SFD (04-4643)77897 Little Eagle Ct
04-4643
Application Number -0 � iDate 6/23/04
0:4�--0 0"00=4:6=4=3
Property Address . . . . . .•.778 7 LITTLE EAGLE CT 4.
APN: 658-140-999-106 -29436
Application description DWELLING —SINGLE FAMILY DETACHED
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation 210412
Owner Contractor
IVANHOE LA QUINTA COVE TRANS WEST HOUSING, INC.
C/O R BARRY MCCOMIC 9968 HIBERT STREET, STE #10.2 .
7979 IVANHOE AVE5 0 SAN DIEGO CA 92131
LA JOLLA D �A� 92-A3-7 (858) 653-3003
JUL 08 2004 I WCC: STATE FUND
WC: .1648813 1.0/01/04
CITY OF LAQUINTA CSLB: 701039 01/31/05
FIa�IA�dCIE ®EPT. CCC: B -
-------------------------- Structure Information -------------------------
Construction Type . . TYPE V - NON RATED
Occupancy Type . . . DWELLG/LODGING/LONG <=10
Flood Zone . .. . . . . . . NON -AO FLOOD ZONE
Other struct info . . CODE EDITION 2001 CBC
# BEDROOMS 4.00
FIRE SPRINKLERS NO "#
GARAGE SQ FTG 424.00"
PATIO SQ FTG 315.00
NUMBER' OF UNITS 1.00.
FIRST FLOOR SQ FTG 3460.00
-----------------------------------------------------------..-----------------
Permit BUILDING PERMIT
Additional desc
Permit, Fee 1028.00 Plan Check Fee 167.05
Issue.Date Valuation 210412
Qty Unit Charge Per Extension
BASE FEE 639.50
111.00 3.5000 THOU BLDG 100,001-5001000`':, 388.50
Permit . . . MECHANICAL
Additional desc
Permit Fee 114.50 Plan Check Fee 7.16
Issue Date Valuatign 0
P.O. BOX 1504 • VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153
//// BUILDING 8t: SAFETY DEPARTMENT
Application Number: - Y(p Date:
Applicant: -Architect n'nee
`6
U�IC�
Applicant's Mailing Address: Architect or Engineer's ddress:
ic. No.: L
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 Section 7000) of Division 3 of the Business and Professionals
de, and my License i full force and effect. I 1 / 0 p
icense Class _ icense No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U 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 or 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.). .
U 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.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' 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.
X- 1 have and wF19i
workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
is d. Mcompensation�ae�rance carrier and policy number are:ICarrier /Policy Number _ j/
' I certify that, in the performance of the work for which this permit is issued, I shall of a ra o
P p y y 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 shall
forthwith comply with those provisions.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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.
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 A
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, indemnity and hold harmless the City of La Quinta, its
officers, agents and employeesfor 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 relating to building
constructio , and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
ate O nature (Applicant or Agent):
rn,i•r� ;;%.ap a
Page
2
Application Number
04-00004643 Date.
6/23/04
Qty Unit
Charge,
Per
Extension
BASE FEE
15.00
3.00
9.0000
EA MECH FURNACE<=100K
27.00
3.00
9.0000
EA- MECH B/C <=3HP/100K BTU
27.00
-6.00
6.5000
EA MECH VENT FAN
39.00
1.00
6.5000
EA MECH EXHAUST HOOD
6.50
Permit . .
. . . .ELEC-NEW
RESIDENTIAL
Additional ,desc
' .
Permit Fee .
. . .
144.58 Plan Check Fee
9:04
Issue Date
Valuation . . .
0•
Qty Unit
Charge
Per
Extension
BASE FEE
-15.00
.00
.0350
ELEC.NEW RES - 1 OR 2 FAMILY•
121.10
,424:00
0200
ELEC GARAGE OR NON-RESIDENTIAL
8.48
----------------------------------------------------
Permit.. . .
. .
PLUMBING
Additional desc`.
Permit Fee
188.25 Plan Check Fee
11.72
Issue Date
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
21.00
6.0000
EA PLB FIXTURE
126.00
1.00
15.0000
EA PLB BUILDING SEWER
15.00 .
1.0.0
7.5000
EA PLB..WATER HEATER/VENT
7.50
1.00
3.0000
EA PLB WATER INST/ALT/REP
3.00
00
3.0000
'EA PLB GAS PIPE 1-4 OUTLETS
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
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
Special Notes
and Comments
SFD - LOT -106
PLAN TAR/CASITA, 3460 SF.
Page 3
Application Number
. . . . .
04-00004643 Date
6/23/04
-----------------------------------------------------------------------------
Special Notes and
Comments
PERMIT DOES NOT INCLUDE BLOCK WALLS,
POOL, SPA OR DRIVEWAY APROACH.75%
REDUCTION TO PLAN
CHECK FEE DUE
TO
MULTIPLE ISSUANCE
OF SAME PLAN
TYPE
Other Fees . . .
. . . .
ART IN PUBLIC PLACES -RES
26.03
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.,00
ENERGY REVIEW FEE
16.71
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
21.04
DIF STREET MAINT`FAC=RES
15.00
DIF TRANSPORTATION - RES
1098'.00
Fee summary
Charged
Paid Credited_
Due
Permit Fee Total
1490.33
.00' 00
1490.33
Plan Check Total
194.97
.00 .00
194.97
Other Fee Total
2468.78
.00 .00
2468.78
Grand Total
4154.08
.00 .00
4154.08