07-2977 (SFD)c;r
A'� P.O. BOX 1504
178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
TAh
•t..4.4.Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
.07-002.977
Property Address:
:80465 VIA TALAVERA
APN:
772-250-999-149 -30357 -
-Application description:-
DWELLING - SINGLE FAMILY DETACHED
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
311363
Applicant:
Architect or Engineer:
Owner:
TOLL CA V
C/O KEVIN D DUERMIT
8901 E MOUNTAIN VIEW •200
SCOTTSDALE,~AZ 85258
Contractor:
TOLL BROS, INC.
VOICE (760) 777=7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/20/07
DEC i s�0� .WINTA
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.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project1sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds ovimproves thereon, and who contracts for the projects with a contractoi(s) licensed
pursuant to the Contractors' State License Law.).
(_) I am exempt under Sec. , B.&P.C. for this reason
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
.): Lender's Name:`
Lender's Address:
LQPERMIT -
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 uune6t. I agree to comply with all
city and county ordinances d state laws relating to building construction, and hereby authorize representatives
of fftis county to enter up the above-mentioned pro rty for inspection rposes.
a
Date: -/ X1 gnature (Applicant or Agent): I
14350 NORTH 87TH ST, STE 4310,:...
SCOTTSDALE, AZ 85260
(760)674-9699
Lic. No.: 777699
LICENSED CONTRACTOR'S DECLARATION
- WORKER'S COMPENSATION DECLARATION _
I hereby -affirm under penalty of perjury that I am licensed under provisions of Chapter 9'(commencing with
I hereby affirm under penalty of perjury one of the following. declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect._
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B License No.: 777699
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
p�I
)ate:.y,� - 110 on[ractor: /r
-I issued.
l<_ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
T' Code, for the performance of the work for which this permit is issued. My workers' compensation
WNER-BUILDER DECLARATION -
insurance carrier and policy number are:
1 hereby'affirm under penalty of perjury that I exempt from the Contractor's State License Law for the
Carrier' ZURICH AMERICAN Policy Number WC3878213 - 02
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the.workers' compensation laws of California,
permit to file a signed statement that he or she is licensed, pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the. Business and Professions Code) or
3700 of the Labor Code, I shall forthwi� comply with those provisions:
. - 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).:
ate 2j!► � pplicant`:
( 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
'WARNING: FAILURE TO SECURE WORKERS' C• ENSATION COVERAGE IS UNLAWFUL, AND SHALL
' Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENAL S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
. - and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED -FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.. '
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.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project1sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds ovimproves thereon, and who contracts for the projects with a contractoi(s) licensed
pursuant to the Contractors' State License Law.).
(_) I am exempt under Sec. , B.&P.C. for this reason
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
.): Lender's Name:`
Lender's Address:
LQPERMIT -
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 uune6t. I agree to comply with all
city and county ordinances d state laws relating to building construction, and hereby authorize representatives
of fftis county to enter up the above-mentioned pro rty for inspection rposes.
a
Date: -/ X1 gnature (Applicant or Agent): I
Application Number
07-006.02977.-
7-00002977.Structure
StructureInformation
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=10
Flood Zone . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION 2001 .CBC
FIRE SPRINKLERS NO
GARAGE SQ FTG
721.00
PATIO SQ FTG
435.00
NUMBER OF UNITS
1..00.
1ST FLOOR"SQUARE FOOTAGE
3607.00
Permit . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . ..
1381.50 Plan Check Fee
897.98
Issue Date
Valuation
311363
Expiration Date ".
5/17/08
Qty" Unit Charge
Per
Extension
BASE FEE
639.50
212.00 .3.5000.THOU
---------------------------------------------------------------------------
BLDG 100,001-500,000
742.00.
Permit . .
MECHANICAL
Additional desc .
Permit Fee . . .
144.00 Plan Check Fee..
34.38
Issue Date
Valuation
0
Expiration Date
5/17/08
Qty. Unit Charge
Per
Extension
BASE FEE
15.00
2.00 " 9.0000
EA MECH FURNACE <=100K
18.00
2.00 16.5000
EA MECH B/C >3-15HP/>100K-500KBTU
_33.00.
11.00" ..6.5000
EA MECH VENT.FAN
71.50
1.00 6.5000
EA MECH EXHAUST HOOD
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee. . . .
155.67 Plan Check Fee
36.10'
Issue Date . . . .
Valuation
0
Expiration Date
5/17/08
Qty Unit Charge
Per
Extension"
BASE FEE
15.00
3607.00 ".-.0350
ELEC NEW RES - 1 OR 2 FAMILY
126.25
721.00 :.0200
ELEC GARAGE OR NON-RESIDENTIAL
14.42
Application Number 07-00002977
" Permit . . . PLUMBING
Additional desc ...
Permit Fee 225.75Plan Check Fee
51.94
Issue Date . . . . Valuation .
. 0
Expiration Date 5/17/08
Qty Unit Charge Per. ' "
Extension
BASE FEE
15.00
26.00 6.0000 EA. PLB FIXTURE
156.00.
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
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
..00
Issue Date Valuation
0
Expiration Date.: 5/17/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
---------------------------------------------------------------------
Special Notes.and Comments
SFD LOT 149 PIEDRA -SB, 3607 SF. PERMIT
DOES NOT INCLUDE BLOCK WALL, POOL, SPA
OR DRIVEWAY APPROACH:2001 CBC,, CMC, CPC.,
2004 CEC, 2005 ENERGY CODES
------------------------------------------ -------------------
Other Fees ART IN PUBLIC PLACES -RES
213.36
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY'REVIEW FEE
89.80
DIF FIRE PROTECTION -RES
.140.00
GRADING PLAN CHECK FEE
.00
HOURLY PLAN CHECK
105.00.
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00'
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) -RES
28.53
DIF STREET, MAINT FAC -RES
67.00,
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged Paid Credited
Due
LQPERnfTT
.
LQPERA11T
' Application Number
. . . .
07-00002977
Permit Fee Total
-----
1921.92
--- ----------
.00
.00
----------
1921.92
Plan Check Total
1020.40
.00
.00
1020.40
Other Fee Total
4911.69
.00
.00
4911.69
Grand Total
7854.01
.00
.00
7854.01
LQPERA11T