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04-4656 (SFD)T4hf 4 44" tAMPICO LiFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . . 04-00004656 Date 6/01/04 Property Address . . . . . . 77858 GREY WOLF TR APN: 658-140-999-94 -29436 - Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 199884 Owner IVANHOE LA QUINTA COVE C/O R-BARRY MCCOMIC 7979 IVANHOE AVE STE 550 LA JOLLA CA 92 0-3 7 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 . . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CRC # 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 160.80 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 5.63 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension P.O. 5 C 1504 _ 4 4 (�� VOICE (760) 777-7012 LA QU CALLS CALIFORNIATAMPICO'�/ FAX (760) 777-7011 LA QUINTA, LIFORNI92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0 4 J�(a Date: • /• �,d Applicant: I i,, r,r Pnmin, e- v� Applicant's Mailing Address: Arc itec or gineer's Address: 1 I�)�c 7 Zt9� Licr 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 C and my Lice is in toil force and effect. _ O �� icense Class �L Sense No Date + or �V, L" Y j L(4t OWNER -BUILDER DECLARA ON I hereby affirm under penalty of perury that I am exempt from the Contractors' State License Law for fhe following reason (Sec. 7031.5, Business and Professions Code. Any City a county that requires a permit fo construct, alter, improve, demolish. or repair any stnrcture. prior to its issuance. also requires the applicant for the permit 10 file a signed statement that he or she is licensed pursuant I the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 70 00 ) of Division 3 of the ausiness and Professions Code) er Ihat he or she is exempt therefrom and the basis for the aiieged exempt an. Any viol a hen of Section 7031.5 by any applicant for a pencil subjects ft applicant to a civil penalty of not more than five hundred dollars ($500).)- U t, as owner of the property- or my employees with wages as their sole compensation, will de the work, and the sbuclufe is not inlendeo or offered for said (Sec 7D44. Business and Professions Code The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who does the wort himself or herself or through his or ner own employees. proviced that the improvements are not intended or offered for saie. 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 ]. ( ) I, as owner Of the progeny, am exclusively contracting with licensed Contractor; to construct the project (Sec, 7044, Business and Professions Code The Contractors, State License Law does not apply Io an Owner of property who builds or improves thereon, and who Contracts far She ness as Pr t Coion Clo de licensed pursuant to the Contractors' Stale License Law ). U I am exempt under Sec. , B,& 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 SeIf- 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. A, I have and will maintain workers' Compensation insurance, as required by Section 3700 of the Labor Code, far the performance of the work for which this permit is L ssueq My we ' compensation ins�uran Amer an policy_nu re: �6aFner Pvl yrC Num cber t Ce ity that, in th performance of the worts for which this rmit i r, ed, shall cal employ any person in arty manner so as to became subject to the workers' compensation laws of California. and agree that, if I should become subject to the workers' Compensation previsions of Section 37DO of the Labor Code, I shall forthwith COmply with those provisions. ate plicani i WARNIN . JE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINESONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I herebyaffirm under CONSTRUCTION LENDING AGENCY 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 10 She Director of Buildin and Safe ty A 1. EaCh person upon whose behalf this application is made, each perrson atpwhosies equ st a defo hkose benefitt work snperfo Timed under or pursuant to any permit issued as a result of Ihis application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Quints, its officers, agents and employees for any act or omission related to the work being perforated under or following issuance of this permit. 2. Any permil issued as a resull of Ihis application becomes null and void if work is not commenced within 180 days from date of Issuance of suc cessation of work for 180 days will subject permit to cancellation, h permit, or I certify that I have read this applicaliori and state That the above information is correct. I agree to comply with all city and county ordinances and stale lawn relating to building construction, and hereby avthortze repres en Le tives of this county to enter upon the above -mentioned r erty propfor inspection purposes. Signature (Applicant or Agent): Page 2 Application Number . . . . . 04-00004656 Date 6/01/04 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 8.78 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 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . . Permit Fee 178.50 Plan Check Fee 11.16 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/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 94 PLAN lA 3180 SF. PERMIT Page 3 Application Number . . . . . 04-00004656 Date 6/01/04 ---------------------------------------------------------------------------- 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 .00 DIF COMMUNITY CENTERS-RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 16.08 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 19.98 DIF STREET MAINT FAC-RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 1413.38 .00 186.37 .00 2441.06 .00 4040.81 .00 Credited Due .00 1413.38 .00 186.37 .00 2441.06 .00 4040.81