05-2612 (SFD)P.O.`BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 05 00002612
Property Address: — 48476 STILLWATER DR
APN: 658-140-999-152 -29436 -
Application description: DWELLING - SINGLE FAMILY
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 217237
Applicant:
T4'�v
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
rchitect or Engineer:
C do�3'
Owner:
IVANHOE LA QUINTA COVE
2005 C/O R BARRY MCCOMIC
7979 IVANHOE AVE STE 550
1 9 LA JOLLA, CA 92037
CITY OF LA
---------------------------------------------------
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 C ss: License No.: 7 01039 .
/ate` ontractor: G%'� j/
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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).:
(_ 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.l.
(_ ) 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: ■/�y
Lender's Address: tl
LQPERMIT
Contractor:
TRANS WEST HOUSING, -INC.
9968 HIBERT STREET,-STE #102
SAN DIEGO, CA 92131
(858)653-3003
Lic. No.: 701039
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/27/05
WORKER'S COMPENSATION DECLARATION
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.
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
700 of the abor Code, 1 shall
'f/io/rthv/Mhy c�om�plywith those provi 'ons.
/at ��Applicant
WARNING: FAILURE TO SECURE WORKERS' 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.
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 ordin nces and state laws relating to building construction, and hereby authorize representatives
of this county o e er upo above-mentioned property for insp on purposes.
�ete: ignature (Applicant or Agent): ��
Application Number . . . 05-00002612
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 CRC.
# BEDROOMS
4.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
603.00
PATIO SQ FTG
487.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE,
3478.00.
Permit
BUILDING PERMIT
Additional desc .
Permit Fee.
1052.50 Plan Check Fee
171.03
Issue Date . . .
Valuation . . .
. 217237
Expiration Date
12%24/05
Qty Unit Charge
Per
Extension
BASE FEE
639.50
118.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-50.0,000
413.00
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . .
90.00 Plan Check Fee
5.63
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
5.00 6.5000
EA MECH VENT.FAN,
32.50
1.00 6.5000
------------------------------------------------------
EA MECH EXHAUST HOOD
------------------------
6.50
Permit . . . ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee,. . . . .
148.79 Plan Check Fee
9.30
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
12/24/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3478.00 .0350
ELEC NEW RES- 1 OR 2 FAMILY
121.73
LQPERAIXT
LQPERAITT
Application Number .
. . . . .05-00002612
Permit . . . . . .
ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
603.00 .02'00
--------------------------------'--------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
12.06
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 .
8.00 .7500
EA, PLB GAS PIPE z=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
-----------------7-----------------------------------------------
Special Notes and Comments
SFD - LOT 152 PLAN 3CR 3478 SF. PERMIT
DOES NOT INCLUDE BLOCK WALLS, POOL, SPA
OR -DRIVEWAY APPROACH.
75% PLAN CHECK FEE
REDUCTION APPLIED FOR
MULTIPLE ISSUANCE
OF SAME PLAN TYPE.'
--------------------------------------------------------------
Other Fees
-------------
ART IN PUBLIC PLACES -RES
43.09
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
17.10
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
LQPERAITT
Application Number . . 05-00002612
----------------------------------------------------------------------------
Other Fees STRONG MOTION (SMI) - RES 21.72
DIF STREET.MAINT FAC -RES 15.00
DIF TRANSPORTATION - RES 1098.00
Fee summary Charged Paid ' 'Credited Due
---------------------------------------------------------
Permit Fee Total 1502.79 .00 .00 1502.79
Plan Check Total 198.24 .00 .00 198.24
Other Fee Total 2486.91 .00 .00 2486.91
Grand Total 4187.94 .00 .00 4187.94
n