04-3756 (SFD)T&f 4 4 Quha
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).777-7012
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 - SI'NGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL
197485
Contractor
-TRANS WEST HOUSING, INC.
9968 HIBERT STREET, STE #1.02
.- --SAN CA 92131
(858) 653-3003
Qty Unit Charge Per Extension
WCC: STATE FUND.
-
WC: 164.8813
10%0ii 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.E
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 CALLS TAMP ICO
LA QUINTA, CALIFORNIA 92253 Ot
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's Mailing Address:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
r.' r. , nnfa'
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my Licensn full force and effect.. se
License Class 17 License No. 0
10
Date Contractor
OWNER -BUILDER DEC TION
hereby affirm under penalty of perjurythat I am exempt from the Contractors' State License Law for the following-ieaso`n jSec. 7031.5, Business and Professions Code: Any
city. or county that requires a permit to construct, alter, improve, demolish, or repair any structure p^:,^„ to its issuance, also requires the applicant for the permit to file a signed
statement that he or she is licensed pursuant to t1 p cv';:dna cf-S'te Cont-actOr, 0t`ate License Law (Chapter 9 (commencing with Section 7000) of DMsion 3 of the Business
and Professions Code) or that he .p�;'siie r es xempt 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 pe-npg_ylof not more than five hundred dollars ($500).):
U I, as owner of ttg 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,
Busine 's 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
hirrt;ilf 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
r1� ` 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
ogsued My wo C rs' co pensation insurance carrier a1 O 2.r are:
Carrier �5�,ck Policy Number 11Q 1c��C I
certify that, in th perform nce of the work for which this rmit's i u d, 's alI not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, d I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwwiitth comply with those provisions.
Date v 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
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 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.
f
Date 3 Signature (Applicant or Agent): '
`r.
R
14 ce
� s
BUILDING & SAFETY DEPARTMENT
Cw4 P.O. BOX 1504 (760).777-7012
c. l: V 4:
LLE TAMPiCO FAX (760) 777-7011
Lr,1 A, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
JUN 14 2004 BUILDING PERMIT
CITY OF LA QUIN
FI AINCE DEOsT.
umber . . . . . 04-00004660 Date 601/04
Property Address . . . . . 48375 BIG HORN DR
APN: 658-140-999-165--29436 -
Application description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 199884
Owner
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
3,.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
704.00
PATIO SQ FTG
315.00
NUMBER OF UNITS
1.00
FIRST FLOOR SQ FTG
3180.00
--------------------------------------------------
Permit . . ... . .
--------------------------
BUILDING PERMIT
Additional desc
Permit Fee
989.50 Plan Check Fee
160.80
Issue Date . . . .
Valuation
199884
Qty Unit Charge
Per
Extension
BASE FEE
639.50
100.00 3.5000
THOU BLDG 100,001-5.00,0001, 1
350.00
----------------------------------------------------------------------------
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee . . . .
90.00 Plan Check Fee
5.63
Issue Date
Valuation
0
Qty Unit Charge Per
.Extension
♦i
P.O. Box 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4 INSPECTIONS (760) 777-7153
4aukm
BUILDING & SAFETY DEPARTMENT
Application Number: 04 x%(0(00 Date:
J_Ar#Vteqt9r
Applicant: En9ineeri _
Applicant's Mailing Address:
ress:
t 4.1 12- IN
tic. 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
Cpde, and License �Sy� full force and effect. O� ry
Licens8 Class
11 Lic�ena
fse N —41
�- DateAE40 - O onrra`ctor W
OWNER -BUILDER DEC TION
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
rk p sation0a&4m_nce carver and py i r e:
�rtSer oticy Number to
_ ZZIR
I certify that, in the performance of the work for which this pe it ig issued, 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: 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
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 of 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 Quints, 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 pemlit issued as a result of this application becomes null and void if work is not commenced within 180 day* 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 city and county ordinances and state laws relating to building
construction, miand hereby authorizemdi
representatives of this county to enter upon the above-mentioned property for inspeon purposes.
Date / O Signature (Applicant or Agent): _ ��
Page 2
Application•Number . . . . . 04-00004660 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
--------------------------------------------=-------------------------------
Permit .
. . . . .
ELEC-NEW
RESIDENTIAL
Additional
desc . .
Permit Fee
. . . .
140.38
Plan Check Fee
8.78
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
3180.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
111.30
704.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
14.08
----------------------------------------------------------------------------
Permit .
. . .
PLUMBING
Additional
desc
Permit Fee
. . . .
178.50
Plan Check Fee
11.16
Issue Date
. . . .
Valuation . . . .
0
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
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
--------------------------------------7-------------------------------------
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
165 PLAN 1BR
3180
SF. PERMIT
Fee summary-
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged Paid
1413.38
Page
3
Application Number . . . .
04-00004660 Date
6/01/04
----------------------------------------------------------------------------
Special Notes and Comments
.00
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.
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
16.08
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
19.98
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary-
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged Paid
1413.38
.00
186.37
.00
2441.06
.00
4040.81
.00
Credited Due
.00
1413.38
.00
186.37
.00
2441.06
.00
4040.81