The URL can be used to link to this page

05-2648 (SATT)4 0. OX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 B LDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 UILDING PERMIT Q Date: 6/29/05 Application Number: 05-00002648 Owner: Property Address: 80290 VIA TESORO 185 ✓U TOLL CA V APN: 772-250-019-4 -30357 ` '?0 C/O KEVIN D DUERMIT Application description: DWELLING - SINGLE FAMILY TTAei9 8901 E MOUNTAIN VIEW 200 Property Zoning: LOW* DENSITY RESIDENTIAL Fj�O�//-- l�0� D SCOTTSDALE, AZ 85258 Application valuation: 210345 cF�FA� �q Contractor: Applicant: _Architect or Engineer: TOLL BROS, INC. 73121 FRED WARING DRIVE, #100 PALM DESERT, CA 92260 (760)674-9699 Lic. No.: 777699 ------------------------------------------------------------------------------------------------- LICENSE/CON RACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury that I am lnder provisionsofC Ater 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Pals Code, and my Li nse is in full force and effect._ I have and will maintain a certificate of consent to self-insure for workers' compensation, as provided License CI s: License No • 77 99 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is / `,� issued. / Date: ontractor: N 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 OWNER-BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury thaZrofessions exempt from the Contractor's Slate License Law for the Carrier LIBERTY MUTUAL Policy Number WA762DO04723014 following reason (Sec. 7031.5, Business a Code: Any city or county that requires a permit to_ I certify that, in the performance o the work for which this permit is issued, I shall noI employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to ecome subject to the orkers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should be o subject to thew kers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 8700 of the Labor Co I a forthwith comply a provisions. 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):ate: pplicant: (_) 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 WARNING: FAILURE TO SECUR ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO C MINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend,, indemnify and hold harmless the City 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: LQPER111IT 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 formation is corre . I agree to comply with all city and county ordinances and state laws relating to building c struction, and here autho ' -representatives of this co my ent pon the above-mentioned property or ns -e ' n p _ o es Date: Signature (Applicant or Agent): Application Number . . . . . 05-00002648 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 2001 # BEDROOMS 3.00 FLOOD ZONE NO PATIO SQ FTG 108.00 TOT ELIGIBLE NO NUM8ER OF UNITC 1 nn -------------------------------=-------------------------------------------- 2ND FLOOR SQUARE FOOTAGE 2530.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1028.00 Plan Check Fee 668.20 Issue Date . . . . Valuation . . . . 210345 Expiration Date . . 12/26/05 Qty Unit Charge Per Extension BASE FEE 639.50 111.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 388.50 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 90.00 Plan Check Fee 22.50 Issue Date . . . . Valuation 0 Expiration Date 12/26/05 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 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 105.71 Plan Check Fee 26.43 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/26/05 Qty Unit Charge Per Extension BASE FEE 15.00 2530.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 88.55 LQPERMIT Application Number . . . . . 05-00002648 Permit . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 108.00 .0200 -----------------------------------------=---------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 2.16 Permit . . . PLUMBING Additional desc . . Permit Fee 170.25 Plan Check Fee 42.56 Issue Date Valuation . . . . 0 Expiration Date 12%26/U5 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, 2530 SF LIVING, R-3 OCCUPANCY, TYPE V-1HR CONSTRUCTION, 2001 CODES.[GARAGE FOR THIS UNIT LOCATED IN PLAN TYPE A1] **PERMIT DOES NOT INCLUDE TEMP POWER, TRASH ENCLOSURE, BLOCK WALLS AND SITE LIGHTING** BLDG. 1, LOT 4 ---------------------------------------------------------------------------- Other Fees . . . . . . ART IN PUBLIC PLACES -RES 25.86 DIF COMMUNITY CENTERS -RES 68.00 DIF CIVIC CENTER - RES 229.00 ENERGY REVIEW FEE 66.82 DIF FIRE PROTECTION -RES 78.00 DIF LIBRARIES - RES 158.00 DIF PARK MAINT FAC - RES 3.00 DIF PARKS/REC - RES 352.00 STRONG MOTION (SMI) - RES 21.03 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited ----------------- Due -----=---- Permit Fee Total ------------------------------ 1393.96 .00 .00 1393.96 Plan Check Total 759.69 .00 .00 759.69 Other Fee Total 2114.71 .00 .00 2114.71 LQPERMIT 0 Application Number . . . . . OS -00002648 Grand Total 4268.36 .00 .00 4268.36 LQPER117TT