04-3646 (RER)BUILDING & SAFETY DEPARTMENT
P.O. BOX 1504 (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
Application Number . .
Property Address . . .
APN:
Application description
Property Zoning
Application valuation..
Owner-------------------
IVANHOE LA QUINTA.COVE
C/Q R BARRY MCCOMIC
7.979 IVANHOE-AVE STE 550
LA JOLLA CA
BUILDING PERMIT
7
!04-00.003646— Date 4/22/04
48431 BIG HORN DR
658-140-999-167 -29436 -
. . . REMODEL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
5000
oContractor---------,-----
RANS WEST HOUSING, INC.
Q 9 68 HIBERT STREET, STE #102
v. AN DIEGO CA 9213.1
7 jQ,t• (858) 653-3003
O OF
WCC: STATE FUND
0��� WC: 1648813 10/01/04
CSLB: 701039' .01/31/05
CCC: B
------ Structure InnfformationP. SALES OFFICE CONVERSION -----
Construction 'I e . . . E V - NON RATED
Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10
Flood Zone NON -AO FLOOD ZONE
Other struct info . . . . . CODE EDITION 2001 CBC
-----------------------------------------------------------------------------
Permit . . . BUILDING PERMIT
Additional desc
Permit Fee . . 72.00 Plan Check Fee 46.80
Issue Date Valuation . . . 5000
Qty Unit Charge Per Extension
BASE FEE 45.00
3.00 9.0000 THOU BLDG 2,.0.01-25,000 27.00
Permit . . . ELECT - ADD/ALT/REM
Additional desc
.Permit Fee 18.00 Plan Check Fee 4.50
Issue Date Valuation . . . 0
Qty Unit Charge Per Extension
BASE FEE 15.00
4:00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 3.00
------------------- =------------------------ --------------------------------
Permit. . . . . MECHANICAL
Additional desc
P.O. BOX 1504 a S�G�i� 78-495 CALLE TAMPICO VOICE (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: C4 - 3.6 -f f
I Date:
APp Kant.
Applicant's Mailing Address:
Architect or Engineer:
Architect or Engineer's Address:
Lic. No..
BUILDING PERMIT DECLARATIONS
I hereby affirm under LICENSED CONTRACTOR'S DECLARATION
l Y at perjury,What I am kensed under provisions of ChWiw 9 (cpmnancing w'h Secion 7000) of Division 3 of the Business and Prolessio ft
Cd4e. and my LJaense Fin lei fame and effect
Lkeram class_ 1 S _ L>xrtse �10. id t Q3
Deed. Canbactor I iJilyS 0 IAi JVe
I hereby affirm under walOMIhOWNE:114WILDER DECLARATION
cky or omity that P: a perrrrit lob 0 �*' Stale License Law for the fallowing reason (Sec. 7031.5. Businan and Proiesslons Cade: Mry
staierncn( That he a she is Foerrsed . daerro#st> or repair trey strudrxe prior b 1� issuance. also requires tlme appticanh far fire gambit lO file a signed
and Profesriorrs Code) dr,sal the Or 10 aria ProvwWo at tan Carrlrallors' Stela License Law (C#vpler 9 (co mvn0nCi g with Section 7040) of DMslon 3 of the Busineas
the epQicard n a tidE CXeMP1 t' ahons and the basis for rie alleged exemption. Any vki ban of Section 7031.5 by � applicant for a pem* subjects
(-} I. as awe 1 of the �Y of noI mare ttnn five hundred debts (SS00).):
propeotY• or mY empioyeas with wages as their sale eormrperhaation, and Prwi do the wOk and Ifve strucfrxe !s not trlended or Offered lot sale (Sec, 7044.
Business de -.*Torn Code: The corwraCiors' Stale L OOnse Law does not apply to an owner of property who builds or isiPrvvts Sher'eon. and who does the cruet
hirra<i9lf or trerseff or *tough his or her own empioyves provided that the improvements we
not frsold WUW One def`ded ar offered For tale. It. however, the buirfrrrq orimprovernert is
V 1, owner ff the ] lar t' the o+wrrer herider rrN have IFae feeder of provM�p IFral Fee or she did not build or wr prove for the Purpose of sale.].
Stela 0( # LowW"- hot Y e rg with wed contra`dM fo ansktld the Prvjed (Sea 7044. Business and Professions Coda: The Conkac$ors'
apply to an owner of property who beads Of improves IlmOMM and who contracts for the projects with a cor*aceoKS) licensed pursuant 1u
the ContractDre State Lieerre taw.).
U I am exempt under Sec. , B.3 P.C. Ior this reason
Date
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penahy df perjury one Or the fod mtv declarations:
_ I have and will malraain aoarbficate
�:to seA4natue for makers. � MaGM as fxovided for by Section 3700 of the Labor Code. for tee fxrfomwxi
of the mart for which this pan, Is
I have and will maintain workers" corrpwsutianMy insurance,as " Wred by Section 3700 Of time Leber Cade, for the perlommance of the work for which trs Perot, is
Carrier 4 workers' compw_v6on ins xwxm curie, a r are:
//�r Pokey Nurttber I
i I certify Trio,, in tree partommIce 0116 work fix whidl ttris Permit > . issr►ed. I sha4 not
nla s with t agree #T'K Y I should becorthe ��Y any
oo" WwAskirmPe—bOnPerson in enYp vmanner �Se��on 3370�0 ol�tlhe�Lalarior Code 1 c�+IV ap
subject tO I ie wprkers' oom
date 5 Y. or Appricant A r� fir'
WARNING: FAILURETO SECURE WORKEFtVAh DOLLARS COAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIAANAL PENALTIES AND
SEC FINES 6 F ONE ARR+IDRI<D E, KrvRES pO�S (S 100.000). Nee - IN ADDITION TO THE COST OF COMPENSATION, DAMAGES A5 PROVIDED FOR fh1
SECTION 3706 OF THE LABOR CODSf EF2E5 C, AND ATTORMEY'S FEES.
1 hereby affirm under Penally of p teal there is a oot>on CONSTRUCTION LENDING AGENCY
Mndxq agency for fie Perlmr4ncO Of the work for which this Penn' is issued (Sec. 3097, Civ. C.).
Lenders Name
Lenders Address
IMPORTANT Application Is APPLICANT ACKNOWLEDGEMENT
1 Each �'Y � the Duecior of $uadiamg and Safety for a PernW subject 10 the conditions and restrictions sat forth on this sppkuff n_
Issued
pert rasa' of thos abeam this appkehon is made. each Person at whose request and for wtwse berrerd work is perlomved under or pursuant W any permit
officers, agents and ppi+ ahm ffx corner. and the
applicant' each agrees b, and shaft, defend, kxtemnify and hold hanniess the City*( Le Ouinta, its
I. Any Permit issued as as resutt o this ap yees for any actor omission retorted Ia the work being Performed under or following issuance of this pemrtL
Cessation of work for f t1(i days will Pp6Cabon b9i�frres rhA and void' is not commenced within 190 days from date of issuance of Mich PAL or
I certify that !have read this a subject k' �i7°�u
prize r p end state that the above kmf an 106ree 10 Wnhpty with all city and county ordhmances and state kr^ reWkV to bWdkV
wrestrwrtiorr, and hereby authorize representatives of this to or Y a-mentioned.liroperty tar inspection Purposes.
Date—, S' OX Signature (Apprieant or
Agent):
,j . 1.
Fee summary Charged
Permit Fee Total 141.50
Plan Check Total 64.18
Other Fee Total 5.18
Grand Total 210.86
Paid Credited Due
---------- ---------- ----------
.00 .00 141.50
.00 .00 64.18-
.00
4.18.00 .00 5.16
.00 .00 210.86
Page
2
Application Number . . . . . 04-00003646
Date
4/22/04
Permit Fee . . . . 21.50
Plan Check
Fee
5.38
Issue Date . . . .
Valuation
. . . .
0
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 6.5000 EA MECH VENT
FAN
6.50
----------------------------------------------------------------------------
Permit . . . . . PLUMBING
Additional desc . .
Permit Fee . . . . 30.00
Plan Check
Fee
7.50
Issue Date . . . .
Valuation
0
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00 6.0000 EA PLB FIXTURE
12.00
1.00 3.0000 EA PLB FIXTURE DRAIN/VENT
REP/ALT
3.00
-------------------------------------------------------------•---------------
Special Notes and Comments
temp. sales trailer/temp garage
conversion/bathroom for sales office.
2001 CBC.
---------------=------------------------------------------------------------
Other Fees . . . . . . . . . ENERGY
REVIEW FEE
4.68
STRONG
MOTION (SMI)
- RES
.50
Fee summary Charged
Permit Fee Total 141.50
Plan Check Total 64.18
Other Fee Total 5.18
Grand Total 210.86
Paid Credited Due
---------- ---------- ----------
.00 .00 141.50
.00 .00 64.18-
.00
4.18.00 .00 5.16
.00 .00 210.86