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04-6428 (SFD)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 . . . . . 04-000064'28 Date 9/24/04 Property Address.. . . . 81370 -LEGENDS WY APN: 762-420-005- - - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . .. LOW DENSITY RESIDENTIAL Application valuation . . . . 322996 Owner Contractor ------------------------ --------------------- - TOLL BROTHERS, INC. TOLL BROS, INC. 80380 LEGENDS WAY 73121 FRED WARING DRIVE, #100 LA QUINTA CA 92253 PALM DESERT CA 92260 WCC: LIBERTY MUTUAL WC: WA762DO04723014 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 756.00 PATIO SQ FTG 444.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 0. .:,FIRST -FLOOR SQ FTG ' .` 3741"'.00 - Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 1420.00 Plan Check Fee _ 230.75 Issue Date . . . . Valuation 322996 Qty Unit Charge Per Extension BASE FEE 639.50 223.00 3.5000 --------------------------------------------------------------------=------- THOU BLDG 100,001-500,000 780.50 Permit . . . . . . MECHANICAL Additional desc Permit Fee 103.00 Plan Check Fee 6.4,4 Issue Date rr=:�----- ,Valuation... . . . 0 Qty Unit Charge Per BASE SEE (JL I G O c0�4 CITY OF LA QUINTA FFINANCE DEPT. Extension 15.00 w P.O. BOX 1504 78-495 CALLS TAMPICO r1r VOICE (760) 777-701 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: - i0 Date: /0'a�O.Oy Aonlit^ant- Applicant's Mailing Address: n !IJ— P� chitect or Engineer: Toe, AILCt NtTaeT'&Vt Architect or Engineer's Address: ic. No.: C 'Zflq S 1 t3UILUINU 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 C , and my License is in full force and effect. icense Class 11 �se No. Date 1 Le -04-Contractor_ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that l 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 1 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 1of the work for which this permit is issued. 1 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 issued. My workers' compensation�'psnrance carrier and policy number are: permit is �rrier 1.1 fSt1LTy Maty A t. /Pofioy Number �,JA -116LO oO 4?Z 14 _ I certify that, in the pertormance 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, 1 shall forthwith comply with those provisions. Date' �� /Applicant 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.). Lenders Name Lender's Address IMPORTANT APPLICANT ACKNOWLEDGEMENT 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, indemnity and hold harmless the City of La Quinte, 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. mate t0'ZA-O ignalure(Applicant orAgent): \`��0 c4 Page 2 Application Number . . . . . 04-00006428 Date 9/24/04 Qty Unit Charge Per Extension 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 7.00 6.5000 EA MECH VENT FAN 45.50 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit' ELEC-NEW RESIDENTIAL Additional desc Permit Fee 161.06 Plan Check Fee 10.06 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3741.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 130.94 756.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 15.12 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..0.0 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 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 ------------------,---------------------------------------------------------- 15.0000 EA PLB•GAS METER 15.00 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 Special-Notes and Comments SFD - LOT 5 PLAN SANTA ROSA-CONTEMP. Page- 3 Application Number ---------------------------------------------------------------------------- 04-00006428 Date 9/24/04 Special Notesland-Comments W/EXT PATIO 3741 S.F. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ---------------------------------------------------------------------------- Other Fees . . . . . . . ART IN PUBLIC PLACES -RES 307.49 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 23.08 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 D'IF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 32.29 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total' ---------- .1894.06 ------------------------------ .00 .00 1894.06 Plan Check Total 259.44- .00 .00 259.44 Other Fee Total 2767.86 .00 .00 2767.86 Grand Total 4921.36 .00 .00 4921.36 06/23/2005 11:29 951-686-8786 WESTERN INSULATION PAGE 07/11 Wester RESIDENTIAL a 4 ONTRACTING 4211 Latham Street • Riverside, California 92501 s Phone: (909) 686-8760 • Fax: (909) 686-8786 License # 794484 CFbR 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 Q PGA WEST /PHASE 5 LOT#X: 5 SITE ADDRESS: C81 -V0 LEGENDS.WAY'- LA OUINTA, 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: 6 1/4" R- VALUE: R-19 GABLE ENDS & PLUMBING BAYS BATTS MANUFACTURER: KNAUF THICKNESS: 3 1/2" R- VALUE: R-11 GENERAL CONTRACTOR: TOLL BROTHERS TITLE: DATE: 'INSULATIQN CONTRACTOR: WESTERN INSULATION, L. P.. LICENSE NUMBER: 794484 BY. K (j r') TITLE: PRODUCTION PA—NA--UE--R DATE: JUNE 23. 2005