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07-1730 (SFD)f P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 07-00001730 r 54555 SEATTLE SLEW WY 767-320-999-40 -32879 - DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 312559 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: GRIFFIN RANCH, LLC 47120 DUNE PALMS ROAD, STE. C DETACHED LA QUINTA, CA 92253 Architect or Engineer: -------------------------------------------------- LICENSEDCONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section7000) of Div ion 3 of the Business and Professionals Code, and my License is in full force and effect. License Class. B License No.- 701039 Dat tractor: 1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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 (5500).: / (_) 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 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 thepurpose of sale.). (_ I 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.). (_) I am exempt under Sec. ,'B.&P.C. for this reason Date: Owner: 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: f�ny Lender's Address: >r ` LQPERMIT Contractor: TRANS WEST HOUSING, 9968 HIBERT STREET, SAN DIEGO, CA 92131 (858)653-3003 Lic. No.: 701039 INC. STE VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/07/08 ----------------------------------------------- WORKER'S 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 issued. My workers' compensation insurance carrier and policy number are: Carrier US FIRE INS CO Policy Number 4086941904 I 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, @nd agree that, if I should become subject to the workers' compensation provisions of Section $700 f the labor Code, I shall forth 'th com I r ith those Provisions. plicant__� I 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. 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 I have read this application and state that the above information is correct. I agree to comply with all 2�9 inanc and state laws relating to building construction, and hereby authorize representatives ter an the above-mentioned pr pe yy for iiinn/spectio rposes. , ature (Applicant or Agent): ate. LQPERMIT Application Number 07-00001730 Permit ... . BUILDING PERMIT LQPERMIT Application Number 07-00001730 Permit ... . BUILDING PERMIT Additional desc . Permit Fee 1385.00 Plan Check Fee 900.25 Issue Date Valuation . . . . 312559 Expiration Date 12/12/07 Qty Unit Charge Per Extension BASE �. FEE 639.50.-. 213.00 3.5000 ------------------------------------------------------------------------------ THOU BLDG.100,001-500,000 745.50, Permit . . . MECHANICAL Additional desc . Permit -Fee . . . . 150.50 Plan Check Fee 37.63 Issue Date . . Valuation 0 Expiration Date 12/12/07 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 9.0000 EA MECH FURNACE <=100K 45.00 5.00 9.0000 EA MECH B/C <=3HP/100K BTU 45.00 6.00 6.5000 EA MECH VENT FAN 39.00 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 203.18. Plan Check Fee 50.80 Issue Date . . . Valuation 0 Expiration Date . . 12/12/07 Qty Unit Charge Per Extension BASE FEE 15.00 4989.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 174.62. 678.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 13.56 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 214.50 Plan Check Fee 53.63 Issue Date . . . . Valuation 0 Expiration Date 12/12/07 Qty Unit Charge Per Extension BASE FEE 15.00 22.00 6.0000 EA PLB FIXTURE 132.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT Application Number . . . . 07-00001730 Permit . . . . PLUMBING Qty Unit Charge Per Extension 2.00 7.5000 EA. PLB WATER HEATER/VENT 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00, 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 14.00 .7500 EA PLB GAS PIPE >=5 10.50 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 Expiration Date 12/12/07 " Qty Unit Charge Per Extension BASE FEE 15.00 --------------------------------------------- -------------------------------- - ----- Special Special Notes and Comments -- SFD - LOT 40, PLAN 1B, 4989 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES AIPP CREDIT - $281.39 ------------------------------------------------- Other Fees . . . . . ---------------------------- . . . . DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER -RES 995.00 ENERGY REVIEW FEE 90.03 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) -'RES 31.25 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid' Credited --------------------------------------------------------- Due Permit Fee Total 1968.18 .00 .00 1968.18 Plan Check Total 1042.31 .00 .00 1042.31 Other Fee Total 4596.28 .00 .00 4596.28 Grand Total •7606.77 .00 .00 7606.77