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04-4672 (SFD)•t, Toaf 4 4 auk& BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 g78- • CALLS TAMPICO FAX (760) 777-7011 AT,QNTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 Property Address . . . APN: Application description Property Zoning . . . . Application valuation .�� BUILDING PERMIT . . . 04-00004672 Date 6/01/04 . . . 48347 BIG HORN DR - 658-140-999-164 -29436 - . . . DWELLING - SINGLE FAMILY DETACHED . . . LOW DENSITY RESIDENTIAL . . . 224878 IVANHOE LA QUINTA COVE C/O 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 Qty Unit Charge Per Extension 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/LONG <=10 Flood Zone . . . . . . . .. NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CRC # BEDROOMS 5.00 FIRE SPRINKLERS NO GARAGE SQ FTG 445.00 'PATIO SQ FTG 105.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 3615.00 ------------------------------------------------------- Permit . . . . . . --------------------- BUILDING PERMIT Additional desc Permit Fee . . .1077.00 Plan Check Fee 175.01 Issue Date . . . . Valuation 224878 Qty Unit Charge Per Extension BASE FEE .639.50 125.00 3.5000 THOU BLDG 100,001-500,000 437.50 ---------------------------------------------------------------------------- Permit. . . . . . . MECHANICAL Additional desc Permit Fee . . . . 95.00 Plan Check Fee 5.94 Issue Date Valuation 0 Qty Unit Charge Per Extension --- P.O. Box 1504 _ Taf l�r�� 78-495 CALLE TAMPICO 444 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: in - 41& 70� Date: Applicant:kavoilecit_or �nginegr: Applicant's Mailing Address: Add 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 License is in full force and effect. O 3T_ rl:ioense Class ss�e No. Dateontrector �U r v• r 7 �� l OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt tram 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 1, 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 contraclor(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: 1 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 tv of the work for which this permit is issued. IA 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 'fes i ed Morke comp sationnr 5�+�ee carrier an Q pof ny�q��( are: rrrer ol—P icy Number Ile 1� YJI 73 _ I certify that, in the p6riormarice of the work for which this kftnit is is ue , 1 shall 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. WARNING{ FAILCRE 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 IV 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 Write. 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 dayt 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 application and state that the above information is correct I agree to comply with all qty and county ordinances and state laws rotating to building constructio and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. —ea� D —Signature (Applicant or Agent): %�� Application Number . . 04-00004672 Page 2 Date 6/01/04 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 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 150.43 Plan Check Fee 9.40 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3615.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 126.53 445.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.90 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 215.25 Plan Check Fee 13.45 Issue Date . . . . Valuation . . . . 0 .Qty Unit Charge Per Extension BASE FEE 15.00 24.00 6.0000 EA PLB FIXTURE 144.00 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 9.00 .7500 EA PLB GAS PIPE >=5 6.75 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 164 PLAN 2A/CASITA 3615 SF. F Page 3 Application Number . . . . . 04-00004672 Date 6/01/04 ------------------------------------------------------7--------------------- Special Notes and Comments PERMIT 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 62.19 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 .ENERGY REVIEW FEE. 17.50 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 22.48 DIF.STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged --------------------------- Paid Credited ------------------------------ Due Permit Fee Total 1552.68 .00 .00 1552.68 Plan Check Total 203.80 .00 .00 203.80 Other Fee Total 2507.17 .00 .00 , 2507.17 Grand Total 4263.65 .00 .00 4263.65