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07-0793 (SFD)"cii�4 4 QW4 '. - .. .. P.O. BOX 1504 VOICE (760) 777-7012 �. 78-495-CALLE TAMFICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT ' INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/19/07 Application Number: 07-00000793__ �^( Owner: , Property Address: 80450 VIA TALAVERA . TOLL CA V APN: 772-250-999-117 -30357 C/O KEVIN D DUERMIT D d Application description: DWELLING - SINGLE FAMILY DETACHED 8901 E MOUNTAIN. VIEW 200 Property Zoning: LOW DENSITY RESIDENTIAL• SCOTTSDALE, AZ 85258 Application valuation: 241854 - MAY q Contractor: 1007 Applicant: rchitect or Engineer. rt TOLL BROS, INC. CITY OFA I y - 73121 FRED WAKING DRIVE; #100 Fk411►Ce Qui 7A C, .1—Act S l PALM DESERT, CA 92260 oFpr t" (760)674-9699 CiOtit.VIS Lic. No.: 777699 s LICENSED CONTRACTOR'S DECLARATION - ' — r•� 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 ofthe following declarations: Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ Ihave and will maintain a certificate of consent to self-insure for workers' compensation, as provided _ License Class: B L' ense No.: 777699 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate: ntracior: - - - 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 thispermit is issued. My workers' compensation OWNER-BUILDER DECLARATION insurance carrier and policy number are: Ihereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the - Carrier ZURICH AMERICAN - Policy Number . WC387821301 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 becomesubject to the workers' compensation laws of Califorriia, - permit to file 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 forthwith comply with those provisions. - • - . w ` 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 1S5001.: te: 7Ab7 4p_ t: • (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and - 4F- -the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 PENALTIES 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 (5100,000). 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. r IMPORTANT Application is hereby made to the.Director of Building and Safety for a permit subject to the - 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for • pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, ( 1 I am exempt under Sec. , B.&P.C. for this reason 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. ' Date: Owner: - 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 • CONSTRUCTION LENDING AGENCY permit to cancellation. • I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the - I certify that I have read this application and state that the above information is correct. I agree to comply with all --- - -- — work for which this permit is issued (Sec. 3097, Civ. C.I. city and county ordinances and state laws relating to building construction, and hereby authorize representatives • • of [ jj��ure the above-mentioned property for inspection purposes. Lender's Name: ' (� Date: (Applicant or Agent): - Lender's Address: f LQPERMIT ate' Application Number . . ... . 07-00000793 Structure Information. 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 # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 610.00 PATIO SQ FTG ..275•.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE.FOOTAGE 2800.00 . Permit . . BUILDING PERMIT Additional desc . Permit Fee 1136.50 Plan Check Fee 738.72 Issue Date Valuation 241854 Expiration Date 9/15/07 Qty; Unit,Charge Per Extension BASE FEE 639.50 142.00 3.5000 ----------------------------------------------------------------------------- THOU BLDG 100,0.01-500,000-'' 49.7.00 Permit . . MECHANICAL Additional desc . Permit Fee 96.50. Plan Check Fee 24.12 Issue Date 'Valuation . . . 0 Expiration•Date 9/15/07. QtyUnit Charge "Per, Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE -<=100K 18.00 2.00 9.0000 EA MECH B/C,c=3HP/100K BTU 18.00 6.00 6.5000 EA MECH VENT FAN 39:'00'. 1.00 -6.5000 EA MECH EXHAUST•HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 125.20 Plan Check Fee 28.24 Issue Date. Valuation . . . . 0 Expiration Date 9/15/07 Qty Unit Charge Per Extension BASE FEE 15.00 2800..00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 98.00 LQPERMIT Application Number . . . . . 07-00000793 Permit . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 610•.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL ---------------------------------------------------------------------------- 12.20 Permit PLUMBING Additional desc . Permit Fee 189.00 Plan Check Fee 47.24 Issue Date . . . Valuation . . . . 0 Expiration Date 9/15/07 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 6.0000 EA PLB FIXTURE 120.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.5.0 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 15.0.0 Plan.Check Fee.. ..00 Issue Date Valuation, 0' Expiration Date 9/15/07 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments SFD - LOT 117. 2800 S.F. SEDONA-SB. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL/SPA, OR DRIVEWAY APPROACH. 2001 CBC, CMC, CPC,.2004 CEC, 2005 ENERGY CODES ----------------------------.------- Other Fees . . . . . . ART IN PUBLIC PLACES -RES 104.63 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 18.47 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 LQPERMIT . Application Number ". . . . . 07-00000793 ------------------------ Other Fees . . ----------- . . . . . ------.---------------_----------- STRONG MOTION (SMI) RES ------- 24.18 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due Permit Fee Total 1562.20 .00 .00 1562.20 Plan Check Total 838.32 .00 .00 838.32 Other Fee Total 4622.28 .00 .00 .4622.28 Grand Total 7022.80 .00 00 7022.80 LQPERMIT