RER (12-1131) + SFD (07436)52080 Avenida Martinez
12-1131
07436
C
' 6rr
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4t!t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
12-00001131
Property Address:
52080 AVENIDA MARTINEZ
APN:
773-232-004-19 -000000-
Application description:
REMODEL - RESIDENTIAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
2500
Applicant: ,0
Architect or Engineer:
ata
--------------------------------------------------
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: B LicenseNo.: 9140158►4
Date: ractor• O
/ OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor'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.).
1 _ 1 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. , BAP.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. 3009(7, Civ. C.).
Lender's Name:
Lender's Address:
LQPERAI IT
Owner:
MARK MORTON
517 ORANGE AVE
NEWPORT BEACH, CA 92663
Contractor:
SUN VALLEY DEVELOPMENT
73900 DINAH SHORE DR. #202
PALM DESERT, CA 92211
(760)832-7406
Lic. No.: 940584
VOICE (760) 7-7012
FAX (760) 77 -
INSPECTIONS (760) 777-7153
Date: 9/25/12
-----------------------------------------------
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.
Y_ 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 1978014-2012
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 subject to the workers' compensation provisions of Section
3700 of the Labor C de, I shall forthwith comply 'th t ose provisions.
/Date:C ? 12 ica Q
WARNING: FAILURE TO SECURE WO KERS' 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 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 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 nd state laws relating to building construction, and hereby authorize representatives
of th/is a nty to enter u n the above-mentioned for inspection purposes.
Dais e: Signature (Applicant or Agent • 0-t
Application Number . . . . . 12-00001131
Permit . . . ELEC-MISCELLANEOUS
Additional desc . .
Permit Fee . . . . 15.75 Plan Check Fee
3.94
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 3/24/_13
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
---------------------------------------------------------------
.75
--------------
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 54.00 Plan Check Fee
00
Issue Date . . . . Valuation . . .
. 2175
Expiration Date . . 3/24/13
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000
9.00
----------------------------------------------------------------------------
Special Notes and Comments
" 87 L.F. 6' GARDEN WALL, CITY STANDARD@
SIDE P/L, INSTALL (1) PORCH LIGHT,
PAINT, AND INSTALL GATE.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
--------------------
Due
-------------------------------------
Permit Fee Total 69.75 .00 .00
69.75
Plan Check Total 3.94 .00 .00
3.94
Other Fee Total 1.00 .00 .00
1.00
Grand Total 74.69 .00 .00
74.69
LQPERMIT
Project
Project Address
Scope
Date
l
FC
I
-
-
H
'bl
41.E
-T ;
J
l i
EO
I
!i
_
I.
i 71`
Se's -I`
O
Y
Jew -- . . :SUitF1 1ii-.X4sF r
'J2
t1c (
Submitted d
To:... /(/T, c-...... .... /!1tr..-........... _..................................
...b . ................... -U.. . c.................................
L... Z .............. G,.oKI.... .... C. *
SUBSTANTIAL COMMENCEMENT OF WORK SHALL CONSIST OF
Page No. of Pages
PROPOSAL 0802
PROPERTY LINES: Owner shall locate and point out property lines
to contractor. Contractor may, at his option, require owner to provide
a licensed land surveyor's map of property.
JOB NAMERJUMBERJOB PHONE
:Z( ,:::5 C 0 7-2-3/9
JOB LOCATION
DATE
UA I t OF I`LAN.,
COMPLETION DATE (Approximate(
CONTRACTOR'S LICENSE NUMBER' HOME IMPROVEMENT SAX.E.BPERSON SALESPERSON'S REGISTRATION NUMBER DATE OF PROPOSAL
NT
I.pOS 3`( TGNgGTo `i ?-Z-0 -(2
We hereby submit specifications and estimates for::/ / y / / / ,p /
'b..... ...... 7(............a..Z_........FO.o.r........./f .D................V ! z-.y............L _G.O........... C.-S..l............./._S..T'2.._ .............Q.......,......1!.G._(......_ - .4
.../.-*%L ...%.............. i!c„N.1............I%o.Q.✓.......................... 3r"..._j............ ... ✓5i/7.../.........................9.................. r.'.c :9...:......................................................................................................................I.............................
.................................... .......... .`._-......................,............. ........... .................... /" ............................................................................ ........... ..............................................................
............ ... ...... ..................... ..... ........... _..... .... ..... ........... ...
Contractors are required by law to be licensed and regulated by the Contractors' State License Board which has
jurisdiction to investigate complaints against contractors if a complaint regarding a patent act or omission is filed
within four years of the date of the alleged violation. A complaint regarding a latent act or omission pertaining to
structural defects must be filed within ' 10 years of the date of the alleged violation. Any questions concerning a
contractor may be referred to -the Registrar, Contractors' State License..Bo2rc!,_ P -O.. Box -16000, Sacramento,. CA -958-96.,
STATE LAW REQUIRES ANYONE WHO CON'T'RACTS TO DO CONSTRUC'T'ION WORK TO BE LICENSED BY,THE CONTRACTORS' STATE LICENSE .
130ARD IN THE LICENSED CATEGORY 1N WHICH THE CONTRACTOR IS GOING TO BE WORKING -- IF THE TOTAL PRICE OF THE JOB IS $501)
OR MORE (INCLUDING LABOR AND MATERIALS).
LICENSED CON'T'RACTORS ARE REGULATED BY LAWS DESIGNEDTO t'RO'I'I'.:CTT'HE PUBLIC. IF YOU CONT'RAC'T' WI'T'H SOMEONE WHO DOEti
NOT HAVE A LICENSE, THE CONTRACTORS' STATE LICENSE: BOARD MAY BE LINABLE TO ASSIST YOU WITH A COMPLAINT. YOUR ONLY
REMEDY AGAINST AN UNLICENSED CONTRACTOR MAY BE IN CIVIL COURT, AND YOU MAY BE L,IARLE' FOIL DAMAGES ARISING OUT OF ANY'
INJURIFFS To 'CHB CONTRACTOR OR HIS OR HER EMPLOYEES.
YOU MAY CONTACT THF. CONTRACTORS' S'PAT'E LICENSE BOARD TO FIND OUT' ti THIS CONTRACTOR HAS A VALID LICENSE. THE BOARi)
HAS COMPLETE INFORMATION ON THE HISTORY Oh LICENSED CONTRACTORS, INCLUDING ANY POSSIBLE SUSPENSIONS, REVOCATIONS,
JUDCMENT'S, AND CITATIONS. THE: BOARD HAS OFFICES THROUGHOUT CALIFORNIA. PLEASE CHECK THE GOVERNME?NI' PACES OF
WHITE PAGES FOR THE OFFICE NEARF.S'1' YOU OR CALL. I-811X)-321-CSL.B FOR MORE. INFORMATION.
We Propose to perform the above work in accordance with the drawings and specifications submitted, and to complete it in a workmanlike manner
according to standard practices for the sum of: 3 Down Payment of: 3 7S
PAYMENT SCHEDULE. The Contract Price shall be paid in progress payments, which do not
include finance charges of any kind, according to the following schedule:
a % ($ upon signing Contract;
% ($ . _) upon completion of
0:=
d
% ($ 020 . ) upon completion of /moo--, s 7
($17So:,crhall be made forthwith upon
completion of work under this contract.
Upon satisfactory payment being made for any portion of the
work performed, the Contractor shall, prior to any further payment
being made, furnish to the Owner or Tenant contracting for the
home improvement or swimming pool, a full and unconditional
release from any claim or mechanics' lien for that portion of
the work for which payment has been made.
You the Owner or Tenant have the right to require
the Contractor to have a performance and
payment bond.
Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are hereby accepted. You are
authorized to do the work as specified. Payment will. be made as outlined above. It is understood and agreed that this Work is not provided for in any
other agreement and no contractual rights arise until this proposal is accepted in writing.
Failure by the Contractor, without lawful excuse, to substantially commence work within twenty (20) days from the
approximate date specified in this contract when the work will begin, is a violation of the Contractors License La
Authorized _
Signature Date (_ Acceptance Date
(OWNER'S SIGNATURE)
You, the Buyer, may cancel this transaction at any time prior to midnight of the third business d y a the
date of this transaction. See the Notice of Cancellation form (reverse side) for an explanation of this rig
IMPORTANT INFORMATION ON BACK ►
tsin rt
Permit # \ \
JC Project Address: S Z
Submittal Req'd
Plan Sets
Structural C91GS.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit APPlication and Tracking Sheet
wner's Name: AA ,
Laaress: E L 7
O/LA
'ity, ST, Zip:
elephone: 2
roject Description: !:
t t.
r
Lic. #:
Construction Type:
A. P. Number:
Project type (circle one):
Legal Description:
Sq. Ft.:
Contractor:
1W
Address: 6 '
d
Ciq•, ST, Zip:
Q6.
APPLICANT.: DO NOT WRITE BELOW
Telephone:
jC
State Lic. # :
Recd
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #.:
Name of Contact Person:
Telephone # of Contact Person:
Submittal Req'd
Plan Sets
Structural C91GS.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit APPlication and Tracking Sheet
wner's Name: AA ,
Laaress: E L 7
O/LA
'ity, ST, Zip:
elephone: 2
roject Description: !:
t t.
r
Lic. #:
Construction Type:
Occupancy:
Project type (circle one):
------------
New Add'n Alter Repair Dcmo
Sq. Ft.:
# Stories:
# Units:
3 Estimated Value of Project:
d
Q6.
APPLICANT.: DO NOT WRITE BELOW
THIS LINE
Recd
TRACKING
PERMIT FEES
Plan Check submitted
Item
Amount
Reviewed, readv for corrections
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
2" Review, ready for corrections/issue
Electrical
Called Contact Person
Plumbing
Plans picked up
Plans resubmitted
Grading
'" Review, ready for corrections/issue
Developer Impact Fee
Called Contact Person
A.I.P. P.
Date of permit issue
Total Permit Fees
I®
4
7z P.O. BOX 1504 No. 07436
Building T'iZ7&105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner I
}avid biller
mailing
Address 1719 S. TremOt
City Zip Tel.
Oceamide 1 92054 1 619-967-1588
Contractor
Address
ity lZip
State Lic. I City
& Classif. 4295,31 Lic. #
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
traicensed under provisions o4,Chapter 9 (commen ing with Section
iq sss nand Profe' ions Code, and my license';, in ull forte and
\ OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such 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 did not build or improve for the purpose of sale.)
O I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
O Copy is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
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.
Date Owner
NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is'subject to
expiration if work thereunder is suspended for 180 days.
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 hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
BUILDING: TYPE CONST
Number "1-232-04
OCC. GRP.:
Legal Description
Project Description
Single Family belling
Sq. Ft. ism
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$8'3.175
PERMIT
AMOUNT
Plan Chk. Dep.
25Q.00
Plan Chk. Bal.
240.44
Const.
56740
Mech.
Electrical
120.67
Plumbing
in.56
S.M.I.
5.88
Grading
20.00
Driveway Enc.
20.00
Infrastructure
1,836.04
TOTAL
33 2%8.53
REMARKS
i1,3Yt f ii 3. «7iY«el..ra
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date 3%2 ermit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
2ND FL SO. FT.
POR. SO, FT. ®
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. FT. ®
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SEPTI TANK ROUGH WIRING DUCT WORK
FLOOR DRAIN
MECHANICAL FEES
GAS (ROUGH) METER LOOP HEATING (FINAL)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
WATER HEATER SERVICE FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
WATER SYSTEM
GRADING
FINAL INSP. a cu. yd.
FINAL INSP. $ —plus—x$—=$
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FRAMING U /IDn
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SO. FT. ®c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
LATHING
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK C/,x y ^
PM G UNDERGROUND A.C. UNIT
COLL. AREA
SLAB GRADE t 1k 9 y
ROUGH PLUMB. BONDING HEATING (ROUGH)
014
STORAGE TANK
FORMS
SEPTI TANK ROUGH WIRING DUCT WORK
ROCK STORAGE
FOUND. REINF. /i /
7
GAS (ROUGH) METER LOOP HEATING (FINAL)
OTHER APPIEOUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE V 1-! 1va c /Lj
GROUT
WATER HEATER SERVICE FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
FINAL INSP. a cu. yd.
FINAL INSP. $ —plus—x$—=$
LUMBER GR.
FRAMING U /IDn
ROOFING&Ali- 212 ij0
V
i
5
P
0
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL