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04-3560 (SFD).1# N P.O. Box 1504 0�1� 78-495 CALLE TA C PINANCE LA QUINTA, CALIFORNIA 92253 0 u��,tcv BUILDING & SAFETY DEPARTMENT �.� (760) 777-7012 FAX (760)'777-7011 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . 04-00003560 Date 4/27/04 Property Address . . . . . . 51921 EL DORADO DR APN: 772-250-996-161 -31349 - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL .Application valuation.. 292255 Owner Contractor -----•------------------- 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:. WA264DO04723ol 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 ------------------------------------------------------------------.---------- Permit BUILDING-PERMIT- UILDING PERMITAdditional Additionaldesc 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 146.98 Plan Check Fee 9.19 "Issue Date. Valuation 0 Qty Unit Charge Per Extension P.O. BOX 1504�� VOICE (760) 777-7092 79.495 CALLE TAM►ICO FAX (760) 777-7011 LA QUINTA. CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04/— Date: Applicant: Appl'icant's Mailing Address: Architect or Engineer: Architect or Eng'ineer's Address: Lic. No.. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penally of perjury cul 1 am iaensed under provisions of Chapter 9 (commencing wth Section 7000) of Division 3 d to Business and Professionals CodeLLiceennse `J°errsq# in k/ force and effect License mase No. 7 7 % 6 11 Date '� .a g �o �cwwar,�or 1 a / '"o S • OWNER$UtI.DER DECLARATION I hereby affirm under penalty of perjury gat I am ehoarpt tan lhe Contractors! State Uconse Law for the lain, mason (Sec. 7031.5. Business and Professions Code: Any City or county that repuires a permit b CWMft k alter. krprove. derthois�L or repair any slruclua, prior b fes Issuanos. also uequiros the appfiant turn the pemhM b Iia a signed slaAemert that he or she Is Mcenae I pursuant b the pvAsiona d the Contractors Stab License Law (Chapter 9 (corm moving with Section 7000) of Division S d the Business and Professions Code) or that he or she Is exempt taretotn and the basis for the Melted axemptiou. Any violation of Section 7031.5 by any applicant for a permit subjects the appiant b a CM pendly d not more than live hundred do>Esrs (t500).r U I. as owner d the property, or my employees with wages as thek soiecw pasaim wi do Mina wak and the structure b nd itended or oft fir safe (Sec. 70x4. Business end Professions Code: The Contractors' state License Law does not apply loan owner d propedy who builds at improves thereon, and who does the work himseu or herself or t roLO his or her own employees, provided that the irnprwananls are not iriended or offered fir sale. I, howeya the l ,15 hg o improvement Is sold within ane year d oorthpletiah, the oorn r-bullder wA terve **burden of proving that he or she did not build or improve for the purpose Of safe.). U Las owner d the popery. am exdw*idy eortrac&v with -. - -ed contractors b construct the project (Sec. 7044. Business and Piofessions Code: The Contactors• Stab License Law does not appy to an owner of property who builds or improves t woom and who conb*cts for the projects with a Comtraeta(s) iceesed pursuant b the CortracbW stale License Law.). U I am exempt under Sec . BA P.C. for Minis reason Dole- WORKERS' ab WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the ioMowkV declarations: _ 1 have and will maintain a certificate of corset to setirsue fir workers' compensation, as provided for by Section 3700 of the labor Code. for the pedomance of the work for which this pemit is issued. 1 have and will maaikngtmain workers! compensation ksuranee. as required by section 3700 d the Labor Code. for the performance d the work fir which itis pemmll Is C anter ° o issued t ""�" 1'�A N, t t -O P ►lumber rw I C61WY that, in the pertoranCe Of the work for which tis pemvt is issued. -I shat not employ any person in any rarer so as to become subject to the workers! oompetmuGon Not of California. and agree that, t 1 should become subjed to the workers• compersation provisions d section 3700 of the Labor Code. I shall forthwith comply with those provisions. Date 4W ' �' �y Appiant %'N i Ic •� 7" w ! �c y WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE MJNDRED T}IOUSMJD DOLLARS ($100.000). 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 under penalty of perjury that there Is a construction lendrhg agency for the pwfomwm of the work for which this per it is Issued (Sec. 3097. Civ. C.). Lender's Name Lender's Address IMPORTANT Application, Is APPLICANT ACKNOWLEDGEMENT Thereby m*de b the Director d Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 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 permit Issued as a result of this appieatim the owner. and the applicant, each sprees to. and char, defend, indemnify and hold harmless the City of La Oruro, Its dficers, agents and employees for any act or omission related to the work being pedomhed under or fotowtng issuance of this permit 2. Any permit issued as a result of this application becomes null and void If work is not commenced within 160 days from date of Issuance of such pon, or Cessation of wok for 160 days will subject per.. b Carrxtation. 1 certify that I have read this application and state that the above information Is Correct 1 agree to comply with all city "county ordinances and stab laws relating b buildiep cor buction. and hereby authorize representatives of an wuoty to enter upon the above-mentioned property for inspection purposes. Dab o� �/ Signature (Applicant or Agent): "/ rA Page 2 Application Number . . . . . .04-000035.60. 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 -------------------------7------7--------7--------------=------------------- Special Notes and Comments' SFD LOT 161 PLAN 3412. PERMIT DOES NOT. .Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 1784.48. Page 3 Application Number . . . . . =-------------=--------------------------- 04-00003560 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 ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 1784.48. .00 242.10 .00 2686:22 .00 4712.80 .00 Credited Due .00 1784.48 .00 242.10 .00 26 86.22. .00 .4712.80 1