04-5514 (SFD)f
9
P.O. BOX 1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
Application Number . . . . .(0 00055_I4 Date 7/15/04
Property Address . . . . . .` 47745 WIND SPIRIT DR
APN: 658-140-999-68 -29436 -
Application description .DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 217237
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
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
(n,. , 4' NON -AO FLOOD ZONE
Other struct
info
-_. CODNE EDITION
2001 CRC
NOV 1
6 2��$
4.00
FIR+EDROOMS SPRINKLERS
NO
GARAGE SQ FTG
603.00
PATIO SQ FTG
487.00
C
�_ c. NUMBER OF UNITS
1.00
FIRST FLOOR SQ FTG
3478.00
----------------------------------------------------------------------------
Permit .
. . . BUILDING PERMIT
Additional
desc
Permit Fee
. . . .
1052.50 Plan Check Fee
171.03
Issue Date
. . . .
Valuation
217237
Qty
Unit Charge
Per
Extension
BASE FEE
639.50
118.00
3.5000 THOU BLDG 100,001-500,000
413.00
---------------------------------------------
Permit .
------------------------------
. . . . . MECHANICAL
Additional
desc
Permit Fee
. . . .
90.00 Plan Check Fee
5.63
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: oIlY
Applicant: --Architect or Engineer:
t✓
Applicant's Mailing Address: Architect or Engineer's Ad resS:
ic. No.
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 Licens in full force and effect.
/ 11,�Iw,--C.ntractor �/License Class icensa No.
, -Date Vv
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:
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.
have and will maintain workers' compensation insurance, as required by Section 3 00 f the L bor Code, for the performance of the work for which this permit is
r'mer S ssu My wpWerif pensation asarance carrier and policy number are:
_ olicy Number
I c rtify thaYin tAe performance of the work for which this permit is issued, I shall not emp y'any�erson 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. 1
'Da tep'A plicant 4'.
I /1
WARNIN F ILU E TO SECURE WORKERS' COMPENSATION COVE E 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.).
Lender's Name
Lender's Address
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, 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 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
,co,.nsstru`ction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
R, ignature (Applicant or Agent): �_
Page
2
Application Number .
. .
. . 04-00005514
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
---------------------------------------
. . .
. . .
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee .
. . .
.148.79
Plan Check Fee
9.30
Issue Date .
. . .
Valuation .. . . .
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
3478.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
121.73
603.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
12.06
----------------------------------------------------------------------------
Permit . . .
. . .
PLUMBING
Additional desc
Permit Fee .
. . .
196.50
Plan Check Fee
12.28
Issue Date .
. . .
Valuation . . . .
0
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 >=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 68 PLAN
3BR
3478
SF. PERMIT
Page 3
Application Number
. . . . .
04-00005514 Date
7/15/04
----------------------------------------------------------------------------
Special Notes and
Comments
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 CEN'S'ERS -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
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