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04-3517 (SFD)BUILDING & SAFETY DEPARTMENT P.O. Box 1504 [PUIA Qa (760) 777-7012 78-495 CALLE TAMPI FAX (760) 777-7011 LA QUINTAL CALIFOR 9224OR 3 0 20MSr�� TION REQUESTS (760) 777-7153 Application Number . . . . . •04-000-03517__= Date 4/27/04 Property Address . . . . . 51753 ELDORADO DR APN: 772-250-996-167 -31349 - Application description . . . •DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application valuation . . . . '.311768 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:. WA264DO04723ol b9/01/04 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 FTG 435..00 NUMBER OF UNITS 1.0.0 FIRST FLOOR SQ FTG 3612.00 -------=--------------------------------------------------------------------- Permit- BUILDING PERMIT. Additional desc Permit Fee 1381.50 P1an'Check Fee 224.50 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 155.84 Plan Check Fee 9.74 Issue Date-. Valuation 0 Qty Unit Charge Per Extension P.Q. BOX 15044 �� VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: % Date: Applicant: Applicant's Mailing Address: Architect or Engineer. Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby a1Grm under penalty of perjixy to I am licensed under provisions of Chapter 9 (commencing; with Section 7000) of Division 3 of fro Business and Prokssionofs Code. and Class sss in Iw force and effect License No. 7 7 6 Cl Dab L- 8- d 4 Contrhtctor I o t 1 I r o S OWHER$UILDER DECLARATION I hereby affxmmh under penalty of perjixy rill I am arherpt from live Cm*acbis' State License Law for the following reason (Sec. 7031.6. Business and Pwlsssbru Coda: Any pity or caxMy that requires a permit b ConWumx alter. lrmipn ave. denhoisth, or repok any taructnxe, prior 10 its issuance. also requires the oppicart for the pentyl b fie a sipped stater that he arshe isicansed punwant b rie provisions d ria Cw*acWW Stab License Law (Chapter 9 (corm encirp with Section 7000) d Division 3 d rie Business and Professions Code) or that he or she Is exempt rieref . and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a Vomit subjects One appicant to a Cavi penally d not mac than fire 1 u eked dais- (5500).1 U I. as owner of to property. or my employees with wages as Oak sob comporsatim will do the work and the stnrctue le not intended or 04101ed Ion sale (Sec. 7044. Business and Prefessions Code: The Contr.cb-' State License Low does not apply to an owner of property who builds or improves thereon. and who does to work himse0 or herself or through his or her awn en Vk yeas. provided that One improvements aro not imlended or oft for sale. it. however. the I A 5' of inVrovemennt is sold within one year of comple'in n►, the owner-buWar will have the burden of proving that he or she did net build or improve br the purpose d sate.). (,-) t. as owner d Iva pmogerty, am ehodu:;vey oontraetimg with ioerhsed Contract- b construct the pmojecx (Sec 7044. Business .rd Piofessias Code: The COrhtracto-' State License Law does not apply b an owner*( property who builds or improves thereon, and who contracts for the projects with s 0ontracto (s) licensed pursuant b the CorntradoW State License Law.). U I am exempt under Sec . BA P.C. for this mason Date girrmher WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the bMowirq declarations: _ I have and will maintain a certificate of Consent to sell4 sue ter works-' coupe satim as provided for by Section 3700 of the Labor Code. for the performance of the work for which this permit Is issued. I have and will maintain works-' compensation insurance. as required by Section 3700 a the Labor Code. for the performance of the work for vrhid this permit is issued. My woA�-' oompensaypn Msmxsnoe carter and number are: Carrier t? D Q o► 1 i! ;'fret � %I 1 tl T15arKY Nw"nbce jt a 4.I % X -so I ICNtY that, in the pedonance of the work for which On permit is issued. I shall not employ any person in any manner s0 as to become eubjed to the workeW � y Oat, If 1 shouW become subject b the wod;es' commposation provisions of section 3700 of the tabor Code, l shall with those provisions. Date V• a =O y Applicant A" 1 h-%--- WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU5JWD DOLLARS (5100.000). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. MEREST. AND ATTORNEYS FEES. . CONSTRUCTION LENDING AGENCY 1 hereby affirm ander penally of perjury Oat there los a Construction tending agency for the performance of the work for which this peril is issued (Sec. 3097. Civ. C.). Ledets Name Lenders Address IMPORTANT Application Is APPLICANT ACKNOWLEDGEMENT hereby mode to One Daocbr d Building and Safely for a permit subject to the conditioms and restrictions set brth on Oft application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose bemk wok is perlomned under or pu-uanl b any permit Issued Be a null d this appication, the owner. and the applicant, each agrees to, and shall, defend. kxk mwWy and hold harmless mless the City of La ouids. Its Officers. agents and employees for any act or omission related to the work being performed under or following issuance of Otis pemdl 2. Any permit issued as s result d this appicabm bom. null and void if work is not comenenced within 100 days from date of issuance of such per., or cessation of work ter 180 days will subject permit to cancellation. 1 certify that I have read this application and state that the above Information is correct .199. b comply withal city and county ordinances and state laws reiaiirg to building construclioh, and hereby authorize representatives aloft county 10 enter upon the a -mentioned property for inspection Ids• Date L/ ' e2 8^ O ySout re (Applicant or Agent): i Page 2 Application Number . . . . . 04-00003517 Date 4/27/04 Qty Unit Charge. Per Extension BASE FEE 15.00 3612.00 .0350 ELEC 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 10.60 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 11.00 6.5000 EA MECH VENT FAN 71.50 1.00 6.5.000 EA MECH EXHAUST HOOD 6.50 ------------------------------------=-----------------------------=--------- Permit . . . . . . PLUMBING Additional desc . Permit Fee 225.75 Plan Check Fee 14..11 Issue Date Valuation . . . . '0 Qty Unit Charge Per Extension BASE FEE 15.00 26.00 6.0000 EA PLB FIXTURE 156.00 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 167 PLAN 3612. PERMIT DOES NOT Page 3 Application Number . . . . . ------------------------------------------- 04-00003517 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 279.42 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 22.45 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 7 1947.59 Plan Check Total 258.95 .00 .00 258.95 Other Fee.Tota. 2738.04 .00 .00 27.38.04 Grand Total 4944.58 .00 .00 4944.58