07-1535 (AR)P.O. BOX 1504 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:C 07-000O1M 33 Owner:
Property Address: (-54_8_60 SECRETARIAT DR MCCOMIC GRIFFIN LLC
APN: 767-320-999-244 -32879 - 7979 IVANHOE AVE #550
Application description: ADDITION -.RESIDENTIAL LA JOLLA, CA 92037
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 17389
Contractor:
Applicant: Architect or Engineer: TRANS WEST HOUSING, INC
10721 TREENA STREET, #2
SAN DIEGO, CA 92131
l� (858)653-3003
Lic. No.: 701039
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 an ProfessionalsCode, and my License is in full force and effect.
Licensee Class: B License No.: 701039
e."/ L#� ntractor:
OWN -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 ($500).:
1 _ 1 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 foi 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 the purpose of sale.).
(_ 1 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:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/24/07
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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.
Y-1 have and will maintain workers' compensation insurance, as iequired 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 4086929772
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,
and agree that, if 1 should become subject to the workers' compensation provisions of Section
700 of the Labor Code I shall f rth'th comply with those provisions.
e: lC/ licant:
WARNING: FAILURE TO SECURE WO ERS' OMPE ATION 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.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city andcou y ordinances and state laws relating to building construction, and hereby authorize representatives
of this c to,
o mer upon the ab e -mentioned prop rty fo inspectic purposes.
01 te: 7 ' cure (Applicant or Agent):
Application Number
. . 07-00001535
Permit . . .
BUILDING PERMIT
Additional"desc .
Permit Fee
189.00 Plan Check Fee
30.71
Issue Date
Valuation . . . .
17,389
Expiration Date
11/20/07
Qty Unit Charge_
'Per
Extension
BASE FEE
45.00
16.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
144.00
Permit
MECHANICAL
Additional desc .
Permit Fee
55.00 Plan Check Fee
3.44
Issue Date . .
Valuation.
0
Expiration Date
-11/20/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
EA MECH FURNACE >100K
11.00
1.00 22.5000
EA. -MC B/C >15 <=30HP/500K-1M BTU
22.50
1.00 6.5000
EA MECH VENT FAN
6.50
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee '. . . .
15.04 Plan Check Fee
.94
Issue Date . . . .
Valuation . .
0
Expiration Date•.
11/20/07.
Qty Unit Charge
Per
Extension
BASE.FEE
15.00
1.00" .0350
--------------------------------
ELEC NEW RES - 1 OR 2 FAMILY
-----------------------------------------
.04
Permit . . .
PLUMBING•
Additional desc .
Permit Fee
36.00 Plan Check Fee
2.25
Issue Date . . . .
Valuation . . . .
0
Expiration Date
11/20/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 6.0000
EA PLB FIXTURE
18.00
1.00 3.0000
----------------------------------------------------------------------------
EA PLB WATER INST/ALT/REP
3.00
Permit GRADING PERMIT
LQFERMIT
Application Number 07-00001535
Permit . . . GRADING PERMIT
Additional desc .
Permit Fee 15.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date 11/20/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------.------------------------------------------------------------------
Special Notes and Comments
LOT 244 - ADDITION OF 304 S.F. CASITA
DURING
CONSTRUCTION OF SFD. 75% REDUCTION TO
PLAN CHECK FEES DUE TO MULITPLE
ISSUANCE OF SAME PLAN TYPE.
2001 CBC, CMC, CPC, 2004 CEC, 2005
ENERGY CODES
--------------- ---------
Other Fees . . . . . . . . ENERGY
--------------------------
REVIEW FEE
3.07
STRONG
MOTION '(SMI)
- RES
1.73 .
Fee summary Charged Paid Credited
Due
-- ----------
.Permit Fee Total 310.04
----------
.00
----------
.00
310.04
Plan Check Total 37.34
.00
.00
37.34
Other Fee Total 4.80
.00
.00
4.80
Grand Total 352.18
.00
.00
352.18
LQPERMIT