11-0835 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
,11-00000835
48504 BIG HORN DR
623-470-003- - -
REMODEL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
9700
Tuyl 4 XP Q"
Architect or Engineer:
L14 -
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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: r B Lice�4988
�Date: //Contractor:
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 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:
IANNI BENNETT & MICHELLE
48504 BIG HORN DR
LA QUINTA, CA 92253
Contractor:
LEDESERT CONSTRUCTION INC
45202 CRYSTAL SPRINGS DRIVE
INDIO, CA 92201
(760)619-6216
Lic. No.: 954988
VOICE (760) 777-7012
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 EXEMPT Policy Number EXEMPT
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
c^3700 of the Labor Code, hall f hw' h comply with hose pro/visions.
Date: /V J ft- Applicant: �k^-1
i
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 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 authorize representatives
of this county to enter upon the above-mentioned property f inspe on p ossees. �L/J
Date: 10-5 Signature (Applicant or Agent):'
Application Number . . . . . 11-00000835
------ Structure Information 136SF GARAGE CONVERSION TO STORAGE -----
Other struct info . . . . . CODE EDITION 2010
----------------------------------------------------------------------------
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
BUILDING PERMIT
117.00 Plan Check Fee . . 76.05
Valuation . . . . 9700
4/01/12
Qty Unit Charge Per Extension
BASE FEE 45.00
8.00 9.0000 THOU BLDG 2,001-25,000 72.00
----------------------------------------------------------------------------
Permit . . . ELECT - ADD/ALT/REM
Additional desc .
Permit Fee- 19.76 Plan Check Fee 4.94
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/01/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
136.00 .0350 ELEC NEW RES -
1 OR 2 FAMILY
4.76
----------------------------------------------------------------------------
Special Notes and Comments
136SF GARAGE CONVERSION INTO ENCLOSED
STORAGE ROOM [CONVENTIONAL] THIS PERMIT
DOES NOT INCLUDE MECHANICAL OR PLUMBING
INSTALLATIONS AND IS NOT PERMITTED FOR
SLEEPING PURPOSES. 2010 CALIFORNIA
BUILDING CODES.
October 4,.2011 8:41:14 AM AORTEGA
-------------------------------------=--------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid
-------------------------------------
Credited
--------------------
Due
Permit Fee Total 136.76 .00
.00
136.76
Plan Check Total 80.99 .00
.00
80.99
Other Fee Total 1.00 .00
.00
1.00
Grand Total 218.75 .00
.00
218.75
LQPERMIT
HIDDEN CANYON HOMEOWNERS: ASSOCIATION
ARCHrrECTURAL VARIANCE REQUEST
Avail Property Management 51350 Desert Club Dr. Suite 4. La Quints, CA 92253
(760) 771-9546 960-771-1655 (fax) serviceiRAvailhoa.com
PLEASE ALLOW A A9/I UIOW)W :OF 7Z<IM 17AIT Fi3A APPWVAL
DATE. i Lai / l LAT NUMBER.
HOMEOWNER NAME(S)� l&Y�` YKi1 Guhe��,
PROPERTY ADDRESS `tSSo `t 1 C t 14f V� �C
MAILING t -
ADDRESS .
PHONE NUMBEILHb b o -'35 3 - CKs S- (c) ?68
C
EMAIL ADDRESS JPi qe��i�� t Ci}WS
PROPOSED CHANGED Metaff ex ignation
co_rvj�.!'a'Q -go,-. _ (7' -
Refundable Security Deposit must be included with submittal to the comm ttee tyf applicable)
$1500.00 Check #
VENDOR NAMPJADDRESS/UCENSE.NOICON'TACT/PHONE NUMBER-
Lic�r�Se. ?5v'7W R4D Lck
Wo 1260):(01_9- t 6.
lfWe undersand the following:
1. All nacmary Gly permits will be obtained prior to stirting'wwk and die cost of the pttim7ts, the responsibility for obtaining
the permits and subsequeol inspections %kil beporne by the applicant.
2. No muerials will be stored in the great at anythne. All materials are to be stoned on a protective barrier on homeowner
propelly.
3. All debris must be cleaned from h fonts yard on a daily basis.
4. Any diNdebris Left in tfw streethet must'tit r�olot ad anew rce up and washcd ctean',at the end of each work day.
_: �...
5- The site must be Left in a safe surd secare?j�ater.�ttie'Siid:of, esti► w�t:day.
6. The homeowner will be cesp6trsible%r ouy dam to.l6a�c6nuriori areas ca uW by.thevantractor during construction.
7. re Homeowners aresponsible for uotifyiog all Sppmptfineaulity`eonlprates and properly rnsiving the 'dig aresu.
8. No equipment orcoostru ctioo vehietss will overnightbe.let? in ft'street tirvi9ibte'fo-rbe8t eCL
9. Consumption of alcoholic beverages. controlled substances or illegal dnW is strictly prohiighod and is cause of immediate
removal from the pnopom:
10. Ali din areas not. ievilscaped or otherwise prgmvd rmnt be ueated with an agent to pieverq bi tc g -digit apdAor sand, /we
acknowledge drat all approved ctia»ga in.ft taigiri.. . p cn71 beat oui.wtpa > dist to oo yr relocation of
mist* sprimer systurits tpd WHI'dm'bdh ing' .eitftdilr g lir My Oihu dVrav resulting
from irapltstientatioo t>f these pertnitlzd ietgtf6vtatmta will beat dna tippliiaitKsgapeam
It. Work most begin Widiin O'days fmin iiMlIcation approval and completed within 90 days of approval: Additianal time
famesmettt tx n its OtcBoar d
12. It is the applicant'- rmpoa Ttly to advise eay. subse4mnl oombr Of dee w4difications and any subsequent maintenance
responsibility.
13. That should any of the ab j num be fon vved a vicWton floe may bo fordtemning.
S' n ul w df/1JL t--- Date
Date
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LEGAL DESCRIPTION,
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CITY OF LA OUINTA
BUILDING & SAFETY DEPT
APPROVED
FOR, CONSTRUCTION
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CITY OF LA .QUINTA SUB -CONTRACTOR LIST
JOB ADDRESS PERMIT PERMIT NUMBER I OWNER BUILDER
This form shall be posted on the fob with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work - and/or the voidance
of building permit. For each. applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
Trade /Classification
Ci ntra.:ctor . •
StewContractor's. License
Workers C:o_ .. _ ensation Lnsurance
Cit: Business License_
Company Name
Classification
(e.g. A, B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp. Date
(xx/xx/xx)
'EARTHWORK (C-12)
CONCRETE (C-8)
FRAMING (C-5)
. STRUCT. STEEL (C>51)
MASONRY (C-29)
PLUMBING (C-36)
LATH, PLASTER (C-35)
DRYWALL (C-9)
HVAC (C-20)
ELECTRICAL (CAG)
`��(�Q.2L •
�D
O W.?
7 7
1 1Z
/o I q 3
ROOFING (C-39)
.SHEET METAL (C-43)
FLOORING .fC'-15)
GLAZING (C-1.7)
.INSULATION: (O-72)
SEWAGE DISP. (C-42)
PAINTING (C-33)
CERAMIC TILE (C-54)
CABINETS (C-6)
FENCING (C-13)
LANDSCAPING (C-27)
POOL (C-53)
est #
City Of La Quints
BWdmg st kdety Mvidon
P.O. Box 1504, 76-495 Calle Tampico"
La Quints, CA 92253 - (760) 777-7012
Building Penrnit Application and Tracking Sheet
Pemlit #
`C • OVA
"Project Address: 1'-1 q 5 � � � 1 � ��o a2r1 b72".
Owner'sName: A 0 i J-5:
A_ P. Number:
Address: y 8i U g 1 G H JrLI.� D21 �%
Legal Description:
City, ST, Zip: rJ TY2t 2 Z 5 3
Contractor.t_ ED ESer_,r Com 5 n— v c11 ar►;. 'I KC.
Telephone
Address C, Zp2 CiQ-`l S L '5jQV_ G S () R
Project Description: E N C I_OS C 20 2"
City, ST, Zip: 1 /J 0 i a CP, 1
Ci A Q-A Q Ls A eZ i=f�j N 02 N"
e: is
Telephon6 U cl- G Z 1
;c.-
.: , a ::
E N. C
State Lic. q 5 4 cl $
City Lic,:
A=h., Eng. Designer.
Address:
City., ST, Zip:
Telephone:`
' = a " °-
" rl : " r,-
ninny fi-vm+i"r
Construction Type: Occupancy:
State Lic #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. FL:
J # Stories:
Units:
Telephone # of Contact Person b 0 . et • 62A b
Estimated Value of Project
APPLICANT: DO NOT VMM BELOW THIS IMINE
#
Submittal
Req'd
Reed
TRACIMG
PERMIT FEES .
Pian Sets
Pian Check submitted
hem
Amount "
Structural Calls.
Reviewed, reedy for corrections
Plan Cheek Deposit
"'—
Truss Cabs.
Called Contact Person
I f3
Plan Check Balance.
...
Title 24 Cates
Plana picked up
IB 11
Construction
Flood plain pian
Plans resubmitted
Mechanical
r'
Grading plan
2" Review, ready for correctionsfrssue
Elecbrieat
Subeontactor Inst
Called Contact Person
Plumbing
^
Grant Deed
Piens picked up
S.MJL
H.O.A. Approval
Plans resubmitted
Gradin
AN HOUSE:-
as Review, ready for eorreetionsPrssue
Developer Impact Fee
Planning Approval
Called Contact Person
AJLP.P.
Pub. Wks. Appr
Data: of permit issue
School Fees
Total Permit Fees
i
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