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04-5332 (SFD)r P.O. Box 1504 78-495 CALLE T•AMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760),777-7012 FAX (760) 771-7011 INSPECTION REQUESTS (760) 777-7153 Application Number 04-0.0005332 Date 7/01/04 Property Address .. . . . . . 51445 EL DORADO DR. APN: 772-250-996-178 -31349 - Application description "... DWELLING— SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application valuation 333037 OWne.r Contractor TOLL CA V TOLL BROS,. INC. C/O KEVIN. D.DUERMIT7.3121 FRED WARING DRIVE, #1.00 890:1:.E. MOUNTAIN VIEW. .200. .PALM ,DESERT CA .9226.0 SCOTTS`DALE AZ. 85258 WCC: LIBERTY MUTUAL WC: WA26D0.04723013 '.09/01/04 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 F"IRE SPRINKLERS..: NO GARAGE SQ FTG 752.00 PATIO SQ FTG 561.00 NUMBER OF..UNITS 1.00 FIRST FLOOR SQ FTG 3847.00 Permit BUILDING PERMIT Additional desc ..Permit.Fee 14.58.5Q Pl.an..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 4�Gc�� VOICE (760) 777-7012 78-495 CALLE TAMPIC6 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: © .3 3 Z Date: 8 _U Applicant: [--JVchitec� or Engineer: n Applicant's Mailing Address: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm urhder malty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals, Code, and my Ltcen sin full force and efeci 177 6V - /ITceihse CIas3 �icense No. T 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 pemdt 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 (oarxriencing 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 vlolation 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 irnproverments 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.). L) 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.). .0 I am exempt un6r Sec. . B.& P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: . _ 1 have and willFr tntatn a certificate of consent to selfinsure for workers' compensation, as provided for by Section 3700 of the Labor Code, for it* ,perfomhance of the workwhich this permit is issued.I have and wt. intain workers' compensation insurance, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is ued. ers'coyipenDationjAsurdnce, carrier and policy number are: re iPolicy Number ceAify thilt. III the perfomha ce 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' comps 'on 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 forlf n+ comply with those provi Datek_�ff_Applicsnt WARNI G: 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. 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 V C 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. i. 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 tl)e work being performed under or following issuance of this permit 2. Any penM 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. 1 agree to comply with all city and county ordinances and state laws relating to building constructi n, and/h,ereby authorize.representatives of this county to einter, the above-mentioned property for inspection purposes. Signature (Applicant or Agent): Jp Page 2 Application Number . . . . . 04-00005332 Date 7/01/04 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 ------------------------------------------------------------------------------ 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 SFD - LOT 178, MIRAMONTE-A. PERMIT DOES e Page 3 Application Number . . . . . 04-00005332 Date 7/01/04 ---------------------------------------------------------------------------- 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