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04-4669 (SFD)T1Vf 4 4 QU&M BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 \- TAMPICO FAX (760) 77.7-7011 �b - • Z RtLIFORNIA 92253 INSPECTION REQUESTS -(760) 777-7153 App1t- c -a! e3� Property Address . . . APN: Application description Property Zoning . . . . Application valuation . BUILDING PERMIT 04_-00004669 Date 6/01/04 .48235 BIG HORN DR 658-140-999-160.-29436 - . . . DWELLING 7 SINGLE FAMILY DETACHED . . . LOW DENSITY RESIDENTIAL . . . 217237 Owner Contractor ------------------------ ------------------------ IVANHOE LA QUINTA COVE TRANS WEST HOUSING, INC. C/O R BARRY MCCOMIC 9968 HIBERT STREET, STE #102 7979 IVANHOE'AVE STE 550 SAN DIEGO CA 92131 LA JOLLA CA 92037 (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 CRC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 603.00 PATIO SQ FTG 487.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 3478.00 ----------------------------------------------7------------------------------ Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 1052.50 Plan Check Fee 171.03 Issue Date . . . . Valuation 217237 Qty Unit Charge Per Extension BASE FEE 639.50 118.00 3.5000 THOU BLDG 100,001-500,000 413.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 90.00 Plan Check Fee 5.63 Issue Date Valuation 0 Qty Unit Charge Per Extension _ --- P.O. Box 1504. _ _ • ��/ 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT of VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: 014. (kDate: & ` 14*o* Applicant's Mailing Address: ,#4. 4,U �L Oy 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 Licensefull force and effect. n License Class License No. V loiDate or OWNER -BUILDER D LARATION 1 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 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 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. . B.8 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 i ued. vorkers' ompensation r ce carrier and gglr aye, �rtier o� licy Number / IJl 1 ► 'j certify that, in the peri ante of the work for which this pdrrdit istissillecT. t Wil not employ any person in any manner so as to become subject to" 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. of/y Vq nt Date Ap WARM G: F ILURE 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 Y� 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 Guinta, 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 daytt 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 applicabori 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 r� hereby authorize representatives of this county to enter upon the above- mentioned property for inspection purposes. a , . � V rgnature (Applicant or Agent): SA Application Number . . . . . 04-00004669 Page 2 Date 6/01/04 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 -------------------------------------------7-------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 148.79 Plan Check Fee 9.30 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3478.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 121.73 603.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.06 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 196.50 Plan Check Fee 12.28 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 21.00 6.0000 EA PLB FIXTURE 126.00 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 Comments SFD - LOT 160 PLAN 3CR 3478 SF. PERMIT .,41 1i Page 3 Application Number . . . . . 04-00004669 Date 6/01/04 ---------------------------------------------------------------------------- Special Notes and Comments DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. 75% PLAN CHECK FEE REDUCTION APPLIED FOR MULTIPLE ISSUANCE OF SAME PLAN TYPE. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 43.09 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER.- RES 366.00 ENERGY REVIEW FEE 17.10 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 21.72 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged ---------- Paid Credited ------------------------------ Due Permit Fee Total 1502.79 .00 .00 1502.79 Plan Check Total 198.24 .00 .00 198.24 Other Fee Total 2486.91 .00 .00 2486.91 Grand Total 4187.94 .00 .00 4187.94