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04-6160 (SFD)a P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number . . Property Address . . . APN: Application description Property Zoning . . . . Application valuation . Owner BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX''(760);7�7u7-7011 INSPECTION.-REQUJESTS�(7.60`)-1377-7153 LI l p I Y _ _ -CITY of LA QUINTA 04�000061_60_---,,FINANCED-a°t:e —9/10/04 . . .51`3 61 EL DORADO DR 772-250-996-181 -31349 - . . . DWELLING - SINGLE FAMILY DETACHED . . . LOW DENSITY RESIDENTIAL . . . 333037 TOLL CA V_ C/O KEVIN D DUERMIT 8901 E MOUNTAIN VIEW 200 SCOTTSDALE AZ 85258 Contractor ----------------------- TOLL BROS, INC. . 73121 FRED WARING DRIVE, #100 PALM DESERT CA 92260 Qty Unit Charge Per Extension WCC: LIBERTY MUTUAL WC: WA762DO04723014 09/01/05 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 FIRE SPRINKLERS NO GARAGE SQ FTG 752.00 PATIO SQ FTG 561.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 3847.00 -------------------------------------7-------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 1458.50 Plan Check Fee 948.03 Issue Date . . . . Valuation . . . . 333037 Qty Unit Charge Per Extension BASE FEE 639.50 234.00 3.5000 THOU BLDG 100,001-500,000 819.00 Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 127.50 Plan Check Fee 37.50 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension P.O. Box 1504 • KW VOCE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Offhod Date: O Applicant: J—Archftct or Engineer: /-, _ ,-I Applicant's Mailing Address: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisionsQLGhapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and m Li f I f nd effect. .NEense Class ;cense No. /Date ontractor72!i�L.!_ , ^ D!!3 OWNER -BUILDER DECLARATION 1 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 1, 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' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ,� ue M w ers' c9xpensatio2_tp&aance carrier an pq i; nyg be /"Trier(,( policy Number j/ -"L (Pli I certify 1haf, in the perrorrnkce of the work for whic lfiiis permit is issued, I shall not employ any pers0 n 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 htthose prov' ions. /bate A� pplicant WARN NG: F (LURE 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. 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 construction and hereby authorize representatives of this count o nter upon the ve-mentioned property for inspection purposes. ateignature (Applicant or Agent _1 ro Page 2 .Application Number . . . . . 04-00006160" Date 9/10/04 Qty Unit Charge Per Extension 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 .00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU .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 . . 164.69 Plan Check Fee 41.17 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3847.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY. 134.65 752.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 15.04 ---------------------------------------------------------------------------- Permit . . . ... . PLUMBING Additional desc Permit Fee . . . . 195.00 Plan Check Fee 48.75 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 21.00 6.0000, EA PLB FIXTURE 126.00 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 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 15.0000 EA PLB GAS METER 15.00 ----------------------------7----------------------------------------------- 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 S'FD,:-'.LOT 181, MIRAMONTE-B. PERMIT DOES Page 3 Application Number . . . . . 04-00006160 Date 9/10/04 ---------------------------------------------------------------------------- Special Notes and Comments NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH ---------------------------------------------------------------------------- Other Fees . . ... . . . . . ART IN PUBLIC PLACES -RES 332.59 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 94.80 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 33.30 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1960.69 ---- - ----- ---------- ---------- .00 .00 1960.69 Plan Check Total 1075.45. .00 .00 1075.45 Other Fee Total 2865.69 .00 .00 2865.69 Grand Total 5901.83 .00 .00 5901.83 ,- Certificate of Occupancy C OFBuilding & Safet Department Y a This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code,- certifying that, at the time of issuance, this structure. was ,in compliance with the provisions of the Building Code and the -various ordinances of . the City regulating building construction and/or use. , BUILDING ADDRESS: 51-361 EL DORADO DRIVE Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-6160 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Owner of Building: TOLL BROTHERS INC. Address: 73-121 FRD WARING DRIVE #100 City, ST, ZIP: PALM DESERT, CA 92260 By: STEVE TRAXEL Date: 07-20-2005 Building Official POST IN A CONSPICUOUS PLACE