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04-8180 (SFD)T-Vf 4 4 a" 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 (040000,81807 Date 2/14/05 Property Address 81305 LEGENDS WY APN: 762-420-031- - - Application description . . . DWELLING - SINGLE'FAMILY DETACHED Property Zoning . . . . OW DENSITY RESIDENTIAL Application valuation 5747 Owner Contractor ------------------------ TOLL BROTHERS, p iQ-------------------=---- j� INC. TOLL BROS, INC. 81240 LEGENDS WAY v ti d� 73121 FRED WARING DRIVE, #100 LA QUINTA CA 2 3 �v PALM DESERT CA 92260 VWCC: MARSH USA INC. O WC: WA762D.004723014 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 785.00 PATIO SQ FTG 1058.00 NUMBER OF UNITS 1.00 - 'I`ST FLOOR SQUARE FOOTAGE .' 4162.00 ---------------------------------------------------------------------------- Permit . . . . BUILDING PERMIT Additional desc Permit Fee . . . . t 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 Permit . .. . . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 176.37 Plan Check Fee 11.02 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 4162.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 145.67 785.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL �. 15.70 Permit . . .!. . . GRADING PERMIT Ir P.O. Box 1504 • �� VOICE (760) 777-7011 7$-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 FAX (760) 777-701 IINSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: /Y _! —,_yy® Date: -15.1 1.05 Applicant: I Architect or Engineer: Applicant's Mailing Address: D N TICA c i OIC 710b,- AQ +x—y Architect or Engineer's Address: Lic. No.: C28 —1 Z Q tSUil_UINU PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and License is in full force and effect. S -'*'License Classss 0. License No/ , -7, 6't1 —Q� Contractor 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 properly 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 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' comppensation insurance carr. and policy number are: Carrier MA(tS Ll U SA lu t Policy Numb6r' i--� -762D Ca47-0001 I certify that, 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 provisions. te' ato 3- 11"C%_ APPlicantr/ 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 the above-mentioned property for inspection purposes. Date 3' �Z"4� Signature (Applicant or Agent Page 2 ' Application Number . . . . . 04-00008180 Date 2/14/05 Additional desc ' Permit Fee . . . . 15.00 Plan Check Fee .00 : Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension .fir. 15.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc . . Permit.Fee 139.00 Plan Check Fee 8.69 r Valuation . . . . 0 Qty Unit Charge Per Extension 1 BASE FEE 15.'00 4.00 9.0000 EA MECH FURNACE <=100K 36.00 Page 2 ' Application Number . . . . . 04-00008180 Date 2/14/05 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 139.00 Plan Check Fee 8.69 ' Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.'00 4.00 9.0000 EA MECH FURNACE <=100K 36.00 ww 4.00 9.0000 EA MECH B/C <=3HP/100K BTU 36.00 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 . . . . 235.50 Plan Check Fee 14.72 Issue Date . . . . Valuation . . . . 0 Qty Unit'Charge Per Extension BASE FEE 15.00 27.00 6.0000 EA PLB FIXTURE 162.00 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 12.00 ..7500 EA PLB GAS PIPE >=5 9.00 1.00 15.0000 ---------------------------------------------------------------------------- EA PLB GAS METER 15.00 Special Notes and Comments SFD - LOT 31 PLAN CABRILLO-SB 4162 S.F. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. 75% PLAN CHECK REDUCTION APPLIED FOR MULTIPLE ISSUANCE OF SAME PLAN TYPE. ---------------------------------------------------------------------------- Other Fees . .... . . . . . . ART IN PUBLIC PLACES -RES 414.36 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 25.52 ti DIF FIRE PROTECTION -RES 97.00 0 Page 3 Application Number . . . . . 04-00008180 Date 2/14/05 ---------------------------------------------------------------------------- Other Fees .. . . . . . . . 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 ----------------- Charged Paid Credited Due Permit Fee Total ---------- 2136.37 -------------------- .00 ---------- .00 2136.37 } -Plan Check Total 289.64 .00 .00 289.64 Other Fee Total 2881.45 .00 .00 2881.45 Grand Total 5307.46 .00 .00 5307.46 0