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06-3332 (SFD)IE P.O. BOX 1504 `78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 06 c&ht " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 06-00003332 54235 AFFIRMED CT 767-320-999-298 -32879 - DWELLING - SINGLE-FAMILY LOW DENSITY RESIDENTIAL 237220 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/04/07 Owner: MCCOMIC GRIFFIN LLC 7979 IVANHOE AVE #550 DETACHED LA JOLLA, CA 92037Fro, rchitect or Engineer: 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 B siness and Profes canals Code, and my License is in full force and effect. License Cl ss: License No.: 701039 ate: ntraao WNER-BUILDER DECLARATION hereby affirm under penalty f perj y that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, u ' ass and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolis , 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 _) 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 1, 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. , 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: LQPERnfIT LFE8 Contractor: 0 9 2007 TRANS WEST HOUSING,9968 HIBERT STREET, OPSAN DIEGO, �A 92131gN� QUINTA (858)6S3-3003 E�EPT Lic. No.: 701039 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. VI 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 STATE FUND Policy Number 1648813-2006 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 shout become subject to th workers' compensation provisions of Section �-) 0 of the Labor Code, shall forthwith co y with those provisions. scant: WARNING: FAILURE TO SECUR WOR ERS' C PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI IN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000). IN ADDITIO 0 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 and county ordinances and state laws relatingto 'Id construction, a d hereby authorize representatives of this nt to enter upon the bove•mentioned grope for inspection oses. Xate. Sig ure (Applicant or Agen Application Number . . . . . 06-00003332 Permit . . . BUILDING PERMIT Additional.desc . Permit Fee . . . . 1122.50 Plan Check Fee 729.63 - Issue Date . . . . Valuation . . . . 237220 Expiration Date 7/03/07 Qty Unit Charge Per Extension BASE FEE639.50 138.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 483.00 Permit. . . MECHANICAL Additional desc . . Permit Fee . . . . 103.00 Plan Check Fee 25.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/03/07 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 7.00 6.5000 EA MECH VENT FAN 45.50 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 162.92 Plan'Check Fee 40.73 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/03/07 Qty Unit Charge Per Extension BASE FEE 15.00 3772.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 132.02 795.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 15.90 Permit PLUMBING Additional desc . Permit Fee 185.25 Issue Date Expiration Date 7/03/07 Plan Check Fee Valuation . . Qty Unit Charge Per BASE FEE 19.00 6.0000 EA PLB FIXTURE' 1.00 15.0000 EA PLB BUILDING SEWER LQPERMIT 46.31 0 Extension 15.00 114.00 15.00 Application Number . . . . . 06-00003332 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 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 9.00 .7500 EA PLB GAS PIPE >=5 6.75 1.00 15.0000 ---- ----------------------------------------------------------------------- EA PLB GAS METER 15.00 Permit . . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/03/07 Qty Unit Charge P=r Extensicn BASE FEE 15:00 ------------------------------------------------------- Special Notes and --------------------- Comments SFD - LOT 298, PLAN 4C, 3772 S.F. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . ART IN PUBLIC PLACES -RES 93.05 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 72.96 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 23.72 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Permit Fee Total '1588.67 Plan Check Total 842.42 Other Fee Total 3885.73 Grand Total 6316.82 LQPERAIIT Paid Credited Due .00 .00 1588.67 .00 .00 842.42 .00 .00 3885.73 .00 .00 6316.82