04-5509 (SFD)BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
Application Number . .
Property Address . . .
APN :
Application description
Property Zoning . . . .
Application valuation
Owner
BUILDING PERMIT
. . . 04-000055091, Date 7/15/04
. . . 47720 WIND SPIRIT DR
658-140-999-43 -9436 -
. . . DWELLING - SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL
. . . 199884
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-_.003
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 . . . . . CODE EDITION .2001 CRC
FD
NOV 16 2004
CC, -I Cn' fzz
# BEDROOMS 3.00
FIRE SPRINKLERS NO
GARAGE SQ FTG 704.00
PATIO SQ FTG 315.00
NUMBER OF UNITS 1.00
FIRST FLOOR SQ FTG 3180.00
---------------------------------------------
Permit BUILDING PERMIT
Additional desc
Permit Fee 989.50 Plan Check Fee 643.18
Issue Date . . . . Valuation . . . 199884
Qty Unit Charge Per Extension
BASE FEE 639.50
100.00 3.5000 THOU BLDG 100,001-500,000 350.00
----------------------------------------------------------------------------
Permit . . . . . MECHANICAL
Additional desc . .
Permit Fee . . . . 90.00 Plan Check Fee 22.50
Issue Date . . . . Valuation 0
Qty Unit Charge Per
Extension
P.O. BOX 1504
w VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 T-VfINSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:J O 4Date: , 1 ; - O
Applicant: --Architect or Enginee
Applicant's Mailing Address: Architect or Engineer's Address,
ic. No.:
t$UIL UINU 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
ode, and my License in full force and effect.
License Class 1License No.ell
to (% ctor G " ff
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 will 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. , BA P.C. for this reason
Date Owner.
WORKERS'COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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.ihe work for which this permit is
S i 'sue . My wo rs' cogipensation irywrance carrier anti ppol c rri�VuNhall
:
rrier M�1 -Policy Number _ / (e I certify that, in tl e peter o ante of the work for which this p rtni(is4Snot 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
i forthwith comply with those provisions.
WARNING: PAILURE 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.
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.).
Lendees Name
Lenders Address r
—T
APPLI
CANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Buildingand Safety 1. Each rson u Apermit subject to the conditions and restrictions set forth on this application.
pe 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, indemnity 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 cerfify 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-mentioned property for inspection purposes.
,115a�a (° S�ture (Applicant or Agent): 4" /
Application Number
04-00005509
Page . 2
Date 7/15/04
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
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
. . . .
140.38
Plan Check Fee
35.10
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
3180.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
111.30
704.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
14.08
-7 --------------------------------------------------------------------------
Permit .
. . . . .
PLUMBING
Additional
desc
Permit Fee
. . . .
178.50
Plan Check Fee
44.63
Issue Date
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
18.00
6.0000
EA
PLB FIXTURE
108.00
1.00
15.0000
EA
PLB BUILDING SEWER
15.00
1.00
7.5000
EA
PLB WATER HEATER/VEN=
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
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes
and Comments
SFD - LOT
43 PLAN 1CR
3180
SF. PERMIT
Page 3
Application Number . . . . .
04-00005509 Date
7/15/04
----------------------------------------------------------------------------
Special Notes and Comments
DOES NOT INCLUDE BLOCK WALLS,
POOL, SPA
OR DRIVEWAY APPROACH.
----------------------------------------------------------------------------
Other Fees . . . . . . . . .
ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
64.32
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 (SM-) - RES
19.98
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
-----------------
Paid Cred-ted
Due
----------
Permit Fee Total 1413.38
-----------------------------
.00 .00
1413.38
Plan Check Total 745.41
.00 .00
745.41
Other Fee Total 2489.30
.00 .00
2489.30
Grand Total 4648.09
.00, .00
4648.09