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04-5529 (SFD)Tdr °F 4 Q" BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 (760).777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number X4 -=0°00 -0=552 -9= -' Date, 7/16/04 Property Address . . . . . . 47745 STILLWATER DR APN: 658-140-999-54 `29436 - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 197485 Owner IVANHOE LA QUINTA COVE C/O R BARRY MCCOMIC 7979.IVANHOE AVE STE 550 LA JOLLA CA 92037 Contractor TRANS -WEST HOUSING, INC. 9968 HIBERT STREET, STE #102 SAN DIEGO CA 92131 (858) 653-3003 Qty Unit Charge Per Extension 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. r`u------ COD'E� EDITION �� n 14N 2001 CBC PRINKLERS NO GARAGE,'JSQ'FTG 672.00- 72.00,,,PATIO ,,,PATIO?-;,SQ SQ FTG 814.00 NUMBER1 OF UNITS1.00 °IRS�T FLOOR SQ FTG 3033.00 — — — — — — — — — — — — — — — — — — — — �n• �r= nr: J?-----------------------------------------__ — — — — — — —J�� Permit . . . . . BUILDING PERMIT Additional desc Permit Fee 982.50 Plan Check Fee .. 159.66 Issue Date . . . . Valuation . . . . 197485 Qty Unit Charge Per Extension BASE FEE 639.50 98.00 3.5000 THOU BLDG 100,001-500,000 343.00 -------------------------------------------=-------------- Permit . . . . ----- . . MECHANICAL ------------- Additional desc Permit Fee 64.00 Plan Check Fee 4.00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: 10 -/q -0 y F Aplicant: Applicant's Mailing Address: chltefj� or En sneer: Architect or Engineer's Address: ic. No.: 0oLF39 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 Code, and my Licen;T in full force and effect. ,--license Class �5 ---License No. 7U/d sa ate irr—�� G`7 C,entrYctor 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 wi'I 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. , B.8 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 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 s My tymkers' compensation i ce carrier ani Doli yrt�e�are: Carrier f )(•1' ZA'h olicy Number /L El d � _ 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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. rAM / /. WARNING: FAILURE TO SECURE WORKERS' C64PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSgND 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 Lenders Address NIA 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 benefitwork 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 and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-rmentioned property for inspection purposes. Date 3L'Sig(Applicant or Agent): v Page,',- 2 Application Number . . . . . 04-000.05529 Date 7/16/04 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 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 . . . . 255.56 Plan Check Fee 15.97 Issue Date Valuation . . 0 ;, ;•.• Qty Unit Charge Per Extension. BASE FEE 15.00 y- 3033.00 .0350 ELEC NEW RES - 1 OR 2 -FAMILY 106.16 6720.00 .0200 ELEC GARAGE OR NON --RESIDENTIAL 134'.40' -------------------------------- Permit Permit . . . . - PLUMBING - -------------------------------- _------ ----- ------ Additional :desc Permit Fee . . . . 190.50 Plan Check Fee 11.91 ,Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00. 20.00 6..0000 EA PLB FIXTURE 120.00 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 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 Issue Date Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 Special-Notes and Comments ------------------------- SFD - LOT 541 :PLAN 3a 30.33 SF. PERMIT Page 3 Application Number 04-00005529 Date; 7/16/04 Special Notes and Comments DOES NOT "INCLUDE BLOCK WALLS, POOL, SPA OR"DRIVEWAY-:APPROACH. 75% REDUCTION TO PLAN CHECK FEES" DUE TO MULTLIPLE ISSUANCE OF SAME PLAN TYPE -------------------------------------- Other Fees . ... . . . . . . ----------------------------------_----= ART IN PUBLIC. PLACES -RES .010 DIF COMMUNITY CENTERS -RES 97.,00 DIF CIVIC CENTER - RES 1366.00 ENERGY REVIEW'FEE 15.97 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 19.74 DIF STREET MAINT FAC -RES 15.00 " DIF TRANSPORTATION - RES.. ,1098.00 l " Fee summary Charged Paid Credited Due Permit Fee Total 1507.56-. .00 00 1507.56 Plan -Check Total 191.54 .00 .00 191.54 Other Fee Total 2440.71 .00" ..00 2440.71 Grand Total 4139.81 .00 .00 4139.81