BRES2015-0136I /
78-495 CALLE TAMPICO + / C� A D � �.
"'� VOICE (760) 777-7125
LA QUINTA, CAW253 253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/2.0/2015
Application umber: BRES2015-0136 Owner:
Property Address: 51960 AVENIDA MORALES BRIAN SCHREIBEN
APN: - 773152011 59160 AVENIDA MORALES
Application Description: SCHREIBEN RESIDENCE/NEW WINDOW LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
Applicant:
AG CONSTRUCTION
PO BOX 657
THOUSAND PALMS, CA 92276
A
APR 2 0 2015
CITYOFLAQUINTA
COMMUNITY 0F.VELOPMENT DEPAP.TMENT
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 Professions Code,
and my License is in full force and effect.
License Class.License No.:
,Date: ellli' / Contractor: (p ��r✓f/+� L1, c/�7
OWNER -BUILDER DECLARATION
1 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 Divisio
/ of the Business and Professions Code) or that he or she is exempt therefrom and the
rr basisdor the alleged exemption. Any violation of Section 7031.5 by any applicant fo a
pe{'mit 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.).
( ) 1, 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
the performance of the work for which this permit is issued (Sec. 3097,.Civ. C.).
Lender's
Lender's Address:
Contractor:
AG CONSTRUCTION
PO BOX 657
THOUSAND PALMS, CA 92276
(760)404-7316
LIC. No.:
WORKER'S COMPENSATION DECLARATION
I hereby ff• 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 th ork for which this permit is issued.
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 polity number are:
Carrier: Policy Number:_ �']��
certify that in the performARce bPthe 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 Code, I shall forthwith
Comply with those provisions.
t// /I
Daje: T Z�/_/� Applicant:
WARNING: FAILURE TO SECURE WORKERS' 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 Building Official 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 informatiori 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 upon the above-
mentioned property for inspection purposes.
Date: Z('i /%� Signature (Applicant or Agen
.,.
-�
,�
�, -
� -
i
Description: SCHREIBEN RESIDENCE/NEW WINDOW
ADDITIONAL
Type: BUILDING, RESIDENTIAL Subtype: REMODEL
Status: APPROVED
Applied: 4/14/2015 MFA
Approved: 4/20/2015 LUR
Parcel No: 773152011 Site Address: 51960 AVENIDA MORALES LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 29 Lot:
14
Issued:
UNIT 2
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $0.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: NEW 5'0" X 3'0" WINDOW IN GARAGE W/ 4"X10" HEADER
6
APPlied to Approved ;
" x
Printed: Monday, April 20, 2015 4:00:05 PM 1 of 2
S YS7EAAS
a
ADDITIONAL
o' CHRONOLOGYTYPE'=
, STAFF NAME
ACTION. DATE CONiPLETION`DATE" - x `� NOTES
TELEPHONE CALL
LUIS URIBE
4/20/2015
4/20/2015
SPOKE TO ARRON AND LET HIM KNOW THAT PERMIT HAD
BEEN APPROVED AND READY TO BE ISSUED.
CONDITIONS
CONTACTS
NAME TYPE
NAME -
ADDRESSI
CITY T
STATE''.
t j ZIP-- PHONE : .. FAX - EMAIL?...
APPLICANT
AG CONSTRUCTION
PO BOX 657
THOUSAND
CA
92276 (951)837-1973
PALMS
CONTRACTOR
AG CONSTRUCTION
PO BOX 657
THOUSAND
CA
92276 (951)837-1973
PALMS
OWNER
BRIAN SCHREIBEN
59160 AVENIDA
LA QUINTA
CA
92253 (951)837-1973
MORALES
Printed: Monday, April 20, 2015 4:00:05 PM 1 of 2
S YS7EAAS
a
DESCRIPTION
ACCOUNT
-.,,..�.7
77
AMOUNT
5 >.PAIf)
---------rt---
PAID DATE
-�- - - ---
RECEIPT#
# ,
+..------... -
METHOD
r ' PAID BY
.c-
r
e
a
y
i SMI - RESIDENTIAL
1CHECK
O1-0000-20308
NO—
$0.50
$0.00
'
7 Total Paid forSTRONG MOTION INSTRUMENTATION SM! $0.50 $0.00
DOOR/WINDOW, NEW,
101-0000-42400
0
$60.91
$0.00
FIRST 1
+
DOOR/WINDOW, NEW,
101-0000-42600
0
$59.46
$0.00
FIRST 1 PC
Total Paid for WINDOW/SLIDING GLASS
$120.37 $0.00
DOOR/FENESTRATION:
TOTALS:• i 00
INSPECTIONS
SEQID INSPECTION TYPE` ' INSPECTOR SCHEDULED COMPLETED RESULT ` REMARKS '' > - NOTES
y DATE DATE
FINAL" BLD
PARENT PROJECTS
BOND INFORMATION
Printed: Monday, April 20, 2015 4:00:05 PM 2 of 2
SYSTEMS
Next Level Door and Millwork `
T.IVA
- .
� 82585 Showcase Parkway Ji*
:.. .
Indio, Ca 92203
760-262-6393 ��r�eo%tM
Prolect'lnfQrmat
Project:
AG CON.
Project ID: 141
Sales Rep:
Chris
Created Date: 03/11/2015
Delivery / Pickup:
Delivery
Modified Date: 03/11/2015
Print Date: 03/11/2015
Customer:
RETAIL
Pb: •
Terms:
Est. Delivery:
Comments:
(After Receipt of Order)
Biiiinip'pit g information,`
i1q
ti i..
Customer Name:
Jobsite Contact:
Address:
Address:
Customer Phone:
Contact Phone:
Fax:
Fax:
(Select Preference)
Email:
Email:
Manufacturer: Milgard
Item: 0002
Location:
Quantity: 1
Styleline Vinyl, 6170, HV, Net 60" x 36", UF: 0.34, SGC: 0.31, VLT: 0.57
203.28
Standard Z -Bar
r
20.79
Item Total: $
224.07
Clear Opening W: 27 3/8" H: 33 1/2" SQ: 6.37
Item Quantity Total: $
224.07
X '
Fin Placement: Standard Z -Bar; Sliding Direction: XO; Exterior Finish:
White; Interior Finish: White; Glazing: Dual Glazed (Insulated Glass);
Outer Glass Lite Option: SunCoat Low -E; Inner Glass Lite Option: Clear;
Glass Thick 1: 3/32'; Glass Thick 2: 3/32'; Spacer Type: EdgeGard;
Screen: Standard with Fiberglass mesh; STC: 28 CPD:
MIL -A-153-01068-00001
Line Item Comments:
Customer Approval:
Initials
Quote ID: 141
1 Of 2
r
• r
r
03/11/2015
r
Bin #
City of La Quinta
)� Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Project Address: 6
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
r p 3 % -
Telephone:h.one• %
Address: Zo Rov
Project Description:
City, ST, Zip: 7'
Te ne•
le h
Po . !? O
t% �
7 Y s
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X
State Lic. # : ZL
City Lic. #.:
"
Arch., Engr., Designer:
.� {
Address:
City, ST, Zip:
Telephone:
Co nstructi n Type: e: anc
YP Occu Y•
P
State Lic. #
Pr '
o ect a cir cle one : N w
J tYP � e Add'n Alter Repair Demo
Name of Contact Person:
�
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: CUD Yp Y-
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Caics.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales,
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees