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04-3518 (SFD)[� BUILDING & SAFETY DEPARTMENT P.O. Box 1504 2cp4 (760) 777-7012 78-495 CALLE TAMPICFAX (760) 777-7011 LA QUINTA, CALIFORNIA 92#53 INSPECTION REQUESTS (760) 777-7153 BUILD NG PERMIT Application Number . . . . . .04-00003518 Date 4/27/04 Property Address . . . . . 51893 EL DORADO DR APN: 772-250-996-162 -31349 - AppLication description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application valuation . . . . .311768 Owner TOLL CA V C/O KEVIN D DUERMIT 8901 E MOUNTAIN VIEW 200 SCOTTSDALE AZ 85258 Contractor ------------------------ TOLL BROS, INC. 73121 FRED WARING DRIVE, #100 PALM DESERT CA 92260 WCC: ROGAL & HAMILTO WC: WA264DO0472301 09/01/04 CSLB: 777699 04/30/06 CCC: B -------------------------- Structure Information ---------------__--_-__--- Construction Type . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 721.00 " PATIO SQ FTG 435.00 NUMBER OF UNITS •1.00 FIRST FLOOR SQ FTG 3612.00 ----------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee 1381.50 Plan Check Fee 224.50 Issue Date Valuation 311768 Qty Unit Charge Per Extension BASE FEE 639.50 212.00 3.5000 THOU BLDG 100,001-500,000 742.00 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit.Fee 155.84 Plan Check Fee 9.74 Issue Date. Valuation . . . . 0 Qty Unit Charge Per Extension P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA. CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: Applicant: ` Architect or Engineer. Applicant's Mailing Address: Ardiitect or Engineer's Address: tic. No. .BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sedan 7000) of Division 3 of to Business and Proles ionafs Code. a se C Llxnse in Iu1 brae and ertect IJoenss Ne. 7 � 6 9 Dab y-a.� -0 4c a+aar�or To 1 I >g s-� , OWNER -BUILDER DECLARATION 1 hereby affim under penalty of perjury asst I am e— pt from to Contractors' Stab Liaise Law for the following reason (Sec. 7031.6. Business and Wofessioru Code: Any city or county that requi es a permit b construct atter. irnprare. demofrsh «repair any strhrctue- prior b w issuanc�e. also requires the appianM for ths tt«+n+lt b ria a signed stabmaht that he «she is ioersed pursuant b the provisions of the Contractors' State Lixinse Law (Chapler 9 (onxmroncirp with Section 7000) of Division 3 of to Business and Professions Code) or that he or she is exempt terehan and the basis ton the alleged exemption. Any violation of section 7031.5 by any applicant for a permit subjects the applicant to a mdvl penalty of not mac than ire hundred dais- (5500).r U 1. as owner of the property, or my enpkrpes with wages as their sob compensation, wi do the work and the structure is not intended at offere0 br sale (Sec 7044. Business and Professam Code: The Contractors' Stab License Law does not apply to an owner of property who builds or improves thereon, and who dans to work Msetf or herself or Onough his or her own employees, provided that the inproverrm is are not intended or offered foo sale. K, hhoweyer. the buldi g or anp90vement is sold within one year of completion, the owner -builder wit have the burden of proving that he or she did not build or improve for the purDotse of sale.). U I. as owner of the property. am exdu*.,-dy eotlracb with licensed comtracyxs b construct the project (Sec 7044, Business and Professions Code: The Ca*oc V Stab License Law does not apply to an owner of property who builds or improves lheieon. and who contracts for the projects wit+ a contrackx Q licensed pursuant b the contrscto-• State license Law.). U I am exempt under sec . 6.3 P.C. for this mason Date owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: _ i have and will maintain a certificate of consent 10 self -inn" for wakeW compensation. as provided for by Section 3700 of the Labor Code. br the peAomrance d the work for which Itis pen. k issued. I have and will maintain workers' compensation ism-nce. as required by Section 37W of the Labor Code, for the performance d the work for which Itis pemtil is issued Mr workers' itsurance varier and pow number are: curler or a q! ! t a.N ,re Policy Number +✓ Z A t j 1 O o I cbIlly1 hat in the perlonew of the work for which this pertit a 'awed. slpnnot y any person in any manner to as to becovi subja! b the workers' 001.perss6on taws rX Caifomia, and agree thaL r I should become sut>jed to to workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with terse provisions. Date T a $ ef Applicant S ✓� ; �� `C J a r 7C `t WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE- INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY 1 hereby affwm under penally d perjury that tomb a construction WK1i>,g agency for the performance of the work br whid► Itis pemtit isissued (Sec. 3097. Civ. C.). Lenders Name Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Budding and Safety for a permit subject to the conditions and restrictions set forth on tis 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 perm* Issued as a result of this appication, the owner. and the applicant. each agrees b. and shat. defend. indemnify and hold hwmiess the City of Le Ouida. Its officers. agents and employees for arty act or omission related to the wok being performed under or following issuance of this permit 2- Any permit issued as a result of this application becomes nul and void I work is not commenced within 100 days from date of issuance of such per., or cessation of work for 180 days wli subject permit to cancellation. 1 certify that I have read this application and stab that the above information is wrrect 1 agree b comply with all city and county ordinances and stab Is" renting b building construction, endehereby eauthorize representatives of On county io enter upon to above-awtioned property for inspection purposes. Date a 8 - / Siptehre (Applicant or Agent): Page 2 Application Number . . . . . 04-00003518 Date 4/27/04 Qty Unit Charge Per Extension BASE FEE 15.00 3612.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 126.42 721.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.42 --------------------------------------------------------------------------- Permit . . . . . . GRADING PERMIT Additional desc . . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc . . Permit Fee . . . . 169.50 Plan Check Fee 10.60 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 49.50 11.00 6.5000 EA MECH VENT FAN 71.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit PLUMBING Additional desc . . Permit Fee 225.75 Plan Check Fee 14.11 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 26.00 6.0000 EA PLB FIXTURE 156.00 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 7.00 .7500 EA PLB GAS PIPE >=5 5.25 1.00 15.0000 EA PLB GAS METER 15.00 -_-__----------------------------------------------------------------------- Special Notes and Comments SFD LOT 162 PLAN 3612. PERMIT DOES NOT Page 3 Application Number . . . . . 04-00003518 Date 4/27/04 ---------------------------------------------------------------------------- Special Notes and Comments INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. 75% REDUCED PLAN CHECK FEE FOR MULTIPLE ISSUANCE OF SAME PLAN TYPE. Other Fees . . . . . . . . . ART IN PUBLIC PLACES-RES 279.42 DIF COMMUNITY CENTERS-RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 22.45 DIF FIRE PROTECTION-RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 31.17 DIF STREET MAINT FAC-RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1947.59 .00 .00 1947.59 Plan Check Total 258.95 .00 .00 258.95 Other Fee Total 2738.04 .00 .00 2738.04 Grand Total 4944.58 .00 .00 4944.58