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04-3698 (SFD)f QUIArav BUILDING'& SAFETY DEPARTMENT P.O. BOX 1504 (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . .04-00"003'698D Date 4/26/04 Property Addre.ss 81400`�GOLF VIEW DR APN: 762-410-021-21 -28838 - Application description . . . 'DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application valuation. ".,_.. , 376373 i Owner i ,'Contractor ------------------------ ------------------------ ` 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 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 730-.00 •' {,' r -PATIO- SQ jFTG 650. 00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 4374.00 -- - - - ---,-t- `-1 - - - - - - - - - - -- �-i,--,.;----- --- - Permit . . . . . BUILDING PER.MI�T 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 . . . . ELEC-NEW RESIDENTIAL Additional desc" Permit. Fee 182.69 Pllari�. Check Flee I'� �A 11.42 'Issue Date . . . . . Val�uationA. <.�.P 0 A Qty Unit Charge Per �, L» Extension • �!�`!N fit/ A P.O. BOX 1504 VOICE (760)'777-7012 78-495 CALLE TAMPICO FAX (760) 777-7111 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: y �� Date: Applicant I Architect or Engineer: Applicant's Malding Address: Architect or Engineer's Address: Lic. No. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am icensed under provisions of Chapter 9 (corn encihp with Section 7000) of Division 3 of to Busress ono! Piolessionals Code. said my I IJcerise 1: b d/ tome and effect License No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of Peery that I am emro tan the Contractors Stab License Law for the toMowYq mason (Sec. 7001.5. Business and Professions Co** Any city or county that requires a pemwlt b cwmbuct aper. knprun. dol,*WL or repair any sbucbrre. prior to Its issuance. also requires the applicant for the permit to No a signed "stalm. tat he or she ks k r m A pursuantlo to provisions of to Contractors Stab License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professiors Code) or that he or she is exec p thwehom and the basis for to alleged exec ption. Any violation of Section 7031.5 by any applicant bra permit subjects the applicant to a dol penalty of not mom than ire hundred dollars (5500).r U 1. as owner of the property. or my employees with wages as their sob compensation, will do the work and the structure Is not intended or offered for sale (Sec 7041. Business and Professions Code: The Contractors State License Law does not apply to an owner of property who builds or improves thereon, and who does the work hirnselfor herself or through his or her own employees, provided that the improvements am not intended or offered ter sale. K, howeyer. the buidng or improvement is sold within ae year o(oortpbfi n the ow ner-bulder willlave the burden of proving that he or she did not build or improve for the purpose of sale.). U 1, as owner of the property. am sx*aively ca 'k - with license'contractors b construct the project (Sec. 7044. Business and Professions Code: The Contractors' State License Law does not appy to an owner of property who builds or improves thereon, and who contracts for the projects with a contrackods) icensed pursuant to the Contractors' Stab License Law.). U 1 am excerpt under Sec . B.3 P.C. for this mason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penally of perjury ane of the following declarations: _ I have and will maintain a certificate of consent to sellinsure for workers' compensation, as provided for by Section 3700 of the Labor Code. for the pedomwnoe of the work foo w hide this pas.. is Issued. I have and will maintain workers' compensation insurance. as required by Section 3700 of the Labor Code. for the performance o(1he work for which this Permit is issue orke(s' ens I - q kWA== carrier Policy number are: Cartier PoieyNunbw Lt)A-,Zle) U` -A CIO 1'Z.SoI -_I ee ' that, in the pevloma a of the work for which this permit a issued. 1-" not employ any person in any manner so as to become subject to to workers' lion taws of CaRomW and agree tat 91 should become subject to to workers' commpensatim provision of section 37M of go Labor Code. I shall foAlwwkh axrpy with those pmvisionst�nn 1� , Date �- ApplicantIt_J� WARNING: FAILURE TO SECURE WORKERS COWENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1100,000), IN ADOIT ION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE INTEREST. AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY 1 hereby affirm ander penalty of perjury gat taro is a construction lendrq agency for the performance of the wok for which this permit is issued (Sec. 3047. Circ. C.). Lenders Nam Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Appication Is hereby made lo the Director of Bu tiding and Safety for a permit subject b the eoniftons and restrictions set forth on Oft appicii5on. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is perfumed under or pxrsuent to My Penmlt Issued as a result of this application, the owrer. and the applicant. each agrees to, and shall. defend. indemnity and hold lamless the City of La OuYMa, its officers. agents and employees for any act or omission related to the work being pedor ed under or following issuance of tits penmtL 2. Any permit issued as • result of this appic"m becomes null and void i(wwork is not commenced within 160 days from date of issuance of such permit, or cessation of work for 160 days will subject permit to cancellation. 1 certify that I have road this application and state trot the above information is correct .1 agree to comply with cep city and county ordinances and state hoc relating 10 building construction. end hereby authorize representatives of this county to enter upon the abovetnentiohed property for insp —fin purposes. Date Signature (Applicant or Agent): Application Number . . . . 04-00003698 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/.0 >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 Cheek 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% .•ate+'`! F •�d.F+'R +,lc� ur,"��i� F'�,;K Page 3 Application Number 04-00003698 Date 4/26/04 ------------------------7--------------------------------------------------- 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 APPROACH ---------------------------------------------------------------------------- Other 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 ---------- Paid Credited Due ----------------- Permit Fee Total '2179.19 ------------------------------ .00 .00 2179.19 Plan Check Total 294.76 .00 .00 294.76 Other Fee Total 2933.59 .00. .00 2933.59 Grand Total 5407.54 .00 .00 5407.54