04-3484 (SFD)s
raj
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 . . . . . ;04-00003484 ,Date 4/23/04
Property Address• . . . 50835 EL DORADO DR
APN: 772-250-999-177 -30357 -
Application description DWELLING - SINGLE FAMILY DETACHED
Property Zoning LOW DENSITY RESIDENTIAL
Application valuation.. 376373
Owner
TOLL CA V
C/O KEVIN D DUERMIT
8901 E MOUNTAIN VIEW 2.00
SCOTTSDALE AZ 85258
.Contractor
------------------------
TOLL BROS, INC.
73121 FRED WARING DRIVE, #100
PALM DESERT CA 92260
WCC: ROGAL &
HAMILTO
WC: WA264DO04723ol 09/01/04
CSLB: 777699-.
04/30/06
CCC: B
- ------------------ -------
Structure Information -------7-----------------
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
FIRE.SPRINKLERS
NO
GARAGE SQ FTG
730.00
PATIO SQ FTG650:00
NUMBER OF UNITS
1.00
FIRST FLOOR SQ FTG
4374.00
-------=--------------------------------------------------------------------
Permit ... . . . .
BUILDING PERMIT
Additional desc
Permit Fee
1609.00 Plan Check Fee
1045.85
Issue.Date
Valuation ..
. . .376373
Qty Unit Charge
Per
Extension
BASE FEE
639.50
277.00 3.5000
THOU BLDG 100,001-500,000
969.50
---------------------------------------------=---
Permit . . . . . .
---------------------------
ELEC-NEW RESIDENTIAL
Additional.desc
Permit.Fee
182.69 Plan Check Fee
45.67
Issue Date. . . . .
Valuation . .
. 0
Qty Unit Charge
Per
Extension
P.O. Box 1504
78-495 CALLS TAM►ICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Applicant:
BUILDING & SAFETY DEPARTMENT
or Engineer.
.. . .. ..
- ftlr
BUILDING PERMIT DECLARATIONS
VOICE (760) 7#7-7012
FAX (760) 777-7011
INSPECTIONS (760) 777.7153
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (=rnmeren`cirq with Sockin 7000) of Division 3 of to Business and I'MiessionaK
ode � Uodrs &A broe and effect.License �Li mm No.
OWNER4WILDER DECLARATION
I hereby atfirrn under penalty Of perjury that I Wn exempt Iom this Cotractois' Stab License Law for the fobwkv reason (Sec 7031.5. Business and Professions Coda: Any
dty a cowry tthat requires s pemdt b oonstrmrcl aper. Yrpovs, dernoist>, or repair any strhrctrm prior bits issuance. also requires the applicant for ria permit to fie a wgrad
suwnent that he or she Is ioarsod pursuant to the provisions of the Cantracare State License Law (Chapter 9 (commendng with Section 7000) of Division 3 of the Business
and Professions Code) or that he or she Is s>oenpt theratonn and the basis for the Moped axernpticn. Any violation of Section 7031.5 by any sppkwt for a permit subjects
Via eppicant a a civt penally of not more than Ove hundred Job -
U Las owner of the property. or my employees with wages as their sole compensation will do the work, and the structure Is not intended or ollm for sale (Sec 7044, .
Business and Professions Code: The Contractors! Stab License taw does not apply to an owner d property who builds or improves therewn. and who does the work
himself or herself or trough his or her own employees, provided that the improvements am not inI P It or offered for sale. If. however. the bul&V or improvement is
sold within one year of completion, the ow m-Wiilder will have the burden d proving that he or she did not build or improve for the purpose of sale.).
(..) L "owner of the property. am exclusively contracting with licensed contractors a construct the project (Sec 7044. Business and Professions Code: The contractors'
State License Law does not apply to an owner of property who builds cc improves thereon, and who contracts lex the projects with a caNracton{s) licensed pursuant to
the ContracarV State License Law.).
U I am exempt oder Sec . BA P.C. for this mason
Date-
WORKERS'
ab
WORKERS' COMPENSATION DECLARATION
1 hereby aftm undo penalty at perjury one of the following declarations:
I have and will maintain a certificate of consent a self -Insure for workers' canpensation, as provided for by Section 3700 of the Labor Code. forts performacm
�[ of t►e work which this pet., Is issued.
�n I have and coli 'rdain workers' compensation insurance, as required by Section 3700 d the Labor Code, for the performance of the work ler which this permit is
' lotion carrier and policy number am:
1 h the pefompnoe the work ler which this permit is issued. I shall not employ any person in any manner so as to become subject b to workeK
W" of California, and spree that. If 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, l shat
kxtlr*Mh oompty with those provisions.
M
WARNWG: FAILURE TO SECURE WORKERS' C MP5t2 TION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND LLOM (1100.000). IN ADORION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR W
SECTION 3706 OF THE LABOR CODE. INTEREST. AND ATTORNEYS FEES. .
CONSTRUCTION LENDING AGENCY
1 hereby affirm under penalty of perjury that two is a construction lenmdrg ape cy for the pertan armce of the work for which this permit is issued (Sec. 3097. Civ. C.).
Lendees Name
Lenders Address
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby mode to the Director of Building and Safety ler a permit subject to the corrfikins and restrictions set forth on tis application.
1. Each person upon whose behalf this application is made, each person at whose request and tar wtr>se beneM work is performed oder or pursuant a any permit
Issued as a result of this application. the owner. and the applicant, each apmes to. and shall, defend. indemnity and hold harmless the City of Le Quin", Its
officers. agents and employees for any act or omission related to the wok being performed under or following issuance of this permit.
2. Any permit iuued as s msW of Vfs appicafion becomes null and void If work is not commenced within 160 days from date of issuance of such pen, or
cessation of work ler 160 days will subject perm to cancellation.
1 certify that i have road this application and state that the above information Is correct 1 agree to comply with ant city and county ordinances and state laws relstinq a building
construction, and hereby authorize representatives of this ooumty to eller upon the above~boned property for inspection purposes.
�� rgnature (Applicant or AGent):
Application Number . . . . . 04-00003484
Page 2
Date 4/23/04
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
4374.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
153.09
730.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
14.60
------------------------------------------------------
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
---------------------------7------------------------------------------------
Permit . . .
. . .
MECHANICAL.
Additional desc
. .
Permit Fee .
. . .
156.50
Plan Check Fee
39.13
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
3.00
9.0000
EA
MECH FURNACE <=100K
27.00
3.00
16.5000.
EA
MECH B/C >3-15HP/>100K-500KBTU
49.50
9.00
6.5000
EA
MECH VENT FAN
58.50
1.00
6.5000
EA
MECH EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit . . .
. . .
PLUMBING
Additional desc
Permit Fee .
. . .
216.00
Plan Check Fee
48.38
Issue Date .
. . .
Valuation . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
24.00
6.0000
EA
PLB FIXTURE
144.00
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
10.00
.7500
EA
PLB GAS PIPE,>=5
7.50
1.00
15.0000
EA
PLB GAS METER
15.00
----------------------------------------------------------------------------
Special Notes
and Comments
SFD - LOT 177
VENTANA-A/4'/CASITA.
n � d
Page - 3
Application Number
04-00003484 Date
4/23/04
----------------------------------------------------------------------------
Special Notes and
Comments
PERMIT DOES NOT INCLUDE
BLOCK
WALLS,
POOL, SPA OR DRIVEWAY
APPROACH
----------------------------------------------------------------------------
Other Fees' . . .
. . . . . .
ART IN PUBLIC PLACES -RES
440.93
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
104.59
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
16.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
50.51
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
----------
Paid Credited
--------------------
Due
Permit Fee Total
2179.19
----------
.00 .00
2179.19
Plan Check Total
1179.03
.00 .00
1179.03
Other Fee Total
3012.03
.00 00
3012.03
Grand Total
6370.25
.00 .00
6370.25
08/30/2004 04:13 FAX 7149212187 ALLIANCE MECHANICAL
INSTALLATION CERTIFICATE
L 11--r o 117-7 ��
I of
[dJ 006
CF -6R
Site Address Sb — 43 �; CI -Co goo PD q2,, Permit Number
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The
information provided on this form is required, however, use of this form to provide the information is optional.) After
completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at
occupancy, per section 10-103(b).
HVAC SYSTEMS:
s; HSS E4arpmdW
Equip, . 11 of Efficiency Duct . Duct or Heating Haig
Type (pkg;. CEC Certified Mfr Name 14e04cel (AFUE, eta)' L archon Piping Load Capatdly
hear vurno) md Moog] Number -.S)mtems O -CF- I R yalucl (attic- etc I It-valu! Mm/hA fflnift)
Cooling Equipment
Equip. CEC eerttfied Compfenoe p of Efficiency Duct Cooling Cooling
Type (pkg. Unit Mfr Name and Identical (SEER, eta)' Location Duct Load Capacity
—Model1 vol 'c et -valuC nyhr
7
1. a reads greater than or equal to_
1, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more
efficient than that specified in the certificate of compliance (Form CF -IR) submitted for compliance with the En&V
Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirernents for
manufactured devices (fro_mAe Appliance Efficiency Regulations or Parc 6� where applicable -
ALLIANCE MECHANICAL HVAC
L$Oarure, Date Installing Subcontractor (Co_ Name) T
OR General Contractor (Co. Name) OR Owner
WATER HEATi G SYSTEMS:
Distribution If Recir• p or Rated- "' "'TEm- External
Heater CEC Certified Mfr Type (Std, culation, Identical Input (kW Volume' cicncy Staodb? Insulation
Type Namc & Model Number Point -0f --Use) Control Type Svstems or Sttubr) (gallons) (EF. RE) Lass (Ye) R -value'
2 For small gas storage (rated input of less than or equal to 75,000 Bt elm), eleer ie resistance and hest pump water hea(ers. list Energy Factor.
For large gas storage water heaters (rated input of greater than 75.000 Btu br). list Recovery Efficiency, Standby Loss and Rated input.
For instantsaeotu gas water heaters, list Recovery Efficiency and Rated Input.
3. R-12 external irisuluion is mandatory forstoragi; v ter ha+tcm with an energy facwrofltss than OSs.
Faucets & Shower Heads:
All faucets and showerheads installed are certified to the Commission, pursuant to Title 24, Part 6, Section 111 _
1, the undersigned, verify that equipment listed above my signature is: 1) the actual equipment installed; 2) equivalent to
or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the
Energy+ Efficiency Standards for residential buildings; and 3) equipment that meets or exceeds the appropriate
requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable.
Signature, Date Installing Subeonuactor (Co. Name) OR
General Contractor (Co. Name) OR Owner
COPY TO- Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
r
Compliance Forms August 2001 A-23
• WES'T'ERN I111r'SULA'T'ION,' L.P.
4211 Lath= Street, Riverside, California 92501
Tel. (951) 686-8760. Fax (951) 686-8786
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:
TRACTIPHASE: MT VIEW CC - VISTAS I PHASE 6
LOT* 177
SITE ADDRESS: 50-835 EL DORADO DRIVE, LA QUINTA, CA
............ -----------------------------------------------------
CEILINGS: BATTS ,
MANUFACTURER: JOHNS MANVILLE THICKNESS: 11" R. VALUE: R-30
EXTERIOR WALLS: BATTS
MANUFACTURER: JOHNS MANVILLE THICKNESS: 6 3/4" R- VALUE: R-19
PLUMBING BAYS: BATTS
MANUFACTURER: JOHNS MANVILLE THICKNESS: 3 1/2" R- VALUE: R-11
GENERAL CONTRACTOR: TOLL BROTHERS, INC.
BY:
TITLE:
DATE:
INSU 10 CONTRACTOR: WESTERN INSULATION, L.P.
LICENS NUMBE
BY:
TITLE: PRO CION KfNAGER
DATE: AU ST 30, 2004
LZ/9Z 39tid N0I1ti-1nSNI NN31S3M 98L8989Z56 LZ :Z0 t�00Z/06/80