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04-3486 (SFD)7 ING & SAFETY DEPARTMENT P.O. BOX 1504cITYCF��c�yTA (760) 777-7012 78-495 CALLS TAMPICO FIBdAMCE1�E�7 FAX (760) 777-7011 LA QUINTAL CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT . Application Number . . . . . '04-000.03486 Date 4/27/04 Property Address . . . . 51613 EL DORADO DR APN: 772-250-996-172 -31349 - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application valuation. 292255 Owner ------------------------- TOLL CA V C/O KEVIN D DUERMIT 8901 E MOUNTAIN VIEW 2.00 SCOTTSDALE AZ 85258 Contractor ------------------------ TOLL BROS, INC. 73.121 FRED WARING DRIVE, #100 PALM DESERT CA 92260 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 628.00 PATIO SQ FTG 320.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 3412.00 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc.. Permit Fee 1315.00 Plan Check Fee 854.75 Issue Date Valuation ..292255 Qty Unit Charge Per, Extension BASE FEE 639.50 193.00 3.5000 THOU BLDG 100,001-500,000 675.50 ---------------------------------------------------------------------------- Permit . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 1.46.98 Plan Check Fee 36.75 Issue Date. Valuation . . .'. 0 Qty Unit Charge Per Extension P.O. BOX 1504a �� VOICE (760) 777-70112 78.495 CALLE TAMPICO FAX (760) 777-7011% LA QUINTA. CALIFORNIA 92233 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 041 aVf6 Date: Applicant: Applicant's Mailing Address: Arottdect or Engineer. Architect or Engineer's Address: Lic. No. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby ahem under penalty d perjury I W I am ficensed under provisions of Chapter 9 (commencing with section 7000) d Division 3 of the Business and Professionals Code. and my License is in fug force and elect License Cissa License No. Date Contracxor OWNER414JILDER DECLARATION I hereby alum under penally of perjury bet I am errernpI from lis Contractors' Stab License Low for the k4owing mason (Sec 7031.6. Business and Prdessions Cods: Any City Of county list laquires a permit b =VdrUC , after, bmprwe. Nanoid Of repair any sbuctune. prior b Ns issuarwce. also requires ha applicant for the permit b tis a signed statement lest he or she Is kenaed pursuant to be provisions of the ContraebW State License Law (Chapbr 9 (commencing with Section 7000) of Division 3 of to Business and Professions Code) or lest hear she le exempt I metremh and the basis for be *Gaged exa mpticn. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty d not more than five hundred doom 0=).y U 1. as owner d the property. army employees wile wages as III* sob compensation, w1 dobe wait. and the structure is not Intended or uttered for sale (Sec. 7044, Business and Profession Code: The Contractors' Stab License Low does not apply to an owner of property who builds or improves hereon, and who doss he work himself or herself or through his or her own ermpbyees, provided that the knprovemerks are not Intended or cflai for safe. lf. hmoweper, the bWdrg a improvernerml is sold within one year d oompbtiorr, the ownsr4 milder willhave the burden d proving that he or she dd not brill or improve br the purposed sob.} (..) Las owner a be property. am exclusively conbacb wNh ioensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State Lkense Low does not apply to an owner of property who builds or improves thereon, and who contracts ler the projects with s conbadw js) ioera ed pursuant to he Contractors' State license Law.). U 1 am exempt under Sec . S.& 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 will maintain a certificate of consent to sel4nsure ler workers' compensation, as provided for by Section 3700 of the Labor Code. ler the performance d the work for which this permit is issued -,_ I have and will maintain workers' compensation' — nee. as required by section 3700 of the Labor Code. for the performance of the work for which Otis permit Is issued. Arty wwwkeW compensation insurance carrier and policy number are: Cartier Poky Number I certify hal into performance d be work ler which Otis permitis issued. I shallnot employ any person len any mannerso its b become aut*d b be workers' cortmpesstion laws of California, and agree hal l 1 should became subject b Oro workers' commpersation prow"m d Section 3700 Otte Labor Code. I OM forthwith comply with those provisions. Date Appfiearhf WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES LIP TO ONE HUNDRED THOUSAND DOLLARS (1100.000). 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 1 hereby affirm under penalty of perjury bat here is a cortsbuction lending agency for the performance d he work for whmict► his Permit is issued (Sec. 3097. Civ. C.). Lender's Name Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application Is hereby made to the Direebr of Building and Safety lor a permit subject to the conditions and restrictions set forth on lis oppicaion. 1. Each person upon whose behalf lis application is made, each person at whose request and for whose benefit work is performed oder or pursuarM to any permit issued as a result of this application, the owner. and be appksnL each sprees to, and shall, defend. kwlertnify and hold harmless the City d Le Ouknts. its 011110M agents and employees for any NO or omission related to the work being performed under or fc5owwV issuance of this permit 2- Any permit issued as a result of this application becomes nut and void N work is not commenced within 180 days from date d issuance of such Pen, or cessation of work for 160 days will subject permit to cancellation. 1 certify that I have read this appicatiorn and state that the above intormation Is correct I agree to comply with at city and county ordinances and state taws rotating to building corsbuc tion, and hereby authort:a representatives of this county to enter upon the above-mentioned property for inspection purposes. Date Signature (Applicant or Agent): Application Number . . . . . 04-00003486 Page 2 Date 4/27/04 Qty Unit Charge Per Extension BASE FEE 15.00 3412.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 119.42 628.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.56 ---------------------------------------------------------------------------- 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 . . . . 124.50 Plan Check Fee 31.13 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=10.OK 18.00 2.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 33.00 8.00 6.5000 EA MECH VENT FAN 52.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 --------------------------------------- Permit . . . . . . PLUMBING -------------------------- ----------- Additional desc Permit Fee . . . . 183.00 Plan Check Fee 45.75 Issue Date . . . . Valuation . . . . 0 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 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 1.0.0 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD LOT 172 PLAN 3412. PERMIT DOES NOT Page 3 Application Number . . . . . 04-00003486 Date 4/27/04 ---------------------------------------------------------------------------- Special Notes and Comments INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. --------------=------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 230.63 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 85.48 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 29.22 DIF STREET MAINT FAC -RES 15.00. DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged ---------- Paid Credited ------------------------------ Due Permit Fee Total 1784.48 .00 .00 1784.48 Plan Check Total 968.38 .00 .00 968.38 Other Fee Total 2750.33 .00 .00 2750.33 Grand Total 5503.19 .00 .00 5503.19