07-2423 (DSF)49715 Anacapa Cir
07-2423
IIIIIIIIVIIIIIIVIIIIIII 56 4
P.O. BOX 1504 IE
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
Application Number: • 07-00002423
Property Address: 49715 ANACAPA CIR
APN: 646-210-024 -
Application description: DEMO - SINGLE FAMILY
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2000
Applicant:
Architect or Engineer:
BUILDING PERMIT
--------------------------------------------------
.LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I a ii lic6iisbd under piuvisiuns of Cha ter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Cod and my Lice a is in full force and effect.
license CI ss: B Lice a No.: 4421 8
Date: 6 Contractor:
OWNE ,BUILDER CLAR ION
I hereby affirm under penalty of perjury that I am exam t from th actor'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 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 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, 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 ) 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:
NOUSKAJIAN JOHN
49715 ANACAPA CIRCLE
LA QUINTA, CA 92253
(760)564-1399
Contractor:
KENNEDY CONSTRUCTION, T.A.
48751 SAN PEDRO STREET
LA QUINTA, CA 92253
(760)564-4660
Lic. No.: 442118
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/30/07
-----------------------------------------------
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 Cone, 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 STATE FUND Policy Number 0024567-2007
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 sublet to he workers' comp ion provisions of Section
3700 of the Labor Code, I hall forthwi , mply with thos i '
Date: Applica
WARNING: FAILURE TO SE ORKERS' 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.
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 reb uthorize representatives
of this county to enter upon the above-mentioned propert f r inspection purpo
Date: Signature (Applicant or Age
Application Number . . . . 07-00002423
Permit DEMO PERMIT
Additional desc .
Permit Fee 45.00
Plan Check
Fee
00
Issue Date . . . .
Valuation
. . .
. 2000
Expiration Date 2/26/08
Qty Unit Charge Per
Extension
BASE FEE
45.00
----------------------------------------------------------------------------
Special Notes and Comments.
DEMOLION PERMIT ONLY
DEMOLITION OF PARTION WALLS IN (3)BATHS
REMOVE.FIREPLACE.REMOVE WINDOWS FOR
FUTURE REPLACEMENT.
Fee summary Charged Paid
----------------- ----------
Credited
Due
----------
Permit Fee Total 45.00
--- - ------
.00
----------
.00
45.00
Plan Check Total .00
.00
.00
.00
Grand Total 45.00
.00
.00
45.00
LQPERMIT
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A0VANCE0 OUA1.1rY HALMAT INDUS MIES (:A 11(: N 115954 • DOSII # 632
CERTIITCATE OF COMPLETION
Tom Kennedy
49715 Anacapa Cir.
La Quinta, CA 92253
ON 8/23/07 • ASBESTOS ABATEMENT WORK WAS COMPLETED AT : same as above
IN ACCORDANCE WITH ALL LOCAL, STATE AND FEDERAL REGULATIONS. THE GENERAL SCOPE OF
WORK IS DESCRIBED BELOW.
FINAL AIR CLEARANCE TESTING WAS PERFORMED. SAMPLE ANALYSIS WAS COMPLETED BY AN
INDEPENDENT LABORATORY. ANALYTICAL RESULTS DEMONSTRATE THAT AIRBORNE CONTAMINANTS
ARE SUFFICIENTLY BELOW EPA'S RECOMMENDED LEVEL FOR REOCCUPATION.
CONTAMINATED DEBRIS WAS PACKAGED INTO SEALED, IMPERMEABLE POLYETHYLENE BAGS AND
TRANSPORTED TO AZUSA LAND RECLAMATION LANDFILL IN AZUSA, CA FOR BURIAL.
SCOPE OF WORK: Removal of apprx 2, 400sc. ft of drywall from
1
marked areas.
J. Moreland 8/28/07
AQHI, INC. DATE
26173
PROJECT NUMBER
951:3 13Usincss Dliv«- , Suile F. Pt.111<:I1c•, i" 1 :u1r r..1,.(r1, i"n I ;r;i( (1)(19) yti` . {AzI4 • I:AX (909? 989-O(Mill
J
Bin #
City of La Quinta
Building U 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
Project Address: [ q71
'I"(1)- 6
Owner's Name: J
A. P -Number:
i
Address:
Legal Description:
City, ST, Zip:
5 3
Contractor:
S
Telephone: (E, CC
Address:
1vL
Project Description:
City, ST, Zip:
o w
Telephoner
¢ V
State Lic. # :
City Lic:
VR—_
Arch., Engr:, Designer:
Address:
City, ST, Zip:
Telephone: 1 —7) `7
State Lic. #: °' '" . r
Name of Contact Person:
Construction Type: S Occupancy: i
Project type (circle one): New Add'n Alter Repair
emo
Sq. Ft.:
# Stories:
#
Telephoner#sof Contact Person:
Estimated Val of Project:
/J J
APPLICANT: DO NOT WRITE BELOW T 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 Cates.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan'.
2"d Review, ready for correctio /issue
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.a Review, ready for corrections/issue
. Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
71
am
CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET
PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT
Form updated & effective 11/17/2006
Green Sheet approvals are forwarded to the Building, & Safety Department directly b .Public Works.
Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department
until ALL requirements listed below are. complete. Incomplete applications or applications which cannot
'be processed will be returned to applicant.
Date: 2 Developer:
Tract No.:
Tract. Name: 'sem Lot No. (s):
Address(s).: I -- VL_ . -. ^- -. „ 7
The following are the requirements for Public Works Clearance to authorize issuance of a building permit
from the Building & Safety Department:
CUSTOM HOMES: PROVIDE ITEMS #2 #3 #4 AND #5 BELOW
TRACT HOMES:. PROVIDE ITEMS #1 #2 #3 #4 AS APPLICABLE AND #6 BELOW
COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS .#1 #2 #3 AND #5 BELOW
r r
WALLS: PROVIDE ITEMS #7 BELOW
l
❖ SIGNS:. PROVIDE ITEMS #8 BELOW'LP(
1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building
pad '(m ' aximum allowable deviation of .+/- 0.1 foot). Pad Elevation Certificates must be current
(within6 months of current date). If a precise grading plan creates the pad for approval, please.
withhold green sheet submittal until a Pad Elevation Certificate can be provided.
2. Attach geotechnical certification of grading_ plan compliance.
3. Attach recorded final map.showing proposed building locations are legal lots.
Attach a completed < 1 acre per lot or infill project Fugitive Dust Control project information form,
PM 10 plan & agreement or provide alternative & valid City approved PM 10 plan set reference
number or hard copy plan. PM 10 plans for commercial & residential developments (beyond 1 lot)
are submitted separately with grading plans & are subject to additional requirements.
5. .Attach an approved precise grading plan for the building location(s). AO flood zone developments
will require an approved floodplain development plan.
6 Attach an approved rough grading plan for the building location (s).
Attach wall plan & related approved grading.plan., .,,r
8. Attach sign layout/plan & relatedPrecise grading/landscape plan.
SJoo )` w-
I have reviewed and confirmed the requirements listed above as esented and find the improvements to
be sufficiently complete for construction of the proposed i dings/structures/walls/signs on the subject
lot(s). Pursuant to my fi dings, a above project may a released for building permit issuance.
Recommended by: Dated:
Public Works Distribution: { ,/) Green Sheet to Building & Safety counter
(_) Green Sheet to Community Development
Declined for approval for reasons) as follow(s), please correct and resubmit:
10 Project Information ( < 1 acre per Lot or In Project) Page 1 of 3
Form updated & effective 8/25/2005
Project Information
Project Contractor:
Project Phase
Project Phase
Project Name:
(Check One):
❑ Construction
Project Tract
Number:
❑ Demolition
Lot Number(s):
Anticipated Start Date:
Anticipated
Completion:
Project Street
Address:
Total acres in active
construction (<1 acre
per Lot):
Project Contact
Information
Please Note: Dust control is required 24 hours a day, 7 days a week,
regardless of construction status. Person listed below is responsible
for dust control during business and non- business hours.
Name:
Title:
Company Name:
Mailing Address:
City:
State.
Zip Code:
Primary Telephone
Number:
Fax:
24 Hour
Access/Emergency
Phone:
Cell Phone:
PM 10 Certificate
Number:
❖ Expanded PM 10 plans for commercial and residential developments > 1 acre are required by
the City of La Quinta.
June 15, 2007
To whom it may concern:
We have retained Tom Kennedy to supervise demolition at 49715 Ana Capa Circle, La Quinta.
Any questions, please call (760) 564-3500.
Thank y ,
John d Mari o sk ' an
6
Ll
r n I A 11
FLOOR FLAN
SCALE : 114"=V-0"
(VIF)
N O R T H
IIIIIIIIIIIIIIIIIIIIIl
57
IE
FLOOR PLAN MOTES
1. WATER PROOFING AT ALL SHOWERS TO BE DONE
BY ROOFING CONTRACTOR.
2. HOT MOPPED SHOWER PAN SHALL BE INSPECTED
UPON COMPLETION OF HOT MOPPING AN SHALL
BE FILLED WITH WATER FOR INSPECTION.
3. PROVIDE AN ATTIC, ACCESS (22"X 30") WHERE ATTIC
IS 30w OR MORE 1 ER UBC
4, USE WATER RESISTANT GYP. BOARD IN TUB AND
AND SHOWER ARE4 TO A HEIGHT OF -10" ABOVE DRAIN
INLET. PER UBC
5, TILE LINED TUBS 4 SHOWERS SHALL CONFORM WITH
AMP STD.. 2.52 4 4.82.
ro. WATER HEATER 5 -IALL BE PROVIDED WITH A
TEMPERATURE ANJ PRESSURE RELIEF VALVE
AND DRAIN LINE TO EXTEND TO THE OUTSIDE
PER UPC .
7. WATER HEATER Sl -±ALL BE SECURELY FASTENED
IN PLACE TO PRESENT HORIZONTAL DISPLACEMENT
PER UPC .
5. WHERE ANY 2" VENT RUNS HORIZONTALLY
THROUGH WALL S"UDS, THE MINIMUM STUD
SIZE OF 2X6 SHALL BE USED FOR THAT
PLUMBING WALL.
9, WATER HEATER LOCATED IN GARAGE SHALL BE
A MINIMUM 15" ABOVE THE FLOOR LEVEL PER UFC
FIXTURES HAVING CONCEALED SLIP JOINT CONNECTION
SHALL BE PROVIDED WITH AN ACCESS PANEL OR
UTILITY SPACE AT LEAST 12"X12" PER UFC
10. ALL INSULATION MATERIALS SHALL HAVE A FLAME
SPREAD RATING NOT TO EXCEED 25 AND A SMOKE
DENSITY NOT TO EXCEED 450-
11, FROVIDE FIRE 5j-OCKING AT ALL INTERSECTIONS
BPAGES CONCEALED
SOFFIT5, ROOFDS HORIZONTAL
R CEIL NAGE
12. ALL "OR EQUAL" SUBSTITUTIONS MUST BE SUBMITTED
AND APPROVED BY THE CITY BUILDING OFFICIAL PRIOR
TO INSTALLATION OF THE ITEM,
13- FIXED APPLIANCES ARE REQUIRED TO
BE SECURELY FASTENED IN PLACE PER U.M.0 504
14, ALL WORK SHALL COMPLY WITH CURRENTLY ADOPTED
2001 BUILDING CODE.
CALIFORNIA MECHANICAL CODE.
2004 CALIFORNIA ELECTRICAL CODE
2001 CALIFORNIA PLUMBING CODE.
2005 CALIFORNIA ENERGY CODE,
15, ALL INSULATION MATERIALS SHALL HAVE A FLAME -SPREAD
RATING NOT TO EXCEED -15 AND A SMOKE DENSITY NOT
TO EXCEED 450: CBC 2002.3.
1(o, UPON COMPLETIC)N OF THE INSTALLATION OF THE INSULATION, A
CARD CERTIFYING THAT THE INSULATION HAS BEEN INSTALLED
IN CONFORMANCE WITH THE REQUIREMENTS OF THESE REGULATIONS
SHALL BE COl" IPLETED BY THE INSULATION APPLICATOR AND BY
THE BUILDER. TI -'IS INSULATION COMPLIANCE CARD SHALL BE
POSTED AT CON:;PICUOUS LOCATION WITHIN THE DWELLING.
1-1. DRYER DUCT TO BE SMOOTH METAL AND SHALL
HAVE A BACK DRAFT DAMPER PER UMC
15, ALL WEATHER -EXPOSED SURFACES SHALL HAVE A WEATHER -
RESISTIVE BARRIER TO PROTECT THE INTERIOR WALL COVERING
AND THAT EXTERIOR OPENINGS SHALL BE FLASHED IN SUCH A
MANNER AS TO MAKE THEM WEATHERPROOF. SECTION 1402.
19.DOORS MAY OPI-N INTO THE GARAGE ONLY IF THE FLOOR OR
LANDING IN THE Cz,4RACsE IS NOT MORE THAN ONE INCH LOWER
THAN THE DOOR: THRESHOLD, 1004.9.
20. CONDENSATE SH4LL BE COLLECTED AND DISCHARGE TO AN
APPROVED PLUt'15ING FIXTURE OR APPROVED DISPOSAL AREA.
CMC SECTION 310 FOR ADDITIONAL REQUIREMENT FOR
CONDENSATE DFl-AINAGE PIPING.
21. WHERE ANY 2" VENTS RUN HORIZONTALLY THROUGH WALL STUDS,
THE MINIMUM STUD SIZE OF 2Xro SHALL BE USED FOR THAT PLUMBING WALL.
22. PROVIDE A 1 3/&` THICK MINIMUM SOLID CORE DOOR WITH SELF CLOSER
AT SEPARATION WALL BETWEEN GARAGE AND RESIDENCE PER UBC
SECTION 503(d)EX-3.
23. DRYER DUCTS -HALL NOT EXCEED A TOTAL COMBINED HORIZONTAL
AND VERTICAL LENGTH OF 14 FT. INCLUDING 2-90 DEGREE ELBOWS TWO FEET
SHALL BE DEDUCTED FOR EACH 90 DEGREE ELBOW IN EXCESS OF 2.
23. PROVIDE NON-F',EMOVABLE BACK FLOW PREVENTION DEVICE ON ALL
EXTERIOR HOSE -BIBS. UPC 1003
NOTE:
TYPICAL EXTERIOR STUD WALL : 2X4 's 16" OC W/ 4X HEADER
j DBL. 2X4 TOP PLATE, P.T. SILL PLATE W/ 5/5" X 10' ANCHOR BOLTS
's &' cc - 12' FR!: fi5m c5pmEp,9 AND D00PUJA'T'S. FIR€,! TOP5=40RIZONTAL
BLOCKING 4' OC (VERTICAL). 1" P.W. STUCCO (3) COAT W/ 2(o GA GALV,
FLASHING. R-13 INSULATION, 1/2" DRYWALL (5/511" TYPE "X" 6 GARAGE/
RESIDENCE). ALL BEAMS - AS SHOWN.
OTYPICAL INTERIOR STUD WALL : 2X4 a leo" OC W/ 4X(o - 4X12 HEADERS
DBL, 2X4 TOP F'LATE, P.T. SILL PLATE W/ HILTI CONCRETE NAILS 8
GUN ( IC50 1290) 'a 15" O/C, FIiRESTOPS/HORIZONTAL BLOCKING e 4' O/C
(VERTICAL) 1/2" DRYWALL ( 5/5" TYPE "X" e GARAGE.) R-35 INSULATION
e CEILINGS. ALL BEAMS AS SHOWN.
rit RE -INSPECTION FEE OF $30
WILL BE CHARGED IF THE APPROVED
GLAZINCx NOTES: PLANS AND JOB CARD ARE NOT ON
1. GLAZING IS FIXED UNLESS NOTED. THE SITE FOR A SCHEDULED
2, ALL GLAZING SHOWN IS DUAL INSULATING GLASS INSPECTION.
3. ALL GLAZING (FENESTRATION) WILL BE INSTALLED WITH A
.NO EXCEPTIONSI
CERTIFYING LABEL ATTACHED, SHOWING THE U -VALUE.
4. PRODUCT (UNTIL INSPECTOR HTEMPORARY
S INSPECTED G ED IT. ON THE
5, ALL NEW GLAZING (FENESTRATION) WILL BE INSTALLED WITH A
CERTIFYING LA±3EL ATTACHED, SHOWING THE U -VALUE.
0. ALL WEATHER -EXPOSED SURFACES SHALL HAVE A WEATHER -
RESISTIVE BARRIER TO PROTECT THE INTERIOR WALL COVERING
AND THAT EXTERIOR OPENINGS SHALL BE FLASHED IN SUCH A
MANNER AS TO MAKE THEM WEATHERPROOF. SECTION 1402.
7. DOORS MAY OPEN INTO THE GARAGE ONLY IF THE FLOOR OR
LANDING IN THE GARAGE IS NOT MORE THAN ONE INCH LOWER
THAN THE DOOR THRESHOLD, 1004.9.
AMA CALCULATION-.
HOUSE: 2403.00 SF
GARAGE; 6 01.00 SF
TOTAL: 3010.00 SF
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
NOTE: kw. wtouT,oa Nt4
JAMiROS DESIGN SHALL NOT BE RESPONSIBLE F ,
COMPLETENESS OF DRAWINGS FOR BIDDING
PURPOSES PRIOR TO ISSUANCE OF BUILDING PERMITS.
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