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04-3548 (SFD)Sep BUILDING do SAFETY DEPARTMENT P.O. Box 1504 (760)777-7 012 78-495 CALLS, TA FAX (760) 777-7011 LA QUINTA, CALIFOIy N�A 92�5�3 3 0 20 INSPECTION REQUESTS (760) 777-7153 Application Number . . 04-00003548 Date 4/27/04 Property Address . . . . . 51809 EL DORADO DR APN: 772-250-996-165 -31349 - Appl,ication description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL ...Application valuation.. 292255 Owner Contract.or ---=-------------------- ------------------------ TOLL CA V TOLL BROS, INC. C/O KEVIN D DUERMIT• 73121 FRED WARING DRIVE, #100 8901 E MOUNTAIN VIEW 2.00 PALM DESERT CA 92260 SCOTTSDALE AZ 85258 WCC: ROGAL & HAMILTO WC:. WA264D00472301 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 ---------------------------------------------------------- ------------------ Pe-rmit . . . . 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 • VOICE (760),177-7012 7E-495 CALLS TAmrico FAX (760) 777-7611 LA QUINTA. CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant'sAddress- Architect Date: or Engineer: Architect or Engineer's Address: Lic. No.. BUILDING PERMIT DECLARATIONS LICENSED coNTRACTOWS DECUJIR/1TION I hereby affirm undeerpenally of perjury tat 1 am warmed under provisions of Chapter 9 (eommencinp wllh Section 7000) of Division 3 of to Busness and PnofenimsIs CodeLbsrne end O00 L`1 In Unate and et+ert - License No. Date Y- A -o �/ C«tacbr o! 1 D 5 OWNERAIUILDER DECLARATION I hereby affrm under Penally Of perjury Int I an exempt from to Contactors' state License Law for the Ioiowriq mason (Sec. 703/.6. Business and Professbru Coda: My city or county Nat requires a permit to constrock after. improve. demolish or repair any sbuom Poor b is kvmnoe. also r WAM We Wocw t for the permit b ilia a aligned stalemenmt that to a she k licensed pursuemt to to provisions of the Contractors! State Licenae Law (Chapter 9 (comhehoing with Section 7000) of Division 3 of to Buss ess and Professions Code) or tat he or she Is exempt to eficrt and the basis for to alleged exanplion. Any violation of Section 7031.5 by" applicant fora permit subjects to sppkarml b s dd pearly of not more tan the hundred Joists ($500) ) U 1. as owner of to property. or ray errrpbyees with wages as their sob eompehsalim will do In wok and the structure Is not Mended of offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not appy to an owner of property who beads or improves therewn. and who does the wok himself or herself or trough his or her own employees, provided tat the imprwanents aro not Herded or oft for sale. If. however. the building or improvement is sold within one VW01 completion, to owner-001der will have the burden of proving tat he a she did not build or improve foo the purpose at sate.). (..) i, as owner of to property. am exclusively oonhac" with fioensea contracbrs to construct to project (Sac. 7044. Business and Piofessbns Code: The Contractors! Stab License Law does not appy ban owner of property who bolds or improves thereonh and who centrads ter the projects with a contractors) icerhsed pursuant b the ContraciorV State License Law.). U I am exempt under Sec . BA P.C. for this reason Date— WORKERS' ab WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: _ 1 have and til maintain a certificate of consent to self4rimm for workers' compensation, as provided for by Section 3700 of to Labor Code. for to performance of the work for which this permit k Issued. _ I have and will maintain workers• compensation Insurance. as required by Section 3700 of the Labor Code. for the performance of the wok for which this penin Is Issued My workers' compensation insurance carrier and poie� m�u�ber Carrier R DQ a / t Holl An m I +Q Policy Number f Z Ate. 6 r�a . 0 o c�� ,�a —I that the performance of the wok forwhich this permit Is issued. l stat not employ any Person to any manner so as to become Subject b to workers• cornpercsso hm cf California, and agree tat. I 1 should beconts subject to the workers' compensation provisions of section 3700 of to Labor C XIS.1 stat torthwwth comply with those provisions. Date t�s1>Q – O C/ Applicant //1�1 , K W PA ► WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE FM DRED THOUSAND DOLLARS ($100.000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR COOS, INTEREST, AND ATTORNEYS FEES. . CONSTRUCTION LE14MG AGENCY 1 hereby affirm ander penalty of Perjury that there is a construction lending agency for the performance of the wok for which this pem* Is issued (Sec. 3007. Civ. C.). Lenders Name Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Appimlion Is hereby nide to the Director of Building and Safety tot a Permit subject to to conditions and restrictions set forth on tis appicatim 1. Each person upon whose behalf this appicatim is rade, each pesos at %Mose request and for whose benefit work is performed under of pursmo t to any permit Issued as • result d Wit application, the owner. and the applicant• each agrees to. and shat, defend. indemnity and hold harness the City of V Quints. Its officers, agents and employees for any act Of omission related to the wok being performed under or fallowing issuance of Wls permit. 2. Any penit issued as a result of this application becomes null and void it work Is not commenced within 160 dtlys from date of Issuance of such par., or cessation of work for 160 days will subject permit b cancellation. I certify that 1 have read this application and state that the above Information Is correct I agree to comply with all city and county ordinances and state laws relating b bukling construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date 4 – a 9 - D Gl Signature (Apprcant a Agents 010 Fee summary Charged Permit Fee Total 1784.48 Plan Check Total 242.10 Other Fee Total -2686.22 Grand Total 4712.80 Paid Credited Due ---------- ---------- ---------- .00 .00 1784.48 .00 =:00 242.10 .00 .00 2686•.22 .00 .00 4712.80 Page 3 Application Number . . . . . 04-00003548 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 Permit Fee Total 1784.48 Plan Check Total 242.10 Other Fee Total -2686.22 Grand Total 4712.80 Paid Credited Due ---------- ---------- ---------- .00 .00 1784.48 .00 =:00 242.10 .00 .00 2686•.22 .00 .00 4712.80 Application Number . . . . . 04-00003548 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 ---------------------------------------------------------------------------- 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 7.5000 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 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 165 PLAN 3412. PERMIT DOES NOT