0-4=0-0-0-0-4-0 1 8 Oat eri 5/10/04 Property Address 80415 TORREON WY APN:- 772-250-997-142 -31349 - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application valuation : . . . 241854 Owner Contractor .TOLL CA V TOLL BROS, INC. C/O KEVIN D DUERMIT, 73121 FRED WARING DRIVE, #100 8901 E MOUNTAIN VIEW 200 PALM DESERT CA 92260 SCOTTSDALE AZ .85258 WCC: ROGAL & HAMILTO WC: WA26D004723.013 09/01/0"4 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 CBC #.BEDROOMS 3.00 FIRE SPRINKLERS ,NO . GARAGE SQ FTG 610.00 PATIO SQ' FTG - 275.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 2800.00 Permit . . : . . . BUILDING PERMIT Additional desc Permit Fee 1136.50 Plan. Check Fee 184.68 Issue Date . . . . Valuation 241854 Qty Unit Charge Per Extension BASE FEE 639.50 142.00 3.5000 THOU BLDG 100,001-500,000 497.00 Permit MECHANICAL Additional desc . Permit Fee 96.50 Plan Check. Fee 6.03 Issue Date Valuation 0 Qty Unit. Charge Per Extension P.O. BOX 1504 • '�`�� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: 64 —.461,9 Applicant: Applicant's Mailing Address: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7' /3--0 Art or Engineer: r Architect or Engineer's Address: ic- No.: __ C .� �> 1> g BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereb .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 and my Licen a is in full force and effect. / cense Class % License No. ate ��/��v Contractor \_�:�—n �✓�J-eJ' OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Pr fessbns 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 hereby affirm under penalty of perjury one of the following declarations:. I have and will maintain a certificate of consent to self4nsure 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. 1 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' fomp ensation uurance carrier and polity number a9� artier �r ,!i rL�l r r fc g l /Policy Number i.�i��(y.ncc 3 I certify that, in the pert romance 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. -/-S -0 WARNING: FAILURE TO SECURE WORKERS' C6 ENSATION 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 3708 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 _ IV 11 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 189 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 const •on, and hereby authorize resentatives of this county to enter upon the above-rrientioned property for inspection purposes. Date '� Signature (Applicant or Agent): Page 2 Application Number 04-00004018 Date 5/10/04 . Qty Unit Charge Per Extension ' BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 6.00 6.5000 EA MECH VENT FAN 39.00 1.00 6.5000 EA MECH EXHAUST HOOD. - 6.50 Permit . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 125.20 Plan Check Fee 7.06 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2800.00. .0350 ELEC NEW RES - 1 OR 2 FAMILY 98:00 610.00 .0200 ELEC °GARAGE OR-NON-RESIDENTIAL 12.20 Permit . . . .. PLUMBING 'Additional desc ` Permit Fee . . . . 189.00 Plan.Check Fee 11.81 Issue Date . . . . Valuation . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 6.0000 EA PLB FIXTURE 120.00 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 1.0.0 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 LOT 142: 2800 S.F. SFD. SEDONA Page 3 Application Number - 04=00004018 Date 5/10/04 -----------=--.---------------;--------------=---------------- -------------- Special-Notes and,Comments SB. DOES NOT INCLUDE BLOCK WALLS, POOL/SPA, OR'DRIVEWAY APPROACH., •75 PLAN CHECK.-FEE DISCOUNT APPLIED FOR MULTIPLE ISSUACE OF SAME PLAN TYPE.' Other Fees . . . ART IN PUBLIC PLACES-RES 104.'63 DIF COMMUNITY CENTERS-RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 18.47- DIF 8.47DI•F FIRE PROTECTION-RES 97.'00 GRADING PLAN CHECK FEE .00 ' DI'F LIBRARIES RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC -.RES. 502.00 STRONG MOTION.-(SMI) - RES- 24.18 DIF STREET MA'INT FAC-RES 15.00 DIF TRANSPORTATION RES 1098.00 Fee,summary Charged •PaidCredited- Due Permit Fee Totals 1562:20 .0000 1562.20 i Plan Check Total 209.58. .00. .00 y 209.58 .Other Fee. Total 2552.28 .00 .00 2552.28 Grand,.Total .4324.06 .00 .00 4324.06