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
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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
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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
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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
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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
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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.
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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