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04-4670 (SFD)Tihf 4 4 a" 9 w`` P.O. BOX 1504 LLE TAMPICO Iril .A U A, CALIFORNIA 92253 J� N 14 2004 BUILDING PERMIT CITY OF LA QUI14TA miner i . . 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 BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 04-00004670 Date 6/01/04 77921 GREY WOLF TR 658-140-999-99 -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/LONG <=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 100,0017500,000 413.00 ---------------------------------------------------------------------------- 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 _ a� 78-495 CALLE TAMPICO VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 44FAX (760) 777-701 1 INSPECTIONS (760) 777-7I53 BUILDING & SAFETY DEPARTMENT Application Number: d 4- Ll& 70 Dater: Applicant:;te..► Applicant's Mailing Address: r_ or No. 3 BUILDING PERMIT DECLARATIONS 2015 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 �e, and Class Licans 3 in full force and effect —� c� License Class License No. . ate f Cont� ICI OWNER43UILDER DEC TION 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 of county that requires a permit to Construct. alter, improve, demolish, or repair any structure, prior to is issuance. also raquires 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 (commencing with Section 70Do) Of Division 3 of the Business and Professlons Cede) or that he or she is exempt therefrom and the basis far the alleged examption. Any violation of Section 7031.5 the applicant to a civil penalty of not mare than five hundred dollars (350D).): by any applicant for a permit subjects U I, as owner of the property, or my employees with wages as Iheir sole compensation, will do the work, and the structure is not intended or offered for sale (Set. 7044, Business and Professions Cade The Contractors' State License Law does not apply to an owner of property who builds Or improves thereon, and who does "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 wi€1 have the burden of proving that he or she did not build or improve fvr thB purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec, 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who bullds or improves thereon, and who Contracts for the projects with f contractor(s) o de licensed ntrrsuan! to the Contractors' State License Law.). u I am exempt under Sec , 6.8 P.0 for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of penury 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 1 have and will ma plain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued -My w ors' mpensattbmce carrier and Ditty n r �arfer Policy Number _ I certify that, in the perfdmnance of the work for which this It i issue , shall not employ 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 forth(w�ith comply with those provisions. �15ate I V Applicant WARNI G: 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND AiTORNEY'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 Applion is hereby made to the Director of Build in and a pti 1. Each person upon whose behalf this application is made. each person a1 whose requ st and for hlose benefiw ork snperformed unde $or pursuant to an issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Quints, fpemiit officers, agents and employees for any act 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 comrienced within 180 days from date of issuance of such pemmiL or cessation of work for 180 days will subject permit 10 canceIlalion. I Certify that I have read this appficaticn and state that the above information is correct. I agree to comply with all city and county ordinances and stale laws rotating to building construction, and reby authorize representatives Of this county to enter upon the above -mentioned property for inspection u ' � purposes, ate ig�s nature (Applicant or Agent): Application Number . . . . . 04-00004670 Page 2 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 99 PLAN 3B 3478 SF. PERMIT Page 3 Application Number 04-00004670 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 ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 1502.79 .00 198.24 .00 2486.91 .00 4187.94 .00 Credited Due .00 1502.79 .00 198.24 .00 2486.91 .00 4187.94