09-0826 (SATT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
09-00000826
80248 VIA TESORO
772-250-019-44 -30357 -
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
198854
C&hf 4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
TOLL CA V
C/O KEVIN D DU.ERMIT
ATTACHED 8901 E MOUNTAIN VIEW 200
SCOTTSDALE, AZ 85258
Contractor:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/10/09
411610
Applicant: Architect or Engineer: TOLL BROS , INC. Q i%9
73121 FRED WARING DRIVE, #1 F(� /
PALM DESERT, CA 92260
(� (760)674-9699 ��fiAj'r'a
1 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 eff
License Class: B License No.: 777699
Date .0010 /C ractor:
OW -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am ex pt 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 (5500).:
1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, anC
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 _ 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.).
nndP.r'S Name' _
Lender's Address:
LQPERAIIT
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 theworkers' compensation provisions of Section
/ 3700 of the Lab r Co I s all rthwith comply with those provisions.
Date: / A scant:
WARNING: FAIL E TO SECURE WORKERS' CO NSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALT SAND 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 an county ordinances and state laws relating to building construction, and hereby authorize representatives
ofounty to enter upor}.tfie above-mentioned pro ty r,�pecti urposec. n n n
/gn.ture (Applicant or Age
Application Number . . . . . 09-00000826
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
532.00
PATIO SQ FTG
132.00
TOT ELIGIBLE NO
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
2249.00
Permit . . . . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
986.00 Plan Check Fee
640.90
Issue Date . . . .
Valuation . . . .
198854
Expiration Date
2/06/10
Qty Unit Charge
Per
Extension
BASE FEE
639.50
99.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
346.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc . .
Permit Fee . . . .
104.36 Plan Check Fee
26.78
Issue Date
Valuation . . . .
0
Expiration Date
2/06/10
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2249.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
78.72
532.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
10.64
Permit
MECHANICAL
Additional desc . .
`
Permit Fee . . . .
65.50 Plan Check Fee
16.38
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
2/06/10
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE <=100K
9.00
1.00 9.0000
EA MECH B/C <=3HP/100K BTU
9.00
LQPERMIT
Application Number . . . . . 09-00000826
Permit . . . . . . MECHANICAL
Qty Unit Charge Per
Extension
4.00 6.5000 EA MECH VENT FAN
26.00
1.00 6.5000 EA MECH EXHAUST HOOD
----------------------------------------------------------------------------
6.50
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 178.50 Plan Check Fee
44.63
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 9.0000 EA PLB LAWN SPRINKLER SYSTEM
9.00
1.00 7.5000 EA PLB OTHER BACKFLOW <=2 INCH
7.50
6.00 .7500 EA PLB GAS PIPE >=5
4.50
1.00 15.0000 EA PLB GAS METER
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFA - PLAN TYPE C1 - GROUND FLOOR UNIT -
2249 SQ.FT. LIVING, R-3 OCCUPANCY, TYPE
VA- 1HR CONSTRUCTION, 2007 CODES.
**PERMIT DOES NOT INCLUDE TEMP POWER ,
TRASH ENCLOSURE, BLOCK WALLS AND SITE
LIGHTING** LOT 44, BLDG. 9 SEE PERMIT
#05 3146 FOR PREVIOUS RECORDED
INSPECTIONS.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
8.00
ENERGY REVIEW FEE
64.09
STRONG MOTION (SMI) - RES
19.91
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 1334.36 .00 .00
1334.36
Plan Check Total 728.69 .00 .00
728.69
Other Fee Total 92.00 .00 .00
92.00
Grand Total 2155.05 .00 .00
2155.05
LQPERAIIT
Apr. 15. 2010 6:53AMid� �f
s CITY OF LA QUINT�4
ILDING & SAFETY DEPARTMENT
I (760) 777-7012
INSPECTION REQUEST LINE
N �4 (760) 777-7153
8of
it Nu r
P9S O J609 CONSPICUOUS PLACE
ISPECTOM MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS80-248 vTe TESOIO
SFA - PLAN TYPE C) - GROUND FLOOR UNIT -
2249 SQ.FT. LIVING, Ra OCCUPANCY, TYPE VA- IHR CONSTRUCTION, 2087
CODES. "PERMIT DOES NOT INCLUDE TEMP POWER, TRASH ENCLOSURE,
BLOCK WALLS AND SITE LIGIITINr,'" LOT 44, BLDG 9 SEB PERMIT M05 -7L46 k'OR
TYPE OF INSPECTION I DATE I INSP.
TEMPORARY POWER
NOING
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF
OKAY TO WRAP ►'y
FRAMING COMBINATION
UGH ELECTRIC
„vUGH PLUMBING
ROUGH MECHANICAL
INSULATJON 43. '2 e c'1
riv' s
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH
GAS TEST /— O 1 oil,
INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL GK
BOND BEAM
POOL/ SPA/ WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
V/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER ALARMS / BARRIERS
PLUMBING /
MFt;HANICAL
I IC WORKS DEPARTMENT o
CuloM- UNITY DEVELOPMENT DEPT L c�
FINAL / JOB COMPLETED I I Y
ce pke Wr>^K 3.17-1v
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
Certificate of Occupancy
G OF 9► Y p 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: 80-248 VIA TESORO
Use classification: SFD Building Permit No.:9-826
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
Bullding Of lclal
POST IN A CONSPICUOUS PLACE