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09-0830 (SATT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00000830 Property Address: 80250 VIA TESORO APN: 772-250-019-45 -30357 - Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 235565 mum BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/10/09 Owner: TOLL CA V C/O KEVIN D DUERMIT ATTACHED 8901 E MOUNTAIN VIEW 200 SCOTTSDALE, AZ 85258 Contractor: Applicant: Architect or Engineer: TOLL BRO 73121 FR PALM DES (760) 674 Lic. No. LICENSED CONTRACTOR'S DECLARATION 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. License Class: B p License No.: 777699 Date:�id �0 / ontractor: /�1Z 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).: (_ 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: _ Lender's Address: LQPERA11T C. � l RI VE, #100 CA 9226.0 699 v� It 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 Code, I Spall forth . comply with those provis'ons. Da�plicant: WARNING: FAIL RE TO SECURE WORKERS' CIZENSATION 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 ago county ordinances and state laws relating to building construction, and hereby authorize representatives oft (�//county [o enter upon the above-mentioned propert or 'n ection pur es. DateV' 0oO� S' 01sture (Applicant or Agent): ,til - Application Number . . . . . 09-00000830 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 2.00 FLOOD ZONE NO GARAGE SQ FTG 503.00 PATIO SQ FTG 173.00 TOT ELIGIBLE NO NUMBER OF UNITS 1.00 2ND FLOOR SQUARE FOOTAGE 2694.00 ---------------------------------------------------------------------------- Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 1115.50 Plan Check Fee 725.08 Issue Date . . . . Valuation . . . . 235565 Expiration Date . . 2/06/10 Qty Unit Charge Per Extension BASE FEE 639.50 136.00 3.5000 THOU BLDG 100,001-500,000 476.00 ---------------------------------------------------------------------------- Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 122.81 Plan Check Fee 30.70 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/06/10 Qty Unit Charge Per Extension BASE FEE 15.00 2694.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 94.29 676.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.52 ---------------------------------------------------------------------------- Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 90.00 Issue Date . . . . Expi rati nn T)atP ?,Inti/in Plan Check Fee . . Valuation . . . . Qty Unit Charge Per BASE FEE 2.00 9.0000 EA MECH FURNACE <=100K 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 22.50 0 Extension 15.00 18.00 18.00 LQPERMIT - - Application Number . . . . 09-00000830 Permit . . . . . . MECHANICAL Qty Unit Charge Per Extension 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 6.5000 --------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 ------------- Permit . . . PLUMBING Additional desc . Permit Fee . . . . 183.00 Plan Check Fee 45.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/06/10 Qty Unit Charge Per Extension BASE FEE 15.00 19.00 6.0000 EA PLB FIXTURE 114.00 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 8.00 .7500 EA PLB GAS PIPE >=5 6.00 1.00 15.0000 EA PLB GAS. METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFA - PLAN TYPE C2 - UPPER FLOOR UNIT - 2694 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** BLDG. 9, LOT 45 SEE PERMIT #05-3154 FOR PREVIOUS RECORDED INSPECTIONS. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 10.00 ENERGY REVIEW FEE 72.51 STRONG MOTION (SMI) - RES 23.55 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total f;ranr9 Tntal LQPERMIT Charged Paid 1511.31 .00 824.03 .00 106.06 .00 '?11,41.44 .44 Credited Due .00 1511.31 .00 824.03 .00 106.06 .00 2111,10 No, 4791 P. 7-" -J ' c -02 04 � yao TY OF LA OUNTA o DING & SAFETY DEPARTMENT op �� w (760) 777-7012 INSPECTION REQUEST LINE 7 .5-0 (760) 177-7153 Permit Nu lb POST ON J B CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS—Qn_2en VI A T UJR SFA -)-LAN TYPE CS - UPPER FLOOR UNIT 2690 SQ.FT, LIVING, R-0 OCCUPANCY, TYPE VA-IIIR CONSTRUCTION, 1007 CODES. ""PERMIT DOES NOT INCLUDE TENY M%VER,TRASH ENCLOSURE, BLOC$( WALLS ANP SITE LIGHTING" BLDG. 9. LOT 45 SEE PERMIT HOSJ154ROkPFYVIOUSRECORDED INSPECTIONS, TYPE OF INSPECTION DATE INSP. L DO N ROOF NAIL / RE -R OKAY TO WSAP FRAMING (COMBIN UGH FLECTRI CONCRETE UWIL ABOVE SIGNED NTIL INTERIOR GYP, BD. DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR C4 ov MASONRY IN SP TIONS FOOTINGS /STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS_ U/G PLUMBING PRE -PLASTER (ALARMS/ BARRIERS)) I FINAL INSPECTIONS TEMP. USE OF PERMANENT POWE ELECTRICAL PLUMBING MFr'HANICAL C '10 WORKS DEPARTMENT 10 CUMMUNITY DEVELOPMENT DEPT I FINAL / JOB COMPLETED r yltr�! -1Q ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING Certificate of Occupancy °� .�i,Qrtlafa 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: 80-250 VIA TESORO Use classification: SFD Building Permit No.:9-830 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: 3-11-2010 Building Officiaf POST IN A CONSPICUOUS PLACE