06-0821 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN: -
Application description:
Property Zoning:
Application valuation:
Applicant:
06-00000821
57995 STONE CREEK TR -W
762-240-999-1 -30834 -
DWELLING - SINGLE FAMILY DET
LOW DENSITY RESIDENTIAL
226022
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
D - I A
AC ` D APR 14 2006
CITY OF LA QUINTA
FINARICE DEPT.
Art o Engineer:
?o
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: B License No.: 777699
ate7
: �y"�� ontractor:�1•�/`�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).:
(_ 1 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 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 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:
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 isissued (Sec. 3097, Civ..C.l.
Lender's Name: Q
Lender's Address:
LQPERMIT
Owner:
TOLL BROTHERS, INC.
73121 FRED WARING DRIVE, #100
PALM DESERT, CA 92260
Contractor:
TOLL.BROS, INC.
14350 NORTH 87TH ST, STE #310
SCOTTSD,nLE, AZ 85260
(760)674-9699 - .
Lic. No.: 777699
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/28/06
WORKER'S 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.
4-1 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' compensation
insurance carrier and policy number are:
Carrier ZURICH INS Policy Number WC387821300 .
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
y 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
� t/ 3700 of the Labor Code, I shall forthwith comply with those provision's.
all te: y�7'0� canJW J
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.
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 authorize representatives
of this county
to enter upon the above-mentioned prop rty fo inspection p poses.
te: .�SL10� nature (Applicant or Agentl:
. _-„2r
LQPERMIT
Application Number
06-00000821
Permit . . .
BUILDING PERMIT
desc
Permit Fee
1084.00.
Plan Check Fee
176.15
Issue Date . . . .
Valuation
226022
Expiration Date
8/2.7/06
Qty Unit Charge
Per
Extension
BASE
FEE
639:50
127.00 3.5000,THOU
----------------------------------------------------------------------------
.BLDG
100,001-500,000 ,
444'.50
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . .
126.00
Plan Check Fees.
7.88
Issue Date
Valuation . . . .
0
Expiration Date
•8/27/06
.�
Qty Unit Charge-
Per
Extension
BASE
FEE
15.00 .
4.00 9.0000
EA MECH
FURNACE <=100K
.36.00
4.00' 9.0000
EA MECH
B/C <=3HP/100K BTU
36.00
„ 5.00 6:5000
EA MECH
VENT FAN
32.50
1.00 6.5000
EA MECH
EXHAUST HOOD
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
155.45
Phan Check Fee
9.72
Issue Date
Valuation . . . .
0
Expiration Date
8/27/06
Qty Unit -Charge
Per
Extension
- -
BASE
FEE
15.00
- 3607.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
126.25
710.00 .0200
ELEC
GARAGE OR NON-RESIDENTIAL
14.20
-_ Permit,-
PLUMBING
Additional desc .
Permit Fee
186.75
Plan Check Fee
11.67
Issue Date . . . .
Valuation
0
•
Expiration Date
8/27/06
'
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
19.00 6.0000
EA PLB FIXTURE
114.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
LQPERMIT
Application Number 06-00000821
Permit . . . . ... PLUMBING
Qty, Unit-Charge Per
Extension
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;00.00, EA PLB LAWN SPRINKLER'SYSTEM
9.00
11.00 .7500 EA PLB,GAS PIPE >=5
8.25
1.00 15.0000 EA PLB GAS METER
------------------------- 7 -------------------------------------
15.00
---------------
Permit .. . . . . . GRADING PERMIT
Additional desc
Permit Fee . .' . . 15.00 Plan Check Fee
00
Issue Date . . . . Valuation . . .
. 0
'Expiration Date 8/27/06
Qty Unit Charge Per
Extansion
'BASE FEE
15.00
7 - - - - - --------- - - - --- - - - - --- - - - - - - - - - - - - - - - - - - - - - - - - --- - - -
Special,Notes and Comments
- - - - - - - - - - - - - -
SFD -LOT 1, PLAN 7,
PIEDRA/CASITA-TUSCAN
3607 SF. PERMIT DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS OR DRIVEWAY
'APPROACH.75% REDUCTION TO PLAN CHECK
FEES DUE TO MULTIPLE ISSUANCE OF SAME
PLAN CHECK
.2001 CBC, CMC, CPC, 2004 CEC,, 2005
ENERGY CODES
----------------------------------------------------------------------------
Other Fees . . . . . . . . ART IN PUBLIC PLACES-RES,
65.05
DIF COMMUNITY CENTERS-RES
74.00
DIF CIVIC CENTER - RES
.480.00
ENERGY REVIEW FEE
.17.62
DIF FIRE:PROTECTION-RES
140.00
GRADING PLAN CHECK FEE
00
DIF LIBRARIES - RES.
355.00
DIF PARK MAINT FAC RES
22.00
DIF PARKS/REC ---RES
892.00,
STRONG MOTION (SMI) RES
.22.60
DIFSTREETMAINT FAC-RES
-67.00
DIF TRANSPORTATION - RES
1666..00
Fee summary Charg'ed - Paid Credited
-- ------- ------------- ----------
Due
-------------------- ---------
Permit Fee Total 1567.20 .00 .00
1567.20
Plan-Check Total 205-.42 ob .00
205.42
Other Fee Total. 3801.27 ..00 .00
3801.27
LQPER.Mrr
LQPERMIT