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04-3514 (SFD)V BUILDING & SAFETY DEPARTMENT P.O. Box 1504 n (760) 777-7012 78-495 CALLS TAMPICO � FAX (760) 777-7011 LA UINTA CALIFORNIA ! 1 Q x`22 3 A�� 3 NFC U N REQUESTS (760) 777-7153 BUI Application Number . . . . . ' 04 4:0-0.003E1.4__.. Date 4/27/04 Property Address . . . . 51725 EL DORADO DO DR APN: 772-250-996-168 -31349 - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL ..Application valuation.. . . . .292255 Owner Contractor ------------------------- TOLL CA V ------------------------ TOLL BROS, INC. C/O KEVIN D DUERMIT 73.121 FRED WARING DRIVE, #100 8901 E MOUNTAIN VIEW 2.00 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' 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 213.69 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 9.19 Issue Date. . . . . Valuation 0 Qty Unit Charge Per Extension P.O. BOX 1504 s VOICE (760) 777-7`imii2 78-495 CALLE TAM►ICO 4 QUWCV FAX ( )760 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number © — Date: Applicant: Applicant's Mailing Address:n Arc itect or Engineer. Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby afbrm ur4w ppwwky of perjury that I em licensed under pmrvWom of ChwW 9 (comneraihp wph section 7000) or Division 3 of Me Business and Professionals CodeLicense and Lice 1 J in MI force and effect License No. 7 J 6 Ci Dab L,l ag-O�/Contractor OWNER4WLDER DECLARATION I hereby affn. under penally of perjury that Ism exempt from Oe Contractors' Stab license Law for the foMovrig reason (Ser. 7031.5. Business and Professions Code: Any city or county that requires a permit to rommst ucL atter. improve, demoisk or repair any streckm prior to les issuance. also requires to applicant for to permit b fie a sigred Guts. mt Out he or she is licensed pursuant to the provisions of Me Contractors' Stab License Lew (Chapbr 9 (commencing with Section 7000) of Division 3 of to Business and Professions Code) orthat he or she is exempt therefrom and the baso for the Moped exemmptiorh Any violation of Section 7031.5 by" applicant bra perk subjects the applicant to a civil penalty of not more than five hundred dollars ($500).r U 1. as owner of the property. or my employees with wages as their sob compensation, will do to wok and the structure is not imladed or offered for 6816 (SM 7044. Business and Professions C(de: The ContraclomC Stab License Law does not apply to an owner of property who builds or inpmoves thereorm and who does the work himself or herself or through his or ler own employees, provided that the improvements are not ihbnded or offered for sale. It. however, the ung Or VVIPMvememl is sold with one year of completion. the owner-0uider wmLO have "burden of proving that he or she ofd not build a improve for" purpose of sale.) (..) Las owner of I e property. am exclusively contrat4rg with irerhse0 contractors to construct the project (Sec 7044. Business and Professions Code: The Conaacbrs' State License Law does rat apply ban owner of property who builds or improves Oheiw% and who contracts for the projects withiii cont actor(O licensed pursuant b the Contrdebrs' State License Low.). V I am exempt under Ser. B.3 P.C. for this reason Dab Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: —I have and will makdaih a certificate of consent b self -Insure for workers' compensation, as provided for by Section 3700 of the tabor Code, forte performance of the work for whidt ftrs penNt 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 for which this pentyl is issued. My, compensation insurance Carrier and pok_ y number are: Cartier R d 4 y/ v1 rh r t'i 0 Policy Number w 44-,22 - 6 !/ A ay 4 *)A-4 C3 1 _ 1 that, in the performance of the work br which this permit is issued. I shelf not es�pby any person in any manner so as to become PAOd to to woftes' oompens8tion gvvs of Caiformia, and agree that. Y 1 should becorre abject to the workers' compensation provisions of Section 3700 of the Labor Code. l shall forthwith comply with those provisions. Date • U-�� •OY Apprxatht i'VI ; K -Q. /—ole � mac. � . WARNING: 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 (3100.000). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. WrEREST. AND ATTORNEY'S FEES. . CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that Own is a construction lending agency for the performance of the wok for which this pent is issued (Sec 3097. Civ. C.). Lendees Name Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application Is hereby made to the Dieeelor of Building and Safety for a permit subject to the conditions and restrictions set -forth on Oils spprrcarXM I. Each person upon whose behalf this application is made. each person at whose request and for wtare benefit work is performed under or pursuant to any permit Issued as a result of Oft oppieation, the owner. and the applicant. each agrees to. and shall. defend. indemnify and hold harmless the City of Le Ouku. its offioers. agents and employees for any ad or omission related to the wok being performed under or following Issuance of thq peril 2. Any permit issued as a result of this application becomes nut and void K work is not commented within 160 days from date of issuance of such peril Of cessation of work for 160 days will subject permit to cancelation. 1 certify that i have read this oppicaim and state that the above information is correct I agree to comply with all city and county ordinances and state qac relating to building cormsbuction, and hereby authorize representatives of this county to enter jupon the above-ambened property for Inspection purposes. Date y ` R 8'C y Signature (Apptioant or Agent): / 7 V =i Application Number . . . . . 04-00003514 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 ----------------------------------------------------7----------------------- 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 . . . . 124.50 Plan Check Fee 7.78 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 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 11.44 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 7.500Q 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 ---------------------------------------------------------------------------- Special Notes and Comments SFD LOT 168 PLAN 3412. PERMIT DOES NOT :z Page 3 Application Number. . . . . . 04-00003514 Date 4/27/04 ---------------------------------------------------------------------------- Special Notes and Comments INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. 75% REDUCED PLAN CHECK FEE FOR MULTIPLE ISSUANCE OF SAME PLAN TYPE. ---------------------------------------------------------------------------- Other Fees . . . . . . ... . ART IN PUBLIC PLACES -RES 230.63 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 21.37 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 242.10 .00 .00 242.10 Other Fee Total 2686.22 .00 .00 2686.22 Grand Total 4712.80 .00 .00 4712.80