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05-2282 (SFD)4 j P.O. BQX 1504. 4 78-495 CALLE'TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 05-00002282 Owner: Property Address: STILLWATER DR IVANHOE LA QUINTA COVE AM 658-140-999-112 -29436 - C/O R BARRY MCCOMIC Application description: DWELLING - SINGLE FAMILY DETA 7979 IVANHOE AVE STE 550 Property Zoning: LOW DENSITY RESIDENTIAL LA JOLLA, CA 92037 Application valuatiori: 152696 AUG 2 3 ZQoS f', OF LA Contractor: Applicant: Architect or fmgiala= - CITY EpT, TRANS WEST HOUSING, INC. 9968 HIBERT. STREET, STE #102 SAN DIEGO, CA 92131 Z>/47 (858)653-3003 Lic. No.: 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 and Professionals Code, and my License is in full force and effect. License Class: B LicensgNo.: 70103 91 1-15 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 ($500).: (_) 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 t 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 contractors) 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: it LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 --------------- - - - WORKER'S COMPENSATION DECLARATION Date: 8/15/05 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 STATE FUND Policy Number 1648813 _ 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 C de, I shall forthwith compl&=;� e plicant: WARNING: FAILURE TO SECURE WORKERS' COMPEN 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 and county ordinances and state laws relating to building construction, and hereby authorize representatives of this cou ty to nter upon the above-mentioned pro ert�y/f /'�i/rnspecti��g,Jn/ purpos Date _3Si (Applicant or Agentl: / ' t- t,L� - Application Number 05700002282 Permit . . . BUILDING PERMIT Additional desc.. Permit Fee 825.00 Plan Check Fee .. 536.25 Issue Date Valuation . . . . 152696 Expiration Date 2/11/06 Qty Unit Charge Per Extension BASE FEE 639.50 53.00 ----------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 185.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 129.65 Plan Check Fee 27.60 Issue Date . . . . Valuation 0 Expiration Date 2/11/06. Qty Unit Charge Per Extension BASE FEE 15.00' 2462.00 .0350 ELEC NEW -RES - 1 OR 2 FAMILY 86.17 674.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.48 1.00 '15:0000 EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . MECHANICAL Additional desc . Permit Fee 74..50 Plan Check Fee 18.63 Issue Date Valuation 0 Expiration Date . ': 2/11/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 11.0000 EA MECH FURNACE >100K 22.00 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 --------------------------------------------- 6.5000 EA MECH EXHAUST HOOD ------------------------------- 6.50 Permit PLUMBING Additional desc . Permit Fee . . . 1S4.50-_ Plan Check Fee 38.63 Issue Date . . . . Valuation . . . . 0 Expiration Date.. 2/11/06 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 •6.0000. EA PLB FIXTURE 84.00 LQPERMT ;- Application Number . . . . 05-00002282 Permit . . .. . . . PLUMBING' Qty Unit Charge Per Extension 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 .00 Issue Date . . Valuation 0 Expiration Date 2/11/06 .,Qty' Unit Charge Per Extension BASE FEE 15.00 --- Special Notes -and -.Comments SFD - 2462 SF LIVING PLAN TYPE 1B (ORIGINALLY FROM RENAISSANCE II - FIORE PROJECT) R-3 OCCUPANCY, 2001 CODES. P ERMIT DOES NOT INCLUDE BLOCK WALLS, P OOL, SPA OR DRIVEWAY APPROACH. -------------------------------------- Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 _ ENERGY REVIEW FEE 53.63 DIF FIRE PROTECTION -RES 97.00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC -'RES 5.00 DIF PARKS/REC - RES 502..00 STRONG MOTION (SMI) - RES 14.54 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary' Charged Paid Credited Due ----------------- Permit Fee Total 1198.65 .00 .00 _ 1198.65 Plan Check Total 621.11 250.00 .00 371.11 Other Fee Total 2473.17 .00 .00 2473.17 Grand Total 4292.93 250.00 .00 4042..93 LQPERAIIT P.O. BOX 1504 APPLICATION ONLY Building 78-495 CALLE TAMPICO LA —Address QUINTA, CALIFORNIA 92253 • Owner , BUILDING: TYPE CONST. OCC. GRP. Mailing- Address, ailing Address G1L A.P. Number -jty/ Zip Tel. Legal Description Contractor / Project D scripti n G6 Q, Address " �1-7-aD. tyTel. tl St to Lic. City Sq. Ft. �j No. No. Dw. Size Oc & Classif. Lic. # Stories Units *;Designer rch., Engr., New 0 Add 0 Alter 0 Repair 0 Demolition 0 Address Tel. 1 1, 1.1 iw InAx0 f.1 �Iry up State Lic. # LICENSED CONTRACTOR'S DECLARATION hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Division 3 of the Business and Professions Code, and my license is in full force and OWNER -BUILDER DECLARATION I he by affirm that I am exempt from the Contractor's License Law/an he follo ing reason: ( c. 7031.5, Business and Professions Code: Any city or countyh requ es a permit to c struct, alter, improve, demolish, or repair any structure, prior tsuan also requires the plicant for such permit to file a signed statement that he is lid pu bent to the provisions f the Contractor's License Law, Chapter 9 (commencing wition 000) of Division 3 of the usiness and Professions Code, or that he is exempt therefn the basis for the alleged ex ption, Any violation of Section 7031.5 by any applicant for 't subjects the applicant to a ' rl penalty of not more than five hundred dollars ($500). 0 I, as owner of the operty, or my employees with wages as their sole coation, will do the work, and the strut re is not intended or offered for sale. (Sec. 7044, Bus*s and Profes- sions Code: The Contra or's License Law does not appty to an owner of py who builds or improves thereon and o does such work himself or through his own aas, provided thatsuchmprovments ar not intended or offered for sale. If,howeverilding or In - provement is sold within on year of completion, the owner -builder it have the burden of proving that he did not build o improve for the purpose of sale). ❑ I, as owner of the property, a exclusively contracting with license ontractors to construct the project. (Sec. 7044, Busines nd Professions Code: The Cont ctor's License Law does not appty to an owner of property o builds or improves thereon, nd who contracts for such projects with a contractors) license pursuant to the Contractor' License Law) 0 1 am exempt under Sec. B. & P.C. for this roes Date Owner WORKER'S COMPE SATION CLARATION I hereby affirm that I have a certificate of nsenI self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy th reo (Sec. 3800, Labor Code.) Policy No. Company 0 Copy is filed with the city. 0 Certified c is hereby furnished. CERTIFICATE 0 EXEM TION FROM WORKERS' COMP NSATIO INSURANCE (This sect n need not be completed if t permit is to one hundred dollars ($100) valuation or less). I certi that in the performance the work for wh h this permit is issued, I shall not employ an person in any manner so s to become subjec o Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT. If, affpf making this Certificate of m=,you should become subject to the Workers' Co - enation provisions of the Lab Code, you must forthwith comply with such provisionsfir this permit shall be deemed revo d. CONSTRUCTION LENDING AGENCY I hereby affirm t there is a construction lending agency for the \anof the work for which this permi is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Addie This is a b ilding permit when properly filled out, signed and valisubject to expiration iI rk thereunder is suspended for 180days. I certify hat I have read this application and state that the abovis correct. I agree to omply with all city and county ordinances and state lao building construct' n, and hereby authorize representatives of this city to ententioned prope or inspection purposes. Siqn re of aoDlicant Ci ,State, Zip WHITE =BUILDING DEPARTMENT Estimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS CITY OF L pUIN .4T.4T AMOUNT Z, ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: YELLOW = APPLICANT PINK = FINANCE At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 2,462 S.F. or $5,514.88 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC/California Bank & Trust - Maria Fierro Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempt, Signature 1T Check No. 21609167 Telephone 777-4307 Funding Residential ♦� `ll 1 7 �+ Payment Recd 0.00 tea,' i $5 514.88 ber/un�pr- `ya d }• I%IPPil6°l �= NOTICE: Pursuant to Government Code Sectio 66020(d)(1), this will serve to notify you that the 907day approval period in which you may protest the fees o r other payment identified above will begin to run fr a date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting CERTIFICATE OF COMPLIANCE Desert Sands Unified School District �, o���`s - '�'�o 47950 Dune Palms Road < BERMUDA DUNES O Date 7/22/05 La Quinta, CA 92253 U RANCHO MIRAGE YQINDI. No. 27450 (760)'771-8515 M DEE' SE UINTA yeti Owner Trans West Housing APN # 658-140-999 Address 47120 Dune Palms Rd Jurisdiction La Quinta City , La Quinta Zip 92253 Permit # Tract # Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 48171 Stillwater Drive 2462 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 2,462 S.F. or $5,514.88 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC/California Bank & Trust - Maria Fierro Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempt, Signature 1T Check No. 21609167 Telephone 777-4307 Funding Residential ♦� `ll 1 7 �+ Payment Recd 0.00 tea,' i $5 514.88 ber/un�pr- `ya d }• I%IPPil6°l �= NOTICE: Pursuant to Government Code Sectio 66020(d)(1), this will serve to notify you that the 907day approval period in which you may protest the fees o r other payment identified above will begin to run fr a date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting