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04-4665 (SFD)0 BUILDING & SAFETY DEPARTMENT (760).777-7012 I OF ip "' . 1 TAMPICO FAX (760) 777-701 1 LA QUINT ' LIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT CiTy pibl�TiC l�K PT. Application Number 04-00004665 Date 6/01/04 Property Address . . . . . . 77872 GREY WOLF TR APN: 658-140-999-93 -29436 - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 224494 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/CONG <=10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC # BEDROOMS 5.00 FIRE SPRINKLERS NO GARAGE SQ FTG 410.00 PATIO SQ FTG 487.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 3671.00 ------------------------------------------------------------------------ Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 1077.00 Plan Check Fee 175.01 Issue Date . . . . Valuation 224494 Qty Unit Charge Per Extension BASE FEE 639.50 125.00 3.5000 THOU BLDG 100,001-500,000 437.50 ---------------------------------------------------------------------------- Permit MECHANICAL Additional. desc . . Permit Fee . . . 114.50 Plan Check Fee 7.16 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension P.O. BOX LLE • VOICE (760) 777-7012 78-495 CALLS CALIFORNIA a" FAX (760) 777-701 1 LA QUINTA, LIFORN9225344 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: - 466Date: r0 Applicant: -i n�:•I,A=^4 nr Applicant's Mailing Address: uj� or "gineer'snAddress: IM ��E go] 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 Ureis in full force and effect ] �� _t;icense Ctass "'bit' �L cea$e No r Date VV L=i ( L OWNER -BUILDER DECLARATON 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 rrintracting with licensed controotors to construct the prujeci (Sec. 7044, Business and Professions State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contracCode: The Contractors' Code: 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 ID 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 rssued. have and will maintain workers' compensation insurance, as required by Secfon 3700 of the Labor Code, for the performance of the work for which ftds permit is su d. My markers' mpensatic 7 i e tamer and pli y r a ��arrier1 j�j,+�nQ� oli�mber ^ I certily that, in perfa ani nre of the the work for which thks rmi; rs i s d, I shall not empluy any person in any manner so as to become ru compensabon laws of Califomia, and agree Ihat, if I should become subject to the workers' oompenSafion provisions of Section 3700 of theLabor Code Irahell forthwith comply with those provisions. ate L plicant" WARNIN : FAI URE 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. 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 Lenders Address CA IMPORTANT Application is hereby made to the Director of Buildin and Safety ACKNOWLEDGEMENT for fd ty peril subject to the conditions and restrictions set forth on this application, 1. Each person upon whose behalf this applrtation is made, each person at whose request and for whose benefit work is perfo mud under or pursuant to any peril issued as a result of this applrcaLon. the owner, and she applicant. each agrees to, and shall, defend, indemnity and hold harmless the City of La Cfutnta, its officers, agents and employees for any acl 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 day* ham dale of issuance of such permit, or cessation of work for 150,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 relsbng to building construction, and hereby authorize representatives of this county to enters upon the above -mentioned property for inspection purposes. �Eate rgnature (Applicant or Agent): I�' Page 2 Application Number 04-00004665 Date 6/01/04 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 6.00 6.5000 EA MECH VENT FAN 39.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 151.69 Plan Check Fee 9.48 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 3671.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 128.49 410.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.20 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 221.25 Plan Check Fee 13.78 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 25.00 6.0000 EA PLB FIXTURE 150.00 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 .00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS .00 9.00 .7500 EA PLB GAS PIPE >=5 6.75 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 93, PLAN 3C/CASITA 3671 SF. Page 3 Application Number 04-00004665 Date 6/01/04 Special Notes and Comments PERMIT 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 61.23 DIF COMMUNITY CENTERS-RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 17.50 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 22.44 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 1579.44 .00 205.43 .00 2506.17 .00 4291.04 .00 Credited Due .00 1579.44 .00 205.43 .00 2506.17 .00 4291.04