04-8175 (SFD).1 . lfi4 4 4 a"
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
Application Number . . . . .0404 000081.7,5 Date 2/14/05
Property Address, :=- . . . 81280 LEGENDS WY
APN: 762 -420 -019 -
Application description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . 376373
Owner I � Contractor
------------------------ -----------------------<-
TOLL CA V Q TOLL BROS, INC.
C/O KEVIN D DUERMIT D 73121 FRED WARING DRIVE, #100
8901 E MOUNTAIN VIE 00 ALM DESERT CA 92260
SCO.TTSDALE
• QUINTA
CITY OF LA CC : MARSH USA INC.
FINANCE DEPT.
WC: WA76-2D004723014 09/01/05
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 CRC
FIRE SPRINKLERS NO
GARAGE SQ FTG
730.00
PATIO SQ FTG
650. 00
_
- 'NUMBER 'OF' UNITS '
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
4374.00
Permit . . . . . .
BUILDING PERMIT
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 Plan Check Fee
11.42
Issue Date
Valuation . . . .
0
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
P.O. BOX 1504 • 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: / 7 Date:
Applicant: Architect or Engineer:
Applicant's Mailing Address: Architect or Engineer's Address:
0% 7- C % 0�
Lic. No.: _ C28 '7 'IQ
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provision��,sss.of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and License is in full force and effect.
License Class
(3 License o. 1
L.9atee ' 17BOJ Contra oc'f r C
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 fora 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.).
L) I am exempt under Sec. , B.& 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
of the work for which this permit is issued.
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
issued. My workers' compensation insurance cry"+.fear and polic number are:
Carrier �v iA(Z S {!1 U3 A 1,4Cl Policy Num e!r UM4. Z Dee�9iZ,'3 O 14
I certify that, in the performance of the work for which this permit is issued, I shall not ee 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 provisions.
ate 3 '1?—Applica�
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 Q-
/V /
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 the above-mentioned property for inspection purposes.
Date' (Z Signature (Applicant or Agent ��
Page
2
Application Number .
. . . . 04-00008175 Date
2/14/05
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 . . . .
134.00 Plan Check Fee
8.38
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 9.0000
EA MECH BIC <=3HP/100K BTU
27.00
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
13.50
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
-----------------7----------------------------------------------------------
EA PLB GAS METER
15.00
Special Notes and Comments
SFD - LOT 19 PLAN VENTANA-SB
W/CASITA & EXT PATIO
4374 S.F. PERMIT
DOES NOT INCLUDE -BLOCK
WALL, POOL, SPA
OR DRIVEWAY APPROACH.
75% PLAN CHECK FEE
REDUCTION APPLIED FOR
MULTIPLE ISSUANCE
OF SAME PLAN TYPE.
----------------------------------------------------------------------------
Other Fees, . . . . .
. . . . ART IN PUBLIC PLACES -RES
440.93
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
Page 3
Application Number . . . . 04-00008175 Date 2/14/05
--------------------------7-------------------------------------------------
Other Fees . . . . . . . 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 5.00
DIF PARKS/REC - RES 502.00
STRONG MOTION (SMI) - RES 37.63
DIF STREET MAINT FAC -RES 15.00
DIF TRANSPORTATION - RES 1098.00
Fee summary .
-----------------
Perm_it Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged Paid
2156.69
.00
294.76
.00
2909.71
.00
5361.16
.00
Credited Due
.00
2156.69
.00
294.76
.00
2909.71
.00
5361.16
:. 07/29/'2005 05:13
19497525321
GOU'v'IS ENGINEERING
July 27, 2005
Gary Lemon
Toll Brothers .
73-121 Fred Waring Drive, Suite 100
Palm Desert, CA 92260
Re: PGA West
GECG Job # 60030
Lots 212, 213, 214, 215,.217, 219, 220, 229 and 230
Structural Observation Report
Dear Mr. Lemon,
This letter advises chat—we—have observed the structural requirements d
at the time of our site visit
Gouvis Engineering believes that the as -built construction at the time of
conformance with our structural plans and relevant correspondence isst
above .referenced dwelling.
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are visible during construction
.. visit is in general
by our office relating to the .
We observed the building in its framed condition prior to installation ofII and stucco. We observed
the visual: and accessible structural requirements. (Exclusions are items rch s:size of footings,
reinforced steel In the foundations and roof sheathing.)
This report is understood to be an expression of professional opinion by his engineer, which is based on
his best knowledge, information and beliefs. As such, it consists of a repo t for only structural elements
(as above outlined) and is neither a guarantee nor a warranty, expressed c r implied for other trades or
requirements of subject dwelling.
Respectfully Submitted:
GOUVIS ENGINEERING CONSULTING GROUP;'INC.
Mahesh Kapoor
'Field Engineer
1400 r..Jiu}etc: Driw
Nc— lrl !;e.wlli. ('n
`I,'.660
I
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