Loading...
04-3515 (SFD)P.O. Box 1504 UL;= 78-495 CALLS TAMPICO LA QUINTAL CALIFORNIA 9 2,551 F._ -1NAN�t�NW-E•f BUILDING PERMIT cu ING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 REQUESTS (760) 777-7153 Application Number 04-00403'515., Date 4/27/04 Property Address . . . . . 51781 EL DORADO DR APN: 772-250-996-166 -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 200 PALM DESERT CA 92260 SCOTTSDALE AZ 8.5258 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 435.00 NUMBER OF UNITS •1.00 FIRST FLOOR SQ FTG 3612.00 -------------- -------------------------------------------------------------- Permit BUILDING -PERM -IT Additional desc Permit Fee . . 1381.50 Plan 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.O. BOX 1504a QUWCV YOKE (760) 777-7012 7E-495 CALLS TAMPICO FAX (760) 77747011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: Date: Architect or Engineer. Architect or Engineer's Address: Lic. No. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirmunderppeesnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and PiolessionMs CodeLicense and LS in tui force and effect. License No, Dale • ! / � ' V �/ Contractor_ r O 5 OWNERi3Ua.DER DECLARATION I hereby affirm under penalty of perjury that I am axemmpt from the Contractors' State Lloerse Law forte following mason (Sec 7031.5. Business and Professions Code. Any city or county dist requires a permit to construct. cher. Impwe, dervish or repair any structure. prior b its issuance. also requires the sppk:wt for ria P«mlt b W a signed shtenwit that he or she is licensed pursuant to the provisions of the Contractors' State llown Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of section 7031.5 by any applicant for a permit subOcts the applicant to a cavi penalty of not more than five hundred doiaa (M).r U I. as owner of the property. or my employees with wages as their sole compensatim wi do the work and the structure Lure Is not intended or oft for sate (Sec 7041. Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who bolds or improves thereon. and who does the work himself or herself or Brough his or her own employees, provided that the improvemerks aro not intended or offered for sale. If. however. the building or irtprovernent is sold within one year of conpiebix the owner builder wit have the burden of prow" that he or she did "build or improve forge pwpose of sale.). (..) I, as owner of the pop". am exclusively contracting with ioensed contractors b construct the project (Sec. 7044. Business and Piofessias Code: The ConiacloW State License Law does not apply ban owner of property who builds or improves theieor>, and who contracts for the projects with a oanbacton(s) ioensed pursuant to the Contractors' State License Law.). U I am exempt under Sec . B.3 P.C. for this mason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the btowi g deckwations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code. for the perfomnanoe of the work for which this pemmilis issued. I have and w N maintain workers' compensation insurance. as required by Section 3700 of the Labor Code. for the performance a the work for Whid "tis permit is issued My wakens' —,%p sstion isurmoe carrier and poky number are: Carrier �Ve G q j -t N A wt -► I ioPoicy Number tai A �;L A _eL )i G O 44,)& a,&0 _ I certif r 1A in the pulomance of the work for %+k h this pon it is issued. I shall not ernpioy any person in any mariner so as to beocn subject to the workers' eakmpersa6on hos of Cailoria. and. agree Bat. N 1 should beeot. subject b the workers' eonpensation provisions kK Section 3700 of the Labor Code, l shat forthwith tampty with those provisions. Date A,(- a - d c/ ApOcant YVl : 11 T- /°et. L ti N WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANO SHALL SUBJECT AN EMPLOYER TO CRW*4AL PENALTIES ANO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES. . CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that two is a construction lermdrmg agency for the pedemance of the work for which dos permit is issued (Sec. 3097. CN. C.). Lenders Name Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application los hereby mm*de to the Dkecbr of Budding and Safety ter a pemmH subject to the conditions and resbictions set lodh on "is application. 1. Each person upon whose behalf this application is made. each Person at whose request all for whose benefit work los performed oder or pursuant to any porn* Issued as a result of this application, the owner. and the appieant, each agrees to. and shat. defend, indemnify and hold harmless the City of V Quills, its officers. agents and employees for any act or omission related to the work being performed under or following issuance of thls permit. 2. Any permit issued as a result of this application becomes nut and void N work is not commenced within 150 days from date of issuance of such pentyl or cessation of work for 150 days wil subject permit to cancellation. I cer4fy that I have read this application and state that the above information is correct. 1 agree to corply with ori city and county ordinances and state haws relating b tuYding oonsvuction, and hereby authorize representatives of this county to enter upon the above.rendiwmed property for inspection purposes. .ate L .o c.l Signature (Applicant or Agentr ' • J //�/J� c Application Number . . . . 04-00003515 Page 2 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-50'OKBTU 49.50 11.00 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 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 166 PLAN 3612. PERMIT DOES NOT Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 1947.59 Page 3 Application Number 04-00003515 Date 4/27/04 ---------------------------------------------------------------------------- Special Notes and Comments .00 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 ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 1947.59 .00 258.95 .00 2738.04 .00 4944.58 .00 Credited Due .00 1947.59 .00 258.95 .00 2738.04 .00 4944.58