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04-3562 (SFD)6. w ppR 3 o BUILDING & SAFETY DEPARTMENT P.O. Box 1504 tau►�Ta (760) 777-7012 78-495 CALLS TAMPI O CITY of CE DEPT• p�,W FAX (760) 777-7011 LA QUINTA, CALIFOR 53 INSPECTION REQUESTS (760) 777-7153 Application Number . . . Property Address . . . APN: Appl.ication description Property Zoning .Application valuation... BUILDING PERMIT 04-00003562 Date 4/27/04 51977 EL DORADO DR 772-250-996-159 -31349 - DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 335389 Owner Contractor, TOLL CA V TOLL BROS, INC. C/O KEVIN D DUERMIT 73121 FRED WARING DRIVE, #100 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 -------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 808.00 PATIO SQ FTG 558.00 NUMBER OF UNITS •1.00 FIRST FLOOR SQ FTG 3863.00 ----------------------------------------------1------------------------------ Permit BUILDING PERMIT Additional desc Permit Fee''. 1465.50 Plan Check Fee 952.58 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 . . . . 1.66.37 Plan Check Fee 41.59 Issue Date. . . . . Valuation 0 Qty Unit Charge Per Extension P.O. BOX 1504 a VOICE (760) 777.70121 79-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 4Zf �j S7o �-- Date: Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: tic. No. BUILDING PERMIT DECLARATIONS T UCENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that l am licensed under provisions of Chapter 9 (cannmenrang with Section 7000) of Division 3 of the Business and Plobssionals code.Lberise Clsss ns s d effect. License NO. 7 7 7 rte.. 4/ r o e . OWNERAKMMER DECLARATION 1 hereby elfin. under penalty of perjury riot I am exempt from the Contractors' Slab L icewose Law for the following mason (Sec. 7031.6. Business and Probssions Cade: Any city or county that request a parnit b p Wcorstrud, cher, irtove. demoist>. a mpw any sbuoA , prior to its issuance. also requires the appriant for M permitb fie a signed lemen►t that he or she it ticansad pusuant to the provisions of the Contraciore Stab License Law (Chapter 9 (cormrencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt theretrom and the basis for the staged exemption. Any violation of Section 7031.5 by any appieant for a permit subjects the apprmcant to a dvl penalty of not more than live hundred dofars 0=)•): V 1. as owner of the property. or my employees with wages as their sob compensation. will do to work and the structure Is not Intended or altered for sale (Sec 7044. Business and Professions Code: The ContracloW Stab License Low does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own empioyees, provided that the it provemenls am not intended or offered for sale. K, hwweyer. the building or it povanent is sold within one year d compbtion, to owner-0us7der will have the burden of proving riot he a she did not build orimprove for the purposed sale.). U 1, as owner of the property. am exdusively co 'k with icerhsed contractors to construct the project (Sec. 7044. Business and Professions Code: The Cw*vcboW Stab License Law does not appy b an owner of property who builds or improves thereorm, and who contracts for the projects with a contractos(s) licensed pursuant to the Contractors' State L cense Law.). U I am exempt under Sec . B.5 P.C. for this mason DateOwner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of Consent to self -insure for workers' ca.pensation. as provided for by Section 3700 of the labor Code. for the pedormarroe d the work for which thispen. Is issued. —I have and will maintain workers• Compensation insurance. as inquired by Section 3700 of the Labor Code. for the performance of the work for which this per.N is issued. My workers'insurance Cartier and policy number ane: Carrier a s G d 1 'ih- *4- 95 N.4Poicv Number 4./ Aga L V hi O d I that, in the pedomm anee of the work for which this pemoit is issued not employ any person in any mama so as to became an *d to the workers• oompen - r, laws of California. and agree that. 91 should become subject to to workers' compensation provisions of Section 3700 of to Labor Code. I shall tMvw kh comply with those provisions. Dale y`c%B- 04 Applicant WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL. AND SKALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (=100.000). IN ADOITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. DNTEREST. AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that two it a Construction lendng agency ter the perfomw ce of the work ter which this permit is issued (Sec. 3097. Civ. C.). Lenders Name Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application Is hereby mode to the Director of BWkVV and Safety for a permit subject to the conditions and restrictions set forth on Cis appiaatiorL 1. Each person upon wimose behalf this application is made. each person at whose request and for whose ben rfd work is performed oder or pursuant to any permit Issued as a result of Cis application, the owner. and the applicant, each agrees to. and that. defend. indemnify and hold hamiess the City of La OuNs. Its officers. agents and employees for any ad or omission related to the work being pedor.ed under or following issuance of thfs pemiL 2 Any penNt Issued as a result of this application beconmes null and void K work is not commenced within 180 days from date of issuance of such permit. or cessation of work for 160 days will subject pemit to cancellation. 1 certify that i have mad this application and state that the above kdommation Is correct. I agree to comply with at city and county ordinances and state laws relating to building construction., and hemby authorize mpmsenta6ves of this county to enter Upon the above-mentioned property for inspection purposes. Date eroZ-S'-OySignature N*ficant or Agent): t. Page 2 Application Number . . . . . b4-00003.562 Date 4/27/04 Qty Unit Charge Per Extension BASE FEE 15.00 3863.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 135.21 808.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 16.16 ---------------------------------------------------------------'------------- 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 37.50 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 . . . . 204.00 Plan Check Fee 51.00 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 1.5000 EA PLB VACUUM BRKR >5 9.00 1.00 7.5000 EA PLB OTHER BACKFLOW <=2 INCH 7.50 ------------------------------------------- Special Notes and Comments ------------------------ --------- SFD LOT 159 PLAN'3863. PERMIT DOES NOT Page 3 Application Number . . . . . 04-00003562 Date 4/27/04 ---------------------------------------------------------------------------- Special Notes and Comments 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 95.26 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 ----------------- Charged Paid Credited Due Permit Fee Total ---------- 2000.87 ------------------------------ .00 .00 2000.87 Plan Check Total 1082.67 .00 .00 1082.67 Other Fee Total 2872.26 .00 00 2872.26 Grand Total 5955.80 .00 .00 5955.80