10-1089 (RER) t r IIIIIIIIIIIIIIIIIIIIIIISI 70
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P.O. BOX 1504 Tit�v 4 VOICE(760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/02/10
Application Number: 10-00001089 Owner:
Property Address: 81301 ANDALUSIA T D DESERT DEV
APN: 764-200-999-70 -316812- 81570 CARBONERAS
Application description: REMODEL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL D d
Application valuation: 8000
Contractor: NOV 16 2010 f
Applicant: Architect or Engineer: TD DESERT DEVELOPMENT P
P O BOX 1716 CITYOF
LA QUINTA, CA 92247Fp�CaQIANTA
(760)771-1941 EP--r
Lic- No. : 762987
- - -- ----- - - -- --- - - - - - - - - - - -- -- - - - - - - - -- -- - -- --- - - - - - --- - -- - ---- - - =- - - -- - - - - - - - - - - -- - -- --- - - - - - - - -
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000)of Division 3 of the Business and Professionals Code,and my License is in.full force and effect. _ I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided
License lass: ense N 62987 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
issued.
atall � Contractor: _ 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
OWNER-BUILDER DECLAR TION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier CA REST MUTUAL Policy Number CRO1094517 '
following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to _ I certify that,in the performance of the work for which this permit is issued,I shalt not employ any
construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for the person in any manner so as to become subject to the workers'compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that,if I should become subject to the workers'compensation provisions of Section
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or �0 of the Labor C all forthwit ply with those provisions.
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).: Date Applicant:
1_1 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 WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAG S UNLAWFUL,AND SHALL
Contractors'State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP O ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees„provided that the DOLLARS 1$100,0001. IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If,however,the building or improvement is sold within SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
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.). APPLICANT ACKNOWLEDGEMENT
1_1 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044,Business and Professions Code: The Contractors'State License Law does not apply to an owner of conditions and restrictions,set forth on this application.
property who builds or improves thereon,and who contracts for the projects with a contractor(s)licensed 1. Each person upon whose behalf this application is made,each person at whose request and for
pursuant to the Contractors'State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_I I am exempt under Sec. ,BAP.C.for this reason 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.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued(Sec.3097,Civ.C.). city and county ordinances and state laws relating to building constructio d hereby aut resentatives
. of this co ty[ nter upon the above-mentioned inspec' p pose
Lender's Name:
ate:/! Signature(Applicant or genu:
Lender's Address:
LQPERAITT
1
Application Number . . . . . 10-00001089
------ Structure Information ATTACHED OUTDOOR FIREPLACE AT REAR PATIO-----
Other struct info . . . . . CODE EDITION 2007/2008
----------------------------------------------------------------------------
Permit . . . BUILDING PERMIT
Additional desc . . FIREPLACE FRAMING
Permit Fee . . . . 99.00 Plan Check Fee 64 .35
Issue Date Valuation . . . . 8000
Expiration Date 5/01/11
Qty Unit Charge Per Extension
BASE FEE 45.00
6.00 9.0000 THOU BLDG 2, 001-251000 54.00
----------------------------------------------------------------------------
Permit . . . ELECT - ADD/ALT/REM
Additional desc FIREPLACE LOG-LIGHTER
Permit Fee . . . . 15.75 Plan Check Fee 3 .94
Issue Date . . . . Valuation . . . . 0
Expiration Date 5/01/11
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 .75
----------------------------------------------------------------------------
Permit . . . PLUMBING
Additional desc . . FIREPLACE GAS PIPING
Permit Fee . . . . 18.00 Plan Check Fee 4 .50
Issue Date . . . . Valuation . . . . 0
Expiration Date 5/01/11
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 3 .0000 EA PLB GAS PIPE 1-4 OUTLETS 3 .00
•----------------------------------------------------------------------------
Special Notes and Comments
ATTACHED OUTDOOR FIREPLACE AT REAR PATIO
(APPROVED PLAN OPTION) DECORATIVE SHROUD
SHALL BE LISTED AND LABELED FOR USE AT
CHIMNEY TERMINATION. 2007 CALIFORNIA
BUILDING CODES.
November 2, 2010 9:02 :06 AM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00
Fee summary Charged Paid Credited Due
LQPERAIIT
Application Number . . . . . 10-00001089
----------------- ---------- ---------- --------7- ----------
Permit Fee Total 132 .75 .00 .00 132 .75
Plan Check Total 72 .79 .00 .00 72 .79
Other Fee Total 1.00 .00 .00 1.00
Grand Total 206.54 .00 .00 .206.54
LQPEnIIT
Bin# City of La Quinta
Building Br Safety Division
Permit# P.O. Box 1504, 78-495 Calle Tampico :
La Quinta,CA 92253-(760) 777-7012
b0 Building Permit Application and Tracking Sheet
Project Address: 8 p l A_d 4 CeJ S f ' Owner's Name: P, D. DP
A.P.Number: (o 2p p 22 Address:
Legal Description: City,ST,Zip: tom-4 Z Z cr 7
Contractor: nn / :>. ::>::;::>»:<;;>::::NMI p. rS� C� b2-�t' o �e./Poc..Y (P Telephone: (o.o ) '7 7 f o O I
Address: P� \ ( � Project Description: /
City,ST,Zip: Q. r C 2 Z f
Tee - s>
Telephone: � ? ? <4<a
P 7 ? � ( 7�
State Lic.#: 4_5172-1'& City Lic.#: V'
Arch.,Engr.,Designer:
Address:
City,ST,Zip: 1 J��I C� rS��a�!o C4
,.
Telephone:,?j , 7 7 �2�
Construction Type: Occupancy:
:r:�s<z<>':<><'<::;:<.#<<<<� Via:.
State Lic.#: '>>.<• <•:>;:»>:::>;>.:»>:<: :.::;;.:<:. Project type(circle one): New Add' Alter Repair Demo
�I S 4 q
Name of Contact Person: p Q Sq.Ft.: #Stories: #Units:
Telephone#of Contact Person: `?CQ. 7 7 t ? -7So Estimated Value of Project: f}oo o
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Reed TRACKING PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Cales. Reviewed,ready for corrections Plan Check Deposit ^
Truss Cales. Called Contact Person Plan Check Balance
Title 24 Calcs. Plans picked up Construction
Flood plain plan Plans resubmitted Mechanical
Grading plan 2°"Review,ready for corrections/issue ElectricalIr,75
Subcontactor List Called Contact Person Plumbing v. It,
Grant Deed Plans picked up S.M.I. .�.
H.O.A.Approval Plans resubmitted Grading �.
IN HOUSE:- 3,d Review,ready for corrections/issue Developer Impact Fee
Planning Approvat Called Contact Person A.I.P.P.
Pub.Wks.Appr Date of permit issue ,
School Fees !"
Total Permit Fees
i; 070—
�IIIIIIIIIIIIIIIIIIIIIIII 72 JCM Inspections
T
IE 39725 Garand Lane Suite Fip
LIA Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS '
WELDING INSPECTION REPORT
Project Name: Project No: Date:
Andalusia @ Coral Mountain - Phase 2
06-311
Project Address: City: AWS Z✓ IBC ❑Title 24 [ �Op
Ave 58 between Madison&Monroe Lot 6S,G7,6 73 La Quinta, CA [E�i.1 E] Field
Client: Sub-Contractor: ❑D 1.3
Coral Option One, LLC Palm Springs Welding ❑D 1.4 n Other
General Contractor: Architect: Structural Engineer:
Sparks Construction Pekarek Crandell, Inc. R.F.Structural Consultants
Weather:
Description of Work Inspected:
Ross
L s = o = 'RI_3o; Unresolved Items:
Lo 67 = 1-1T9 - sa L 73 _ -�Y3 ,, .lv �e
L. = Ir/- 2,')3 /1.vo [:]See Below
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4,9 e r A-
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Cert on
File Electrode
Process Welder Yes No Type Size Detail(s) Location/Comments
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I hereby certify that I have inspected all of the above work,unless otherwise noted,and to the best of my ability I have found this work to comply with the approved
plans,specifications_applicable building laws. Final report issued at project completion.
Inspector: Contractor's Representative:
lac
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of
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JCM Inspections
39725 Garand Lane Suite F
Lis%.9 go Palm Desert,CA 92211Lis%
_
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
WELDING INSPECTION REPORT
Project Name: Project No: Date: (.ue4
Andalusia @ Coral Mountain - Phase 2 06-311 6-7-06
Project Address: City: AWS Z IBC E]Title 24 hop
Ave 58 between Madison&Monroe Lot La Quinta, CA I&1.1 E] Field
Client: Sub-Contractor: D 1.3
Coral Option One, LLC Palm Springs Welding ❑D 1.4 []Other
General Contractor: Architect: Structural Engineer:
Sparks Construction Pekarek Crandell, Inc. R.F. Structural Consultants
Weather:
Description of Work Inspected:
tS
Unresolved Items:
See Below
3 L i n -V Y cr 4_ 1e✓
jozkOi w S ,, W'./A L O
Cert on
File Electrode
Process Welder Yes No Type Size Detail(s) Location/Comments
A-tia3Z n'/ ' q r/ L
c4.o- .►alv
I hereby certify that 1 have inspected all of the above work,unless otherwise noted,and to the best of my ability I have found this work to comply with the approved
plans,specifications applicable building laws. Final report issued at project completion.
Inspector: Contractor's Representative:
�/
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of