SFD (06-2056)P.O . BOX '1504.
7&-495- CALLE TAMPICO '
LA QUINTA, CALIFORNIA 92253
Application Number:.
Property Address:
APN:
Application description: '
Property Zoning:
Application. valuation:
Applicant:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
06-00002056
81117 MONARCHOS CIR
'767-320-999-265 -32879
DWELLING - SINGLE FAMILY DETACHED.
LOW DENSITY RESIDENTIAL'
307247
A�ect or Engineer:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/01/06
Owner:
GRIFFIN RANCH, LLC
47-120 DUNE PALMS ROAD, STE. C
LA QUINTA, CA 92253
D � u
Contractor: JUN
2 O 2006
TRANS WEST HOUSING, INC. 6!
9968 HIBERT STREET, STE # 02
SAN, DIEGO, CA 92131' CITY OF LA QUINTA
(858) 653-3003 FINANCE DEPT.
Lic. No.: 701039
----------------------------------------------------------
- UCENSED CONTRACTOR'S DECLARATION -
WORKER'S COMPENSATION. DECLARATION
' I hereby affirm under penalty of perjury that I 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
License Class: S License No.:- 701039
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
ate: mractor: -
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 o the Business and Professions Code) or
3700 of the Labor Code, 1 shall forthwith comply with those provisions.
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).:'
te I ;cant:
(_ 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
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 1$100,000). 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.).
- APPLICANT ACKNOWLEDGEMENT
(_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director.of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
.conditions and restrictions.set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed'
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a.result of this application,
1—) I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend; indemnify and hold harmless the City'
Date: Owner:
CONSTRUCTION LENDING AGENCY .
1 hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT,
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 foi 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 a state laws relating to building construction,, and hereby authorize representatives
of this my to enter n the above-mentioned property for inspection purposes.
ate: Signature (Applicant or Agent):
Application Number. . . . . . 06-00002056
Permit
... .
BUILDING PERMIT
Additional
desc .
Permit Fee
1367.50
Plan Check Fee
888.88
Issue Date
Valuation . . . .
307247
Expiration
Date
11/28/06
Qty. Unit Charge
Per.
Extension
BASE
FEE
639.50
208.00
------------------------------------------------------------------------------
3.5000
.THOU BLDG
100,001-500,000
728.00
Permit
. . .
MECHANICAL.
Additional
desc .
Permit Fee
. . . .
139.00
Plan Check Fee
34.75
Issue Date
. . . .
Valuation . . . .
0
Expirati:)n.Date
11/28/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
4.00
9.0000.
EA MECH
FURNACE <=100K
36.00
4.00
9.0000
EA .MECH
B/C <=3HP/100K BTU
36.00
7.00
6.5000
EA MECH
,.
VENT FAN
45.50
1.00
-------------------------------------------------------------------7--------
6.5000
EA MECH.
EXHAUST HOOD
6'..50
Permit
. .
ELEC-NEW RESIDENTIAL
Additional
desc .
Permit Fee
193.30'
Plan Check Fee
48.33
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
11/28/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
4681.00
.0350
ELEC
NEW RES'- 1 OR 2 FAMILY
163.84
723.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
14.46
Permit
. . . PLUMBING
Additional
desc .
Permit Fee
. . . .
203.25
Plan Check Fee
50.81
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
11/28/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
22.00
6.0000
EA PLB FIXTURE
132.00
1.00
15.0000
EA PLB BUILDING SEWER
15.00
LQT
LQPERMIT
i
Application Number . . . . 06-00002056
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
1.0Q 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
-------------------------- ------------ ------------------------------------
- -----------------------------------------------------------------------
Special
Special Notes and Comments
SFD - LOT 265, PLAN 4C, 4,681 SF.
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
268.11
DIF COMMUNITY CENTERS -RES
74.00
DIF, CIVIC CENTER - RES
480:00
ENERGY REVIEW FEE
88.89"
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
30.72
DIF STREET MAINT FAC -RES
.67.00
DIF TRANSPORTATION -..RES
"1666:00
Fee summary Charged Paid Credited
Due
----------------------------------------
Permit.Fee Total. 1918.05 .00 :00
1918.05
Plan Check Total 1022.77 ."00 .00
1022.77"
Other Fee Total 4083.72 .00 .00
4083.72
Grand Total 7024.54 00 .00
7024.54
BORM
December 5, 2006
.Y .1
RECEIVED DEC 1 5 2006
STRUCTURAL ENGINEERS
'Mr. Geoff McComic
,Trans West Housing
10721 Treena St, Ste 200
San Diego, CA 92131
Re.: Framing Campania -Griffin Ranch
Subj.: Opinion of Construction—F17 Monarchos Circle (Lot 265)
Dear Mr. McComic:
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 265 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.
t
Mohammad Douroudian
Director, Field Operations
jaa:1111092 120506 Frmng Lot 265 OQ�OF RIC Vq<<
AGE ti�
cc: (3) Mail per Addressee (VO'
(1) Faxed per Bob Turpin (760) 398-7172 w 0 o. 37096
Exp. 06/30/08
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