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04-3511 (SFD)LDING & SAFETY DEPARTMENT P.O. Box •1504 t53 (760) 777-7012 78-495 CALLE TAMPICOPR 3 01 �1` FAX (760) 777-7011 LA QUINTA, CALIFORNIA WAECjT N REQUESTS (760) 777-7153 BUI CITY OF LA G UINTA I - Application Number -04'-00"003511 Date 4/27/04 Property Address . . . . 51t69 -EL DORADO DR APN: 772-250-996-170 -31349 - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application valuation.. 285347 .Owner Contractor TOLL CA V TOLL BROS, INC. C/O KEVIN D DUERMIT 73121 FRED WARING DRIVE, #100 8901E MOUNTAIN VIEW 200 - PALM DESERT CA 92.260 SCOTTSDALE AZ 85258 WCC: ROGAL & HAMILTO WC: WA264D00472301 09/01/04 CSLB: 777699 04/30/06 CCC: B -------------------------- Structure Information ----------7-------------- 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 FTG435.00 - NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 3285.00 Permit BUILDING PERMIT ..Additional desc . Permit Fee 1290.50 Plan Check Fee 209.71 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 P1anChe_c.k_Eee_.—. 9._03_..._ Issue Date Valuation 0 Qty Unit Charge Per Extension P.O. Box 1504 • ��rcu VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA. CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: Applicant: Architect or Engineer. Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S OECLARAr" 1 hereby affirm under penally ofperjury trot 1 em licensed under pnov4ions of ChxAw 9 (eoreeaneihp with Sec`on 7000) of Division 3 of to Business and Professionals License paw tut face and eliect No. Date • 41 bt8 "C �/Contr,ceor %?� < ( r• O 5 OWNERAIUILDER DECLARATION 1 hereby abohm under penaky of perjury that 1 am exempt from the Contr eckxs' Sale License Law for" iokmb reason (Sec. 7031.5. Business and Proaiessior s Coda: Any city or county dist requires a permit b construct. other. Irpove, demolish, or repair sny dnick e, prior b ks "mnm Wso requires the appG=M for the permit b Ne o sipped solo. ht drat he or she Is ironed pursuantlo to provisions offt Contrsclons' Stab I" F Law Poplar 9 (commencing with Section 7000) of Division 3 Otto Business and Professions Code) or that he or she Is exempt Imehonn and the basis ler the staged exemption. Any violation of Section 7031.6 by any applicant for a periit subjects the applicant to a cavi penalty of not mom than live hundred nfotars (OW).): (, 1. as owner of the property. or my ernployees with wages as their sob compensation, will do to work and the structure Is not Irhtohded or offered ler sale (Sec. 7044. Business and Professions Code: The ContrecloW stab License Low does not appy to on owner of property who builds or improves thereom, and who does t e work himself or herself or trough his or her own employees, provided that the improvements aro not i Blended or offered for sale. If. however. the 1, - I hp or irtprovernent is sold within one year of completion, the owner -builder will have the burden of pioveV tot he or she did not build or improve ler the purpose of sale-). mU Las owner d ria property. am exclusively oorntracth with icensed contractors b construct the project (Sec. 7044. Business and Professions Code: The Cawsctors' State License Law does not apply to an owner of property who builds or improves tweim% and who contracts for the projects with a eontrsclor(s) ficensed pursuantb the Contractors' State License Law.). L) I am exempt ander Sec . BA P.C. ler this reaSOrl Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consort to sell -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code. ler to performance of the work for which this per.. 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 ler which this permit Is Issued ' corrpahsation insurance carier arhQ policy number ase: Cornier /� 6 c. q �4 1fA . 1 4 tPoicY Numhber !�/ r4 y 00 �/ 7 X's O —I that, in the paten ance of the work ler which this permit is issued. 1 stall not�erraploy any person in any manner so as b become subject b the workers ccx. x u6w taws of Caikxnia, wo agree tat, Y 1 shouldco beme subject b two workers' compensation provisions of Section 3700 of the Labor Code. I shot lorthwith comply with those provisions- . Date • a L 192 8.0C/ Appiamt APM % le ti Pot 1 t, �e WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HONORED THOUSA W DOLLARS ($100.000). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE. INTEREST. AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY 1 hereby affirm under penalty of perjury that two is a construction lending agency for the performance o(dwe work ler which tis permit is issued (Sec 3097. Civ. C.). Leaders Name Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Appicatim Is hereby made b the Director of Budding and Safety ler a permit subjod b the tonhaws and restrictions set forth on this appicatim t. Each person upon whose behalf this application is made, each person at wtwse request and for whose benefit work Is performed under or pursuant b any Pam* Issued as a result of this application, the owner. and the appiaM, each agrees b. and that, defend. kKkmw ify and hold hammless the City of La Ouints. its officers. agents and employees for any ad or omission related to the work being podarned under or following issuance of tills permit 2. Any permit Issued as* result of this application becomes nut and void If work is not eomrnenoed wft,in 160 days Iron date of issuance of such parulL or cessation ot work ler 180 days will subject permit b cancellation. 1 certify that I have read this application and stale tat the above Information Is cored 1 agree b comply with st city and county ordinances and state laws relating b bukling construction, and hereby authorize representatives of this county to enter upon the above-amboned property for inspection purposes. Date 4'% 'y'� L/ Signature (Applicant or Agent). ' i r Application Number 04-00003511 Page 2 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 8.60 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 --------------------------.-------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . Permit Fee . . . 207.75 Plan Check Fee 12.99 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 .7500 EA PLB GAS PIPE >=5 5.25 1.00 15..0000 EA PLB GAS METER 15.00 ----------------------------- Special Notes ------------------------------------------------ and Comments' SFD LOT 170 PLAN 3285. PERMIT DOES NOT Page 3 Application -Number .. 04-00003511 Date 4/27/04 --------------------------------------------- Special Notes and Comments ------------------------------- INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. 75`s PLAN CHECK REDUCTION APPLIED FOR MULTIPLE ISSUANCE OF SAME PLAN TYPE. -----------------------------------------------------------------'----------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 213.36 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES' 366.00 ENERGY REVIEW FEE 20.97 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 --------=- Paid Credited Due Permit Fee -Total 1795.15 ---------- ---------- - .00 .00 -------- 1795.15 Plan Check Total 240.33 .00 .00 240.33 Other Fee Total 2667.86 ..00 .00 2667.86 Grand Total 4703.34 .00 .00 4703.34