08-0958 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
vo;""
T4t!t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
08-00000958 Owner:
80156 VIA TESORO TOLL CA V
772-250-018-7 -31349 - C/O KEVIN D DUERMIT
DWELLING - SINGLE FAMILY DETACHED 8901 E MOUNTAIN VIEW 200
LOW DENSITY RESIDENTIAL SCOTTSDALE, AZ 85258
227594 �kb
Architect or Engineer:
V
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: B License No.: 777699
tractor:
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. /031.5, 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 (5500).:
(_ 1 I, 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.).
(_ 1 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: Q
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/04/08
Contractor: D
TOLL BROS, INC. Q
73121 FRED WARING DRIVE, 10
PALM DESERT, CA 92260
(760)674-9699 Al op
Lic. No.: 777699 Ou 2003
1 OF
CFIAIA..- 0111A.-
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
WORKER'S
111.._
------------------------------------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.
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 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 sh Id become subject to the workers' compensation provisions of Section
30t7-00 of the L bor od I shall fo twit comply with those provisions.
te:��� I licant:
WARNING: FAILURE TO SECURE WO ERS' 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 buildin construction, and hereby authorize representatives
of this co nt to enter upon the above-mentioned prope y or inspec ' n p rposes.
ate: ature (Applicant or Agentl:
Application Number . . . . . 08-00000958
Structure Information
Construction Type . . . . . TYPE V - NON RATED
Occupancy Type . . . . . . DWELLG/LODGING/LONG <=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
IST FLOOR SQUARE FOOTAGE 2631.00
----------------------------------------------------------------------------
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
BUILDING PERMIT
1087.50
12/01/08
Plan Check Fee . . 706.88
Valuation . . . . 227594
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
12/01/08
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 . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
Qty Unit Charge
2631.00 .0350
LQPERMIT
ELEC-NEW RESIDENTIAL
116.99 Plan Check Fee
Valuation . .
12/01/08
Per
BASE FEE
ELEC NEW RES - 1 OR 2 FAMILY
29.24
0
Extension
15.00
92.09
Application Number . . . . . 08-00000958
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
Issue Date . . . .
Expiration Date 12/01/08
Plan Check Fee . . 47.24
Valuation . . . . 0
Qty
Unit Charge
Per
BASE FEE
Extension
----------------------------------------------------------------------------
Special Notes and Comments
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
7.50
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
Issue Date
Expiration Date . . 12/01/08
Plan Check Fee . . .00
Valuation . . . . 0
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 7. 2631 S.F.CAMINA-SB. PERMIT
DOES NOT INCLUDE BLOCK WALLS, POOL/SPA,
OR DRIVEWAY APPROACH. 2007
CBC, CMC,
CPC, 2004 CEC, 2007 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
STRONG MOTION (SMI) - RES
22.75
LQPERMIT
Application Number
. . . . .
08-00000958
-------------------------------------------------------------7--------------
Other Fees . . . .
. . . . .
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
LQPERMIT
. 3�a'? k f
GOUVIS9MMUMMEOMM
consulting group, inc.
��- 9
0 ase �/•� T�s�,,,,�
October 7, 2008
Allen Janisch
Toll Brothers, Inc.
50-400 Jefferson Street
La Quinta, CA 92253
Re: Mountain View C.C. "Camina"
GECG Job # 61830
Phase I
Lots 367 and 370
Structural Observation Report
Dear Mr. Janisch,
This letter advises that we have observed the structural requirements that are visible during construction
at the time of our site visit.
Gouvis Engineering believes that the as -built construction at the time of our visit (except items noted on
field notes) is in general conformance with our structural plans and relevant correspondence issued by our
office relating to the above referenced dwelling.
We observed the building in its framed condition prior to installation of drywall and stucco. We observed
-� the visual and accessible structural requirements. (Exclusions are items such as: size of footings,
reinforced steel in the foundations and roof sheathing.)
This report is understood to be an expression of professional opinion by this engineer, which is based on
his best knowledge, information and beliefs. As such, it consists of a report for only structural elements
(as above outlined) and is neither a guarantee nor a warranty, expressed or implied for other trades or
requirements of subject dwelling.
Respectfully Submitted:
GOUVIS ENGINEERING CONSULTING- GROUP, INC.
asil A Ammari, P.E. ,,�
Director of Field Operations �G\�
T v ti
ca O
—1
rn o !�
949.752.1612
fax 949.752.5321
4400 Campus Drive
Newport Beach, CA
92660 I Palm Springs, CA Pleasanton, CA Sacramento, CA Salt Lake City, UT Ho Chi Minh City, Vietnam