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04-3756 (SFD)�. .; BUILDING & SAFETY DEPARTMENT 4 P.O. BOX 1504 (760).777-7012 CMOFrfi 9 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . 04-00003756 Date 6/03/04 Property Address . . . . . . 48000 BIG HORN DR APN: 658-140-999-21 -29436 - Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation 197485 Owner IVANHOE LA QUINTA COVE C/0 R BARRY MCCOMIC 7979 IVANHOE'AVE STE 550 LA JOLLA CA 92037 Contractor TRANS WEST HOUSING, INC. 9968 HIBERT STREET, STE #102 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/CONG <=10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 672.00 PATIO-SQ FTG 814.00 NUMBER OF UNITS 1.00 ----------------------------------------------------------------------------- FIRST FLOOR SQ FTG 3033.00 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 982.50 Plan Check Fee 159.66 Issue Date . . . . 5/14/04 Valuation . . . . 197485 Expiration Date . . 11/10/04 Qty Unit Charge Per Extension BASE FEE 639.50 98.00 3.5000 ----------------------------------------------------------------------------- THOU BLDG 100,001-500,000 343.00 Permit . . . . . . MECHANICAL Additional desc . . Permit Fee 79.00 Plan Check Fee 4.94 Issue Date 5/14/04 Valuation . . . . 0 Expiration Date 11/10/04 P.O. Box 150E •4 4 �� VOICE (760) 777-7012 78-495 CALLS O FAX (760) 777-701 1 LA QUINTA, CALLIFORNIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: Date: Architect or Engineer: Architect or Engineer's Address: Lic. No.: 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 Code. and my License is in full force and effect. License Class License No Date Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031 5, 3usiness and Professions Code Any city or County that requires a permit 10 construct. alter, improve, demolish, or repair any structure, pnOr to its issuance, at$0 requires the applicant Ior 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) at 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 subiws the applicant to a civil penalty of not more than five hundred dollars ($500).): rJ 1. as owner of the property, or my employees with wages as their sole compensation, w It do the work, and the structure is not intended or offered for sale (Sec 7G" RUsinpss and Professions Code: The Contractors' Slate L1Cense Law does no apply to an owner of property wno builds or improves thereon, and who does the work himself of herself or through his dr ner own employees, provided that the improvements are not intended or offered for sate. If, however, the building or improve rnenI 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 exctusiveiy con Ire dmg with licensed Contractors to Construct the profecl (Sec. 704.¢, 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 proteGls with a ccntraclor(5) licensed pursuant to the COntraCtdrs' Slate License Law ). U I am exempt under Sec, . B & P.C. for this reason Date WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of penury 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, fort 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 issued. My workers' compensation insurance carrier and policy number are: Cartier Policy Number I certify that, in the performanCe or the work for which this permit is issued. I shall not employ any person in any manner so as to become subject compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code shall forthwith comply with those provisions Date Applicant 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 Lenders Address IMPORTANT Apptiplion is hereby made to the Director of Buildin and Sa ANT ACKNOWLEDGEMENT g tY APermit sublet to the cdnditiona and restnchons set forth on this application. I Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under Cr pursuant to any permit issued a a result of This application, the owner, and the applicant, each agrees to, and sha11, defend, indemnify and hold harmless the City of La Ownta, its officers. agents and employees for any act or omrssion related Io the work being performed under or fo[to*ng issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 100 days from dale of issuance of surd 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 construction. and hereby authorize representatives of this county to enter upon the above -mentioned property for inspection purposes. Date Signature (Applicant or Agent): Page 2 Application Number 04-00003756 Date 6/03/04 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 33.00 1.00 6.5000 EA MECH VENT FAN 6.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee 181.82 Plan Check Fee .94 Issue Date 5/14/04 Valuation . . . . 0 Expiration Date 11/10/04 Qty Unit Charge Per Extension BASE FEE 15.00 3033.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 106.16 3033.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 60.66 Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 190.50 Plan Check Fee 11.91 Issue Date . . . . 5/14/04 Valuation 0 Expiration Date . . 11/10/04 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 6.0000 EA PLB FIXTURE 120.00 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 5/14/04 Valuation . . . . 0 Expiration Date 11/10/04 Qty Unit Charge Per Extension a i Page 3 Application Number . . . . . 04-00003756 Date 6/03/04 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD, LOT 21, PLAN 3B. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA, OR DRIVEWAY APPROACH.75% PLAN CHECK FEE REDUCTION FOR MULTIPLE ISSUANCE OF SAME PERMIT TYPE. Other Fees . . . ART IN PUBLIC PLACES-RES .00 DIF COMMUNITY CENTERS-RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 15.97 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 19.74 DIF STREET MAINT FAC-RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1448.82 1448.82 .00 .00 Plan Check Total 177.45 177.45 .00 .00 Other Fee Total 2440.71 2440.71 .00 .00 Grand Total 4066.98 4066.98 .00 .00 Titf 4 4g" 504 LE TAMPICO CALIFORNIA 92253 BUILDING PERMIT Property Address APN: Application description Property Zoning . . . . Application valuation . Owner ------------------------ IVANHOE LA QUINTA COVE C/O R BARRY MCCOMIC 7979 IVANHOE AVE STE 550 LA JOLLA CA 92037 BUILDING & SAFETY DEPARTMENT (760).777-701a FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 04-00003756 Date 4/29/04 48375 BIG HORN DR 658-140-999-165 -29436 - DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 197485 Contractor ------------------------ TRANS WEST HOUSING, INC. 9968 HIBERT STREET, STE ##102 -- --SAN DIEGO- - CA 92131 (858) 653-3003 WCC: STATE FUND - WC: 1648813 10/Oi/� - CSLB: 701039 01/31/05 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 FIRE SPRINKLERS NO GARAGE SQ FTG 672.00 PATIO SQ ,FTG 814 . 0 0 '' NUMBER -OF UNITS 1.00 FIRST FLOOR SQ FTG 3033.00 ---------------------------------------------------------------------------- Permit . _ . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 982.50 Plan Check Fee 159.66 Issue Date Valuation . . . . 197485 Qty Unit Charge Per Extension BASE FEE 639.50 98.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 343:00 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee 181.82 Plan Check Fee .94 Issue Date Valuation 0 Qty Unit Charge Per Extension P.O. Box 1504 78-495 CALLE TAMPICO Td!t LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: Architect or Enaineer: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: `7 ' ! ``1 ' 0 � i = _� Iara >A' • Lic. No.: 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 Code, and my LicensMin full force and effect v License Class` License No. -I- D.tl.tn-)3 - 0* OWNER -BUILDER DECLAI:tATION I hereby affirm under penalty of perjury that i am exempt from the Contractors' State License Law for the fotloWng rd:, nn {Sr .. 7031 5, FluRinass and Professions Code: Any city or county Ihat requires a permit to construct, alter, improve, demolish, or repair any structunp, p ; to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to tha LF r�,0 Cn3I nC`Cin Stare License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he 0; sne is exempt therefrom and the basis for the alleged exemption. Any violation of Section 70313 by any applicant for a permit subjects the applicant to a civil pen?!iy of not more than five hundred dollars ($500).); I U I, as owner of IF, property, or my employees with wages as their sole compensation, will do the wore, and the structure is not intended or offered for sale (Sec. 7044. 81-lslnes- 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 Nrn.lelf 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 safe.). ( } I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a ccntractor(s) licensed pursuant to the Contractors' State License Law.). I am exempt under Sec. , B.& P.C. for this reason 1 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 sefF 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 sue My w�Wcopensatian insurance cerier a❑ " rare; Can er Policy Numbercertify that, in the work for which this rmit s i WtXd, I—sh all 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. Date Applicant 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 Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Applicatlon Is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. f. 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 hamile ss the City of La quints, its officers, agents and employees for any act or omission retated to the work being performed under or fallowing issuance of this permit. 2. Any permit issued as a result of this application becomes nA and void if work Is not commenced within 180 days from date of Issuance of such pemrtt 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 construction, and hereby authorize representatives of this county to enter upon the above -mentioned property for inspection purposes. Date 4 Signature (Applicant or Agent):