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07-1534 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 07-00001534 54820 SECRETARIAT DR . 767-320-999-242 -32879 - ADDITION - RESIDENTIAL LOW DENSITY RESIDENTIAL 17389 Architect or Engineer: P'. Y0, AUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 nd P ofessionals Code, and my License is in,full force and effect. . License Cl *§,: License No.: 701039 ate: Contractor: NER ILDER 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 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 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: 1' ` LQPERMIT Owner: MCCOMIC GRIFFIN LLC 7979 IVANHOE AVE #550 LA JOLLA, CA 92037 Contractor: TRANS WEST HOUSIN 10721 TREENA STRE SAN DIEGO, CA 921 (858)653-3003 Lic. No.: 701039 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/24/07- 20O /24/07 200 JUN 0 6 2001 CITy0FLA*QU1N' 1 FINaw Z, ..__ 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 4086929772 I certify that, in the performance of the work for which this permit is issued,) shallnot 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 Cod , 1 shall' h forthwcomply with those provisions. te: licant:. WARNING: FAILURE TO SECURE WO KERS' 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. I.. 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 city and county ordinances and state laws relating to building construction, and hereby authorize representatives of�this /cou ty enter upon the bove-mentioned pro y for ' specti n purposes. Oate : `� ature (Applicant or Agent): Application Number . . . . . 07-00001534 Permit BUILDING PERMIT Additional desc .- . - Permit Fee . . . . 189.00 Plan Check Fee 30.71 - Issue Date Valuation 17389 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 U LQPERMIT - LQrERMrF Application Number 07-00001534 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 242 - 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 LQrERMrF