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05-5312 (SFD)4 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 05-00005312 Owner: Property Address: 80525 VIA TAliAVERA TOLL CA V APN: 772-250-999-144 -30357 - C/O KEVIN D DUERMIT Application description: DWELLING - SINGLE FAMILY DETACHED 8901 E MOUNTAIN VIEW 200 Property Zoning: LOW DENSITY RESIDENTIAL SCOTTSDALE, AZ 85258 Application valuation: 376373 Arav�g �i i��, Q Contractor: ' Applicant: Architect or nglneer: TOLL BROS, INC. 73121 FRED WARING DRIVE, PALM DESERT, CA 92260 (760)674-9699 Lic. No.: 777699' ------------------ 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 full force and effect. License Class: B ense No.: 777699 ,Bate: %; - 06 factor: '010 OWNER -BUILDER DECLARATION 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 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: t" LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/05/05 ryA��l��s Q -------------------------- =`�Qv ----� WORKER'S COMPENSATIONDE �F IlyTq- I hereby affirm under penalty of perjury one of the following declarations: �7 I have and will maintain a certificate of consent to self -insure for workers' co tion, as p vided for by Section 3700 of the Labor Code, for the performance of the work for whic a it 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. My workers' compensation insurance carrier and policy number are: ' Carrier ZURICH INS Policy Number WC387821300 _ I certify that, in the performance of the work for which this permit is issued,,l 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 L r Code, I shall forh comply with those provisions. te: l J� plicant' �� 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. 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,d hereby authorize representatives of this county to enter upon the above-mentioned property for inspectio a ses. at' jl� Signature (Applicant or Agent): Application Number 05-00005312 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 2001CBC FIRE SPRINKLERS NO GARAGE SQ FTG 730.00 PATIO SQ FTG 650.00 NUMBER OF UNITS 1.00 ------------------------------------------------------------------------ 1ST FLOOR SQUARE FOOTAGE. 4374.00 Permit BUILDING PERMIT Additional desc . Permit Fee 1609.00 Plan Check Fee - 1045.85 'Issue Date . . . Valuation 376373 Expiration'Date 6/03/06 Qty Unit Charge Per Extension BASE FEE 639:50 277:00 3.5000 THOU BLDG 100,001-500,000 969.50 Permit MECHANICAL Additional desc . Permit Fee 134.00 Plan. Check Fee 39.13 Issue Date . . Valuation 0 Expiration Date 6/03/06 \ . Qty Unit,Charge Per. Extension BASE FEE 15.00 3.00 9..0000 EA MECH FURNACE <=10'OK 21.00 3.00 9.0000 EA MECH B''/C'<=3HP/100K BTU, 27.00 ' .00 16._5000 EA MECH-B/C >3-15HP/>100K-50OKBTU .00 .00 22:5000.EA MC B/C,>15 <=30HP/500K-1M-BTU .00 9:.00. 6.5000 EA MECH VENT FAN 58.50 - 1.00. 6.5000 EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 182.69 Plan Check Fee 45.67 Issue Date . . Valuation .. : 0 Expiration Date 6/03/06 Qty Unit Charge Per Extension BASE FEE 15.00 LQPERMIT , LQPERMIT Application Number . . . . . 05-00005312 Permit . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 4374.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY •153.09 730.00 •.0200 ELEC GARAGE OR NON-RESIDENTIAL 14.60 Permit . . . PLUMBING Additional desc . Permit Fee 216.00 Plan Check Fee 48.38 Issue Date Valuation . . . 0 Expiration Date 6/03/06 Qty Unit Charge Per. Extension BASE FEE 15.00 24.00 6.0000 EA PLB FIXTURE' 144.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5.000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER,INST/ALT/REP 3.00 1.00 9.0000 EAPLB LAWN SPRINKLER SYSTEM 9.00 .10.00 .7500 EA PLB GAS PIPE >=5. 7.50 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 Expiration Date 6/03/06 Qty - Unit Charge Per Extension BASE FEE 15.00 ------------------------------------------------------------------------------ Special Notes and Comments SFD - LOT 144 VENTANA-S.C:/4'/CASITA; 4374 SF.PERMIT.DOES NOT INCLUDE BLOCK WALLS,POOL, SPA OR DRIVEWAY APPROACH Other Fees . . . . ART IN PUBLIC PLACES -RES 440.93, DIF COMMUNITY CENTERS -RES 97.00, DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 104.59 DIF FIRE PROTECTION -RES .97.00 " GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES _ 225.00 DIF PARK MAINT FAC - RES 16.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 50.51 LQPERMIT Application Number 05-00005312 --------------------------------------------------------- Other Fees . .. . . . . . . . .DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid 'Credited Due Permit Fee Total 2156.69 ---------- ---------- .00 .00 2156.69 Plan Check Total 1179.03 .00 .00 1179.03 Other Fee Total 3012.03 .00 .00 .3012.03 Grand Total 6347.75 .00 ..00 .6347.75 • r CITY OF LA QUINTA BUILDING & SAFETY DEPARTMENT -., 777-7012 INSPECTION REQUEST LINE 777-7153 Owner Contractor Permit Nu e AN POS JOB IN CON U US PLACE INSPE O T�I(�OIL�TAPPLI BLE SPACES �-F - ..�� RA 'JOB ADDR ! - TANA-S.C./4'/CASITA; SFD -LOT 144 VEN 4374 SF.PERMIT DOES NOT INCLUDE BLOCK - WAL•LS,POOL, SPA OR DRIVEWAY APPROACH TYPE OF.INSPECTION DATE INSP. . TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE G U/G ELECTRICAL / GROUNDING FOOTINGS / STEEL _ CONCRETE SLAB . DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL./ PRE -ROOF OKAY TO WRAP •-� - .I,NG COMBINATION 111 6UGH ELECTRIC -ROUGH PLUMBING - -O ROUGH MECHANICAL - INSULATION COVER NO WORK UNTIL ABOVE SIGNED ' INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION �! SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM .A . WATER FEATURE_WS�PP .TICINS POOL / SP / - - PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS/BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL AI PLUMBING z;- :3IANICAL I �cdLlC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. b _.... FINAL / JOB COMPLETED d 2�' ✓ ®� ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES pR OCCUPY :BUILDING ;