06-0531 (RER)P.O. BOX 1504 LtFEB.
p
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUI
0 3 2006
FApplication Number: 06-00000531QUINTA
Property Address: 5190,y VENID9 aNCEDEPT
APN: 773-184-019-7 -000000-
Application description: REMODEL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 3000
Applicant:
Architect or Engineer:
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:
�,4
& SAFETY DEPARTMENT
ILDING PERMIT
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 ISec. 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
an�yfapplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
( 7U) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
7� 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 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
Data: 4' ! Owner:
I hereby affirm under penalty of perjury t
work for which this permit is issued (SeS
Lender's Name:
Lender's Address:
;t,
C-41111
LQPERMIT
LEN
Fe is a cSer�uGction lendir4 agency for the performance of the
, Civ.fzJ
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
.Owner:
RUIZ REFUGIO
51905 AVENIDA BERMUDAS
LA QUINTA, CA 92253
---------------------------------
Contractor:
Owner
------------------
WORKER'S COMPENSATION DECLARATION
Date: 2/03/06
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 Policy Number
ZO 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' compe}sation laws of California,
and agree that, if I sho d beco t to the workers' compenspCo provisions of Section
3700 of the La Code, all fo ith c ply with those visions
Date: Applicant: -�
NG: FAILURE,O SEC WORK `CO SATION COVERAGE IS UNL- WFUL, AND SHALL
SUBJECT AN EMPLOYER T CRIMIN ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION O 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 building construction, and hereby authtatives
of this county to enter upon the above-mentioned property for ins�aetfQR�brposes_ )
Date:
(Applicant or
E
N
4
LQPERMIT
Application Number . . . . 06-00000531
Permit . . . BUILDING PERMIT
Additional desc .
Permit.Fee 54.00 Plan Check
Fee
35.10
Issue Date . . . . Valuation
. . .
. 3000
Expiration Date 8/02/06
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000
9.00
7 ------------------------------------------------------------------------
Special Notes and Comments
STUCCO EXISTING RESIDENCE. REPLACE ALL
WINDOWS WITH SAME SIZE NEW WINDOWS WITH
U -FACTOR OF .57 AND SHGC OF .40 OR
BETTER ONLY. REMOVE ONE WINDOW FROM
BEDROOM ON NORTH SIDE OF HOUSE IF FIELD
INSPECTOR VERIFIES THAT REMAINING
WINDOW MEETS EMERGENCY EGRESS
REQUIREMENTS.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ENERGY REVIEW FEE
3.51
Fee 'summary Charged Paid Credited
- ------
Due
---- ------ ---------- ---------- ----------
Permit Fee Total 54.00 .00
----------
.00
54.00
Plan Check Total 35.10 .00
.00
35.10
Other Fee Total 3.51 .00
.00
3.51
Grand Total 92.61 .00
.00
92.61
fig. 1711
Bedroom Window
Egress
The second exit required in a
bedroom is usually a window.
The dimensions of the openings
are to ensure the residents an
escape route, but equally
important, they are designed
to allow a firefighter with a
backpack to enter. This openine
must be 24" high and 20" wide
min. (bt-6). The window sill
must not be higher than 44"
from the floor.
Masonry Fireplace
O Hearth slab distinguishable from surrounding floor 13102.7.121 [1003.7]
❑ Hearth slab min. thickness 4in ..................[3102.7.111 11003.71
❑ Opening <6sq.ft.—hearth depth 16in., 8in. from each side;
>_6sq.ft.—hearth depth 20in., 12in. from each side ..[3102.7.121 [1003.81
❑ Doors req'd. ..................................[energy] [n/a]
❑ All combustion air from outside .....................[n/al 11006.11
❑ Min. tin. separation between chimney & combustibles[ 3102.7.8] 11003.91
❑ Min. 50sq.in. flue size (round); throat 4in. deep,
Bin. above opening ............................13102.7.9] [1001.111
'CABO differences from UBC
fig. 1712
Masonry -Fireplace
Clearances
fig. 1713 a Fireplace Surround
1" clearance per
Factory -made fireplaces come with recommendations for hearth -
protection materials. Substitution of materials requires calculation
to determine the minimum thickness of the proposed material.
k:pe�»1'" r
r=1' k
Portland cement
0.2
Micore 30OTM rt T r' :
0.2
Micore 230TM 0.4;k.'
2.3
xv
place opening up
Micore 180TM ! : y,A;36a;,y
2.8
CeraboardTM'":'034,,..
2.9
jection needs 6"
Ceraform 126TM`YA
3.7
Metal lath &plaster��`��
O;LZ:
3.7
DurockTM : "0:84
1.2
t.•
E---12" -�--�'
WonderboardTM } -3.2y" _:: -
0.3
Brick-' "; .z+ 3''
0.2
Mortar ' ` 5, 01-
0.2
Limestone „-.�; 65s:n^f,N4;;,
0.2
Marble 3; a•11",''
0.1
Tile L 1' %•
0.1
Hardiboard (s/,6")"'t�t6�"�'
0.15
T,—_Thrckness;regwred;to,meet sl3ers,'
r
�R value �req:d by menu �s � s, ; ''•�` :4
Theraliresistahte
;..
— of c�os?ein mateciai,
rfm
k +Thermal,condudiJity of chosen maierial
of.listed matefial Y '
;�;
1kh=-Th`ermai,,condudivity
ITI-Thickne06f listed material,
^'
� Ta -Thickness of chos2n matie�ial�' r�; r " ,E.
,
Example for brick when R -value is given Req'd.
R = 1.19
T=R_r=1.19_0.2=5.95" (2 courses)
Exampliiwhere a ma4enal is listed`
Listed material is Du�ockTM k = `84 TI = YZ
Alternate material chosen Micore TlA
F Tr k x TI T kl" 0 43<z Y: Q:84 0 255" < 117
} tfi Mitor�e"230 is adequate
„thick
fig. 1711
Bedroom Window
Egress
The second exit required in a
bedroom is usually a window.
The dimensions of the openings
are to ensure the residents an
escape route, but equally
important, they are designed
to allow a firefighter with a
backpack to enter. This openine
must be 24" high and 20" wide
min. (bt-6). The window sill
must not be higher than 44"
from the floor.
Masonry Fireplace
O Hearth slab distinguishable from surrounding floor 13102.7.121 [1003.7]
❑ Hearth slab min. thickness 4in ..................[3102.7.111 11003.71
❑ Opening <6sq.ft.—hearth depth 16in., 8in. from each side;
>_6sq.ft.—hearth depth 20in., 12in. from each side ..[3102.7.121 [1003.81
❑ Doors req'd. ..................................[energy] [n/a]
❑ All combustion air from outside .....................[n/al 11006.11
❑ Min. tin. separation between chimney & combustibles[ 3102.7.8] 11003.91
❑ Min. 50sq.in. flue size (round); throat 4in. deep,
Bin. above opening ............................13102.7.9] [1001.111
'CABO differences from UBC
fig. 1712
Masonry -Fireplace
Clearances
fig. 1713 a Fireplace Surround
Vim' V*o e-0 �%�.9 99 s`s
1" clearance per
f�
Ye' projection of
Masonry
combustible
fa, ja
material 6ur-
?:P'�ecialsprettonsi
_tfe�:•a Fptrn�atibns
rounding fire-
dial 0) C-ha-hanto's
Combustible
place opening up
!.�' '�INnosFaS
_�autaid;ry �� F3'r�o�o� •ay 'p�' g
to 12". 3/4' pro-
a`sirSlizihg
jection needs 6"
clearance; 111i,
e FSa a c s
projection needs
I Min. clearance
12" clearance.
E---12" -�--�'
}
Vim' V*o e-0 �%�.9 99 s`s
[ r _ 1aso_It il, Frp a4e'' Eg ess
f�
oo ire Shea l t
San aN-es, '1G aulCoffer=s)
fa, ja
Ito
?:P'�ecialsprettonsi
_tfe�:•a Fptrn�atibns
1,
dial 0) C-ha-hanto's
_ - W -wain $_IAI X3 yJ''C Cwim w Woo" /;Vet t'i
!.�' '�INnosFaS
_�autaid;ry �� F3'r�o�o� •ay 'p�' g
a`sirSlizihg
i.
e FSa a c s
A o 40� mba0'0e4
*0a>;es�
}
e. g'0_ i y'�'{""�'"•y1�r.�w�'.T' ��/" A -a
�QjunAng .. o �a�y', �j�y,►y _ �J1
m
tS. • .:.i.c.
Bin #
City of La Quinta
Building U Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # IP.O.
b j ✓ j
Project Address: rJ �� (� s
Owner's Name:
A. P. Number:
Address: ck� oo JcA.%
Legal Description:
City, ST, Zip:
C
Contractor:
Telephone: --
Address:
Project Description:
City, ST, Zip:
Telephone:
State Lie. # :
City Lie. #:
&�
Arch., Engr., Designer:
c
Address:
S • y0 'J 7
City, ST, Zip: 2
Telephone:--+ q
Construction Type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Calcs.
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:-
'`" 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
OWNERBUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be
aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the State and Federal Government as an employer and you are subject
to several obligations include State and Federal income tax withholding, federal social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Administration). For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contracts are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit -will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777-7012
FAX: (760) 777-
-
d S AT
PROPERTY ADDRESS
0t-' 3%
PERMIT NUMBER(S)
a
20,
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