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04-3770 (SFD)D JUN 1020 CITY OF LA QUINTA P R4aV� ver o. 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 ' Application Number . . . . X40-OL0+3�7rTi0� Property Address . . . . . . 48056 BIG HORN DR APN: 658-140-999-19 -29436 - Application description . . . DWELLING - SINGLE FAMILY Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL. Application valuation 179876 Owner IVANHOE LA QUINTA COVE C/O R -BARRY MCCOMIC 7979 IVANHOE'AVE STE 550 LA JOLLA CA 92037 Contractor Date 6/04/04 DETACHED '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 685.00 PATIO -SQ FTG 546.00 NUMBER OF UNITS 1.00 - FIRST FLOOR SQ FTG 2783.00 ------------------------- Permit . . . . . . ---------------------------------- BUILDING PERMIT ---------------- Additional desc Permit Fee . . . 919.50 Plan Check Fee 149.42 Issue Date 5/14/04 Valuation . . . . 179876 Expiration Date'. 11/10/04. Qty Unit Charge Per' Extension BASE FEE 639.50- 80.00 3.5000 THOU BLDG 100,001-500,000 280.00 ---------------------------------------------------------------------------- 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 1504. _. YOICE'(760) 777-7012 78-495 CALLS TAMPICO Tvf 4 4 a"FAX (760)-377-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 Application Number: Applicant: Applicant's Mailing Address: BUILDING & SAFETY DEPARTMENT 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. OWNER43UILDER 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. 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 )he performance of the 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 1 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.). Lenders Name Lenders Address 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 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 applicatiori 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-rnantioned property for inspection purposes. Date Signature (Applicant or Agent): I Application Number . . . . 04-00003770 Page 2 Date 6/04/04 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 . . . . 168.07 Plan Check Fee 10.51 Issue Date 5/14/04 Valuation Expiration Date 11/10/04 l Qty' Unit Charge Per Extension BASE FEE 15.00 2783.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 97.41 2783.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 55.66 -------------------------------------------------=-------------------------- Permit . . . . . PLUMBING Additional desc Permit Fee . . . . 223.50 Plan Check Fee 13.97 Issue Date . . . . Valuation . . . . 0 Expiration Date .5/14/04 11/10/04 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 45.0000 EA PLB SEPTIC 45.00 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 Application Number . . . . .' 04-00003770 Page 3 Date 6/04/04 Qty Unit Charge Per Extension BASE FEE 15.00 -------------------------------- Special Notes and Comments -------------------------------------------- SFD LOT 19 PLAN 2B. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA AND 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 14.94 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 17.98 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Permit Fee Total 1405.07 Plan Check Total 178.84 Other Fee Total 2437.92 Grand Total 4021.83 Paid Credited Due ---------- ---------- ---------- 1405.07 .00 .00 178.84 .00 .00 2437.92 .00 .00 4021.83 .00 .00 BUILDING & SAFETY DEPARTMENT P.O. Box 1504 �. (760).777-7012 ti 78-495 CALLE I FAX (760) 777-7011 LA �, CA 2253 INSPECTION REQUESTS (760) 777-7153 1411!- U'yl G PERMIT u. �aVa.•• Application u of p 04-00003770 Property'Add ess �1N. . . . . 48319 BIG HORN DR APN: 658-140-999-163 -29436 - Application description : DWELLING - S.INGLE FAMILY Property Zoning . . . . . LOW DENSITY RESIDENTIAL Application valuation . . 179876 Owner ------------------------- IVANHOE LA QUINTA COVE C/O R BARRY MCCOMIC 7979 IVANHOE AVE STE 550 LA JOLLA CA 92.037 Contractor Date 5/13/04. DETACHED' TRANS. WEST HOUSING, INC. 9968'HIBERT STREET, STE #102. SAN DIEGO CA 92131 (858) 653 -3 003 WCC: STATE FUND WC: 1648813 10/01/04 CSLB: 701.039 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 685.00 ..PATIO �SQ FTG .546.00 NUMBER OF UNITS 1..00 FIRST FLOOR SQ FTG 2783.00 ----------------------------------------- ----------------------------------- Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 919.50 Plan Check Fee 149.42 Issue`Date . . . . Valuation . . . . 179876 Expiration Date 5/13/05 Qty Unit.Charge Per Extension _ BASE FEE .639.50 80.00 3.5000 THOU BLDG 100,001-500,000 280.00 ----------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional, desc . Permit Fee 168.07 Plan Check Fee 10.51 Issue Date Valuation 0 Expiration Date 5/13./05. P.O. Box 1504 • 4 40 78-495 CALLE TAMPIt.O QUW& LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: VOICE (760) 777-7012 FAX -(760) 777")011 INSPECTIONS (760).777-7153 Date: re Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 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 ' 'n full force and effect. ^ License Class License No. n/ Date' d Contractor OWNER-$UILDER DEC TION I hereby affirm and r 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, after, 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.). (--) 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. _ I have and will mainta' ,workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work,for which this permit is itsued, My workf' compen tion insurance carrier and poli err e Cartier Policy Number rceftify that, in the p4rformanceof the work for which this permit is Itstled, MhdVriot 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 V Applicant 449�/� '' " WARNIN . FAILLE 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 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 pemut, or cessation of work for 180 days will subject permit to cancellation. I certify that 1 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 V Signature (Applicant or Agent): Y '