RER (09-0598)77538 Avenida Madrugada
09-0598
4
P.O. BOX 1504 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: 6/08/09
Application Number: 09.-00000598 Owner:
Property Address: 77538 AVENIDA MADRUGADA DEMOURKAS KATHLEEN M
APN: 773-340-048-48 -14496 - 77-583 AVENIDA MADRUGADA
Application description: REMODEL - RESIDENTIAL LA QUINTA, CA 92253•
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 7300 4
Contractor:
Applicant: Architect or Engineer: VANTAGE POINT CONSTRUCTIO a✓ v
77245 INDIANA AVENUE
PALM DESERT, CA .92211 gip,
(760)200-0563 Zig
•♦1 ,A LiC. No.: 473996
rj IR
------------------- ----
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 Busi ss a Professionals Code, and my License is in full force and effect.
License Class: B-1210 Licen No.: 473996
Date: 4 —0 Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalt of rjyyry at I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 , Bus. s 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.).
(_ I 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 performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
WORKER'S COMPENSATION DECLARNTI compensation,
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 wa 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 STATE FUND Policy Number 0011601-2008
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 ecome subject to the workers' compensation provisions of Section
/ 370 l forthwith comply with those provisions.
P0 of the Labor C de, shal
-Date:dZZ P' 9 Applicant: .
WARNING: FAILURE TOS W RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER I NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). IN AD ION 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 buildin con ction, and hereby authorize representatives
of this county to enter upon the above-mentioned prope f r i pec 'on purposes.
Date: 0J_99_ -d_9 Signature (Applicant or Agent):
Application Number . . . . . 09-00000598
------ Structure Information REPAIR TO DAMAGE AT GARAGE
-----
Other struct info . . . . . CODE EDITION
----------------------------------------------------------------------------
2007CBC
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 99.00 Plan Check Fee
64.35
Issue Date . . . . Valuation . .
. . 7300
Expiration Date . . 12/05/09
Qty Unit Charge Per'
Extension
BASE FEE
45.00
6.00 9.0000 THOU BLDG 2,001-25,000
----------------------------------------------------------------------------
54.00
Permit . . . ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . . 26.00 Plan Check Fee
6.50
Issue Date Valuation . .
. . 0
Expiration Date 12/05/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 11.0000 EA ELEC MISC
11.00
----------------------------------------------------------------------------
Special Notes and Comments
REPAIR TO DAMAGE CAUSED BY VEHICLE AT
GARAGE DOOR. SEE ATTACHED SCOPE OF WORK
SUBMITTED BY GENERAL CONTRACTOR. 2007
CALIFORNIA BUILDING AND ELECTRICAL CODE.
June 8, 2009 2:01:54 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
---------- ---------- ----------
Due
----------
-----------------
Permit Fee Total 125.00 .00 .00
125.00
Plan Check Total 70.85 .00 .00
70.85
Other Fee Total 1.00 .00 .00
1.00
Grand Total 196.85 .00 .00
19'6.85
LQPERMIT
Bin #
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
BuildingPermit Application and Tracking Sheet
Permit #
09 jFy
Project Address: 3 -S'g ji A u cL4J.4
Owner's Name: k ye M D w K
A. P. Number:
Address: 7%3 $- #L/ 4
Legal Description:
City, ST, Zip:o( ti GI q, Qa a 5 3
Contractor: .
e- i / " T2t %DLTele
Telephone: S - a
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Address:. fW iq 1v4 T
Project Description: E- J i—,
City, ST, Zip: iJ k y LAS/4
NOJ ((•2 I I-fq ,eD %
Telephone:
State Lic. # :
City Lie. #;
Arch., Engr., Designer: C TA c -TO
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Address:
City., ST, Zip:
Telephone:•;:::;::::;>:Y':::::<
P
f State Lic. #: %3 ;.<..,,
Construction Type:
yP Occupancy: Sl deATJ
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Per D Se
Sq. Ft.:
# Stories:
#Units:
Telephone # of 4—act, Person:/
%GD-' D .•— Q
Estimated Value of Project:
DO NOT WRITE. BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Pian Check submitted
Item
Amount
Structural Cale&
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction'
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2ad Review, ready for corrections/issue
Electrical
Q,4° b, , ►
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up.
S.M.I.
. --
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
ird Repiew,.ready for correcti issue b
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
—•
Pub. Wks. Appr
Date of permit issue
C
;r—
School Fees
1
Total Permit Fees
q
49.19e - f 00r -L1D TWE,
xq, 57,wwP awt t
CITY OF LA QUINTA
BUILDING &SAFETY DEPT.
APPROVED
:FOR ONSTRUCTION
DAS 13y_pz
P-13 P -A
1
1 t
Kathy Demourkas
77538 Madrugada La Quinta Ca. Repair wall damage.
Remove and replace stucco to match existing.
Remove and replace damaged 2 by 4s
Remove and replace 4 by 4 post as required.
Remove and replace damaged 5/8 drywall
Repaint as required
Repair Service conduit.
Install new garage door to match existing.
T
JL _
13-
C-
D-
E-
F -
C
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR ONSTRUC ION
DAT
0 FCP*WTD 'PAMAW►e C s
Existing beams to remain
2 by 4 wall
8 ft high (replace)
4 by 4 posts
(replace)
2 by 4 wall
10 ft (replace)
Garage door
(replace
Electric panel