06-3533 (BLCK)Gi
i
I
/
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00003533
Property Address:
51830 VIA SORRENTO
APN:
772-250-997-158 -31349
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
541
Tu!t 4 4 Q"
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 full force and effect.
License Class: B Li ense I o.: 777699
Date: °� Contractor:
OWNER -BUILDER ECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).:
1—) 1, 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 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.).
(_ 1 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.).
(_ I I am exempt under Sec. , B.&P.C. for this reason
C Date:
Owner:
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:
LQPERMIT
VOICE (760) 777-7012
FAX. (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/03/06
Owner:
TOLL CA V
C/O KEVIN D DUERMIT
8901 E MOUNTAIN VIEW 200
SCOTTSDALE, AZ 85258
D°
Contractor:
TOLL BROS, INC. OCT O 4 2006
14350 NORTH 87TH ST, STE 31
SCOTTSDALE, AZ 85260
(760)674-9699 CITY OF LA QUINTA
FINANCE nitwr
Lic. No.: 777699
-----------------------------------------------
WORKER'S 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.
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 permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier ZURICH AMERICAN Policy Number WC387821301
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 1 should become subject to the w kers' compensation provisions of Section
3700 of the Labor Code, shall forthwith o ply th those provisions.
Date: / pplicant: E
WARNING: FAILURETOSECURE WORKERS' COMPENSATIONVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL NES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
- 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,Ueby thorize representatives
of this county to enter upon the above-mentioned propertyAr inspg-ction
Date: nature (Applicant or Agent):
Application Number . . . . . 06-00003533
Permit . . . WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . . . 17.00
Plan Check
Fee
.00
Issue Date . . .
Valuation
. . .
. 541
Expiration Date 4/01/07
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 2.0000 HND BLDG
501-2,000
2.00
----------------------------------------------------------------------------
Special Notes and Comments
25 LF 3' 6" WALL @ REAR P/L PER
ORCO
DETAIL
Fee summary Charged
Paid Credited
Due
-------------------------------------
Permit Fee Total 17.00
----------
.00
----------
.00
17.00
Plan Check Total .00
.00
.00
.00
Grand Total 17.00
.00
.00
17.00
t
•
LQPERMIT
LEGENnr
LOT 158
VIA SORRENTO
PAD =29.3
FF =29.80
"SEDONA"
0.5%
FL
TF
TW
GF
HP
FS
GB
TC
FG
AC
CB
O
Z
0
SCALE 1"=40'
LOT NUMBER
STREET NAME
PAD ELEVATION
FINISHED FLOOR ELEVATION
PLAN TYPE (R=REVERSE)
RATE OF GRADE
FLOW LINE
TOP OF FOOTING
TOP OF WALL
GARAGE FLOOR
HIGH POINT
FINISH SURFACE
GRADE BREAK
TOP OF CURB ELEVATION
FINISH GRADE ELEVATION
AIR CONDITIONER
CATCH BASIN
hl L,
IID PULLBOX
E! ,
kA VIT PEcM.}
F
157 AD .29..9 30ti
3— 6 if i—
--R-/W
STREET R/W
---;_—
PROPERTY LINE
—rte--
STREET CENTERLINE
==z4=
EXTRA DEPTH FOOTING
16
FL
PROPOSED ELEVATION
--�
DRAINAGE SWALE
BLOCK WALL
'
SEWER LATERAL
—
WATER SERVICE WITH METER
H
FIRE HYDRANT
—ISI--
WATER VALVE
O
SEWER MANHOLE (MH)
--W—
WATER MAIN
SEWER MAIN
PUBLIC UTILITY EASEMENT (PUE)
.IMPORTANT NOTICE:
THIS PLAN IS FOR GENERAL INFORMATION .ONLY AND INTENDED TO SHOW APPROXIMATE RELATIONSHIPS. THIS PLAN IS NOT
INTENDED TO SHOW PRECISE UTILITY LOCATIONS, EXACT CONDITIONS NOR DOES IT ACCURATELY REFLECT THE SIZE
OF UTILITY BOXES, TOLL BROTHERS, INC. DOES NOT DETERMINE UTILITY OR MAILBOX LOCATIONS AND THESE LOCATIONS
ARE SUBJECT TO CHANGE DUE TO ACTUAL FIELD CONDITIONS. TOLL BROTHERS, INC. MAKES NO GUARANTEE AS TO THESE
PLAN'S ACCURACY NOR IS ANY LIABILITY ASSUMED FOR ANY OTHER THAN THAT INTENDED, FOR EXACT LOCATIONS IT IS
STRONGLY ADVISED TO CHECK ACTUAL FIELD CONDITIONS. THESE CONDITIONS MUST BE VERIFIED PRIOR TO BEGINNING ANY
DESIGN OR CONSTRUCTION OF HOMEOWNER LOT IMPROVEMENTS.
BUYER'S INITIALS: DATE:
0�
TOLL BROTHERS, INC.
DATE:
RIVERSIDE COUNTY
73-121 FRED WARING DRIVE, SUITE 100
PALM DESERT, CALIFORNIA 92260
Address: 51-830
VIA SORRENTO
TRACT NO. 31349
LOT NUMBER: 158
Permit #
�l
Project Address:
A. P. Number:
o . w ity of La Quinta
1 J'� Building & Safety Division
J P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit APPlication and Tracking Sheet
Cr`,` Owner's Name: •
01rr
Address: 5,0_q00 `
t City, ST, Zip:. a .,,4 C —
Contractor: 7-60.
LL IPoT Telephone: 7�jr0..Z 7S' 979r
Address: 6' `'``
`� �rtt��. Project Description: ASD
City, ST, Zi CIA
Telephone: a D —2?S' 87
State Lic. #: —2 -7 J 9 l
Arch., Engr., Designer: MDS
Address: 7 O l oo Ay eh.
City, ST, Zip: C 0(4—
Telephone: '
76O �7 -yol
State t
Lic. #:
20
S-9 fo
Name of Contact Person: C
1
Telephone # of Contact Person: 726
# Submittal
Plan Sets
Structural Calcs.
Truss'Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
II.O.A. Approval
IN IIOUSE:-
Planning Approval
Pub. Wks. Appr
School Fees
'd
City Lic. #: -2 S /
/Iff
PTA
Construction T�- e:
.P s1 Occ u a nc •
o P
t�Sc r .
Project oe
ct • e ci rc Ic
J one): e. N
P � e« Add'n Alter Re air Demo
P
FrK
Sq. Ft.:
#
Stories:
# Units:
Q-2%_57
EstimatedValueofProject:
APPLICANT: DO NOT WRITE BELOW THIS LINE
Rec'd
TRACKING
PER\IIT FEES
Plan Check submitted
Item
Amount
Reviewed, ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check Valance
Plans picked up
Construction
Plans resubmitted
Mechanical
2nd Review, ready for corrections/issue
Electrical
Called Contact Person
Plumbing
Plans picked up
S.I.I.
Plans resubmitted
Grading
Review, ready for corrections/issue
Developer Impact Fee
Called Contact Person
A.I.P.P.
Date of permit issue
Total Permit Fees