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04-4663 (SFD)cedif 4 4 auba 504 :.LE TAMPICO , CALIFORNIA 92253 BUILDING PERMIT 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 04-00004663 Date 6/01/04 77935 GREY WOLF TR 658-140-999-100-294.36 - DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 215169 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 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 688.00 PATIO SQ FTG 705.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 3362.00 ---------------------------------------------------------------------------- Permit . . . . . BUILDING PERMIT Additional desc . Permit Fee 1045.50 Plan Check Fee 169.90 Issue Date . . . . Valuation *. . . . 215169 Qty Unit Charge Per Extension BASE FEE 639.50 116.00 3.5000 THOU BLDG 100,001-500,000 406.00 ----------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee 77.00 Plan Check Fee 4.81 Issue Date Valuation . . . . 0 Qty Unit Charge Per .Extension P.O. Box 1504- __ • u,�G/ VOICE (760) 777-7012 7f3-495 CALLS TA FAX (760) 777-701 1 LA QUINTA, CALIFORNIARNI '�eI 9225344 INSPECTIONS (760) 777-7I53 BUILDING & SAFETY DEPARTMENT Application Number: (p (V Date: (0 ' 04( Applicant: —Architect or I*ngin "r�: Applicant's Mailing Address: A11f or n Weer' Address: 's Ck 9 2 U No. v0 1 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 7000) of Division 3 of the Business and Professronals e. and my Liwnse�in lull force and effect License Class j , License No. ,---Date r/4'7 t hereby affirm under penal of OWNER43UIL DER DECLARATION y perjury that I am exempt from the Contractors' State Lteense Law for the following reason (Sac. 7031.5. Business and Professions Cade; Any city or county Thal requires a permit to Construct, alter, improve, demoiish, or repair any structure, prior to its issuance. also raqurres the appiicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Cori tractois' Slate license Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Coda) or that he or she is exempt Iherefmm and the basis for the alleged exemption. Any violation of Section 703 1, 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ( j I, as owner of the property, or my employees with wages as their sole compensation, will do the urorF and the structure is not intended or oitered for Sale {Sec. 7044, Business and Protessions GDde: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who does the work hrmself 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 improvernenI 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 properly, am exclusively contracting with licensed ccntraCIOrs to construct the project (Sec. 7044, Business and Professions Code' The Contractors' State License Law does not apply Ib an owner of property who builds or improves thereon, and who contraC[s for the ness tin with f ssion do de licensed pursuan! t0 the Conlrachors' State License Law. y U lam exempt under Sec , 8A P.0 for this reason Dale WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following dectaralions- I have and will maintain a CehifrcaIe of consent io setf-insure for workers compensation, as provided for by Section 3700 of the Labor Code, tar the performance f Of the work for which this permit is issued, R I have and will maintain workers' compensation insurance, as required toy Section 3 70 D of the Labor Code, for the performance of the work ter which thus permit is ' 9 o rs' coin ens surance tamer and !i ,,--Carrier o Policy Number Jj _ Certify that, in the rforma ce Df the work for which trn5 permit is issued. I shalt not employ p Y 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' compensabon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date - A p p I i c-a n it VVARNI G- FAI URE TO SECURE WORKERS' OMPENSATION 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 1MPOR7ANT Application is hereby made to the Director of Buildin and Safety ACKNOWLEDGEMENT 1. Each person u g tY permit Su bled to the conditions and restrictions set forth on Ihis application - Each whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the Owner, and the applicant, each agrees to Officers. agents and employees for any act or Omissio, and shall, defend, indemnify and hold harmless the City of La Quints, its n related to the work being perforrrred 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 18O days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this appticatiori and state that the above information is correct I agree to comply with all City and county Ordinances and state laws relabng to building construcbm (and reby authdnze representatives Of this county t°off/ennter upon the above- mentioned prop" for inspection purposes Date I d Si (Applicant or Agent): /" �' •` Page 2 Application Number . . . . . 04-00004663 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 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 146.43 Plan Check Fee 9.15 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 3362.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 117.67 688.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.76 ---------------------------------------------------------------------------- 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 .00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS .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 100 PLAN 2CR 3362 SF. PERMIT Page 3 Application Number 04-00004663 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 PERMIT TYPE. ---------------------------------------------------------------------------- Other Fees ART IN PUBLIC PLACES-RES 37.92 DIF COMMUNITY CENTERS-RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 16.99 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 21.51 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 1480.43 .00 196.14 .00 2481.42 .00 4157.99 .00 Credited Due .00 1480.43 .00 196.14 .00 2481.42 .00 4157.99