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04-3561 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTAL CALIFORNIA 922 cu • J " !�"� •BU I NO & SAFETY DEPARTMENT OF LAQU%1A1A (760) 777-7012 IANCE°EPT: FAX (760) 777-7011 INSPECTION REQUESTS (760) 777.7153 BUILDING PERMIT Application Number . . . . . ' 04-00003561___— Date 4/27/04 Property Address . . . . 51949 EL DORADO DR APN: 772-250-996-160 -31349 - Application description . . . bWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL ..Application valuation.-.., 335389 Owner Contractor. ------------------------- TOLL CA V ------------------------ TOLL BROS, INC. C/Q KEVIN D DUERMIT 73121 FRED WARING DRIVE, #100 8901 E, MOUNTAIN VIEW 200 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 8.08.00 ;PATIO SQ FTG ` '' " x`5:58 `. 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) 777-7012 78-495 CALLE TAMtICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application NttrTlber:1 Date: Applicant: Applicant's Mailing Address: Architect or Engineer Architect or Engineer's Address: Lic. No: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby aft.. under penalty of pe*xy that I am licensed under provisions of Chapter 9 (comnencsg wtlh Section 7000) of Division 3 of the Business and Prolessionsk Asa � lioan furl force and ertect License ,pNo. 7 7 7 6 11 Date • y '� '' d Contractor OWNER -BUILDER DECLARATION 1 hereby eftsm under penalty d perjury tat 1 am aoanpt from be Contractors' Slab License law for the t 1l a ''I mason (Sec. 7031.5. Business and Pvolessions Coda: Any city or county vial Ieprwres a permit b construct, abler, improve, demolish, or repair any stnraume. prior b tts issuance. abo requires Qo appiaM for to pen nk b fila a siprad statement that he or she is lensed pursuerht b to provisions alto Contractors' Stab License taw (Chapter 9 (co mencing with Section 7000) cf Division 3 of the Business and Professions Code) or bat he or she Is exempt icer shorn and the basis forte alleged exenptiat. Any violation of Section 7031.5 by any appfiaM Our a permit subjects to applicant to a riot penalty of not more than ive hundred 4A a , ($500).% U 1. as owner of be property. or my enpbyess with wspes as heir sale comperaalim will do to work and the structure is not iniaded or offered for &ale (Sec 7044. Busness and Professions Code: The Contractors' Stab License Law does not appy to an owner of property who builds or improves Oherean. and who does to work himself or herself or through his or ler own employees, provided bat the improvements are not Mended or olfened for sale. K, h oweper, to building or it provement is sold within one year of complebor% the owner4ulder will have the burden of prvvi V Qat he or she did not Wild or improve for the purpose of sale.). U L as owner of the property. am exclusively cm0mcdrg with licensed contractors b construct to project (Sec. 7044. Business and Pfvfessbns Code: The ConlraetorV State License Law does not appy b an omm of property who builds or improves hereon. snd who contracts for the projects with a contractor(:) sensed pursuant to the Contractors' Stale license Law.). U 1 am exempt under Sec . BA P.C. for this reason Dab Ovffw WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: _ 1 have and will maintain a certificate of consent b self4nsue for workers' compensation, as provided for by Section 3700 of the labor Code. for to performance of the work for which this permit Is Issued. _ I have and will maintain workers' compensation Insurance, as required by Semon 3700 of the labor Code, for the perlonance of the work for which Otis peril Is issued My word a s' ansation isuance ranter and o number are: canter C9A.4 i. h►rt M e Poicj, Nr.nber L4 Jp tir`F ;Z (f 1S DO $4 �.3 0 1 Oat, in Qa perlo r ante of One work ter which On pemvt Is^red. (shall not empty any Penson in any manner so as to become subod b the workers' compensation taws of California, and spree Oat, if 1 should becon subject to to workers' comps cation provisions of Section 3700 of to Labor Code. l &IW io oft corrpty with those provisions. Date y'e'LO — Oy Applicant WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND. DOLLARS ($100.000). IN ADDm10N TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND ATTORNEY'S FEES. . CONSTRUCTION LENDING AGENCY 1 hereby af5rm under penally of perjury to two is a construction lending agency for the performance of the work for which On permit Is issued (Sec. 3097. Civ. C.). Lenders Name Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application Is hereby mode to the Director of Budding and Safety for a permit subject to the conditions and restrictions set bit on Ors application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is pedomed oder or pursuant b any permit Issued as a result of this application, to owner. and to appicaM, each sprees b, and shall, defend. Indemnity pity and hold harmless the City of La Quints. Its officers. agents and employees for any ad or omission related to the work being performed under or following Issuance of this permit. 2 Any Pen yd Issued as a result of this application becomes nutl and void 9 work is not conwr ended wtftn 160 days from date of issuance of such pen' or cessation of work for 160 days will subject permit b cancellation. I eergy that I have read this application and state bat the above Intonation Is correct. I agree to comply with all city and county ordinances and state haws relating to building construction. and hereby authorize rePresergatives of On county to ender upon the�bove.n>en boned property for inspection purposes. Date .Y — —0 di Signature (Applicant or Agent): �� 7c, Page 2 Application Number . . . . . 04-0.0003561 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 38.63.00 .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.B/C >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 160 PLAN 3863. PERMIT DOES NOT ip Fee summary ----------------- Permit Fee Total Plan Check Total .Other Fee Total Grand Total Charged Paid 2064.97 Page 3 Application Number . . . . . 04-00003561 Date 4/27/04 ---------------------------------------------------------------------------- Special Notes and Comments .00 INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. 75% REDUCED PLAN CHECK FEE FOR MUTIPULE ISSUANCE OF SAME PLAN TYPE. ------=--------------------------------------------------------------------- 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 .00 .00 .00 .00 Due 2064.97 274.68 2800.82 5140.47