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04-5442 (BLCK)�F�a�rw �r. U BUILDING & SAFETY DEPARTMENT P.0. ox 1504 (760).777-7012 D . 78-4465Q DLEQhMP� C0 FAX (760) 777-701.1 LA QUINTA ;,%I% pi�FORN1 92253 INSPECTION REQUESTS (760) 777-7153 CIN p� DEPT• BUILDING PERMIT Application Number . . . . . 04-00005442 Date 7/13/04 Property Address . . . . . . 81420 GOLF VIEW DR APN: 762-410-019- - - Application description . . . WALL/FENCE Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 2750 Owner ------------------------ TOLL CA V C/O KEVIN D DUERMIT 8901 E MOUNTAIN VIEW 200 SCOTTSDALE AZ 85258 Contractor ----------------- ------ TOLL BROS, INC. 73121 FRED WARING DRIVE, #100 PALM DESERT CA 92260 WCC: LIBERTY MUTUAL WC: WA26D004723013 09/01/04 CSLB: 777699 04/30/06 CCC: B ------------------------------------ --------------------------------------- Permit . . . . . . WALL/FENCE PERMIT Additional desc . . Permit Fee 54.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 2750 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 ---=------------------------------------------------------------------------ Special Notes and Comments 110 L.F. 6' GARDEN WALL, ORCO SYSTEM Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 54.00 00 .00 54.00 Plan Check Total .00 ..00 .00 .0.0 Grand Total 54.00 .00 .00 54.00 P.O. Box 1504•f 4 �� VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: ' SE 02 I Date: Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: IJIA- Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter G9�(commencing with Section 7000) of Division 3 of the Business and Professionals Ce,e Classss and License is in full force and effect. icense No. 7 ydicens_ 7 7 --Date- /,-7/,4- rector -� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, 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 thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I 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' compensation, as provided for by Section 3700 of the Labor Code, for the performance K( of the work for which this permit is issued. L` I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issue . My works conpensatio ' urance carrier and policy number are: Carrier G� �l�i /vWI t.A .1 Policy Number wA2 6 i 6 4 72nn l3 _ I certif�t, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi ons. ,e -bate 7 27 Applicant nt 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 ($100,000), IN ADDITION 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 penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's 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 application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon Lthe abov - entioned property for inspection purposes. ate . �% 7 ignature (Applicant or Agent): .06/23/2005 11:52 951-686-8786 WESTERN INSULATION PAGE 06/10 astern tion L.P. ONTRACTING 4211 Latham Street • Riverside. California 92501 • Phone: (909) 686-8760 • Fax: (909) 686-8786 License # 794484 CF6R INSULATION CERTIFICATE THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: TRACT/PHASE: MUIRFIELD @ PGA WEST / PHASE 4 LO T#: 19 SITE ADDRESS: 81.-420 GOLF -VIEW DRIVE'- LA QUINTA, CA. ------------------------------------------------------------------ CEILINGS: BLOWN INSULATION MANUFACTURER: GREENFIBER THICKNESS: 8.1" R- VALUE: R-30 CEILINGS: BATTS MANUFACTURER: KANUF THICKNESS: 10" R- VALUE: R-30 EXTERIOR WALLS: BATTS MANUFACTURER: KANUF THICKNESS: 61/4" GABLE ENDS & PLUMBING BAYS BATTS MANUFACTURER: KNAUF THICKNESS: 31/2" GENERAL CONTRACTOR: TOLL BROTHERS BY: TITLE: DATE: INSULATION CONTRACTOR: WESTERN INSULATION, L.P. LICENSE NUMBER: 794484 BY: �^ TITLE: PROD TION MA GE DATE: JUNE 23, 2005 R- VALUE: R-19 R- VALUE: R-11