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04-3700 (SFD)10; �F QUMrw BUILDING & 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 . . . . . '04-0000-3.700. Property Address . . . . . . 81396 GOLF VIEW DR APN: 762-410-022-22 -28838 - Application description . . . DWELLING - SI14GLE FAMILY Property Zoning LOW DENSITY RESIDENTIAL Application valuation. 333037 Owner Contractor Date 4/26/04 DETACHED TOLL CA V TOLL BROS, INC. C/O KEVIN D DUERMIT 73.121 FRED WARING DRIVE, #100 8901 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 ------- ---- -------------- 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 752.00 -PATIO SQ FTG 561.00 NUMBER.OF UNITS 1.00 FIRST FLOOR SQ FTG 3847.00 ----------------------------------------------------------------------------- Permit . . . . . BUILDING PERMIT Additional desc Permit Fee 1458.50 Plan Check Fee 237.01 Issue Date Valuation . 333037 Qty Unit Charge Per. Extension BASE FEE 639.50 234.00 3.5000 THOU BLDG 100,001-500,000 819.00 Permit . . .. . ELEC-NEW RESIDENTIAL Additional desc Permit. FeC 1.64.69 Plan Cfieck. Fee' 10.. 29 -Issue Date . . . . . Valuatior4� �. � . 0 a Qty Unit Charge Per �,:?� Extension P.O. Box 1504 VOICE (760) 777.-,01.-q 7E-495 CALLS TA1r1TICO FAX (760) 777-7011- LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: b y i3 780 Date: Applicant Architect or Engineer. Applicant's Mailing Address: Architect or Engineer's Address: tic. No. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTORS DECLARATION 1 hereby atrrm under penalty of perjury that 1 am licensed under provisions of Chapbr 9 (commencing with Secion 7000) of Division 3 of the Business and Prolessionaii Code, and my' is in kA force and ersect License class ' , License No. Dab - Contractor yn i I OWNER -BUILDER DECLARATION I hereby affirm under pensky d perjury that Ism exempt from the Cw*ac*xV Stab License Law for the following reason (Sec. 7031.5. Business and Professions Code: Any city or county that regnwes a permit to corstrrct. aper. improve. demoislL or repair any structure. prior b Its issuance. also requires the appkaM for the per" b lis a signed 'stmenw that he or she Is Ir i ed pursuant b the provisions of the Castracfors' Stab lioerhse Law (Chepbr 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt thersbom snd the basis for the alleged erertpt;at. Any violation of Section 7031.5 by snit applicant lot a permit subjects the appkett b a dvl penalty d not more than five Iaadred dobcs ($=).r U 1. as owner of the property. or my employees with wages as their sob compo rerun wa do the wok and the structure is not Intended or offered for sale (Sec 7044. Business and Profession Coda The Contrsdons' Stab License Law does not apply to an owner of property who builds or improves thereon. and who does the work himsef or herself or txouph his or her own employees, provided that the i nproveme is are not Mended or oQered for sale. K, however. the bra j n a i+provenemt is sold wiWn ane year d completion►, the owner4xAder wi have the burden of proving Mat he or she did not build or improve for the purpose of sale.} U Las owner of to property. am exclusively contracting with licensed contractors to construct the project(Sec 7044. Business and Professions Code: The Contactor' Stake License Low does not appy to an owner of property who builds or irhproves 1heison, and who contracts for the projects with a Coo waclon(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec . B.& P.C. for tits reason Dab Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of pejury one of ria following declarations: —I have and ail maintain a certificate of corsets to set -insure for workers' compensation, as provided for by Section 3700 of" Labor Code. ler the performance of the work ler whid this permit Is Issued. _ I have and wIl maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the performance of the wok ler whidt this permit is issued. My wp¢�ers' oro�hpensa'i n insurance Cartier and pommy number are: Cartier Q a.[ -A •k3c m`n 1.101 , Poiry Number Lf) A 2 (ai Cin leu -I-,no( _ I that, in the perfoamance the work lex which this permit is issued. "not employ any person in any nm mner soas to become asbjed to the workers' cc perhsa5on laws of CaMonik& wo agree that. Y 1 should becoi, subject to the workers' compensation provisions of section 3700 of" Labor Code. 1 shall forthwith comply wkf; those provisions. 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 (3100.000). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. lN7IVtEST. AND ATTORNEY'S FEES. . CONSTRUCTION LENDING AGENCY I hereby affirm miler penalty at perjury that two is a construction landing agency ler the pefom wce d the work for which this permit Is issued (Sec. 3097. Civ. C.). Len s Name Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Appicatim Is hereby mode to the Director of Building and Safety for a pemat subject to the conditions and restrictions set forth on tlis sppicatim 1. Each person upon whose behalf this application is made. each person at whose request and for whose benefit wo* is performed under or pursuant to any penal Issued as a result d this appicatim the owner. and the applicant, each agrees to. and shall, defend. indemnity and hold han . ss the Cky d Ls Qtdr". les offices, agents and employees for any ad or omission Mated to the work being performed under or fdbwing Issuance of this pemm IL 2. Any permit Issued as a result of this application becomes nut and void It work is not commenced within 1 so days from date of Issuance of such penial, or cassation of work for 160 days will subject pnzrmat to cancellation. 1 certify that I have reed this application and state that the above Information is corecL log, to comply with cep city and county o finances and state laws relstirg to buAdirg construction. and hereby auttwrize representatives of this county to enW upon the above-mentioned property ler inspection purposes. j Date qk"-Lo��,-Signabre(Apprcafitc(Agerd). 1 Page 2 Application Number . . ... 04-00003700 Date 4/26/04 Qty Unit Charge Per Extension BASE FEE 15.00 3847.00 .0350. . ELEC NEW RES - 1 OR 2 FAMILY 134.65 752.00 ..0200 ELEC GARAGE OR NON-RESIDENTIAL 15.04 ---------------------------------------------------------------------------- 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 195.00 Plan Check Fee 12.19 Issue Date . . . . Valuation . . . . 0 Qty. Unit Charge Per Extension BASE FEE 15.00 21.00 6.0000 EA PLB FIXTURE 126.00 1.00 15.0000 EA PLB.BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 j.' 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 ---------------------------------------------------------------------------- Other Fees . . . . . . ART IN PUBLIC PLACES -RES 332.59 • x1 12 Page 3 Application Number . . . . 04-00003700 Date 4/26/04 -------------------------------------------------- Other Fees .. . . . . . . . . -------------------=------ DIF COMMUNITY CENTERS -RES 97..00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 23.70 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 33.30 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098:00 Fee summary ----------------- Charged ---------- Paid Credited Due' Permit Fee Total 1983:19 ------------------------------ .00 .00 1983.19 Plan Check Total 268.87 .00 .00 268.87 Other Fee Total 2794.59 .00 .00 2794.59 Grand Total 5046.65 .00 .00 5046.65 12