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04-3695 (SFD)Qumrw BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 _ (760) 777-7012 78-495 CALLE•TAMPICO FAX (760)•777-7011 LA QUINTAL CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 Application Number . . Property Address . . . APN: Application description Property Zoning Application valuation.. BUILDING PERMIT .04-000-03695-71 Date 4/26/04 81365--66LF VIEW DR 762-410-036-36 -28838 - DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL - 376373 Owner Contractor I i4 TOLL CA V TOLL BROS, INC. C/O KEVIN D DUERMIT 73121 FRED WARING DRIVE, #100 8.901 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 RA'=ED 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 730.00 PATIO SQ' - FTG 650.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 4374.00 -------------------------------------------------- Permit ------ BUILDING PERMIT" "J Additional desc Permit Fee 1609.00 Plan Check Fee 261.46 Issue.Date Valuation . . .376373 Qty Unit.Charge Per. Extension BASE FEE 639.50 277.00 3.5000 THOU BLDG 100,001-500.000 / 969.50 ------------------------------------------------------------- Permit . . . . . . --------=---- GRADING PERMIT` Additional desc Permit. Fed .15.00 Plan ChecOFee r^ .00 Issue Date. O �' J Valuation 0 Unit Charge �� I.N Per `%,'+i`Extension Qty P.O. Box 1504�� VOICE (760) 777-7012 7E-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: -- l Date: Applicant: I Architect or Engineer. Applicant's Mailing Address: Architect or Engineer's Address: Lic. No. BUILDING PERMIT DECLARATIONS LICENSED CONTRAC'TOR'S DECLARATION 1 hereby effam under penally d ped y tut I am licensed under pmvishohs d chapter 9 (con .cock with socia+ 7000) of Division 3 of the Business and Professionals Code. and my Licermse is in U km* and effect License License No. _7 —2-) 6 C1 S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am a nem : - tom the Contractors• State License Law for the klowip reason (Sec 7031.5. Business and Processions Coda: Any sky or county Ciel requires a permit b n�struet alter, improve. dennoGsf>. or repair any structure, prior bks issuance. also requires the appicart too the pemdt b ki8 a signed statement Cat the or she is licensed pursuant to to pnovWwo of the Contractors• Stale License low (Chapter 9 (conn wcft with Section 7000) of Division 3 of We Business and Profession Code) or that he or she is exempt riemborm and the basis for the alleged exenpim Any violation of section 7031.5 by any applicant bra permit subjects the applicant to a civil penally of not more Can live hundred dollars (5500).% U I. as owner of the property. or my employees with wages as their sob cor pensaion, will do the wok and the structure is not intended or offered for sale (Sec. 7044. Business and Professions Code: The Contractors• State License Law does not apply to an owner of property who builds or improves rierea and who does the work hwnseff or herself or through his or her own empbyaes, provided that the improvements aro not intended or offered for sale. ff. however. the buidrg or improvement is sold within one year of =Wletion, the owrw4iilder will have the burden of proving that he or she did not build or irnprove for to purpose of ssle- . U 1, as owner of the property. am exclusively comtracth with ficerhsed contractors to construct the project (Sec. 7044. Business and Pidessions Code: The Conrootons' State License Law does not apply to an owner of property who builds or improves iheiem and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' Stab License Law.). U 1 am exempt under Sec. . B.& P.C. for chis reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty d perjury one of the following dcdarstions: I have and will maintain a certificate of consent to sell• nsum for workers' compensation, as provided for by Section 3700 of the Labor Code, br the Performance d thhe work for which this pen. is issued. — I have and will maintain wo k@W compensation insurance, as required by section 3700 d the Labor Code. for the performance of the work for which tis permit is L ued fvly enation insurance wrier nurthber are: Cornier c It fz't, U (�r)oU 7230 —I ce ' that, in" pesbmnan►oa of lime wok for wtich ttu per it is issued. I "not employ any person in sny rarer so as b become subject lot* workers' con mnsation laws d Caifaria, and agree thaL If 1 should become subject b the workers' compensation provisions of Section 3700 of the Lebo Code. I shall tortenlri comply with those provisions, (� Date 2c o 1-k Applicant_�JY TI V-�r0 4 �oti WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRNK4 L PENALTIES AND CIVIL FINES IJP TO ONE HUNDRED THOUSMW, DOLLARS ($/00.000), 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 d perjury to there is a consbucbm lending agency for the performance d the work for Mid this pew is issued (Sec. 3097. Cir. C.). Lenders Name Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application Is hereby mode to the Director at Building and Safety for a permit subject to the conditions and restrictions set forth on tis application, 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit wok is pedurmed under at pursuant to any peril Issued as a result of rills application, the owner. and the applicant, each agrees b. and shall. defend. indemnify sad hold harmless the City of La Ouk". its dicers, agents and employees for any act or omission related to the work being performed under or follow" issuance of this Psmhil 2 Any permit Issued as a result of this appkaion beccx. nue and void K work is not commenced within 180 days from date of issuance of such Pentyl, or cessation of work for 180 days will subject permit to cancellation. 1 certify that I have read this application and state that the above Information is Correct I agree to comply with ap city and county ordinances and state laws relating to building consbuction, sad hereby authorize rep esertatvw of tis county to upon the above4nenboned property for inspection purposes. Data �Jwnu( Signature (Applicant or Agent): Application Number . . . . . 04-00003695 Page 2 Date 4/26/04 Qty Unit Charge Per Extension BASE FEE 15.00 4374.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY , 153.09 730.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.60 ---------------------------------------------------------------------------- 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 . . . . 156.50 Plan Check -Fee 9.78 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 ' 9.00 6.5000 EA MECH VENT FAN 58.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 -----------------------------------------------=---------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 216.00 Plan Check Fee 12.10 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 24.00 6.0000 EA PLB FIXTURE 144.00 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 10.00 .7500 EA ,, PLB GAS PIPE >=5 7.50 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 11 VENTANA-A/4'/CASITA.75% ' ice::. . , ✓ ?,� =t . r a Fee summary Charged Permit Fee Total 2179.19 Plan Check Total 294.76 Other Fee Total 2933.59 Grand Total 5407.54 Paid Credited Due ---------- ---------- ---------- .00 .00 2179.19 .00. .0.0 294.76 .00 .00 2933.59 .00 .00 5407.54 Page 3 Application Number 04-00003695 Date 4/26/04 --------------------------------- Special Notes and Comments ------------------------------------------ REDUCED PLAN CHECK FEE FOR MULITPLE ISSUANCE OF SAME PERMIT TYPE. PERMIT DOES NOT INCLUDE BLOCK' WALLS,POOL,SPA OR DRIVEWAY i APPROACH ----------------------- Fees . . . . . ... . . ART IN PUBLIC PLACES -RES 440.93 DIF COMMUNITY CENTERS -RES 97.00 DIF.CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 26.15 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES- RES 225.00 DIF PARK MAINT FAC _ RES 16.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 50.51 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Permit Fee Total 2179.19 Plan Check Total 294.76 Other Fee Total 2933.59 Grand Total 5407.54 Paid Credited Due ---------- ---------- ---------- .00 .00 2179.19 .00. .0.0 294.76 .00 .00 2933.59 .00 .00 5407.54