10-1299 (RER)'TTeeP.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN: _
Application description:
Property Zoning:
Application valuation:
Applicant:
. 10-00001299
'80495—OAK TREE
775-082-005-, - -
REMODEL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
1200
c&t!t. 4 4& QaI64ll
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
KARL REEB
700 S. MYRTLE AVE #427
MONROVIA, CA 91016
Contractor:
AMERICA'S FINEST
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
e
PAIR
1369 S. MOONSTONE STR JAI O
ANAHEIM, CA 92804 + (�
(714)484-3463 3j
Lic. No.: 849341 i L�yOFWiNTA
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
Date: 1/06/11
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 is in full force and effect.
License Class: B License No.: 849341
/ate: 1 tractor:
OWN -BUILDER DECLARATION
I hereby affirm under -penalty of perjury that I am exempt from the Contractor's 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, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or•she is exempt therefrom and the basis for the ralleged 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 dollars ($500).:
(_) I, as owner of the property, or my employees with wages as their sole compensation, will 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 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.).
(_ 1 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 builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_) I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performanceofthe
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
WORKER'S 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 the performance of the work for which this permit is
issued.
1 have_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 issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 238008052
I certify that, in the performance of the work for which this permit is issued, I 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
1 3700 of the Labor C ehall comply with those provisions.
eate: t y I plicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSAT N COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND Cl L 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.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon 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, and shall defend, indemnify and hold harmless the City.
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed undei 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 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 application and state that the above information is correct. I agree to comply with all
city !�O.county ordinances and state laws relating to building construction, and hereby authorize representatives
5�0is �toenter the above-mentioned grope f r i pection oses.
Date:ure (Applicant or Agentl:
Application Number . . . . . 10-00001299
Permit . . . . . . BUILDING PERMIT
Additional desc
Permit Fee 29.00 Plan Check Fee
18.85
Issue Date Valuation.
1200
Expiration Date 7/05/11
Qty Unit Charge Per
Extension
BASE FEE-
15.00
7.00 2.0000 HND BLDG 501-2,000
-------------------------------------------------------------
14.00
--------------
Permit . . . . . . . PLUMBING
Additional desc
Permit Fee . . . . 18.00 Plan Check Fee
4.50
Issue Date Valuation
0
Expiration Date 7/05/11
Qty Unit Charge Pei
Extension
BASE FEE
15.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
7 --------------------------------------------------- 7 -----------------------
Special Notes and Comments
INSTALL GAS LINE EXTENSION FROM BBQ AREA
TO.KITCHEN TO SERVICE GAS APPLIANCE.
REMODEL INCLUDES,STUCCO PATCHING, -30 SF
DRYWALL REPAIR IN DEN AND BEDROOM #2 DUE
TO WATER DAMAGE. 2007,CODES.
------------------------- --------------------------------------------------
Other Fees . . . . . . . . .. BLDG STDS ADMIN (SB1473)
1.00
Fee'summary Charged Paid Credited
:
Due
------ ----------- ------
-----Permit Fee Total 47.00 .00 .00
Permit
47.00 -
Plan Check Total 23.35 .00 .00
23.35
Other Fee Total 1.00 .00 .00
1.00
Grand Total- 71.35 .00 .00
71.35
LQPERMIT
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11
Name / Address
Joe and Karla Williams
Suzie and Karl Reeb
80-495 Oak Tree
La Quinta, Ca 92253
t
i
Customer Phone Project
949.533.3236 Run gas line
America's Finest Building & Repair
PO Box 3401
Cypress, CA 90630
Phone: (714) 484-3463
Fax: (866) 383-5303
E-mail: info@4mericasfinest.cc
Web: www.americasfinest.cc
General B License #: 849341
Contracting Agent: Scott Partington
Date Estimate #
11/22/2010 PGA #1
Item
Description
Total labor and supply cost
Plumbing
Map out appropriate path where gas line is to be ran
1,155.00
Check for any existing underground utility runs
Dig trench approximately 50 lineal feet at 24" depth along side house from
existing BBQ gas line to where line will enter into kitchen
Tie in and lay 1/2 underground gas line
Stub up gas line from ground and 90 degree directly through'exterior wall
where stove is located
Install shut off valve on interior side
Properly waterproof entry point through exterior wall
Paint gas line above ground to match exterior wall
Patch drywall on interior wall at gas line entry
Perform pressure test on gas line prior to backfill
Total labor and supply cost $1,155.00
Upon Approval, Please Sign and Mail or Fax Back to 866-383-5303 All Major Credit Cards Accepted
Signature: Zt - ` Desired Start Date: X6W OF 12-1&110
Califomia State Law requires home improvement projects whose total cost exceeds $500 for material and labor to be in writing. If you accept this
bid, you will be Ipresented with a written contract for your project.,(California Business & Profession Code Section 7159)
Initial draw will be 10% of the total job or $1,000.00 of the total job,whichever is less.
n
Bin #
City of La QUinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
11 v`
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Project Address: �D, tF9 04le T2&& LA Qw o v"
Owner's Name:
A. P. Number:
Address: "7o O s. �►11/itrZc`_A,,c#(q2--7
Legal Description:
f�rrrE++�C..* 774 .J &r 7 ut c,� t.✓� a i2
Contractor. .SCOTT' `'i 4tz-r c.7V �j ,
C'm'ST, Zi
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,..:.. .:
Telephone: Cfo2f. 2 ?9 — (a o (o -] •:A • yR ^!•v, i� ry<>'.r) i'i'i}tui•
Project Description:
Address: `p 0 . j30-x- 3 0 I G YP 96:s S 04 1 D t, 30
City, ST, Zip: pa.Ert CA 90 b 3 a
74o oc (Lt e" 4 r �'-7 TU 1- Ga- vD It
Telephone: (7/ 8 T - 3 r{(v" f':;}\?.}:ii {'M .`yr {•i Fi r
L
State Lic. # Lt j 31 ( City Lic.
Arch., Engr., Designer.
$� v ea -'p�y�-u �,.� G �ywA-c.� `fit► va-�
Address:
FI N� I sJ ir�tc.�,.�-t1 e..l�
City., ST, Zip:
Telephone: >;};, ad .,,.,;.: :Y<:.:..;>.:.:,:.>...«: :>• >:":} >': : .:?4.
' •:Construction
'• � .. iiY/,.+!O�;}. „W'Y'.vr y'v':: v r}:.?;.}\'.'•'ice
State Lic. #: ..:::\•9H l`%%:i::::v f'::iii'}':-\�i}
Name of Contact Person: gA 2`
Type: Occupancy:
V I
project type (circle one) New Add'n Alter Repair Demo
Sq. Ft.: / 7
#Stories: `
#Units: t
Telephone # of Contact Person: (o Zio 239 — Ic 0(o-7
Estimated Value of Project: % ZO Q,
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Tide 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees