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04-4668 (SFD)BUILDING & SAFETY DEPARTMENT 1504 (760).777-7012 OF T -4 5E CALLE TAMPICO FAX (760) 777-701 1 �� •'' LA TA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 �'N 14 2004 l BUILDING PERMIT CITY OF LA QUINTA FINAt4CF E]EPT. Application Number 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 92037 04-00004668 Date 6/01/04 77879 GREY WOLF TR 658-140-999-96 -29436 - DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 217237 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 CRC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 603.00 PATIO SQ FTG 487.00 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� 78-495 CALLS TAMPICO VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 44FAX (760) 777-701 1 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 Application Number: 0Y !p Date: • / �' G Applicant: --Arcb�ecJ or aoinee r Applicant's Mailing Address: r ress: DU CA, z o Sic. No.: g G BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9 (commenting with Section 7000) of Division 3 of the Business and Professionals e, and my License i full force and effect - License Class License No. O f e-- Date � ctor 2P OWNER-BUILDER I hereby affirm under penalty of penury that l am exempt from the Contractors' State Lraanso 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, aISO requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Conlractors' Stale License Law (Chantnr s rrnrr" g . -th Saejan 7Qw, of Drvr�ion S OF file nuainess "^d P .-1cssiari, Code) ui tird1 ire or she is exempt therefrom and the basis for the alleged exemption. Any violation Of SeChon 7031 .5 by any applicant for a permit subleas the applicant to a civil penalty of not more than rive hundred dollars ($500).), U I, as owner of the property, or my employees with wages a Iheir sole compensation, will do the work, and the structure is not intended or offered for said (Sec 7tD" Business and Professions Code The COntraclors' State License Law does no; 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 Dwner•builder will have the burden of proving that he or she did not build or improve for" purpose of sale.) �} I, mas owner ❑f the progeny, am exclusively Contracting with licensed contractors to ccnstrucl the project (SeC. 7044. Business and Professions Code The Contractors' Slate License Law does not apply to an owner of property who builds dr improves thereon, and who ccnImuts for the projects wish a Cant raCtor(s) licensed pursuant. to the Contractors' State License Law ) U I am exempt under Sec . B.& P.0 for Ihis reason Date 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 I hav and will mains workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is s wo rs' Omp nsab rance tamer and ti �Eartier Policy Number _Ire ify that, in the rforman a of the work for which this permit i is�ued,ail notemploy any person 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. Date r �iffWARNING: ALLURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (3100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES - CONSTRUCTION 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 Appiication is hereby made to the Direclor of Building and Salety for a permit subject to the conditions and restrictions set forth on this applica[ion . 1 Each person upon whose behalf Ibis application rs made, each person at whose request and for whose benaFii work is performed under or pursuant to any permit issued as a result Of this application, the owner, and the applicant, each agrees 10, and shall, defend, indemnity and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission re la led to the work being performed under or fallowing Issuance of this permit, 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 1So days from dale of i cessation of work for 180 days will subject permit to cancellalion. ssuance of such permit, or I Certify that I have read this applicaliori and state that the above information is correct I agree to Comply with 311 City and County ordinances and stale larva relating to building construction. and hereby authorize representatives of this county to enter upon the above-rrrentinned property for inspection purposes. �e alure (Applicant or Agent): Page 2 Application Number 04-00004668 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 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 96 PLAN 3CR 3478 SF. PERMIT Page 3 Application Number . . . . . 04-00004668 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 43.09 DIF COMMUNITY CENTERS-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