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:
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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