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09-0051 (RER)P.O. BOX 1504 . 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00000051 Property Address: 80501 OAK TREE APN: 775-082-006- - - Application description: REMODEL - RESIDENTIAL . Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 10000 Applicant: Architect or Engineer: ----------------- LICENSED CONTRACTOR'S DECLARATION 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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: License No.: Date: Contractor: OWNER -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 70001 of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by a y pplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1) I, as owner of the property, or my employees with wages as thein sole compensation, will do the work, and "'TTT 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, 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.). ( 1 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 performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT Owner: HASLAM, GILBERT 80501 OAK TREE LA QUINTA, CA 92253 (310)990-9729 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/24/09 Contractor: n Owner MAR 2 7 ZQD9 Ji CITY OF �I-A 4 1U AITglU AITq FII'1---- cPT ------------------ WORKER'S COMPENSATION DECLARATION 1 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. _ I 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 Policy Number 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 3700 of the Labor Code, I shall farthIth comply with those provisions. I ` L Date: Applicant: WARNING: 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 1$100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1 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 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 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 and county ordinances and state laws relating to building construction, and hereby authorize representatives ofthis county to enter upon the above-mentioned property for inspec on purposes. Date: Signature (Applicant or Agent): Application Number . . . 09-00000051 ------ Structure Information RESIDENTIAL REMODEL/VB/RES-3/CL-A [ENG] ----- Other struct info CODE EDITION 2007CODES- Permit BUILDING PERMIT Additional desc •. . ' Permit Fee 117.00 Plan Check Fee 76.05 Issue Date Valuation . . 10000 Expiration Date 9/20/09 _ Qty- Unit Charge Per Extension BASE FEE 45.00 8:00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 72.00 Permit ... . ,ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 62.85 Plan Check Fee 15.71 Issue Date Valuation . . . . 0 Expiration Date 9/20/09 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 73.00 .4500 ---------------------------------------------------------------------------- EA ELEC DEVICE/F•IXTURE >20 32.85 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 19.50 Plan Check Fee 4.88 Issue Date . . . . Valuation. . . . . 0 Expiration Date 9/20/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 ---------------------------------------------------------------------------- EA MECH VENT INST/ DUCT ALT 4.50 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 27.00 Plan Check -Fee 6.75 Issue Date . . . . Valuation . . . . 0 Expiration Date —9/20/09 Qty Unit Charge Per' Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 LQPEnlIT - LQPERMIT Application Number 09-00000051 Permit . . . . . PLUMBING Qty Unit Charge Per. Extension . .1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 .1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------'- Special Notes and Comments RESIDENTIAL REMODEL/VB/RES-3/CLASS A -FR [ENGINEERED] STRUCTURAL ALTERATIONS AT KITCHEN REMODEL, FIXTURE CHANGE OUT AT BATHROOMS AND ALTERATIONS TO LIGHTING THROUGHOUT RESIDENCE. 2007 CALIFORNIA BUILDING CODES. March 24, 2009 12:33:46 PM AORTEGA ------------------- ------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 7.'61 STRONG MOTION (SMI) - RES 1.100 Fee summary Charged Paid Credited Due Permit Fee Total 226.35 .00 .00 226.35 Plan Check Total 103.39 .00 .00 103.39 Other Fee Total 9.61 .00 .00- 9.61 Grand Total 339.35 .00 .00 339.35 LQPERMIT • P.O.'Box 1504 LA QUIN'TA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE (760) 777-7012 FAX (760) 777-7011 'T" . Disclosures & Forms for Owner -Builders Applying for Construction -Permits' IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An. application for a building permit has been. submitted in your name listing yourself as the builder of the .property improvements specified at 80501 We are .providing .You with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk -you may incur by having this permit issued in your name as the Owner -Builder. We will not issuea building permituntil you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND YERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. t0' 1. I understand a frequent practice of unlicensed. persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder', may be held liable and subject to serious fmancial' risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as.an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. �2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. a rgj�3. I understand as an "Owner -Builder" I*am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. A�- 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. 4Q- 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. Af- 6. 1. understand if I am considered an`°employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and' contribute to unemployment . compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial - risk. IQ- 7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot .legally build them with the .intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 6N' 8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal. injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. 9. Iunderstand I may obtain more information regarding my obligations as an "employer" from the Internal'Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1- 800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors. 10. I am aware of and consent to an Owner-Builderbuilding permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following address: 44� 11. I agree that, asthe party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. 12. I agree to notify the issuer of this. form immediately of any additions; deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against. unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property; you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of property owner Date: 3 % Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. ' AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which. I understandis my personal responsibility, I hereby authorize the following person(s) to act as, my agents) to apply for, sign, and file the documents'necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature.. Property Owner's Signature: Date: CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS 80501 PERMIT NUMBER OWNER --1 BUILDER This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved• by the Building Division prior to commencement of work. 'Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Trade !Classification :::. • .:..: Contractor :...:: <.:.;:::....:..::.::.;; .....:.:::.:.:...:,:. Stat�:.Contractor.s. License... ::;.:;:>:. ::..:; Coni Workers... ensatkii lnsw, i! it . Bus e. $ :�� ::.. Lt tens Company Name Classification (e.g. A. B, C-8) License Number (xxxxxx) Exp. Date Ixx/xx/xx) Carrier Name (e.g. State Fund, CalCompl Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-12) CONCRETE (C-8) FRAMING :(C-51 :..:' d W�i�-� STRUCT*"STEEL 4C-51) gj b I l.0 MASONRY id -29) PLUMBING (C-361 '• - . (� ��� ���► LATH, PLASTER (C=3 DRYWALL (C-9)...:.. HVAC. (e-20)':. ELECTRICAL. (C-4 1))' :. • , ROQFING Q:-39)<::? SHEET METAL (C`41) FLORRING IG`:TS) '' .;''•>.::: GLAZING (C-17)�.' INSULATION (C-21.. :: . SEWAGE DISP (C-42) PAINTIN6(C=33) : �� f CERAMIC TILE (C-54) CABINETS IC -6) FENCING (C-13) LANDSCAPING POOL (C-53) Bin # City of La Quinta . Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 1 D� Project Address: D a so' Owner's Name: A. P. Number: �?-7 i��2 Address: a Legal Description:-.&=aR4 Contractor. City, ST, Zip: �N U` �� Telephone:rlo,) 190 ,11-1� J Address: Project Description: I�� City, ST, Zip: tf ° Telephone: State Lic. # : Arch., Engr., Designer: City Lic. #: k Address: ��� �� 2�1 City, ST, Zip: Vi Z S Telephone:,b _ —1 State Lic. #: 30 "'j Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Fiter �> Repair Demo Sq. Ft.: T# Stories: # Units: — Telephone # of Contact Person:( ..j c>) 5L4 . 6 —7 Estimated Value of Project: 6 �✓� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd- Rec'd TRACKING PERMIT FEES Plan Sets 3 Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Calcs.. Plans picked up tC +O Construction Flood plain plan Plans resubmitted IsItilzMechanical Grading plan 2'" Review, ready for correction I JW Electrical Subcontactor List Called Contact Person Plumbing Grant,Deed Plans picked up S.M.I. x H.O.A. Approval d Plans resubmitted Grading ;04W IN HOUSE:- ''' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person ,I.P.P_ Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees ray On OW -D 3�Iq �iblaa+�. tY7 ort C9" twt�'� illi Ok aw Architectural, Design & Planning 78-115 Calle Estado, Suite 201 La Quinta, CA 92253 Tel (760) 564-4707 Fax (760) 564-4955 Lighting Specifications Proposed Remodel Gilbert Haslam 80-501 Oaktree La Quinta, CA 92253 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION ATE 3 �S BY nl MAR 19 2009 I U Ili 0 7 .....-- ,....tee -....r.... . ,Low Profile Recessed Or Surface Mounted'LED Spotlight '* _.0 2 til with spacer ring DR 13 r This friction fit spotlight is designed for installation in kitchen cabinetf�x displays and furniture. It uses the latest generation Power LEDs whic T T. L 1 t�, k offer In their cool white version an equivalent light output to a 20 W m 3 - halogen spotlight at only a fraction of the energy consume (3.W): . Virtually no heat emission and no ultraviolet radiation guarantee that, with mounting ring Dl 13 your products won't be damaged. 50,000 hrs. of sable life make lamp changes a thing of the past., I T ' N---0 2 uf16� -I Product -Features ' • Recess depth only s/e".or 1/2,�'(wi er ring DR 13) • When surface mounted, overall height 2Is11: • Friction fit' • Only 3 Watt pow,consumption (3 x 1 Watt LEDs) er • 'Available with cool white (5;500 K) or warm white (3,200 K) LEDs �a • Finishes: white black, chr�ome, stainless steel and gold • Attached 72" connecting cable with plug-in connector • f o'be used with"350rmA constant current DC converter (Special accessories available: DR 1 3 -Spacer, ring to reduce recessed depth - DI13-Surface mount ring,,. , iemn..e • FilrnveR'� - tilH110M1 11 76 155 w , • n �35* ` • 177 - � 06 Room Tempe... 77• F • 0 1' 7' 3• 6' 5' 6' 7' } Distance from Spotlight ' T�Distance X � e mail@heralighting•com • www.heralighting.com mm.cabinetparts.com • �• FLUORESCENT COMPACT 6" IC 17007AEBM 13 17007AEBM 18 17007AEBM 26 Double Twin Fluorescent Compact Housing SUITABLE FOR DIRECT CONTACT WITH INSULATION i--}23/8" T 6 3kT I 14 1/4" 10" 71/2" 61/4 - DESCRIPTION /4" DESCRIPTION JUNCTION BOX Suitable for new construction in residential and Listed for through branch circuit wiring and includes i commercial applications. several 3/4" knockouts. Four pry -outs with integral 41 IC rated. Suitable for direct contact with insulation. strain relief simplify Romex installation. Use one 13W, 18W or 26W double twin tube. Supplied with three push -in wire connectors. G24Q-1 (not included). AIFITIGHT HANGERBARS HOUSING Heavy -gauge NICOR captive hanger bars provide HOCISING Aluminum construction provides greater greater stability, allowing housing to be positioned at heat dissipation. any point within a 24" joist span, then locked in place Ballast includes integral thermal protector guards with set screws. Unique hanger bar lip design helps ELECTRoftic 1 against improper lamping and misuse of insulation align can tojoist. Four double -headed captive nails materials. provide for ease of installation. v 120W277V Multi -tap electronic ballast. Bars can be repositioned 90° on plaster frame 71/2" height allows use in 2" x 8"joist construction. without tools. • • • Bars fit onto T -bar spine for quick alignment and can D PLASTER FRAME be permanently secured. Housing is secured to plaster frame with screws and Score lines allow bars to be shortened without tools to can be removed for access to junction box. accommodate a 12" joist span. C U` os U` Housing adjusts from 1/2" to 1 1/2" to accommodate ceiling thickness. LISTINGS UL listed for direct contact with insulation. TITLE 24 COMPLIANT UL damp location. UL feed -through. CUL approved. 9©DIC00"R 800.821.6283 1 www.nicorlighting.com 1 133 Shining BAght., •XTA MU, INCANDESCENT LINE VOLTAGE 6" IC 17003AR Remodel Airtight Housing SUITABLE FOR DIRECT CONTACT WITH INSULATION (D \ 4 �II 11 1/4" S i 1 71/2^ 6 7/8" t y DESCRIPTION JUNCTION BOX ] Suitable for remodel construction in residential and Listed for through branch circuit wiring and includes commercial applications. several 3/4" knockouts. IC rated. Suitable for direct contact with insulation.. _ Supplied with three push -in wire connectors. f f - HOUSING LISTINGS Aluminum construction provides greater UL listed for direct contact with insulation. 'AIRTIGHT heat dissipation.• USING UL damp location. Washington State Energy Code approved to meet; UL feed through. restricted airflow requirements. CUL approved. Airtight housing limits the exchange of air between' ; • • • ceiling plenum and heated/cooled areas. 105° C rated integral thermal protector guards against improper lamping and misuse of insulation materials. O O Adjustable socket bracket assures proper and C consistent lamp positioning. a 7 1/2" height allows use in 2" z 8"joist construction. t 1 62 1 800.821.6283 1 www.nicorlighting.com t RESIDENTIAL FLUORESCENT STANDARD WRAPAROUND 10369EB 2-1amp • 17W FEATURES 21/2 81/2 - I i 25' 2X 17W T8 lamps Clear prismatic acrylic lens blocks 80% of U.V. at 400nm Easy surface -mount installation Energy-saving electronic ballast (120V) Heavy 20 gauge steel construction Three IDEAL° push -in wire connectors ease installation 10370EB 2-1amp • 32W FEATURES 2 1/2" 49" 81/2 TITLE 24 COMPLIANT } C @us UL Mal TITLE 24 COMPLIANT C &us �L D � 2X 32W T8 lamps Clear prismatic acrylic lens blocks 80% of U.V. at 400nm �� 20370EBHPF 120/277V Easy surface -mount installation Energy-saving electronic ballast (120V) HPF electronic ballast Heavy 20 gauge steel construction Three IDEAL® push -in wire connectors ease installation also available 10374EB 4-1amp 32W 2a/2' /2' 49" FEATURES 4X 32W T8 lamps . Clear prismatic acrylic lens blocks 80% of U.V. at 400nm Easy surface -mount installation Energy-saving electronic ballast (120V) Heavy 20 gauge steel construction, Three IDEAL* push -in wire connectors ease installation 194 1 800.821.6283 1 www.nicorlighting.com TITLE 24 COMPLIANT C @us & D � • 1 20374EBHPF 120/277V HPF electronic ballast also available A IC©R Shining Brighter`