06-1196 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
If Application Number: 06-00001196
Property Address: 78313 BIRKDALE CT
f
4 Application description: tion: REMODEL - RESIDENTIAL
P
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2800
:r
Applicant:
Architect or Enc
Tiht
"
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: B LicenseNo.: 872074
Date: -r-1-0C Contractor:
OWNER-BUIL4R 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, 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 Licens
1 _ 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:
LICHTER ROBERT J
-
Contractor:
CONWAY CONSTRUCTION
16155 RODEO STREET
HESPERIA, CA 92345
(760)559-1250
Lic. No.: 872074
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/01/06
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
3700 of the Labor Code, I shall forthwith comply with those provisions.
Date:Applicant: ��Lv✓f /'�,i/w
WARNING: FAILURE TO SECURE WORKERS' COMPENSA COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,0001: 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 inspection purposes.
Date: l-Qb Signature (Applicant or Agent): Qtit/' D
Application Number . . . 06-00001196
Permit . .
. BUILDING PERMIT
Additional desc .
Permit Fee . . .
. 54.00
Plan Check
Fee
35.10
Issue Date
Valuation
.'. .
. 2800.
Expiration Date
10/28/06
- - _ - =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
----------------
TRUSS REPAIR
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . STRONG MOTION (SMI)
- RES
.50
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
.50
.00
.00
.50
Grand Total
89.60
.00
.00
89.60
I
L
LQPERMIT
Bin #
City of La Quinta.
Building U Safety Division
P.O. Box 1504,78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Submittal
Permit #
6� •1%9tv
Project Address:7L5 L5 3 3 '�,/ Ov-b A1_G GT
Owner's Name:
PERMTT FEES
A. P. Number: 77C9 — ��(`� -• (� Z�
Address:
Plan Sets
Legal Description:
Plan Check submitted
City, ST, Zip:
Item
Contractor: 4 Lx -a -Telephone:
Structural Calcs.
Address:Project
Description:
City, ST, )Lip:
Q, S r-->4FrPA-1 IZ 00
Truss Calcs.
Telephone:
STi IV 1�f✓� 1 D STI C
State Lie. # :
City Lie. #:
Energy Calcs.
Arch., Engr., Designer:
Plans picked up
Address:
Flood plain plan
City, ST, Zip:
Plans resubmitted
Telephone:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Grading. plan
State Lie. #:
Name of Contact Person: 'D:e�ks1S
W l
Sq, Ft.:
# r
# Units:
Telephone # of Contact Person: 7%b " S GL - b.3 $ L4
Q,0
Estimated Value of oje FOO
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACHING _
PERMTT FEES
Plan Sets
Plan Check submitted
122i
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan
2" Review, ready for correctionsrssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
7rd Review, ready for correctio lissu ,
(� G
Developer Impact Fee
Planning Approval
Called Contact Person a� j�S
�®
A.I.P.P.
Pub, Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CITY OF LA QUINTA
PLAN CHECK CORRECTION LIST
Dennis S Wish PE
PLAN CHECK NO. 06-1196 Structural
ADDRESS 78-313 Birkdale Ct
SCOPE OF WORK Roof truss repair
Plan Check Fee: 2.0 Hrs
Plan check No.
VCA File No. LQ -
March 28, 2006
FIRST CHECK/APPROVED
OCCUPANCY R3/U1
TYPE -OF -CONST. V -N
The submitted plans and specifications have been reviewed by the VCA CODE GROUP. In our
professional opinion the plans are in substantial conformance with the building codes and regulations
adopted by the CITY OF LA QUINTA and the State of California Amendment.
APPROVAL FOR A BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO OBTAINING
APPROVALS/CLEARANCES FROM ALL APPLICABLE CITY DEPARTMENTS, AGENCIES, AND
ASSOCIATIONS. AND THE FOLLOWING CONDITION:
Engineer�-of_record to.review na sigii-,roof.truss lay -out plan
Plans checked by:
Hue C. Luu PE
VCA CODE GROUP
2200 W Orangewood Ave, Ste 155
Orange, CA 92868
(714) 363-4700 ext. #752
1
VCA File No. LQ -18424