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04-4657 (SFD)P.O. BOX 1504 Tlodf 44Q" I AMPICO LIFORNIA 92253 BUILDING PERMIT Application NUnibe-r Property Address . . . . APN: Application description Property Zoning . . . . . Application valuation . Owner IVANHOE LA QUINTA COVE C/O R BARRY MCCOMIC 7979 IVANHOE'AVE STE 550 LA JOLLA CA 92 03 7 BUILDING & SAFETY DEPARTMENT (760) _777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 04-00004657 Date 6/01/04 77865 GREY WOLF TR 658-140-999-95 -29436 - DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 199884 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. Box 150E VOICE (760) 777-7012 LA QUINTA, CALIFORNIAFORN92253 4 4 a" 78-495 CALLE O FAX (760) 777-701 1 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Q 4' 5Date: (fl • �7 D�1 Applicant: or Engineer: . Applicant's Mailing Addres ' Ar it or . din is dress: y S Zoe Ic. No. G } D1 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 711 of Division 3 of the Business and Professionals Code, and my Licen in full force and effect. ff�� �>r�4 Class License No. U �Oate � of "yVti• � � � U �' 7� l,; '� ,� OWNER -BUILDER DECLARA ON I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the fotidwing reason (Sec, 7031.S. Business and Professions Code. Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prw 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' Stale License Law (Chapter 9 (cdmrnenCtng with Section 7000) of Division 3 of the Business and Professions Code) or, that he or she is exemnl Lrte.e."rr and the basis for tie allegiA exa ip� Gun. An violation of Section 7031.5 h an applicant for a the applicant 10 a civil penally of not more than five hundred dollars {$50pJ,jt w y y Y Vp permit subjects U I, as owner of the property, or my employees wnlh wages as their sole cc moon satort, will do the work.. and the Structure Is not mten dad or offered for sale (Sec 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and wno does the work himsaIf or herself a through his or her own employees, provided that the improvements are not Intended or offered for sale. 11, however, the building or improvement is sold within an year of compielion, the owner -builder will have the burden cif proving that he or she did not Iifd 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. 704.4, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractc l licensed pursuant to I Contractors' Stale License Law.). { j I am exempt under Sec , 9,8 P C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION .1 hereby affirm under penalty of perjury one of the following declarations - YI have and will maintain a certificate of consent 10 self -insure for workers' compensation, as provided for by Section 3700 of the Lobar Cotle, for the perf0nmaIn Of the work for which this permit is issued.ce _ 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 Ibis issu d My coo comp nsatro�nce ca rier an permit is p01ICy n r Policy Number re 1 Certfy Inat, in the PBriormaF the work for which this it is i ued, she not employ any person in any manner so as to become su to the work"' Compensation laws of California, and agree that, if I should became subject to the workers' compensation provisions of Section 3700 of Ih�bor Code shall rforthwith comply with Ihose provisions Date Y L ) _ APPI nCa lk 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 (S100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LASOR CODE, INTEREST. AND ATTORNEY'S FEES - I hereby affirm under CONSTRUCTION LENDING AGENCY Y 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 IMPORTANT Appllc2hdn i5 hereby made to She ❑irectdr of Buildrn d SareIla ACKNOWLEDGEMENT 1. Each person upon whose behalf this application is made. each person at whose requ st a defor hnd iose beneft ostri rk s perfe mimed under or pursuant 10 any permit issued as a result of this application, the owner, and the applicant, each agrees 10. and shalf, 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 to] lowiFig issuance of this pemmq, 2. Any permit Issued as a result of Ihis application becomes null and void if work is not ccmrnenCod within 180 days from date of issuance of such permit, or cessation of work for 180 days will subjIII permit to cencelialion. I Certify that 1 have read this application' and stale that the above information is coned I agree to comply with all city and county ordinances and state lawn relating to building constructio , and reby authorize representatives of this county to enter upon the above -mentioned property for inspection purposes. Da Da ignature (Applicant or Agent): rr Page 2 Application Number 04-00004657 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 95 PLAN 1BR 3180 SF. PERMIT Page 3 Application Number . . . . . 04-00004657 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 Charged Paid Credited Due Permit Fee Total 1413.38 .00 .00 1413.38 Plan Check Total 186.37 .00 .00 186.37 Other Fee Total 2441.06 .00 .00 2441.06 Grand Total 4040.81 .00 .00 4040.81