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04-7544 (SFD)0 BUILDING & SAFETY DEPARTMENT "BOX 15 0.4 ��-_ _ .. ,s° .. (760.),777-7012. Q.F.Ti 7 495 CALLS TAMPICO • �, • FAX (760) 777-7011 LA QUINT CALIFORNIA 92253 INSPECTION REQUESTS (:760) 777-7153 Cr :. BUILDING PERMIT Ap T"ication Number 04=00=00�07_544� . Date 12/02/04 Property Address . . .<�-5-1:3-50 VIA SORRENTO APN: 772-250-997-132 -31349 - Applic.ation description . DWELLING - SINGLE FAMILY.DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application valuation .261546 Owner Contractor ------------------------- ------------------------ 'TOLL CA V TOLL BROS, INC. C/O KEVIND DUERMIT 73121 FRED WARING DRIVE, 4100 8901 E MOUNTAIN VIEW 200 PALM DESERT CA 92260 S.COTTSDALE AZ ,85258 WCC.:. MARSH USA INC WC: WA762D004723014 09/01/05 CSLB: 77769.9 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 CBC BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 62.5.:00 PATIO SQ FTG 233.0.0 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 3047.00 Permit . . . . BUILDING PERMIT Additional de.sc Permit Fee . . . 1206.50 Plan Check Fee 196.06 Issue Date Valuation . . . 261546 Qty Unit Charge Per. Extension BASE FEE 639.50 162.00 3.5000 THOU BLDG 100,001-500,000 567.00 Permit . . . . MECHANICAL Additional desc Permit Fee' 127:50. Plan Check Fee'.. 7.97 Issue Date . . . . Valuation 0 Qty Unit. Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 7.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 P.O. BOX 1504 • 'GC�� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: 5414 Applicant:—Architect Applicant's Mailing Address: chitect c. No.: or Engineer: A VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: / il?'/(% O or Engineer's Address: - r BUILDING 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 my License is in (�I�force and effect. -7 Q cense Class , License No. 77 ! & 7 Date */ / o n ,actor An /, 6 tang E&S 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 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. Mykworkers' compensatioa� nonce carrier and polio number are: rri Caer 0JA9ACj& !)XA "Policy Number N.f�f 7myL D 000 77-30 ( � _ 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. Date l O Appl_ icant ��!�% � 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 /L �7 ° 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 authori/Signature e representatives of this county to enter upon the above-mentioned property for inspection purposes. /te� l O Sig" nature(ApplicantorAgent): . , 4 Page 2 Application Number. 04-00007544 Date. 12/02/04 Qty Unit Charge Per Extension 8.00 6.5000 EA MECH VENT FAN 5.2.00 1.00 6.500.0 EA MECH EXHAUST:HOOD 6.50 ------------------------------------------------------------------- Permit ELEC-NEW RESIDENTIAL Additional desc Permit Fee 134.15' Plan Check Fee 8.39 Issue Date Valuation 0 Qty Unit Charge Per - Extension BASE FEE 15.00 3047.00 .0350 ELEC NEW RES - 1 OR 2 -FAMILY 106.65. 625.00 .0200 ELEC GARAGE OR_NON-RESIDENTIAL 12.50 Permit PLUMBING . Additional desc Permit Fee 207.75 Plan Check Fee 12:99 Issue Date Valuation 0 Qty. Unit Charge Per Extension' BASE FEE 15.00' 23.00' 6.0000 EA PLB FIXTURE 138.0,0 1.0015.000O'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 7.00 .7500 EA PLB GAS PIPE >=5 5.25 . 1.00. 15.0000 EA PLB GAS METER 15.00 Permit . . . . . . GRADING PERMIT Additional desc . Permit Fee 15.00. Plan Check Fee .0d Issue Date . . . Valuation 0 Qty Unit. Charge .Per Extension BASE -FEE 15.00 . Special Notes and*Comments SFD - LOT 132. 3047 S.F:BELIZE /CONT. PERMIT DOES NOT,INCLUDE BLOCK WALLS, POOL/SPA,OR DRIVEWAY APPROACH'.. 75% PLAN CHECK FEE REDUCTION APPLIED FOR MULTIPLE ISSUANCE.OF SAME PLAN TYPE. ---------------------------------------------------------------------------- " Other•Fees , ART IN PUBLIC PLACES -REB 153.86 f. • Page 3 Application_Number. 04-00007544 Date 12/02/04. Other Fees DIF COMMUNITY CENTERS, -RES '97.00 DIF CIVIC CENTER ,- RES 366.00 ENERGY REVIEW FEE 19.61. 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 26.15 DIF STREET.'MAINT FAC -RES '15.0.0 DIF TRANSPORTATION - RES 1098.00 Feesummary Charged Paid. .'Credited Due.. Permit Fee Total ------------ 1690.90 -00,- .00 1690.90 Plan Check Total 225.41 OQ 00` 225,41 Other Fee Total •2604.62 00 .00 2604.62 Grand Total 4520.93' .00 .00 4520.93