04-4962 (SFD)t4
BUILDING & SAFETY DEPARTMENT
YA)
' P.O►l�Box 1504.(760),777-7012
!�`-'_ 1It� 78�-495 CALLE TAMPICOFAX (760) 777-7011
AUb 004 L� QUINTA, CALIFORNIA 92253 INSPECTION 760 REQUESTS 777-7153
Q ( )
CITY of LAQUINTA BUILDING PERMIT
Fire. � wv
-Application Number . . . 045 Date Date 6/15/04
Property Address . 78091 RED HAWK LN
APN:• 658-140-999-27 -29436 -
Application description DWELLING - SINGLE FAMILY DETACHED
Property Zoning . LOW DENSITY RESIDENTIAL .
.Application valuation 179876 .
Owner Contractor
IVANHOE LA QUINTA COVE TRANS WEST'HOUSING, INC.
.0/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: 701,039 01/31/05
CCC:. B
---=-------------------- StructureInformation -------------------------
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
Qty Unit Charge Per* V Extension
BASE FEE .639.50
80.00 3.5000 THOU BLDG 100,001-500,000 280.00
------------------------------------------- -----------------------------------
Permit MECHANICAL
Additional desc
Permit Fee 64.00 Plan Check Fee 4.00
Issue Date Valuation . . . 0
Qty Unit Charge. Per Extension
..e
P.O. Box 1504 • VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760)777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 04/- (.O� Date: _ 5s' -ti-0q
Applicant:��rqdect,or, Engineer:
Applicant's Mailing Address:
Architect or Engineer's Address:
No. 09 JV
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
C e, and my Licen in full force and effect. / G U
nse Class License No. J
,—Date LF -";r L y tractor /f
OWNER -BUILDER 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
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 gand tywill �maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
w 7 ! (1'r� j lJoi�'7 compenssurance carriey�ndpyliQumpeLare:
rier
� Policy Number
1 certify that, in the 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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
/ Date �Y- Oil /*plicant
WARNING: FAILURE TO SECURE WORKERS' C PENSATION 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 0 LA
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.
1 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.
ate "L/' ON /S gnature (Applicant or Agent): G' C
4
Page
2
Application
Number .
. .
. . 04-00004962
Date
,6/15/04
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/1,OOK'BTU
18.00
.00
16.5000
EA
MECH
B/C >3-15HP/>100K-500KBTU
`.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
Valuation . . . .
0
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
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
. . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
4
Fee summary Charged
Permit Fee Total 1390.07
Plan Check Total 177.90
Other Fee Total 2437.92
Grand Total 4005.89
0
Paid Credited Due
.00 .00 1390.07
.00 .00 177.90
..00 .00 2437.92
.00 .00 4005.89
Page
3
Application Number . . .
. . 04-00004962 Date
6/15/04
----------------------------------------------------------------------------
Special Notes and Comments
SFD LOT 27 PLAN 2A. PERMIT
DOES NOT
INCLUDE BLOCK WALL, POOL,
SPA AND
DRIVEWAY APPROACH.75% PLAN
CHECK FEE
REDUCTION FOR MULTIPLE ISSUANCE OF SAME
PERMITTYPE.
----------------------------------------------------------------------------
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 1390.07
Plan Check Total 177.90
Other Fee Total 2437.92
Grand Total 4005.89
0
Paid Credited Due
.00 .00 1390.07
.00 .00 177.90
..00 .00 2437.92
.00 .00 4005.89
-,
Cerwricate,-0&0C'Cup,anc
-
Iroc4
arow.hn � �` .r +
OF Puilding.4 Safety Department
This, Certificate is issued p,drsudnt,to the requirements ;of Section 109 of the `California Building
` Code, certifying -that, at`.the time' of issuance, this structure was in ";compliance with the
'provisions of the Building -Code 'and 'the various' ordinances of the City regulating building
;construction and/or use.., _
BUILDING ADDRESS: `78-091"RED' HAWK
Use classification. ' S.F D. s BuildingPermitNo 04-4962
Occupancy Group: R3 Type of Construction--- V-N
- Yp , •' 3 .. ,Land Use Zone: RL
-', Owner`of Building: TRANSWEST HOUSING INC Address:' 9968 HIBERT-ST STE 102
y
City, ST, ZIP: 9968 HIB
ERT ST-STE'102
.By: G-SHOWAL•TER
f -Date. 05/11 /05
Building` Official -
POST IN A CONSPICUOUS PLACE
,77