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04-3487 (SFD)Bu NG & SAFETY DEPARTMENT P.O. Box 1504 ' D & (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 9225 APR �j ff ��'Igr�tEQUESTS (760) 777-7153 LA QUIN7e, Application Number . . . . . ' 04-000-0"348.7__ Date 4/27/04 Property Address . . . . 51641 EL DORADO DR APN: 772-250-996-171 -31349 - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application-- valuation.:. .311768 Owner TOLL CA V C/O KEVIN D DUERMIT 8.901 E MOUNTAIN VIEW 2.00 SCOTTSDALE AZ 85258 Contractor ------------------------ TOLL BROS, INC. 73.121 FRED WARING DRIVE, #100 PALM DESERT CA 92260 Qty Unit Charge Per Extension 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/CONG <='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.x'5. 0 0 NUMBER OF UNITS .1.00 FIRST FLOOR SQ FTG 3612.00. ------------------------------------------- Permit --------------------------------- BUILDING PERMIT Additional desc Permit Fee 1381.50 Plan Check Fee 897.98 Issue Date Valuation 311768 Qty Unit Charge Per. Extension BASE FEE 639.50 212.00 3.5000 THOU BLDG 100,001-500,000 742.00 -----------------------------------------------------------------------_---- Permit . . . . . ELEC-NEW RESIDENTIAL Additional desc . Permit. -Fee 1.55.84 Plan Check Fee 38.96 Issue Date, Valuation 0 Qty Unit Charge Per Extension P.O. BOX 1504I4 CE VOICE (760) 777-70J2 7E-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: Applicant: Applicant's Maif'Ing Address: l Architect or Engineer: Architect or Engineer's Address: Lic. No.. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty Of perjury that 1 am kensed under provisions of Chapter 9 (commencing with section 7000) *(Division 3 of to Business and Piolessionsis CodeLicen. my License Lip 6A bice and allied No. � 7 7 61 11 Dal. 4/ `� 8 ` yContraaor ! o / I 14 r'D OWNER-BULDER DECLARATION 1 hereby afar under penalty of perjury that 1 am exampt from to Contractors• State License Law for time Foltowiq reason (Sec. 7031.5. Business and Professions Coag Any dty or oou ty Int m*XM a PM* b CWWb%CL aper. kMrOW, dW,KML or repair cern aftL1Ch . prix' b b WVAVlca. also requires to applicant for to psmnitb tis a signed staAe w tot he or she is Icarmae j pusuamt to to provisions of the Contractee' Stab Lim" Law (Chopbr 9 (eormnentximg with Section 7000) of Division 3 at to Business and Prolessions Code) or that he or she is exempt u motor. and the basis for 9n alteged water ptiat. Any violation of Section 7031.5 by any appfrnnt ter a Pan* subjects the applicant boo cM penalty of not more ter fve hundred dofans (5500).): U 1. as owner of to property. or my employeas with wages as their sole corpensaion. wii do to wak and the structure Is not idended or otlered for sale (Sec 7064. Business and Professions Code: The Conbsclons' Stab License Law does not apply b an owner of property who builds or improves tereon. and who doss the work hhir set or henaeil or trough his Or her own employees, provided Mat the kf p vmnmft ane not intended or afted for sale. It, however. eine 1u115 n or improvement is sold within one year d commpletion the owner4ulder wi have Mme buten d proving Mat he or she did not build or improve for" purpose of sale.). U4 as owner d to property. an exclusively oonYang n with licensed contractors to construct the project (Sec 7044. Business and Professions Code: Thhe Conlraclors' Stab License Law does not apply b an owns of property who bolds at improves tenor. and who contracts fa the projects with a contractw(s) ticensed p rsuaM to the Contractors' State License Law.). U 1 am exempt under Sec . BA P.C. for this reason► Dab Owner WORKERS' COMPENSATION DECLARATION 1 hereby alfrm under penalty d perjury one of to following declarations: I have and will malntaih a certificate of consent to sellinsue for workers' conhpersalim as provided for by Section 3700 of the tabor Code, for the performance of the work for wfich this permit is Issued- - I have and will maintain wo*W compensation insurance. as required by Section 3700 d to Labor Code. fa the performance of the work for whid Mrs per" Is issued. My opmpensation insurance carrier and agcy number �e Carrier �Oe,4 1 * fiCk fit ,I 10 Poky Number i t%a4 �..6 u IS: 60 t4 I cftfy May in the pedornance of to work for which this permit is issued. I shall not employ, any person in any manner so as to become subject b the workers' con W13880n laws of California. and agree that, if 1 should beconhe subject to to workers' compensation provisions of section 3700 of to Labor Code. l shah brthwiMh comply with those provisions. WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CN0. FINES UP TO ONE HUNDRED TMO )SAW DOLLARS ($100.ODO). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE MEREST. AND ATTORNEY'S FEES. . CONSTRUCTION LENDING AGENCY 1 hereby affirm under penalty of perjury tot two is a construction landing agency for to performance of the work for which this permit is issued (Sec. 3097. Civ. C.). Lenders Name Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application Is hereby made b the Director of Building and Safety for a permit subject to to conditions and restrictions set forth on this appicaion. 1. Each person upon whose behalf Itis application Is made, each person at wthose request and for whose benefit work Is performed under at pursuant b any permit Issued as •exult Of tins application, the owner. and Mo applicant, each agrees to, and shall. defend. indemnify and hold hamNess the City of Le Quints. Its drams. agents and employees for any act or omission rotated to the work being performed under or following issuance of this permit 2. Any permit Issued "a result of this application becomes malt and void lt work is not commenced within 150 d4ys from date d issuance Of such Perrhil Or cessation of work for 160 days will object permit to cancellation. 1 cm* that I have read this application and state that the above information is correct 1 agree to comply with aI city and county ordinances and state laws relating to balding construction, and hereby strop to representatives of this coxmty to anter upon to above-rnenbored property ter inspection purposes. Date <!' eZ A — 0 4 f Signature (Applicant or Agent): f�'� Page 2 Application Number . . . . . 04-00003487 Date 4/27/04 Qty Unit Charge Per Extension. BASE FEE 15.00 3612.00 .0350 EL EC NEW RES - 1 OR 2 FAMILY 126.42 721.00 .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 . . . . 169.50 Plan Check Fee 42.38 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 11.0.0 6.5000 EA MECH VENT FAN 71.50 1.00 6.5000 EA MECH-EXHAUST HOOD 6.50 ------------------ ----------------------------------------------------------- Permit . . . . . PLUMBING Additional desc Permit Fee . . . . 225.75 Plan Check Fee 56.44 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 26.00 6.0000. EA PLB FIXTURE 15 6.0.0 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 .7500 EA PLB GAS PIPE >=5 5.25 1.00 15.0000 EA PLB GAS METER 15.00 ----=----------------------------------------------------------------------- Special Notes and Comments' SFD LOT 171 PLAN 3612. PERMIT DOES NOT . Page 3 Application Number . . . 04-00003487 Date 4/27/04 Special Notes and Comments INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. Other Fees ART IN PUBLIC PLACES -RES 279.42 DIF COMMUNITY.CENTERS-RES 97..00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE .89.80 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 31.17 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged' Paid Credited Due Permit Fee Total 1947.59 .00 .00 1947.59 Plan Check Total 1035.76 .00 .00 1035.76 Other Fee Total 2805.39 .00 .00 2805.39 Grand Total 5788.74 .00. .00 5788.74