09-0825 (SATT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
09-00000825
80246 VIA TESORO
772-250-019-43 -30357 -
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
209768
":i?4,4's 4QW4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
TOLL CA V
C/O KEVIN D DUERMIT D,
ATTACHED 8901 E MOUNTAIN VIEW 200 rel
SCOTTSDALE, AZ 85258
Architect or Engineer:
Pik
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.
Lice Class: B License No.: 777699
Date: ontractor:
O R -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am empt 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, 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. , BAP.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:
LQPERM[T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:
v AU
Contractor:TOLL S
733121BFRED WARING DRIVE, #10C�VA,
NT
PALM DESERT, CA 92260 FPr
(760)674-9699
Lic. No.: 777699
8/10/09
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:
Ca 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 , I s II f with co ly with those provisions �/�i
pplicant: /\
WARNING: FAILURE TO SECURE WORKERS' COMP ATION COVERAGE IS UNLAWFUL,, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE D CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COS 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 upon the above-mentioned proper for' s coon ur oses. `-
Dat�Si ature (Applicant or Agentl
Application Number . . . . . 09-00000825
Structure Information
Construction Type . .
. . . TYPE V - 1 HR
Occupancy Type . . .
. . . DWELLG/LODGING/.LONG <=10
Flood Zone . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION 2007
## BEDROOMS
3.00
FLOOD ZONE NO
PATIO SQ FTG
108.00
TOT ELIGIBLE NO
NUMJ::3hR Ur' UN11b
1 . UU
----------------------------------------------------------------------------
2ND FLOOR SQUARE FOOTAGE
2523.00
Permit . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
1024.50 Plan Check Fee
665.93
Issue Date . . . .
Valuation . . . .
209768
Expiration Date
2/06/10
Qty Unit Charge
Per
Extension
BASE FEE
639.50
110.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
385.00
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc . .
Permit Fee . . . .
105.47 Plan Check Fee
26.43
Issue Date . . . .
Valuation . . . .
0
Expiration Date
2/06/10
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2523.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
88.31•
108.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
2.16
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . .
90.00 Plan Check Fee
22.50
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
2/06/10
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
5.00 6.5000
EA MECH VENT FAN
32.50
LQPERMIT
!j
r
LQPERMIT
Application Number . . . . . 09-00000825
Permit . . . . . . MECHANICAL
Qty Unit Charge Per Extension
1.00 6.5000 EA MECH EXHAUST HOOD 6.50
----------------------------------------------------------------------------
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 170.25 Plan Check Fee 42.56
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/06/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
17.00 6.0000 EA
PLB FIXTURE
102.00
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 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 - PLAN TYPE B2 - UPPER
FLOOR UNIT,
2523 SF LIVING, R-3 OCCUPANCY, TYPE
VA-1HR CONSTRUCTION, 2007
CODES.[GARAGE
FOR THIS UNIT LOCATED IN PLAN
TYPE A1]
**PERMIT DOES NOT INCLUDE
TEMP POWER,
TRASH ENCLOSURE, BLOCK WALLS
AND SITE
LIGHTING** BLDG. 9, LOT
43 SEE
PERMIT #05-3143 FOR PREVIOUS RECORDED
INSPECTIONS.
----------------------------------------------------------------------------
Other Fees . . . . . . .
. . BLDG STDS ADMIN (SB1473)
9.00
ENERGY REVIEW FEE
66.59
DIF LIBRARIES - RES
1.00
STRONG MOTION (SMI) - RES
21.03
Fee summary Charged
Paid Credited
Due
Permit Fee Total 1390.22
Plan Check Total 757.42
Other Fee Total 97.62
Grand Total 2245.26
.00 .00 1390.22
.00 .00 757.42
.00 .00 97.62
.00 .00 2245.26
No, 4791 P. 56*).
ITY OF LA QIJINTO"'
" CB ILDING & SAFETY DEPARTMENT
cv (760) 777-7012
a 41� INSPECTION REQUEST LINE
(760) 777-7153
of
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS SOL -.246 VIA TESOR9
SpA - PLAN TYPE B2 - UPPER FLOOR UNIT, 2523 SF LIVING, ,1017
COD¢S.IGARAGE FOR THIS UNIT LOCATED IN PLAN TYPE Al! "PERMITDOCS
NOT INCLUDE TEMP POWER, TRASH ENCLOSURE, BLOCK WALLS AND SITE
LIGHTING -1 BLDG• 9, LOT 43 SEE PERMIT ap34143 FOF PREVIOUS RECURDED
TYPE OF INSPECTION I DATE I INSP.
WASTE
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
OKAY TO WRAP
FRAMING COMBINATION / V sd'LG ` -L
UGH ELECTRIC
,,vUGH PLUMBING If
ROUGH MECHANICAL
INSULATION
cTT-
NED
SEWER CONNECTION _ _
SEPTIC / GREASE INTERCEPTOR
FOOTINGS / STEEL
BOND 13EAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER ALARMS / BARRIERS
TEMP. USE OF PERMANENT POWER '.,L , 4 - / C? I IJ—V
i IC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT D
FINAL/ JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
Certificate of Occupancy10 i:0j
4 Qum&
TM
OF �9�Sw
c�
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.
BUILDING ADDRESS: 80-246VIA TESORO
Use classification: SFD Building Permit No.:9-825
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
Owner of Building: TOLL CA V Address: 8901 E MOUNTAIN VIEW
City, ST, ZIP: SCOTTSDALE AZ 85258
By: KIRK KIRKLAND
'
Date: 3-20-2010
Building Official
POST IN A CONSPICUOUS PLACE