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06-2607 (SFD)-.P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05� 0000260-7� Property Address: 48443 STILLWATER DR APN:. 658-140-999-123 -29436 - Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 215169 Applicant: Tiht 4 4 Q", BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: IVANHOE LA QUINTA COVE C/O R BARRY MCCOMIC, DETACHED 7979'IVANHOE AVE STE 550 LA JOLLA, CA 92037 /architect or Engineer: �c;� % . Contractor: TRANS NEST HOUSING, INC. 9968 HIBERT STREET, STE 4_102 SAN DIEGO, CA 92.131 (858)653-3003 Lic. No.: 701039 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/27/05 ------------------------------------------------------------------------------------------------- . LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License C ass: B Ucen fIF 701039 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is mate: Co tor: ALLissued. _ 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 ' - - OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that Fam exempt from the Contractor's State License Law for the - Carrier STATE FUND - Policy Number , 1648813 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to — I certify that, in the performance of the work for which this permit is issued, I, shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any, manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the C S e 'and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and P fessions Co that he or she is exempt therefrom and the basis for the alleged exemption. Any violationof ection 70any applicant for a permit subjects the applicant to a civil penalty of not more than five hundr dole•7 700 700 of the Labor Code,�shallhwith c ply tse provisions. �✓ 'cant: _C _ (_ 1 I, as owner of the, property, or my'employees with wages as their sole compensation, ill d the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Profess' e: T 0 Contractors' State License Law does not apply to an owner of property who build rove n and who does the work himself or herself through his or her own employees, prov at the improvements are not intended or offered for sale. If, however, the building or im ant is sold within one year of completion, the owner -builder will have the burden of proving that he i no 1 improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed contractors to c 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.). ' - 1 _ 1 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: LQPERM[T FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL V EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND 100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN '06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPO 0T Application is hereby made to the Director of Building and Safety for a permit subject to the con 'tions 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 up a above-mentioned prope y for ii1nnssp/lection/,��es,(�bate:. G Signature (Applicant or Agent): Z � / G� A/`" – Application Number .. 05-00002607 Structure Information' Construction Type . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone. NON -AO FLOOD ZONE Other.struct info CODE EDITION 2001 CBC # BEDROOMS 4.00 FIRE SPRINKLERS-. NO GARAGE SQ FTG 688.00 PATIO SQ FTG 705.00 NUMBER OF UNITS 1.00 , -------------------------------------------- 1ST FLOOR SQUARE FOOTAGE -------------------------------- 3362.00 Permit . . . BUILDING PERMIT Additional desc. Permit Fee . . . . 1045.50, Plan Check Fee 169.90 Issue'Date Valuation . . . . 215169 Expiration Date 12/24/05 QtyUnit Charge Per Extension BASE FEE 639.50 116.00 .3.5000 THOU BLDG 100,001-500,000 406.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 77.00 Plan Check Fee.. 4.81 Issue Date . . . . Valuation 0 Expiration Date 12/24/05 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 3.00 6.5000 EA MECH VENT FAN 19.50 1:00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW.RESIDENTIAL Additional desc . Permit Fee . . . 146.43 Plan Check Fee 9.15 Issue Date . . . . Valuation . . . . 0 Expiration'Date 12/24/05 Qty :Unit Charge Per Extension BASE FEE 15.00 3362.00 .0350 ELEC NEW'RES - 1 OR 2 FAMILY 117.67 LQPERMIT Application Number 05-00002607 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 688-.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.76 Permit . . PLUMBING Additional desc . Permit. Fee .. 196:50 Plan Check Fee 12.28. Issue Date Valuation 0 Expiration Date '. 12/24/05 ' Qty Unit Charge Per Extension BASE FEE 15.00 21.00 6.0000 EA PLB FIXTURE 126.00 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 .00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS .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 12/24/05 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------=------------------------ Special Notes and�Comments , SFD - LOT. -123 PLAN 2AR 3362 SF: PERMIT DOES NOT INCLUDE BLOCK.WALLS,-POOL, SPA- OR DRIVEWAY APPROACH. 75%.PLAN CHECK FEE REDUCTION APPLIED FOR MULTIPLE ISSUANCE - OF PERMIT -TYPE. - Other Fees . . . . . . . ART IN PUBLIC PLACES -RES 37.92 DIF COMMUNITY CENTERS -RES 97.00 DIF'CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 16.99 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES' 225.00 DIF PARK MAINT FAC = RES 5.00 t LQPERMIT LQPERAIIT Application Number . . . . . 05-00002607 ----------------- 'Other Fees ----------------------------------------------. . . . . . - DIF PARKS/REC RES 502.00 STRONG MOTION (SMI) - RES 21.51 DIF STREET MAINT FAC -RES 15.00 'DIF TRANSPORTATION - RES 1098.00 Fee summary. ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1480.43 ------------------------------ 00 .00 1480.43 Plan Check Total- 196.14 .00 .00 196.14 Other Fee Total 2481.42 .00 00 2481.42 Grand Total 4157.99 .00 .00 4157.99 LQPERAIIT