Loading...
05-0353 (RER)79365 Mandarina 05-0353 BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760),777-7012 t95 CALLE TAMPICO FAX (760) 777-7011 6 UINTA, ,CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7.153 D BUILDING PERMIT FC3 3 2005 Q IWTA N Tnber 05=0-0'00.0353 Date 2/02/05 P y Address 79365 MANDARINA APN: 772-350-013- - - Application description REMODEL - RESIDENTIAL Property Zoning . . . . LOW DENSITY RESIDENTIAL Application valuation . . . 18000 Owner Contractor JOHN 'SHAW OWNER .79-365 MANDARINA LA QUINTA CA'92253' -- -- Structure Information REMODEL KITCHEN ----- 'Construction Type TYPE V NON RATED .Occupancy.Type DWELLG/LODGING/CONG <=10 Flood Zone NON -AO FLOOD ZONE Other structs' info- 'CODE EDITION 2001 CBC Permit. . . BUILDING PERMIT Additional desc.. Permit Fee 189.0.0 Plan Check Fee'. 122.85 Issue Date Valuation 18000 Qty, Unit Charge Per Extension BASE FEE 45.00 16.00 9.0000 THOU BLDG 2,001-25,000 144.00 Permit ELECT - ADD/ALT/REM Additional desc Permit Fee 26.25. Plan Check Fee 6.56 Issue Date Valuation . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 15.00 ..7500 PER' ELEC DEVICE/FIXTURE.IST 20 11.25 ------------------------------------------------------------------------------- Permit MECHANICAL Additional desc Permit Fee 24..00 Plan Check Fee 6.00 Issue Date . . . . Valuation, 0 Qty Unit Charge Per Extension BASE FEE .15.00 1..00 9.0000 EA MECH APPL REP/ALT/ADD 9:00 ------------ Permit PLUMBING Additional desc -1a P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 35 3 Date: Applicant: I Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 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 Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to constrict, alter, improve, demolish, or repair any stricture, 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 Contractors' 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 t yapplicant 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 or 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.). U 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 owneldT property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.. U I am exempt under Sec. B.& P.7.. f r this rep. Datewner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury a 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 Nu er certify that, in the performanceof1he work r hich thi pe is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of Califomia, a d a hat, i s 1' ecome subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi ons ate pplicant WARNING: FAILURE TO SECURE WOR RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH SAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, I EREST, AND ATTORNEY'S FEES. 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 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 and v ' 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 c.a cella on. I certify that I have read this application and state that the ab d info do is corre I to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representa ' es of this c unty toe er po he a ention property for inspection purposes. to ignature (Applicant or Agent): arSL , J' ' s Page . 2. Application Number . . . . . 05-00000353 Date 2/02/05 Permit Fee 18.00 Plan Check Fee-. 4.50 Issue Date . . t Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 ---------------------------------------------------------------------------- Special Notes and Comments REMODEL KITCHEN AREA AND RELOCATE DOOR.2 /2/05 1:34:42 PM jjohnson -------------------------------7-------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 12.29 STRONG MOTION (SMI) - RES 1.80 Fee summary Charged ----------------- Paid Credited Due --- ------ Permit Fee Total 257.25 ---------- ---------- .00. ---------- .00 257.25 Plan Check Total 139.91 .00 .00 139.91 Other Fee Total 14.09 .00 .00 -14.09 Grand Total 411.25' .00 .00 411.25 di ty of La Quinta Building 8T Safety Division . P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: " "j C VA i Owner's Name: X A. P. Number: Address: X – Legal Description: City. ST. Zip: y, Contractor: x Telephone: Address: Q — Project Description: X City. ST, Zip: Y Telephone: hon e. x State Lic. # : x° Citv Lic. #: Arch.. Engr.. Designer: Address: City, ST, Zip: Telephone: one: to XX S toLic ' . # X. Construction s ructi on cc Y Occupancy: u ancy Te•XX P Project type (circle e on e1. New Add' n Alt er Repair Demo Name of Contact Person: X Sq, Ft.: # Stories: # Units: Telephone # of Contact Person:Estimated Value of Project: X APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Ree'd TRACKING PERMIT FEES Plan Sets Plan Check submitted US Item Amount Structural Calcs. 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 2"' Review, ready for corrections/issu Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up SAM. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '".Review, readv for corrections/issue Developer- Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue a p School Fees ° Total Permit Fees a RESIDENTIAL RENOVATION PROJECT: G I TRUS BUILDER: RJT HOMES ORIGINAL DOWNING "AN ADEQUATELY SIZED DEBRIS CONTAINER IS REQUIRED ON THE 10B SITE DURING ALL PHASES OF CONSTRUCTION AND MUST BE EMPTIED AS NECESSARY. FAILURE TO DO SO MAY CAUSE THE CITY TO HAVE THE CONTAINER DUMPED 9THE EXPENSE OF THE OWNER/ CON—trukfOR:" Y COURSE — PLAN i CONSTRUCTION HOURS October ist - April 30 Monday - Friday: 7:00 a.m. to 5:30 pm. Saturday: 8:00 a.m. to 5:00 pm. Sunday: None Government Code Holidays: None May 1 st - September 30th ARCHITECT:. Monday - Friday: 6:00 a.m. to 7:00 p.m. Saturday: 8:00 a.m. to 5:00 p.m. THORPE JAMES Sunda: None Government Code Holidays: None ADDRESS: Construction is NOT PERMITTED on the following Code Holidays; 7Q-365 MANDARINA LA QUI NTA. GA C12:2 w Year's Day Martin Luther IGngir. Day President's Day Memorial Day - OWNER: Independence Day JOHN. SHAW Labor Day Veteran's Day Thanksgiving Day DES I ONER FOR REN ri A8Tq tN5: &OECKE DE51 CGNS MOLLY GOECKE 760 777 1205 CITY -OF LA QUINTA CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRU TION . DAT 2 BY GOEGKE DLII ROVE SH RESIDENCE VATEs 02-02-05 15-054 GMWJMM ,4 N G.I 15 — PLAN I. REVISIONS SUITE 0 LA 004TA_G_A x225%y 760 777-1205 : T:I TLE SHEET - r - 0 Q3VD Ltd M RESIDENCE PA -M' 02-02-05 5UITE 15UILDING & SAFETY D I IS - PLAN I REVISIONS - LA2UINT?kPrFMVED s 76014000NSTRUCTIOI Rz EX I STI NO FLOO P N m SUITED _ LiA QUMA UP# ! , ACTION -rho -rrr 1208. I DATE BY NSW FLOOR, F N , NO STFArMRAAL C4(W6EJt " FZMIRW FOR MONATION .> •- ' . .. ' 1, M _ TEN 2x4 WOOD STUD ` WALL —104 V4_ _ _ _ 2'-9 9/4' W-5 9/4' s " REFR RELOGATM ovm Ipl - NEA2x4 WOOD STUD -' RELOCATED 1 WALL r - I ` .. i' J 1, /♦ ila.. _ .Cys IY.J{ PANTRY .. I j r T• ., i DOOR ♦ 1 "'' TAW O SS ' i, BLOGIC PMEIdIN6 , 1 •' 4'-11 J✓8— I `T'i-1'i SF".. - V .Tl , - 'rl ^/ ♦,WALL TEN 2x4 WOOD STUD r. .. . pl. 5HAN RESIDENCE 02-02-05 ' I TRI S - PLAN I RE1/ IONS SUITED _ LiA QUMA UP# ! , ACTION -rho -rrr 1208. I DATE BY NSW FLOOR, F N , cul nPRqVEI LA DINT) NA (5 UCTIC 760M 1 1208 H RESIDENCE PATES 02-02-05 PLAN I REVISIONS =; EXI STING ELEGTRI AL LAN i9E Tim r AQUIN "78 009 I MIM V,6K6EI *E S'TED p, VED L QUI , ; UCTION 76 8 HAW RESIDENCE GATE= o:2 -o2 -o5 (TRIS - PLAN I REVISIO NEVI ELEGTRI'GAL F AZ i. i9E Tim r AQUIN "78 009 I MIM V,6K6EI *E S'TED p, VED L QUI , ; UCTION 76 8 HAW RESIDENCE GATE= o:2 -o2 -o5 (TRIS - PLAN I REVISIO NEVI ELEGTRI'GAL F AZ