04-3701 (SFD)'A
BUILDING do SAFETY DEPARTMENT
P.O. Box 1504 (760) 777-7012
78-495 CALLS. TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760)777.7153
BUILDING PERMIT
Application Number . . . . . ' 04-00003__7_0 --� Date 4/26/04
Property Address q . . . 81375 GOLF VIEW DR
APN: 762-410-037-37 -28838 -
Application description . . . 'DWELLING - SINGLE FAMILY DETACHED
Property Zoning LOW DENSITY RESIDENTIAL
Application valuation, :. 365747
Owner ;-,Contractor '
------------------------ ------------------------
TOLL CA V TOLL BROS, INC.
C/O KEVIN D DUERMIT 73.121 FRED WARING DRIVE, #100
8901 E MOUNTAIN VIEW 200 PALM'DESERT CA 92260
SCOTTSDALE AZ 85258
WCC: ROGAL •& HAMILTO
WC: WA264.D00472301 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 785.00
�. ;PATIO 'SQ FTG 10.58'.'00
NUMBER OF UNITS- '1.00
FIRST FLOOR SQ FTG 4162.00
7 ----------------------------------------------------------------------
Permit BUILDING PERMIT
Additional desc.
Permit Fee 1570.50 Plan Check Fee 255.21
Issue.Date Valuation 365747
Qty Unit Charge Per. Extension
BASE FEE 639.50
266.00 3.5000 THOU BLDG 100,001-500,000 931.00
---------------------
PermitELEC-NEW RESIDENTIAL---"'.
Additional desc . . • , �
Permit. Fee 243.91 Plan Checkee 15.25
Issue Date. . . . . Val at�ion`�F��, 0
Qty Unit Charge Per ✓'�� Extension
. t r
P.O. BOX 1504 a VOICE (760) 777-7012;
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number ZQ / Date:
Applicant:
Appl'icant's Mailing Address:
Architect or Engineer:
Architect or Engineers Address:
Lic. No.
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (corromwig with Section 7000) of Division 3 of to Business and Probssionsis
Code. and my License Linen b Ulanae and effect License No.
• - ' I�.r..A'_d
OWNER -BUILDER DECLARATION
I hereby aft-- under penally Of perjury #01 am armempt tam to Contract is' State License Law for the k4owirg reason (Sec. 7031.6. Business and Protsssbru Coda: Any
city or couch tat requires a PwM b crosbuct alter. kmprove, demhA d or repair any structhae, p or b Its issuance. also requires the appicard ter the permit to fie a signed
statement tat he or she is k erhsed pursuant brie provisions of In Contractors! Stab License Law (Chapter 9 (tamrnencirng with Section 7000) d Division 3 d She Business
and Professions Code) or that he or she Is exempt therefrom ane the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant br a permit subjects
the applicant to a civil pensity of not more than live hundred dolens ($SWO y
U 1. as owner of the property. or my employees with wages as their sob compensation, wd do to wok and the structure is not inimhded or altered for sob (Sec 7044.
Business and Profession Code: The Contractors' Stab License Llw does not appy to an owner of property who burlds or improves thereat and who does to work
hhtmsehf or iherseM or trough his or her own empbyses, provided Oat -the irtprwanenls aro not irdended or offered for sale. lf, how"oer, the building or improvernent is
sold within one year d completion, the owner-0ulder wil have the Grden d proving tat hhe or she did not build or improve for the purpose of sale.}
U Las owner d the property. am axctusivey eonb sctkg with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The Contractors'
State License Law does not appy ban owner of property who bulft or improves thereon, and who contracts for" pbjects with s contractor(s)licensed pursuantb
the Conn actorV Stage License Low.).
U I am exempt under Sec . B.3 P.C. for this reason
Dale Owner
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of rhe following declarations:
_ I have and will maintain a certificate of consent to sell -insure ter wo*wV canpa nsation, as provided for by Section 3700 of the Labor Code. br the Pertommanoe
Of the work for which this permit is issued.
_ 1 have and will maintain wonkea' compensation ksmuanoe. as required by Section 3700 of the Labor Code. for the performance d the work for which trs permit Is
issued YY011terj' anon kshsarhCe Cartier ntr+d pnumber m: f 1y �
Carrier - `+ W� (nu
i that, the Pw mnance d the work ter which tris pemiR is issued. I not mq person in any manner to as b becamme subjectb tro workers'
Un ipenss6on laves d Caifornla, and agree tat, t 1 should beom. subject to the workers' compensation provisions of section 3700 of the Labor Code. I shelf
rat with comply with Lose provisions. Q� � p
Date Applicant � L' 1 nn 1yjUlf
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFU.. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1x100,000). IN ADDRION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE. INTEREST. AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penally of perjury that two is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3007. Civ. C.).
Lender's Name
Lerhders 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 forth on this appicsion.
1. Each person upon whose behalf this application is made, each person at whose request sod for whose benefit work is performed under or pursuant b any permit
Issued as a result of this application, the owner, and rhe applicant, each agrees b. and that. defend. kvIemnify and hold 1mm--den the City GILD Chrirhta, its
officers, agents and employees for arty ad Of Omission related to the wok being Performed under or following issuance d fhis pemill.
2- Any permit issued as a result of this application becomies null and void it work is nit corm enced within 150 64ys from date d issuance of such pemNL or
cessation of work for 160 days will subject per..1 to canoekdion.
1 cw* that I have read this application and state tat the above information Is correct I agree to comply with at city and county ordinances and state lays relating to building
corxirhrctiom and hereby authorize representatives of this county to entupon the above-mentioned property for inspection purposes.
Date_ Signature (Applicant or Agent):
p
A
r
Page
2
Application
Number .
. .
. . 04-00003701 Date
4/26/04
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
4162.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
145.67
4162.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
83.24
----------------------------------------------------------------------------
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
. . . .
169.00 Plan Check Fee
3.19
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE -FEE
15.00
4.00
9.0000
EA
MECH FURNACE <=100K
36.00
4.00
16.5000
EA
MECH B/C >3-15HP/>100K-500KBTU
66.00
7.00
6.5000
EA
MECH VENT FAN
45.50
1.00
6.5000
EA
. MECH EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit
. . . .
PLUMBING
Additional
desc
Permit Fee
. . . .
265.50 Plan Check Fee
16.60
Issue Date
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
27.00
6.0000
EA
PLB FIXTURE
162.00
1.00
45.0000
EA
PLB SEPTIC
45.00
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
12.00
.7500
EA
PLB GAS PIPE >=5
9.00
1.00
----------------------------------------------------------------------------
15.0000
EA
PLB GAS METER
15.00
Other Fees
. . . . .
. .
. . ART IN PUBLIC PLACES -RES
414.36
r
.h
4
Page 3
Application Number . . . . . 04-00003701 Date .4/26/04
----------------------------------------------------------------------------
Other Fees . . . . . . DIF COMMUNITY CENTERS -RES 97.00
DIF CIVIC CENTER - RES 366.00
ENERGY REVIEW FEE 25.52
DIF FIRE PROTECTION -RES 97.00
Y 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 36.57
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
2263.91
.00
290.25
.00
2881.45,
.00
54.35.61
.00
Credited Due
.00
2263.91
.00
290.25
.00
2881.45
.00
5435.61
oct u'/ 04 09: 14a RAYMfil O FR€`iNG I E 76Q. 836 0856 P • 2
OCTOBER 6, 2004
TOLL BROTHERS, INC.
81-380 LEGENDS WAY
LA QUUINTA, CAA. 92253
Attn.: Mr. TODD SMITH
Re.: N4DIRFIELD VILLAGE, LOT # 37
PGA WEST,
LA QUINTA, CA, 92253
FOLLOW-UP TO WALK THROUGH
3013 NO.: 4134
DEAR Pi -BL
P. F STRUCTURAL CONSULTANTS, INC.
75-153 MERLE DRIVE, STE-. B, PALM DESERT. CA 92211
PHONE (760) 836-1000 FAX (760) 836-0856
E- MAM R. FRANGIE@VERIZON.NET
8l 375 l�fF✓,mm2
THIS LETTER ADVISES THAT WE HAVE OBSERVED THE STRUCTURAL
REQUIREMENTS THAT ARE VISIBLE DURING CONSTRUCTION AT TIME TD -/M OF
OUR SITE VISIT.
WE BELIEVE THAT THE AS -BUIL T CONSTRUCTION AT THE TI14IE OF OUR VISIT IS
IN GENERAL CONFORMANCE WITH OUR STRUCTURAL PLANS AND RELEVANT
CORRESPONDENCE ISSUED BY OUR OFFICE.
WE OBSERVED THE BUILDING IN ITS FRAMED CONDITION PRIOR TO
INSTALLATION OF DRYWALL AND STUCCO. WE OBSERVED THE VISUAL AND
ACCESSIBLE STRUCTURAL REQUIREMENTS. ( EXCLUSIONS ARE ITEMS SUCH AS:
FOOTING SIZE AND REINFORCEMENT, TOP PLATE SPLICES, ROOF SHEATHING,
AND ANY STRAPS ABOVE TIM ROOF SHEATHING.).
RESPECTFULLY SUBMITTED
M.
vO 1.
No. 57958 n
sk Exp. 0630.0
�q CML
rFOF CA���oR�'
ZEYAD FAQIH, PE