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04-3489 (SFD).iv ~B P.O. BOX 1504 ILDING do SAFETY DEPARTMENT O ��00� 78-495 CALLS TAMPIC(760) 777-7012 O P�� 'FAX (760) 777-7011 LA QUINTA. CALIFORNIA +S3 �c�LNS ECTION REQUESTS (760) 777-7153 BU IT Application Number . . . . . •04-00003489 Date 4/27/04 Property Address . . . . . . 51865 EL DORADO DR APN: 772-250-996-163 -31349 - Appld cation description DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL .Application valuation.. .335389 Owner Contractor ---=-•------------------- TOLL CA V --- - -------------------- TOLL BROS, INC. C/O KEVIN D DUERMIT 73121 FRED WARING DRIVE, 4100 8.901 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 808.00 ...PATIO SQ FTG 558.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 3863.00 ---------------------------------------------------------------------------- Permit BUILDING PERMIT. Additional desc Permit Fee". 1465.50 Plan Check Fee 238.15 Issue Date Valuation .335389 Qty Unit Charge Per Extension BASE FEE 639.50 236.00 3.5000 THOU BLDG 100,001-500,000 826.00 ---------------------------------------------------------------------------- Permit ELEC-NEW RESIDENTIAL Additional desc Permit.Fee 227.47 Plan Check Fee 14.22 Issue Date. . . . . Valuation 0 Qty Unit Charge Per Extension P.O. BOX 1504 VOICE (760) 777-7x12 7E-495 CALLE TAmrico FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Dcf"- 3TJ9 Date: Applicant: Appl'icant's Mailing Address: Architect or Engineer. Architect or Engineer's Address: Lic. No.. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury OW I am licensed under provisions of Chapter 9 (comrnendng with Section 7000) of Division 3 of the Business and Professionsis Code. and my License is in k/ force and offs& License Crass License No. t4 -As - O �/ CcnOracior f o 1 Q o S OWNER$u1LDER DECLARATION I hereby affirm under penalty of perjury that I am axenpI from the Contrac6s' State License Law for the following reason (Sec. 7031.5. Business and Professions Coda: Any city or county thhat rewires a permit b corsbuck after. imnpova, dermoid or repair any stuetae. prior to Its issuanm also requires the appiard for the pence b iia a sped 'statement coat he or she k ioena 1 purwart to the provisions of In ContracbW Stab License Law (Chapter 9 (commencing with Section 7000) of Division 3 of We Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged enenption. Any violation of Section 7031.5 by any appiart for a permit subjects the applicant to a cavi penalty of not more than five hundred dottars (t5oo).r U I. n owner of the property. or my employees with wages as their sate eompenssfion, will do the work. and the structure is not Intended or offered for sale (Sec 7044. Business and Professions Code: The Centrations' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or teasel[ or through his or her own employees, provided that the improvements are not Intended or uttered for sale. K. loweysr, the buidrug or impsovamert a sold within one year of compktiorh, the owner txAder will have the burden of proving that he or she did not build or inhprove ter the purpose of sale.). UL as owner of the property. am exclusnely contracting with licensed contractors to construct the project (Sea 7044. Business and Piotesslons Code: The Contactors' State License Law does not appy to an owner of property who builds or improves thereon, and who contracts for the projects with a corwactor(s) ioensed pursuant b the Contractors' Stale License Law.). U 1 am exempt under Sea . B.3 P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penally d perjury one of the fobwhg dedwations: _ I have and will maintain a certificate of consent to selinsure for workers' compensation, as provided for by Section 3700 of the Labor Code. for the perfaranoe of the wort for which this pemmit Is Issued. — I have and will maintain workers' compensation in urance. as requited by Section 3700 of the Labor Code. for the performance of the work for whidh this permit k issued womkas' compensation insurance carrier and mumgber ams: carrier R C cl a t -- b•} h wt I +dWcy Number W A �2. b c4 T -'f il d Lh 7 ?, 3 0 1 —1 that, in the perfonanos uk the work br which this pofn* ksued is. I shat mal employ any petson in any wmw%er so as b beooahe subject b the workers' eommpenatiah laws of Caibmia, and agree KaL 91 should become subject to the workers' compensation provisions of section 3700 of the Labor Code. 1 shall forthwith comply with ease provisions. pate tj Ab _-0e-1 Applicant k*VM WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED T"OUSMND DOLLARS ($100.000). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST. AND ATTORNEYS FEES. . CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that two Is a construction tendrg agency for the perkxmance of the work for which this permit is issued (Sec. 3097. Civ. C.). Lenders Name Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set todh on this appiarron. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any perA Issued as a result of this appficatim the owner. and the applicant. each sprees to. and shad, defend, idemnify and hold hhan. ss the City of La Oidia, lts officers. agents and employees lor any act or omission related to the work being pedon, d under or following issuance of this pemnll 2 Any permit Issued as a result of this application becomes null and void M work is not commenced within 160 days kom date of Issuance of such Penn'( or cessation of work for 180 days wM subject permit to cancellation. I certify that I have read this application and state that the above Worhation is correct I agree to comply with all city and county ordinances and state lows relating to bulldwV construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for Inspection purposes. Date 4/ `01 a '� 4'I Signature (App&,nt or Agent): �� " Application Number . . . . . 04-00003489 Page 2 Date 4/27/04 Qty Unit Charge Per . Extension BASE FEE 15.00 3863.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 135.21 3863.00 .0200 ELEC GARAGE.OR NON-RESIDENTIAL 77.26 ---------------------------------------------------------------------------- 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 . . . . 150.00 Plan Check Fee 9.38 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 BIC >3-15HP/>100K-500KBTU 49.50 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 . . . . 207.00 Plan Check Fee 12.93 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 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 163 PLAN 3863. PERMIT DOES NOT ', x i�t 1`i Y�• i��' 3j5t�' {4 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 2064.97 Page 3 Application Number . . . . . 04-00003489 Date 4/27/04 ---------------------------------------------------------------------------- Special Notes and Comments .00 INCLUDE BLOCK WALL, POOL,- SPA OR DRIVEWAY APPROACH. ---------------=------------------------------------------------------------ Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 338.47 DIF COMMUNITY CENTERS -RES 97.00 DIF'CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 23.82 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 33.53 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 2064.97 .00 274:68 .00 2800.82 .00 5140.47 .00 Credited Due .00 2064.97 .00 274.68 .00 2800.82 .00 5140.47