SFD (06-2049)3
.AO. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
06-00002049
81089 MONARCHOS CIR
767-320-999-267 -32879 -
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
259635
T4hf
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
GRIFFIN RANCH, LLC
47-120 DUNE PALMS R
DETACHED LA QUINTA, CA 92253
Architect or Engineer:
r�
Contractor:
TRANS WEST HOUSING,
9968 HIBERT STREET,
SAN -IEGO, CA 92131
(858)653-3003
Lic. No.: 701039
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/01/06
TE. C e U D
JUN 20 2006
CITY OF LA QUINTA
-------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Licen a Cla s: B1 No.: 701039
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ln�Lice(�nn/se
l�.issued.
Date: ontractor: �- �
�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 that I am exempt from the Contractor's State License Law for the
Carrier STATE FUND Policy Number 1648813-2005
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not 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 become subject to the workers' 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 become subject to the workers' compensation provisions of Section
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
�700Aopft,,carabor Code, I shall forthwith omply withthose provisions.
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).:
�dany
Date t: �,/ ll.. bbLL��CC��
(_ 1 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 SECURE WORKERS' 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 CRIMINAL 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 (5100,000). 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.).
(_ 1 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 contractors) 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: pr
LQPERMIT
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 ap lication and state that the above information is correct. I agree to comply with all
city and ounty ordinances a state laws relating to building construction, and hereby authorize representatives
of thi cou ty to nter up the above-mentioned property for inspe do urpos s�
ate: ignature (Applicant or Agentl:
LQPERMIT
Application Number . . . . . 06-00002049
Permit
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee.
. .
1199.50
Plan Check Fee
779.68
Issue Date
. . . .
Valuation . . . .
259635
Expiration
Date
11/28/06
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
160.00
-----------=----------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
560.00
Permit
. . .
MECHANICAL
Additional
desc .
Permit Fee
. . . .
114.50
Plan Check Fee
28.63
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
11/28/CS
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
. . . .
168.96
Plan Check Fee
42.24
Issue Date
. . . .
_
Valuation . . . .
0
Expiration
Date
11/28/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3972.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
139.02
747.00
-------------------------------------------
.0200
'ELEC
GARAGE OR NON-RESIDENTIAL
--------------------------------
14.94
Permit
... . PLUMBING
Additional
desc .
Permit Fee
174.75
Plan Check Fee
34.88
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date'. .
11/28/06
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
Application Number 06-00002049
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
11.00 .7500 EA PLB GAS PIPE >=5
8.25
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 11/28/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
-----------------------------------------7----------------------------------
Special Notes and Comments
SFD - LOT 267, PLAN 2B, 3972 S.F,
PERMIT DOES NOT INCLUDE POOL, SPA,
BLOCK WALLS OR DRIVEWAY APPROACH.
2001 CBC, CMC, CPC, 2004 CEC, 2005
ENERGY CODES
------------7---------------------------------------------------------------
Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES
149.08
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
77.97
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
25.96
DIF STREET MAINT FAC -RES
67.00
DI'F TRANSPORTATION - RES
1666.00
Fee summary Charged Paid Credited
Due
---------------------------------------------------------
Permit Fee Total 1672.71 .00 .00
1672.71
Plan Check Total 885.43 .00 .00
885.43
Other Fee Total 3949.01 .00 .00
3949.01
Grand Total 6507.15 ..00 .00
6507.15
LQPEnlIT
December. 5, 2006
Mr. Geoff McComic
Trans West Housing
10721 Treena St, Ste 200
San Diego, CA 92131
Re.: Framing Campania -Griffin Ranch
Subj.: Opinion of Construction 1089 Monarchos Circle (Lot 267)
Dear Mr. McComic:
ECIEIVED DEC 1 5��
STRUCTURAL ENGINEERS,
Visits were made to observe the work and determine if it was in general
conformance with the intent of the construction documents as prepared by our office.
Reports were provided to your firm detailing deviations from what the construction
documents had intended and recommendations were made as necessary to
remediate these deviations.
Based on our observations, it is our opinion that framing for Lot 267 was constructed
in general conformance with the intent of the construction documents prepared by
our office.
The content of this letter is understood to be an expression of professional opinion by
this engineer which is based on his/her best knowledge, information and belief. As
such, it consists of neither a guarantee nor a warrantee expressed or implied.
If you have any questions, please contact us.
Very truly yours,
BORM ASSOCIATES, INC.
Mohammad Douroudian
Director, Field Operations
jaa:l/11092 120506 Frmng Lot 267
cc: (3)
(1)
Mail per Addressee
Faxed per Bob Turpin (760) 398-7172
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Ej�p. 06/30108
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