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04-4658 (SFD)0) F u�l�t,�6v a0. � BUILDING & SAFETY DEPARTMENT x 1504 (760).777-7012 p CALLS TAMPICO FAX (760) 777-7011 f LA qTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 jLN 14 2004 BUILDING PERMIT OF LA QUENTA FM1,e1;NC-F DEPT, Application Number . . . . . 04-00004658 Date 6/01/04 Property Address . . . . . . 77907 GREY WOLF TR APN: 658-140-999-98 -29436 - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 199884 Owner IVANHOE LA QUINTA COVE C/0 R BARRY MCCOMIC 7979 IVANHOE'AVE STE 550 LA JOLLA CA 9 2 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. BOX 1504 _ e 78-495 CALLELLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Applicant: Applicant's Mailing Address: C_�p /i BUILDING & SAFETY DEPARTMENT BUILDING PERMIT DECLARATIONS I Add VOICE (760) 777-7012 FAX (760) 777-701 1 INSPECTIONS (760) 777-7153 Date: & ' 1z/. o4 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 License ig full force and effect. frlcense Class [ `1 License No- I �� DateV�nMS they infi OWNER -BUILDER DECLAOTION 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 Pmfessons Code. Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, poor to its Issuance, also requires the applicanl fort permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Buarness and Professions Code) or that he or she is exempt therefrom and the Basis for the alleged exemption, Any viola fion of Saction 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars (5500)•)- �) 1, as owner of the property, or my employees with wages as tharr sole compensation, will da the work, and the structure Is not Intended a offered for sale Sec. 7044, Busrneas and Professions God e• 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 contra cling with licensed contractors to construct the projec! (Sec. 7044, 8uslness and Professions Code: The Contraulars' State License Law does not apply to an Owner of properly who builds or improves thereon, and who contracts for the projects with a conlractor(s) licensed pursuant to fhe Contractors' State License Law), U I am exempt under Sec. , a,& P_C for this reason 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 self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. t1h ave 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 My ors' c pensa ii IrMce carter and p licy a art, Policy Number I certify that, in the pee ante of the work for which this Permit isl issued, If shall not employ an y person in any compensation laws of California, and agree that, if I should become subject tot workers' compensation previsions ro of so as to become of t subject Code, to the workers' shall forthwith comply with those provisions. Date �� C) � nt WARNI G: F ILURE 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 Lender's Address IMPORTANT Application is hereby made to the Director of Buildln AP 3a eANT ty for ACKNOWLEDGEMENT Permit 1. Each person upon whose behalf this appticalon is made, each person at whosesrue qu st a dthe }o whose benefit work unperformed under or pulrsuant to an issued as a resull Of this application, the owner, and the applicant, each agrees to, and sha11, defend, indemnify and hold harmless the City of Le Guinta, it inert officers, agents and employees for any act or omission related to the work being performed under or }atlo,vimg issua 2. Any permit issued as a result of this applrcalion becomes null and void if work is not commenced withnce of This permit. in 180 days from date of issuance of such permit or cessation of work for 180,days will subject permit to canceIlaHen. 1 certify that I have read this application and state that the above information is corecL I agree to comply with all city and county ordinances and state laws relating to building construction, and raby auftnze�representatives of this county to enter upon the abore{nentioned property for inspection purposes. ate Signature (Applicant or Agent): 4, Page 2 Application Number 04-00004658 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 98 PLAN lA 3180 SF. PERMIT Page 3 Application Number . . . 04-00004658 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