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04-5465 (SFD)J &hf °F 4Q" BUILDING & SAFETY DEPARTMENT (760).777-7012 1ICO FAX (760) 777-7011" RNIA 92253 INSPECTION REQUESTS (760) 777-7153 WILDING PERMIT 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 04_-000-0'54-"6"5 • Date 7/15/04 7 RED—HAWK LN 658-140-999-86 -29436 - DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 215169 Contractor ------------------------- TRANS-WEST HOUSING, .INC . 9968 HIBERT STREET,.STE #102 SAN DIEGO CA 92131 (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/LONG <=10 Flood Zone . . . . . . .... NON -AO FLOOD ZONE" Other struct info CODE EDITION 2001 CBC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 688.0-0, PATIO SQ FTG 705.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 3362.00 Permit . . . . . BUILDING PERMIT Additional desc Permit Fee 1045.50 Plan Check Fee 679.58 Issue Date . . . . Valuation .. .215169 Qty Unit Charge Per Extension BASE FEE 639.50 116.00 3.5000 THOU BLDG 100,001-500,000 406.00 --------------------------------------------------------------------------=- Permit . . . . . MECHANICAL Additional desc Permit Fee 77.00 Plan Check Fee 19.25 Issue Date Valuation . . . . 0 Qty Unit Charge Per. Extension P.O. BOX 1504 '�C,�� FAX (760) 777-7011 78-495 CALLS TAMPICO VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253T44f4 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Q �� W Date: Applicant: Applicant's mailing Address: ---Architect or Engineer: Architect or Engineer's Address: ic. No.: 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 71X)0) of Division 3 of the Business and Professionals Cie, and my License full force and effect. O License Class / ^ License No. glq 91 Date oiC ntra Or L/ r OWNER -BUILDER DECLARATION I hereby affirm ler 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 -equires 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 CDde) 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.). (--) 1, as owner of he 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 Contrac-ors' 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 �1,,(( ave and will maintain workers' the work for which this permit is issued. Ahkers' compensation insurance, as required by Section 370 of Wabor Code, for the performance of the work for which this permit is 4•is a Mywo e ' c �pensation in rice carrier and policy number are:�rier olicy Number In ce fy t at, in the performance of the work for which this permit is issued, I she not Any y 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 !K forthwith comply �with -those provisions. ,, ate U V-3 /Applicant_ WARNIN : FA LURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIN SUP 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.). Lenders Name Lenders Address IMPORTANT Application is hereby made to the Director of BuildingAPPLICANT ACKNOWLEDGEMENT Safety or A 1. Each person upon whose behalf this application is made, each person at whosee Irequest and for whose benefit work isperformed under s set forth on this ar 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 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 cessatior 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. toig"5 nature (Applicant or Agent): Page 2 Application Number 04-00005465 Date 7/15/04 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/100K BTU 18.00 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 146.43 Plan Check Fee 36.61 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3362.00 .0350 ELEC NEW RES_ - 1'OR 2 FAMILY 117.67 688.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.76 ------------------ Permit . ------------'-------------------- . . . . . ------------------------- PLUMBING. Additional desc Permit Fee . . . . 196.50 Plan Check Fee 49.13 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 .00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS .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..0 0 Special Notes -------------------.--------------------------- and Comments SFD - LOT 86 PLAN 2A 3362 SF. PERMIT Fee summary Charged Permit Fee Total 1480.43 Plan Check.Total 784.57 Other Fee Total 2532.39 Grand Total .4797.39 Paid Credited Due ---------- ---------- ---------- .00 .00 1480.43 .00 :00 784.57 .00 .00 2532.39 .00 .00 4797.39 Page 3 Application Number . . . . . 04-00005465 Date 7/15/04 ---------------------------------------------------------------------------- Special Notes and Comments DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. ---------------------------------- Other Fees . . . . . ------------------------------ ART IN PUBLIC PLACES -RES ------------ 37.92 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 67.96 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 21.51 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Permit Fee Total 1480.43 Plan Check.Total 784.57 Other Fee Total 2532.39 Grand Total .4797.39 Paid Credited Due ---------- ---------- ---------- .00 .00 1480.43 .00 :00 784.57 .00 .00 2532.39 .00 .00 4797.39