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08-0382 (SFD)P.O. BOX 1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00000382 Property Address: 80083 VIA TESORO APN: 777-310-029- - - Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 227594 Applirant- BUILDING & SAFETY DEPARTMENT BUILDING PERMIT DETACHED Arrhitart or Fn9inaer: PIP - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 fcommencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B n�{ LicenseNo.: 777699 ate: �V Jeontractor: 721 1C 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 ISec. 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, 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.). (_) 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 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: LQPERMI T Owner: TOLL CA V C/O KEVIN D DUERMIT 8901 E MOUNTAIN VIEW 200 SCOTTSDALE, AZ 85258 Contractor: TOLL RRO9 , =DTC . 73121 FRED WARING DRIVE, 4100 PALM DESERT, CA 92260 (760)674-9699 Lic. No.: 777699 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 P IL O P,> I0 /03/08 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 WC3878213-02 _ 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{sh/all forthwith comply with those provisions. ,cant: /rte/ 7T^a�� �I��• 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, and hereby authorize representatives of this county ^to 9enter upon the above-mentioned.pro y for inspection p poses. Yate. -3,; 'cif Si ure (Applicant or Agent): n Application Number . . . . . 08-00000382 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 495._00 ' PATIO SQ FTG 399.00 NUMBER OF UNITS 1.00 ----------------------------------------- 1ST FLOOR SQUARE FOOTAGE ----------------------------------- 2631.00 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 1087.50 Plan Check Fee 706.88 Issue Date . . . . Valuation . . . . 227594 Expiration Date 8/30/08 Qty Unit Charge Per Extension BASE FEE 639.50 128.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 448.00 Permit . . . . . MECHANICAL Additional desc . . Permit Fee . . . . 109.50 Plan Check Fee 27.40 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/30/08 Qty Unit 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 <=3HP/100K BTU 18.00 8.00 6.5000 EA MECH VENT FAN 52.00 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 116.99 Plan Check Fee 29.24 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/30/08 Qty Unit Charge Per Extension BASE FEE 15.00 2631.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 92.09 LQPERLWIT Application Number . . . . . 08-00000382 Permit . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 495.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 9.90 Permit . . . PLUMBING Additional desc . . Permit Fee . . . 189.00 Plan Check Fee 47.24 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/30/08 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 6 . UUUU EA IJJ B FIXTURE 120.00 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 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 . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/30/08 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 29. 2631 S.F.CAMINA-SB/RAFTER TAILS. 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 68.98 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 70.69 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 LQPE&\1IT Application Number . . . . . 08-00000382 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) - RES 22.75 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total ---------- 1517.99 -------- -- ---------- ---------- .00 .00 1517.99 Plan Check Total 810.76 .00 .00 810.76 Other Fee Total 4637.42 .00 .00 4637.42 Grand Total 6966.17 .00 .00 6966.17 LQPERn4iT GOUVIS ENGINEERING CONSULTING GROUP, INC. A Structural Engineering Company Structural Job -site Observation Project: -' �I j I Phase #. Engineer: Visit Purpose: NW mw"Ww 1 , 11 -Walk thru with compliance letter: Yes ❑ o ❑ '❑ Clarifications & Field fixes: Yes ❑ No O ❑ Address homeowner issues & concerns: Yes❑ No ❑ ❑ Other. .Wt.the time of our visit, work had progressed to the point of: Bldg. # / Lot # Plan type & Elevation Job No. Tract # Date: 0 New f Rewalk 0. -- New ❑ Rewalk ❑ New ❑ Rewalk'❑ Foundation Trenched (Rebar & Hardware Installed) First Floor Sheathing Roof Sheathing Final Framing with Correction Roofing Material Stacked and Loaded Exterior Walls (Shear) w/List Interior Walls Framing w/List Insulation Installed Final Framing Pick-ups Completed Incomplete Items # (Refer to previous walk thru lists) Per our visit: ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ .❑ ❑ ❑ ❑ ❑ ❑ '❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Refer to the attached walk-thru lists to be addressed by the construction personnel Field fix letters will be sent from our office to be applied ❑ 'Letters of compliance will be issued Some undocumented corrections fixed during walkthru Our findings and recommendations are provided to help increase the conformity of the structures with approved plans and correspondence. Be advised that changes should be verified with building department, our findings shall not be construed, as authorizing any back charges. Site observation.was made only to check general conformance with approved plans and correspondence. The content of these observations is understood to be an expression of professional opinion by this engineer that is based on his or her best knowledge, information and belief. As such, it consists of neither a guarantee nor a warrantee expressed or implied. Field Superintendent (Yellow copy) �1 Signature Time in: 1! `,p _ Time Out: _I —47 If you have any questions please contact this office. 4400 Campus Drive, Newport Beach, California 92660 - (949) 752-1612 - FAX (949) 752-5321 2150 EastTahquitz Canyon, Suite 9 - Palm Springs, California 92262 - (760) 323-5090 - FAX (760) 325-2863 4 GOUVIS ENGINEERING CONSULTING GROUP, INC. A Structural Engineering Company PROJECT NAME:< LOT # _ f0pj C? PLAN # NOTES: I '� WE: _ ✓'''' t"r PAGE_ OF JOB #: CLIENT NAME: W.T. PERSONNEL" ' r r RIOR & EXTERIOR ONLY ❑ FLOOR SHEATHING t dl lam_ i Superintendent Name 4400 Campus Drive • Newport Beach, California 92660 • (949) 752-1612 • FAX (949) 752-5321 f t.-'`-1 6 2150 East Tahquitz Canyon, Suite 9 • Palm Springs, California 92262 • (760) 323-5090 • FAX (760) 325-2863 Field Office: Pleasanton (510) 206-9159 GOUVIS ENGINEERING CONSULTING GROUP, INC Structural Job -site Observation sA Project: Phase #: A Structural Engineering Comlany Engineer: ' _ Visit Purpose FINaIk thru with compliance letter: Yes ❑ No ❑ ❑ Clarifications & Field fixes: Yes ❑.. No ❑ O Address homeowner issues& concerns: Yes ❑ !..No ❑ ❑ Other. At the time of our visit, work had progressed to the point of: Job No.� Tract #: Dater New ❑ Rewalk.n New ❑ Rewalk ❑ New ❑ Rewalk ❑ F Bldg. # /Lot # . � Plan type & Elevation Foundation Trenched (Rebar & Hardware Installed) ❑ p p ❑ ❑ First Floor Sheathing ❑ O ❑ ❑ ❑ Roof Sheathing ❑ ❑ ❑ ❑ Final Framing with Correction ❑ ❑ ❑ ❑ ❑ Roofing Material Stacked and Loaded ❑ ❑ ❑ ❑ Exterici3r Walls (Shear) w/List ❑ ❑ ❑ ❑ ❑ Interior Walls Framing w/List ❑ ❑ I] ❑ ❑ Insulation Installed ❑ Final Framindfck-ups Completed ❑ ❑ ❑ ❑ Incomplete Itertas # ❑ ❑ ❑ r (Refer to previous,walk thru lists) f Per our visit: Refer to the attached walk-thru lists to be addressed by the construction personnel . ❑ Field fix letters will be sent from our office to be applied ❑ Letters of compliance will be issued rti Some undocumented corrections fixed during walkthru Our findings and recommendations are provided to help increase the conformity of the structures with approved plans and correspondence. Be advised that changes should be verified with building Jepartment, our findings shall not be construed, as authorizing any back charges. Site observation was made only to check general conformance with approved plans and. correspondence. The content of these observations is understood to be an expression of professional C;pinion by this engineer that is based on his or her best knowledge, information and belief. As such, it consists of neither a guarantee nor a warrantee expressed or implied. ell�- Field Superintendent (Yellow copy) Signature Time in: f �`"s :,,-)- Time Out: ` If you have any questions please contact this office. 4400 Campus Drive, Newport Beach, California 92660 • (949) 752-1612 • FAX (949) 752-5321 2150 East Tahquitz Canyon, Suite 9 • Palm Springs, California 92262 • (760) 323-509') • FAX (760) 325-2863