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RER (12-0882)53798 Avenida Madero 12-0882 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: A ....r,,...... X12=0000.0:8.82_' 53798 AVENIDA MADERO 774-143-004-21 -000000- REMODEL - RESIDENTIAL COVE RESIDENTIAL 754 Tity/ 4 4 R" Architect or Engineer: LICENSED CONTRACTOR'S DECLARAT BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed and ovisio s of ftapte on rn ficing with Section 70001 of Division 3 of the Busine d Profession s Code, and License is in f rca and effect. Lice e C ss: B C8 C54 License No 19733 Date: Contractor: OWNER -BUILD DEC ATION I hereby affirm under penalty of perjury that I am exempt from the ontractor'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).: ( 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 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, 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: NEIGHBORHOOD COMMUNITY 268 N. LINCOLN. AVE CORONA, CA 92882 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/07/12 Contractor: I!E d !.. A A MAX QUALITY CONSTR j 31325 VIA LAS PALMAS AUG C lip .12 THOUSAND PALMS, CA 922 (760) 844-4045 CITY OF Lic. No.: 919733 q, LA lfliI . ------------7---------------------------------- 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. 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 0011958-2011 1 certify that, in the performance of the work 'ch this permit ' shal t e loy any person in any manner so as t subject tot wor compen io aw California, and agree that, if I shou ecome subject to the wo er compen on p vi ' ns of Section 3700 of the Labor e, 1 shall forthwith comply th ose visions. ate.' pplicant: WARNING: FAILURE TO SECURE WORKERS' COM PEN TION VERAGE IS UNLAWFUL, AND SHALL ' SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A 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 Ouinta, 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 corn ed within 180 days from date of issuance of such permit, or c tion of work for 18 ays wil s )ect permit to cancellation. - I certify that I have read this application and state that the abo ormatio orrec I a e to c with all city and co my or finances d state laws relating to buil ' n(struction, and hereb au onze repr ntatives oftlthisJ o ty t nter u n the above-mentioned pro rty_f, r ins ion purposes. a0- te: ignature (Applicant or Agent): Application Number . . . . . 12-00000882 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 21.00 Plan Check Fee 13.65 Issue Date . . . . Valuation . . . . 754 Expiration Date 2/03/13 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 2.0000 HND BLDG 501-2,000 ------------------------------------ --------------------------------------- 6.00 Permit . ..PLUMBING Additional desc Permit Fee . . . 22.50 Plan Check Fee 5:63 Issue Date .. . . . Valuation . . . . 0 Expiration Date 2/03/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER - HEATER/VENT 7.50 • --------------------------------------------------------------------------- Special Notes and Comments INSTALL NEW 40 GALLON ELECTRIC WATER HEATER, FRAME SHOWER DAM AND BACKING,INSTALL 2 -PIECE DRAIN & TORCH DOWN SHOWER PAN LOCATED IN HALL BATH. 2010 CODES. : ------------------------------------------------------- Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 1.37 STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid Credited ----------------- Due -------------------- Permit Fee Total 43.50 -------------------- .00 .00 43.50 Plan Check Total 19.28 .00 .00 19.28 Other Fee Total 2.87 .00 .00 2.87 Grand Total 65.65 .00 .00 65.65 LQPERMIT General Information Site Address: Enforcement Agency : Date: Buil T Sin le Famil D Multi Family Project Type: O Re lacer vot or Change Out of Water Heater. WATER HEATING • I certify that this Certificate of Compliance documentation is accurate and complete. List newer installed water heaters and boilers for both domestic hot water heaters (DWH) and h►dronic spare hearing. Newip installed D.WH hearers and boilers #trust. be as, e, or rise the existingel nDistribution identified on this Certificate of Compliance. Water Haxter Number In Tank Energy Factor or External Insulation TYPd Type t2 System Capacity (gal) Thermal Efficiency R -Valuer ZUkT9AI • I enforcement agency for approval with•this building rt applicaumi. v' / 1 : 1. Indicate Type (Storage Gas, Heat Plump; Inslantaneous. etc.) Cicy/Su dd. ip, 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §1 An). The Prcscriprivr. requirements do not allow the installation of a recirculating water heating system for single dwelling units. i. The a vernal water heatin tank and pipes shall be insulated to meet the requirements of § 150a Contractor or Houteowner (Documentation Author'stResponsible Building Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. • I am eligible under Division 3 of the California Business and professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • 1 certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance. conform to the requirements of Title 24, Part I and 6 of the California Code of Regulations. • The building design featuncs identified on this Certificate of Compliance are consistent " onnation provided to document this hd building design on the other applicable compliance fortes, worksheets, calatlatio s l spocificaC mitred to the enforcement agency for approval with•this building rt applicaumi. Name:. n C) .) / / Signatux• % / /O✓ / 1 : License: Cicy/Su dd. ip, Phone. // / Design group 12 July 2012 Design Planning Construction Avenida Kesidence 53198 Avenida Madero La Quinta, Ca, 92253 P.0, I3ox 5156 Palm nesert, California 92261 Tel, 760, 641,8894 Fax 818,222,5422 Page 11 This is an itemized Iist for the remodel Con5truct►on work to be proposed for the address of 53198 Avenida Madero La Quinta, CA 92253, Project Location; Proposal for project located at 53798 Avenida Madero La Quinta. CA 92253, Project liescription: Hou51 : Page 12 * pemoval of all trash and debris from interior of house, * pemoval of the located at kitchen floors and side walls at livinq room, * Hall bath: Pemoval of drywall, Shower, Floor tile, 5ave toilet and sink, * temoval of carpet and pad from bedrooms, and trash, * Install saltillo floor located in kitchen and Hallway, removal of existing kitchen flooring, * pepairing of kitchen cabinet, build new pantnq cabinet, and panel for refrigerator, * Install glass in one cabinet door located In kitchen, * pepair drywall located in kitchen, I ivinq room, Hall bath, Master bath, Pape, and texture to match existinq, * pemoval of all existinq casinq and replace doors with prehunq doors from home depot usinq hollow core 6 panel wood gram/ two I hour fire rating doors for garage, Check all electric, replace missinq switch covers,lnstall c,o, smoke detectors, pemoval of all wood on walls located in master bath room and repair as necessary and patch, texture to match existinq. Install two new vanitys, faucet, mirriors from costo located In Master bath room. pemoval of tole floorinq up to bath room door located in Master bedroom, Frame shower 19amn and backinq, install two piece drain located in Hall bath room, fourth down shower pan located in hallway bathroom, Install wonder board wall for tile hallway bathroom, Install the walls and floors porcelen tele from Home nepot &nstall toilet and pedestal located In Master bedroom, peplace existing garage door with one used door located in garage, Project 17e5cription continuation: HOUSE; Page 13 * Repair platform for existinq water heater, remove and replace existinq water heater. * Interior painting cedinq and walls are to have two coats of paint and all doors, Exterrior paint and paintinq of garage door, New water heater 40 gal, earth quake strap to be Installed. Al three bedrooms are to have new padinq and carpet from Nome liepot, Install two new mirror closet sliding doors located in both bedrooms, Re roof with Shasta white shingels, edge metal,and flashinq. City permit for roof only, To service existing HVAC unit, Replace with new filters, and clean existing coil, ( not replacing existinq condensor unit) , payment agreed amount to be paid to AA Max Quality forsaid work described above; Total amount for said described work is in AA Max Quality Contractor: Richard E, Foster C Richard E, Foster construction, Inc, Int' PichardUosterCo Anction,Inc, Lic, #13-C-53 01005 amount of, 19M 030,000,00 010 . !. ) Bin.# City of La Quinta Building fiL Safety Division P.O. Box 1504,78-495 Calle Tampico Ld.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # I g Project Address: Owner's Name:. /I Ii✓ r RjQ L jct7l, A. P. Number. Address: Legal Description: City, ST, Zip: /t./ d- v l 1 Tei h Contractor: . .aL Iyy/ ep one: Address: 513ZS'•V/f A L'A-3 ®L`Ltt}s Project Description: City, ST, Zip: Telephone: 7(v O — 5`f ! Y { cl r State Lic. # : 9.7✓?3 City Lic. #: Arch., Engr., Designer Address: City., ST, Zip: Telephone: '' Construction Type:. Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: /y Di✓i0 ivi/11 _Sq • FL: # Stories - #Univ: Telephone # of Contact Person: %l0 rg7 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE 1'9 # Submittal Req'd 'Rec'd TRACK NG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Pian Check Balance Title 24 Calm 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 Pians picked up S.M.I. MOA. Approval Plans resubmitted Grading IN ROUSE:- 7id Review; ready for correctionsfissuc Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. Pub. Wits. Appr - Date of permit issue School Fees Total Permit Fees ass I -7, . Ste'