04-4659 (SFD)Tibf 4 4 a"
1504
LLE TAMPICO
�, CALIFORNIA 92253
BUILDING PERMIT
Cil Y Vl- LA ;tu�,s L--'
FINANCE, QSi�.
1p—pp ication 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 92a37
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
04-00004659 Date 6/01/04
77949 GREY WOLF TR
658-140-999-101 -29436 -
DWELLING - SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL
199884
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 LLE • j� j VOICE (760) 777-7012
7f3-495 CALLE THIN ICORNI ��F FAX (760) 777-7011
LA QUINTA, CALIFORNIA 9225344 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Date: •y�
Applicant: .J— mot._-� -- ----
Applicant's Mailing Address:
or
Lic. No.: 3
BUILDING PERMIT DECLARATIONS
i
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 Licensepin full force and effect
,---License
License Class
1—c"C"ense No.
t"i rhr 5 W,
OWNER -BUILDER DECLARATION
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 or county that requires a permit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant for the permit to file a signed
statement that he cr she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencino with Section 7400) of D:,Asia,I 3 of t ie ausiriass
and Pmte!9SIMs Code) orthat he or she is exampE inereirom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than Five hundred doliars ($500)-):
U 1, as owner of the property. or my employees with wages as their sole compensaten, wi11 do the work, and the structure is not intended or offered for sale (Sec. 7044,
Business and Professions Code: 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 hitended or offered for sale. 11. 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.).
L} 1, as owner of tte property, am exclusively contracting with licensed contractors to construct the project (Sec, 70", Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who buiids or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Ccntmctors' State License Law-).
(-} I am exempt under Sec. . B.& P.C. for this reason
Date
1 hereb affirm under WORKERS' COMPENSATION DECLARATION
Y penalty of perjury one of the following decia ration 5 '
have and will maintain a certificate of consent to self -insure for workers• camps nsalion. as provided for by Section 3700 of the Labor Cade, for the performance
of the work for which this permit 1s issued.
I have and will m rrtfain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the Performance of the work for which INS
iss - M rs' mpensati ranee tamer and eii y r _ permit is
�rrier Policy Number
certify that in he performance of She work for which 'his rmit i issued, shall not employ any person in any manner so as to became 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_
mate [�FAAIURS
vWARNIN 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 13uildln APPLICANT So ACKNOWLEDGEMENT
1, Each person u g ty Permit subject to the conditions and restrictions set forth on un Phis application,
issued as a resu�t aT whose
s apphcation511re owner,land the applccant each agrees th person at whose o and shaluest l defend indsmnfor whose fity and sold haimlt work is e s the City ofu La vant oa its
P y permit
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 commenced within 180 day* 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 application and state that the above information is correct I agree to comply with al city and counry ordinances and state laws rotating to bullding
oonstructon, and hereby authonze representatives of this county toenter upon the above -mentioned property for inspection purposes.
ga un ! re (Applicant or Agent): `ln�� r�
Page
2
Application Number
04-00004659
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
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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 101
PLAN 1BR
3180
SF.
PERMIT
Page
3
Application Number . . . . .
04-00004659 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
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged Paid
1413.38
.00
186.37
.00
2441.06
.00
4040.81
.00
Credited Due
.00
1413.38
.00
186.37
.00
2441.06
.00
4040.81