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05-2548 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 05-00002548 77897 DESERT DR 658-140-999-140 -29436 - DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 197485 ,,--A—rchitect or Eng C° o o g3? Tiht 4 4 Qulk& BUILDING & SAFETY DEPARTMENT BUILDING PERMIT . JUL 2 0.2005 D OF LA 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 Lic. No.: 701039 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/23/05 ---------------------7----'-------------------------------------------------7--------------------- 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 lass: B License No.: 701039 i mate: ctor. (�• 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am 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 permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State person in any manner so to become subject -to the workers' compensation laws of California, and agree that, if I shou ec me subject to the wor rs' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Co , I I forthwith comply ti those provisions. 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).: te:{ pplicant: (_ 1 1, 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 WARNING: FAILURE TO SECU E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IWADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If,, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). (_) 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.). ' ( ) 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: LQPERMIT 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 buildin onstruction, and hereby author ze representatives of this co ty to enter upon the above-mentioned property o in tion purposes. .Date: -,,nature (Applicant or Agent): Application Number . . . . . 05-00002548 LQPERMIT 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 FIRE SPRINKLERS NO GARAGE SQ FTG 672.00 PATIO SQ FTG 814.00 NUMBER OF UNITS 1.00 ----------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 3033.00 Permit . . . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 982.50 Plan Check Fee 159.66 Issue Date Valuation . . . . 197485 Expiration Date 12/20/05 Qty Unit Charge Per Extension BASE FEE 639.50 98.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 343.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 64.00 Plan Check Fee 4.00 Issue Date . . . . Valuation 0 Expiration Date 12/20/05 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/.0 <=3HP/100K BTU 18.00 1.00 6.5000 EA MECH VENT FAN 6.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 255.56 Plan Check Fee 15:97 Issue Date . . . Valuation . . . . 0 Expiration Date 12/20/05 Qty Unit Charge Per Extension BASE FEE 15.00 3033.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 106.16 6720.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 134.40 LQPERMIT Application Number . . . . . 05-00002548 Permit . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . PLUMBING 190.50 Plan Check Fee . . 11.91 Valuation . . . . 0 12/20/05 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 6.0000'EA PLB FIXTURE 120.00 1.00 15.000.0 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 12/20/05 Qty Unit Charge Per Extension BASE FEE 15.00 ----------------------------=------------------------------------=----------- Special Notes and Comments SFD - LOT 140, PLAN 3AR 3033 SF. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTLIPLE ISSUANCE OF SAME PLAN TYPE ---------------------------------------------------------------------------- Other Fees . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER.- RES 366.00 ENERGY REVIEW FEE 15.97 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 19.74 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due LQPERI%IIT LQPERMTT Application Number . . . . . 05-00002548 --------------------------- Permit Fee Total 1507:56 -------------------- .00 .00 ---------- 1507.56 Plan Check Total 191.54 .00 .00 191.54 Other Fee Total 2440.71 .00 .00 2440:71 Grand Total 4139.81 :00 .00 4139.81 LQPERMTT