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04-3546 (SFD)P.O. BOX 1504 78-495 CALLS T LA QUINTA, CAL Application Number Property Address . . . APN: Application description Property Zoning •. Application valuation.. APR o BUILDING & SAFETY DEPARTMENT Nr 1004 (760) 777-7012 P ca'TY0FLAQU1NvA FAX (760) 777-7011 F�-3"DEP l' N PECTION REQUESTS (760) 777-7153 BUILDING PERMIT 04-00003-54`6--' - Date 4/27/04 51837 EL DORADO DR 772-250-996-164 -31349 - *DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 285347 Owner ------------------------ C,ontractor TOLL CA V ------------------------ TOLL BROS, INC. C/O KEVIN D DUERMIT 73121 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 -------7----------------- 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 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 ---------------------7-------------------------------------------------_---- 'Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit. Fee 144.40 Plan Check Fee 9.03 Issue Date. Valuation 0 Qty Unit Charge Per Extension P.O. BOX 1504ICE VOICE (710) 777-7012 78-495 CALLE TAM►ICO FAX (760) 7'17-7011 LA QUINTA. CALIFORNIA 92253 INSPECTIONS (760) 771-7153 BUILDING & SAFETY DEPARTMENT Application Number: -I Date: Applicant: Architect or Engineer Applicant's Malting Address: Architect or Engineer's Address: Lic. No. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (camienoinp with Seclion 7000) of Division 3 of to Business and Professionals CodaLicense and RW tioense Ain k/ face and effect License No. 7 % % 6 919 Rafe a _ — 6 c� c«ntrscbr Te t ! I'3 r- o s 0t1rNER$U4DER DECLARATION 1 hereby eflam underpenalty of perjury flet I am exempt from the Contractors' Stab License Law for the fobwiq mason (Sec 7031.6. Business and Professions Cods: Any city or oorrnty that regi m a pemnit b conWuck alter. impsova. demo:st� or repair any strucrrre, prior b is isswrhoe, also requires the appiarrt ter ria pernN b Tia a signed stafenherM That he or afro is licensed pursuant to ft provisions of the Contractors' State license Law (Chapter, 9 (conmroncing with Section 7000) of Division 3 of the Business and Professions Code) or that the or she is exempt tnerehom and the basis for to alleged exemption. Any violation of Section 7031.5 by any applicant for a part* subjects the applicant to a dvi penalty of not more than five hundred dollars 0500�y U 1. as owner of the property, or my srpbyeas with wages as their sob compensation, willdo the work. and the structure Is not intended or afbred for sorb (Sec 7044. Business and Professions Code: The Contractors' State License Low does not appy to an owner of property who builds or improves thereon, ad who does We work thirnsnl( or 1sdt or through his or her own errpbyees, provided that the inprwanents are not intended or otiesed for safe. it. Ihowepw. the buff ng or knproverhent is sold within one year of cm pletion, the owrw4x&der will have the burden of proving that he orale did not build or improve for the purpose of sorb.). (,) Las owner of the property, am *=*a0vely ca h acting with ficernsed contractors to construct the project (Sec 7044. Business and Professions Code: The Contractors' Stale License Law does not appy ban owner of property who builds or irnproves t woom and who contracts for the projects witha Gonbactor(s) licensed phrnsuant b the Contractors! State License Law.). U I am exempt under Sec . SA P.C. for this reason Date Ownner WORKERS• COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following deetaratiM ts: _ 1 have and will maintain a Certificate of consent to setNnehae for workers' compensatim as provided for by Section 3700 of the Labor Code. for the peAormar►ce of the work for which this pemdt Is issued. 1 have and wB maintain workers' Compensation insurance. as required by Section 3700 of the Labor Code. for the performance of the walk for which this gem* is issued. My workers' compensation irhsuanoe carrier and policy nurnber are: Cartier RQ Policy Number W d4 6--j & t) n O O t-1 -);;L O 1 cNW that, in the pertomanee of the work ter which this pemhit is asued. I shal not er pby any person in any roamer so as to become subjectb the workars' corpensaiion laws of California, and agree Itut If 1 should become subject to the workers' compensation provisions of Section 3700 Of She Labor Code. I shit forthwith comply with those provisions. Date •Y r�" G y Appian) WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES LOP TO ONE HUNDRED THOUSAPP DOLLARS (1100.000). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR W SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES. . CONSTRUCTION LENDING AGENCY 1 hereby affirm under penally of per ury that there Is a construction lending agency for the performance of the work for which this pendt is issued (Sec. 3097. Civ. C.). Lender's Name Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Appicabon is hereby made to the Direcbr of Binding and Safety for a perNt subject to the conditions and restrictions set torch on this application. 1. Each person upon whose behalf this application is made, each Person at whose rust and for whose benefit work is perfertned under or punsuanl to any pemnil Issued as a result of tis appieation, the owner, and the appicarrt, each agrees to, and shall, defend, Indemnify and hold harness the City of Le Auinta. Its offices, agents and erpbyees for any ad Or omission related to the work being performed under or following Issuance of this pemhit. 2. Any porn* Issued as a result of this application becomes mud and void K work is not camhenced within 180 days from date of issuance of such pentyl, or cessation of work ter 160 days will subject porrmit to cancellation. I certify that I haw read this application and state that the above information is con 1 agrees to comply with alp city and county ordinances and state laws relating to building construction, and hereby eutt orize representatives of this Gouty to enter upon the above -m boned property for inspection purposes. Date V — a 6 _OV Signature (Applicant or Agent): " 2�L Page 2 Application Number .. 04-00003546 Date 4/2.7/04 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 ORNON-RESIDENTIAL 14.42 ----=------------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 . . . . 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 164 PLAN 3285. PERMIT DOES NOT Page 3 Application Number . . . . . 04-00003546 Date 4/27/04 ----------------------------------------------- Special Notes and Comments ---=------------------------- INCLUDE BLOCK .WALL, POOL, SPA OR DRIVEWAY APPROACH. 75% PLAN CHECK REDUCTION APPLIED FOR MULTIPLE ISSUANCE OF SAME PLAN TYPE. KX 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 .