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09-0821 (SATT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00000821 Property Address: 80240 VIA TESORO APN: 772-250-019-40 -30357 - Application description: DWELLING - SINGLE FAMILY PropertV Zgninq: LOW DENSITY RESIDENTIAL Application valuation: 195692 Tit�v 4 VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Owner: TOLL CA V C/O KEVIN D DUERM ATTACHED 8901 E MOUNTAIN SCOTTSDALE, AZ Contractor: Applicant: Architect or Engineer: TOLL BROS, NC. 73121 FRED ARIIJ PALM DESERT, (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. Licensee Class: B License No.: 777699,Al/J ate: D ntractor: ER -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).: (_ I 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 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: LQPERn4IT Date: 8/10/09 00 q(/0 7 RIVE, 00 l 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 WC3878213-03 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 Co , 1 al forthwit omply with those pro .sions . ate:1_.0 &�P plicant: AglWARNING: FAIL RE TO SECURE WORKERS' CO NSATION 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 enter upa a above-mentioned propert r . •tion purposes. ate: ��� ignature (Applicant or Agent): v!✓ P LQPERDIIT Application Number . . . . 09-00000821 Structure Information Construction Type . . . .. TYPE V - 1 HR Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2007 # BEDROOMS 2.00 FLOOD ZONE NO GARAGE SQ FTG 901.00 PATIO SQ FTG 156.00 TOT EBIGIBLB NO NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 2110.00 ---------------------------------------------------------------------------- Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 975.50 Plan Check Fee 634.08 Issue Date . . . . Valuation . . . . 195692 Expiration Date . . 2/06/10 Qty Unit Charge Per Extension BASE FEE 639.50 96.00 3.5000 THOU BLDG 100,001-500,000 336.00 ---------------------------------------------------------------------------- Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 110.07 Plan Check Fee 27.52 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/06/10 Qty Unit Charge Per Extension BASE FEE 15.00 2110.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 73.85 1061.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 21.22 ---------------------------------------------------------------------------- Permit . . MECHANICAL Additional desc . . Permit Fee . . . . 91.50 Issue Date . . . . Expiration Date . . 2/06/10 Qty Unit Charge Per Plan Check Fee . . Valuation . . . . BASE FEE 1.00 9.0000 EA MECH FURNACE <=100K 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 22.88 0 Extension 15.00 9.00 9.00 Application Number . . . . . 09-00000821 Permit . . . . . . MECHANICAL Qty Unit Charge Per Extension 8.00 6.5000 EA MECH VENT FAN 52.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 173.25 Issue Date . . . . Expiration Date . . 2/06/10 Plan Check Fee . . 43.31 VaivatiOil . . . . u Qty Unit Charge Per Extension BASE FEE 15.00 16.00 6.0000 EA PLB FIXTURE 96.00 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 1.00 7.5000 EA PLB OTHER BACKFLOW <=2 INCH 7.50 7.00 .7500 EA PLB GAS PIPE >=5 5.25 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFA - LOT 40 PLAN TYPE Al - GRND FLOOR UNIT, 2,110.SF LIVING, R-3 OCCUPANCY, TYPE VA-1HR CONSTRUCTION, 2007 CODES. [PLAN TYPE B2 GARAGE ATTACHED TO THIS PLAN TYPE] **PERMIT DOES NOT INCLUDE TEMP POWER, TRASH ENCLOSURE, BLOCK WALLS AND SITE LIGHTING** SEE PERMIT #05-3043 FOR PREVIOUS RECORDED INSPECTIONS. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 8.00 ENERGY REVIEW FEE 63.41 GRADING PLAN CHECK FEE .00 STRONG MOTION (SMI) - RES 14.05 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 1350.32 .00 .00 1350.32 Plan Check Total 727.79 .00 .00 727.79 Other Fee Total 85.46 .00 .00 85.46 Grand Total 2163.57 .00 .00 2163.57 LQPERMIT 'Apr. 15. 2010 6:52A$�� •� � � No. 4191 1�2 p� CITY OF LA QUINTA s CITY OF LA QUIr A7&7 - BUILDING & SAFETY DEPARTMENT BUILDING & SAFETY DEPARTMENT// ori -7012 (760) 777-7012 ION QU NE Jw INSPECTION REQUEST LINE (760) 777.7153 So �(� Owner L IO►er ok''� 1 LL CA 341 Contractor L S • ClContr c Permit °=pr rmlt N ber Number - - POST ON JOB IN CONSPICUOUS'PLACE ST ON JUBIK CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES I INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 80-240 VIA TESORO SFA —'LOT 40, BLDG. 9, PLAN A -IL. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH TYPE OF INSPECTION I DATE INSP. DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF OI -0 WRAP F_R, -,iNG COMBINATION UGH ELECTRIC ,,vUGH PLUMBING COVER NO WORK UNTIL ABOVE SIGNED BD. GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION -D SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS/ STEEL BOND SEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE,GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER (ALARMS/ BARRIERS FINAL INSPECTIONS TEMR USE OF PERMANENT POWER E_Lr -RICAL PL ANG MF('HANICAL F •IC WORKS DEPARTMENT CUMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING JOB ADDRESS 80-240 ArTA 'r�cnRg SFA - LOT 41) PLAN TYPE Al - GRND FLOOR UNIT, 2:110 5F,]'U CODES, PLAN TYPE BZ GARAGE ATTACHED TO THIS PLAN TYPEI ""Prion r DOES NOT INCLUDE TEMP POWER, TRASH ENCLOSURE, BLOCK wAU.? ,ND SITE LIGHTING•" SEE PERMIT 905304! FOR PREVIOUS RECORM. P INSPECTIONS. TYPE OF INSPECTION I DATE I INSP. TEMPORARY POWER i U/G PLUMBING / WASTE U/G ELECTRICAL/ GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ROOF NAIL / PRE -ROOF OKAY TO WRAP FRAMING COMBINATION UGH ELECTRIC -r,yUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL AB( INTERIOR GYP, BD, DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR f c�,� l �...^ CJ ct<,.�. I � 1. :�-`7 '1 Lam✓/^ MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS / BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POW MFr,HANICAL C WORKS DEPARTMENT GuMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING Certificate of Occupancy T4hf 4 4aaGdw Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. Use classification: SFD Occupancy Group: R3 Owner of Building: TOLL CA V Building Official BUILDING ADDRESS: 80-240 VIA TESORO Building Permit No.: 09-821 Type of Construction: VN . Land Use Zone: RL POST IN A CONSPICUOUS PLACE Address: 8901 E MOUNTAIN VIEW City, ST, ZIP: SCOTTSDALE AZ 85258 By: KIRK KIRKLAND Date: 3-30-10