SFD (04-3973)49445 Marne Ct
04-3973
Tdf 4 4- a"
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504
Y.
(760),777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 77.7-7153
BUILDING PERMIT
Application Number . . . C:O4-707 0003 973 Date 5/11/04
Property,Address . . . . . . .49445 MARNE CT
APN: 649-520-014=15 -290532-
Application description DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation-.-. 163482
Owner Contractor
- - .7 - - - - - - - - - - - - - - - - - - ------ - - - - -
PM RENAISSANCE, LLC TRANS WEST HOUSING, INC.
9968 HIBERT STREET, STE. 102 9968 HIBERT STREET, STE #102
SAN DIEGO CA 92131 SAN DIEGO CA 92131
-(858) 653-3003.
WCC: STATE FUND
WC: 1648813 10/01/04
CSLB: 701039 01/31/05
CCC: B
-------------------- - --- Structure Information -------------------------
Construction Type . . . . . TYPE V - NON RATED
Occupancy Type . . . . ... DWELLG/LODGING/cbNG <--10
Flood Zone .... . . . . . . NON -AO FLOOD -ZONE
Other struct info CODE EDITION .2001CBC
FIRE SPRINKLERS NO
GARAGE.SQ FTG 589.00
PATIO SQ FTG .328.00
NUMBER OF UNITS- 1.00
FIRST FLOOR SQ FTG' 2580.00
----------------------------------------------------------------------
Permit BUILDING PERMIT
Additional desc..
Permit Fee 863.50 Plan Check Fee 140.32
Issue Date Valuation 163482
Qty Unit Charge Per Extension
BASE FEE 639..50
.64.00 3.5000 THOU BLDG 100,001-500,000 224.00
---------------- --- -------------------- --------- --------- -----------------
Permit D M CtfiWJ_CAL
.Additional desc
Permit Fee . . . . Plan Check Fee 5.75
Issue Date Ably Valuation 0
Qty Uni Cha- -op -,e.-r-- e
Extnsion
C
'
Ili 1i I
, A
so, BASE FEE -15.00
P.O. BOX 1504 • /: •
w 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: D 3973 Date:
Applicant: chitect or Eng' taer:
Applicant's Mailing Address: Architect or Engineer's Address:
Al
L/r -� �Ic. NO.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed underprovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my Licensy in full force and effect. /
License Class /S License No. 7blo-?,Q
Date
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 stricture 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 oonstrw 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
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
i;sued,.pAy wormers' compensation insuran�cartier a�m�polynpr�ber are:
Carver � h'.ir✓p1 Pnusv1iumber ! S (SC T
—I certify that, in the performance of a 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 shall
forthwith comply with those provisions.
,gate � sst1� f� V
,Io
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 3708 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.).
,,-tendees Name
Lgnders Address IV
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 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 ifs 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 informal7gree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to a er abo ntioned property for inspection purposes.
Aare�/� � ature (Applicant or Agent):
..Page
2
Application Number .
. . . . 04-00003973 Date,
5/11/04
Qty Unit
Charge
Per
Extension
2.00
9.0000
EA MECH FURNACE <=100K
18.00
2.00
16.50.00
EA MECH B/C >3-15HP/>100K-500KBTU
33.00
3.00
6.5000
EA MECH VENT FAN
19.50
1.00
----------
6.5000
EA MECH EXHAUST HOOD
6.50
---------
Permit . . .
-------
. . .
--.-------------------------------------
ELEC-NEW RESIDENTIAL
---=-------
Additional desc
Permit Fee .
. . .
117.08 Plan Check Fee
7.32
Issue Date
Valuation
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
2580.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
90.30
589.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
11.78
7 -------------------------------------------------------------------
Permit* . .
. .
PLUMBING
Additional desc
Permit Fee
178.50 Plan Check Fee
11.16
Issue Date
Valuation . . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
18.00
6.0000
EA PLB FIXTURE
108.00
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
8.00.
.7500
EA PLB GAS PIPE >=5
6.00
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 Comment's
SFD - LOT 15.
PLAN 2A.
PERMIT DOES NOT
Page 3
Application Number
. . . . .
04-00003973 Date
5/11/04
Special Notes.and
Comments
INCLUDE BLOCK WALLS,
POOL, SPA
OR
DRIVEWAY APPROACH.
758 REDUCTION TO PLAN
CHECK FEE DUE TO MULTIPLE
ISSUANCE.OF
SAME PLAN TYPE
----------------------------
Other Fees .
------------------------------------------------
. . . . . .
ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
14.03
DIF FIRE -PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
00
DIF LIBRARIES - RES
225.0.0
DIF PARK MAINT FAC - RES
.5.00
DIF PARKS/REC - RES
502_.00
STRONG MOTION (SMI) - RES
16.34
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary,
Charged
Paid Credited
Due
Permit Fee Total
1266.08
..00 00
1266.08
Plan Check Total
164.55
.00 .00
164.55
Other Fee Total
2435.37
.00 .00
2435.37
Grand Total.
3866.00
.00 .00
3866.00