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04-3997 (SFD)i pa�wruq,, I,I v � BUILDING & SAFETY DEPARTMENT _P_.OBOx-14504 (760),777-7012 OFT'9 495 CAL.LE pAMPICO FAX (760) 777-7011 � Vis, LA QUINTA, CRL1 ORNIA 92253 INSPECTION REQUESTS (760) 777-71.53 JUL 14 200 BUILDING PERMIT Cny OF 11A t$l INTA FeCE DEPT. Apper . . . (04=0000399_7 Date 5/10/04 Property Address 80470 TORREON WY APN: 772-250-997-114 -31349 - Application description DWELLING.- SINGLE FAMILY DETACHED Property Zoning . . . . LOW DENSITY RESIDENTIAL. Application valuation 227594 Owner Contractor - -.- - - - - - - - - - - - - - - - - - - - - - '•9 - - - - - - - - - - - - - - - - - - - - - - - - . 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:` WA26D0047230.13 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 # BEDROOMS 3.00 FIRE SPRINKLERS NO. GARAGE.SQ FTG 495.00 PATIO SQ FTG 399.00 NUMBER'OF UNITS 1.00 FIRST FLOOR SQ FTG 2631.00 --.----=--------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc.. Permit Fee 1087.50. Plan Check Fee 176.72 Issue Date Valuation . . 2275'94 Qty Unit Charge Per Extension BASE FEE 639.50 128.00 .3`.5000 THOU BLDG 10.0,001-500,000 448.00 ------------------------------------------------------------------------------- Permit. . . MECHANICAL Additional desc Permit Fee 109.50 Plan Check Fee 6.85 Issue•Date Valuation . . . . .0 Qty Unit Charge Per Extension P.O. Box 1504 VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760)'777-7153 BUILDING & SAFETY DEPARTMENT Application Number: µ 34q Date: Applicant: Architept or Engineer: lt) m Applicant's Mailing Address: G CP or Engineer's Address: No. c Z3 177 2 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereb fiinm 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 Co and my Licen is in full force and effect. cense Class / i ense No. V OWNER43UILDER 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.). 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 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' compens n insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. M workers' compensation urence carver and pol' y number are: arier,L / ><y Y4�•. / olicy Number C.J" C:C '77 Z c7 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' COA%F IENSATION 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 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 ;atel nsn, and hereby authorize re resentatives of this county ytto%enter upon the above-mentioned property for inspection purposes. �—�'v ignature (Applicant or Agent): Page 2 Application Number. 04-00003997 Date 5/10/C4 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=10,OK 18.00 2.00 9:0000 EA MECH B/.0 <=3HP/100K BTU 18.00 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 . . . . 116.99 Plan Check Fee 7.31 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 2631.00 .0350. ELEC NEW RES - 1 OR 2 FAMILY 92.09 495.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.90 --------------------------------------------------------------------------------- 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 20.0.0 6.0000 EA PLB FIXTURE 120.00 1.00 15.0000 EA PLB BUILDING SEWER. 15.00 1.00 7.5000 EA WATER HEATER/VENT 7.50 1.00 3:0000 EA _PLB PLB WATER INST/ALT/REP 3.00 1.00- 9.00.00 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 114. 2631 S:F. SFD. LAMINA Page 3 Application Number 04-00003997 Date 5/10./G4 ---------------------------------------------------------------------------- Special Notes and Comments SB. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL/SPA, OR DRIVEWAY 'APPROACH. 75% PLAN.CHECK FEE REDUCTION APPLIED.FOR MULTIPLE ISSUANCE OF SAME PLAN TYPE. Other FeesART IN. PUBLIC PLACES -RES 68.98 DIF COMMUNITY CENTERS -RES 97..00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 17.67 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 22.75 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due. Permit Fee. Total 1517.99 .00 .00 1517:99 Plan Check Total 202.69 00 .00 202.69 Other Fee Total 25.14.40 .00 .00 2514.40 Grand Total 4235.08 .00* 00 4235.08