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04-3485 (SFD)ir H APR 3.0 2004 10BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 1 (760) 777-7012 78-495 CALLE TAMP! O CITY OF LAQUINTA FINANCE DEPT FAX (760) Z77-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . •04-00003485! Date 4/27/04 Property Address . . . . 51585 EL DORADO DR APN: 772=250-996-173 -31349 - Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning ... . . . LOW DENSITY RESIDENTIAL .Application valuation.. 285347 Owner Contractor TOLL CA V TOLL BROS, INC. CIO KEVIN D DUERMIT 73.121 FRED WARING DRIVE, #100 8901 E MOUNTAIN VIEW 200 PALM DESERT CA 92260 SCOTTSDALE AZ 85258 WCC: ROGAL & HAMILTO WC: WA264DO0472301 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 FIRE SPRINKLERS NO GARAGE SQ FTG 721.00 PATIO SQ FTG 4.35.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 3285.00 -------=--------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 1290.50 Plan Check Fee 838.83 Issue.Date Valuation 285347 Qty Unit Charge Per. Extension BASE FEE 639.50 186.00 3.5000 THOU BLDG 100,001-500,000 651.00 ----------------------------------------------------------------------------- Permit . . . . . ELEC-NEW RESIDENTIAL Additional.desc Permit. Fee 144.40 Plan Check Fee 36.10 Issue Date. . . . . Valuation 0 Qty Unit Charge Per Extension P.O. BOX 1504 VOICE (760) 771-7012 7E-495 CALLS TAMPICO FAX (760) 777-701,11 LA QUINTA. CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: — E5q&5 Date: Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perry that I am licensed under provisions of Chapter 9 (owwr encirg with section 7000) of Division a of to Business and Professionals L.icerm and Lbersa js in lull force and eBect I ioenss No. Contracla lot( r o S. OWNER -BUILDER DECLARATION I hereby affirm under pen *y d perjury that I wn x v ipt from the Cw*ocboiV Shit Limes Law for the fogonrlg reason (Sec 703,.5. Business and Pmfessbns Coda: Any city or oourriy hist requires a permit b anst,ucL attar, krprove. dernAs!>, a ro0air arty strudua prior to Its isswrux. also requires the appianl for She t b W s signed swimmad that to or of ne is licensed pursuant b the provisions of the Contrackwe State 13eerre Law papt r 9 (co mrencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt therafrorh and the basis for the &%aged exemption, Any violation of Section 7031.5 by any oppicant for a permit subjects on applicant too dvl penally d not mac than live hundred Inions (SSW).r U 1, ss ow ner d the property, or my employees with wages as their sob comperuafion• wi do the wok and the structure is not intended or afbred For sale(Sec 7044. Business and Professions Code: The Contractors' Stab License Law does not apply b an owner d property who builds or improves tlroreon. and who does We Work himself or heroW or Crough his or her own employees, provided that the improvements are not intended or afleted for sale. K. howeyer. the bull&V or iripcovement is sold within one year d oomplebon• the owr 4xddw wit have ire burden d proving that he or she did not build or improve for the purpose d sale.). (..) Las owner d the propwty. am oudusiv* aontrsclin with licensed contractors to construct the ta'njoic (sec- 7044. Business and Ptofesslons Code: The Cor*vc b*W State License law does not appy to an owner of property who bulds or improves Itnereorn• end who cunbac is ler the projects with a contract r(s) icensed pursuant to the Contractors! State License Law.). U I am exempt under Sec . BA P.C. for this reason Dafe Owner WORKERS' COMPENSATION DECLARATtc3M I hereby affirm under penalty of perjury one of the folowkV declarations: _ I have and will maintain a certificate of consent to sell4rsure ler wo*eW compensation, as provided for by section 3700 of the Labor Code. for the peAamnance d the work forwhich this pend! k issued. _ I have and will maintain workers' compensation inswanoe. as required by Section 3700 at the Labor Code. for the performance d the wok ler which this permit is issued MX won"' compensation insurance carrier and PAY number are: Cartier }3 a 4 A I `E tt Q oM. h 110 Policy Number 4/ OL a 6 c! &o C cf i 01.3 0 _HoortifyVA in" pw1ormanee of the work ler which this permit is issued. I shall notemploy any person in any manner so as to becomne subject to the workers' oom Mtsetion Was of Caibmia• and agree that, Y I should become subjed to to workers' compensation provisions of Section 3700 of the Labor Code, l shall forthwith cW y with those provisions. Date . T —,�L 8 —0Q Applicant %✓� ; k 'C, (HCl % `4 7 WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UIMWFUL, 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 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY 1 hereby efinm ander penalty d perjury int there is a construction lending agency ler the performance of the work br which On permit is issued (Sec. 3097. Civ. C.). Lenders Name Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Appicabon is hereby mide to the Diroctor of Buldkv and Safety bra 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 bemerd work is performed under or pursuard to any pem * Issued as a result of this appicaior4 the owner. and the appiaml, each sprees to. and shag. defend. Indemnify and hold harmless the City of La Quirts. its drCem. agents and employees for any act or omission related to the work berg performed under or hollowing Issuance of this Permtl 2. Any permit Issued as a result d iris application becomes null and void V work knot commenced within 160 d4ys From dated issuance of such pemdL or cessation d work for 160 days w8 subject permit to cancellation. 1 certify that I haw read this appiatiorn and state drat the above Womwbon is correct I sgee to comply with all city and county ordinanoes and state haws relating b bu ldirg construction, and hereby authorize representatives of this county to order upon the above-mentioned property tor inspection purposes. Data y -,�L d —10q Signature (Apprmant or Agent): `' Page 2 Application Number 04-00003485 Date 4/27/04 Qty Unit Charge Per Extension BASE FEE 15.00 3285.00 .0350 ELEC NEW'RES - 1 OR 2.FAMILY 114.98 721.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.42 -------------------------------- 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 -------------- ------------------------------ Permit . . . . . . MECHANICAL ------------------------------- Additional desc . Permit Fee . . . . 137.50 Plan Check Fee 34.38 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K. 18.00 2.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 33.00 10.00 6.5000 EA MECH VENT FAN 65.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 -------------------------------------------------------------------7-------- Permit . . . . . . PLUMBING Additional.desc'. Permit Fee . . . . 207.75 Plan Check Fee 51.94 Issue Date Valuation 0 ,.Qty Unit Charge Per Extension BASE FEE 15.00 23.00 6.0000 EA PLB FIXTURE 138.00 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 7.00 .75.00 EA PLB GAS PIPE >=5 5.25 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD LOT 173 PLAN 3285. PERMIT -DOES NOT. Fee summary Charged Permit Fee Total 1795.15 Plan Check Total 961.25 Other Fee Total 2730.77 Grand Total 5487.17 Paid Credited Due ---------- ---------- ---------- .00 .00 1795.15 .00 .00 961.25 .00 .00 2730.77 .00 .00 5487.17 Page 3. Application Number 04-00003485 Date 4/27/04 --=-------------------------------- Special Notes and Comments ----------------------------- ------------ INCLUDE'BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. -------------------------------------------------------------------------- Other Fees . . . . . . ART IST PUBLIC PLACES -RES 213.36 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 83.88 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 28.53 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Permit Fee Total 1795.15 Plan Check Total 961.25 Other Fee Total 2730.77 Grand Total 5487.17 Paid Credited Due ---------- ---------- ---------- .00 .00 1795.15 .00 .00 961.25 .00 .00 2730.77 .00 .00 5487.17