10-0455 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10-00000455
Property Address: 7?777 78608 CABRILLO WY/-'
APN: 646-420-012- -
Application description: REMODEL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5000
Applicant:
T4ht 4 4 Qulk&
Architect or Engineer:
�14
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICE SED N A TOR'S DECLARATION'
I here of i m under penalty of perjur that I lice ed er provisions of Chapter 9 (commencing with
Secti 0 1 of � soon 3 of the B siness a Prof ssio Is Code, and my License is in full force and effect.
Licari la icense No.: 8157 4
Date: Contractor:
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.).
(_ 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:
STEWART FAMILY
C/O NORMAN STEWART
3201 W CREEK CIR
COLOMBIA, MO 65203
1�
Contractor: O
JD CONSTRUCTION
73180 HIGHWAY 11
PALM DESERT, CA 2 0
(760)341-0920
Lic. No.: 815724
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
OCT 0 J 2010
Cf: tl,p Qutn
V.Ikif, CE DEPT.
Date: 10/04/10
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 EX PT
I certify that, in the Perform�ahe workfor hich i permit is issued, I shall not employ any
person in any manners c e bje toly
rkers' compensation laws of California,
and agree that, if Is ufsubje tohe' compens ion provisions of Section
3700 of the Labor oderthwit olvose orovisins.
XDate: I _1ek_= Applicant:
c6 I-1 rC3
WARNING: A1LURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT A9 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 per ' r cessation f work for 1 0 days will subject
permit to cancellation.
I certify that I have read this application and state that th bove i matio is c rrect. I a e to comply with all
city and co my ordinances and state laws relating to b ding cc t ction, nd h reby au rize representatives
of this co my enter upon the above-mentioned pro. erty for ' s coon p rpose .
O
Aat : Signature (Applicant or Agent):
0
LQPERMIT
7
Application Number . . . . . 10-00000455
------ Structure Information PATIO FIREPLACE WITH MEDIA NICHE -----
Other struct info . . . . . CODE EDITION 2007/2008
----------------------------------------------------------------------------
Permit . . . .
Additional desc .
Permit Fee . . .
Issue Date . . .
Expiration Date .
BUILDING PERMIT
72.00
4/02/11
Plan Check Fee . 46.80
Valuation . . . . 5000
Qty Unit Charge Per Extension
BASE FEE 45.00
3.00 9.0000 THOU BLDG 2,001-25,000 27.00
----------------------------------------------------------------------------
Permit . . . ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee . . . . 16.50 Plan Check Fee .
Issue Date . . . . Valuation . . . .
Expiration Date . . 4/02/11
4.13
0
Qty Unit Charge Per Extension
BASE FEE 15.00
2.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 1.50
----------------------------------------------------------------------------
Permit . . . .
Additional desc .
Permit Fee . . .
Issue Date . . .
Expiration Date .
PLUMBING
18.00 Plan Check Fee 4.50
Valuation . . 0
4/02/11
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00
-------------------------------•---------------------------------------------
Special Notes and Comments
PATIO FIREPLACE WITH MEDIA NICHE - WOOD
FRAMED AND STUCCOED. 2007 CALIFORNIA
BUILDING CODES.
October 4, 2010 10:42:29 AM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . BLDG STDS-ADMIN (SB1473) 1,.00
•Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 106.50 .00 .00 106.50
Application Number . . . . 10-00000455
Plan Check Total 55.43 .00 .00 55.43
Other Fee Total 1.00 .00 .00 1.00
Grand Total 162.93 .00 .00 162.93
LQPERMIT
RANCHO LA QUI.NTA
MASTER ASSOCIATION"
Architectural Control Committee
May 11, 2010
Mr. and Mrs. Norman Stewart
78-608 Cabrillo Way
La Quinta, ,CA 92253
Re: 78-608 Cabrillo
Approval of Submission
The Architectural Committee reviewed :your. submission for adding a solid
(outdoor) exterior vent -less fire place and media niche. The submission as
presented. is approved upon condition of.' . '
The Committee requires the following:.
• A[l work is to be done in accordance with all applicable requirements of
governmental entitiies,. including the City of La Quinta and; in
accordance with all Homeowners Association architectural guidelines
and governing documents.
• If -applicable, a City of La Quinta building permit be obtained and copy
furnished td the Association' prior to commencement of work.
• No, access from golf' course.
We would remind you of the noise factor on the media niche;
neighbors and.golf course cannot be impacted.
When the work has been finished, please return "Notice. of Completion" to the
Association Office. The Association's architectural consultant will perform a
final inspection after such notice;: when verification of the approved plan
modifications have been concluded, you Security Deposit will be processed
for refund:
Thanking "you in advance and if any questions please do not hesitate to call
me at the" on;pite office 777.8807.
razi�1 CCAN1®
Association General Manager
760=777-8807 fax 760-777-8961
mwalker drmintemet.com
cc: Architectural Comm.
PO. BOX 6419 - LA QUINTA, CA 92248-6419 • 760-777-8807 • FAX 760-777-8961
CITY OF LA QUINTA SUBLCONTRACTOR LIST
JOB ADDRESS PERMIT NUMBER OWNER.-
This
WNER This form shall be posted on the job with the Building InsRection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to worl
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 ofwork and/or the voidance
of building permit. For each applicable trade, all information re nested below must be com leted by applicant. "On File' is not an ecce table response.
Trade tics :::
Tra / Classi Contrpctor �<::: : S t Cit Busijles Licence:
t� �ontrac w's. t lcettse.. -..:.: .pike=... nat%n :irKwaoce .::..;,,:<: .
Company Name
Classification
(e.g. A. B, C-8) '
License Number
(xxxxxx)
Exp. Date
(xxlxx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xx/xxlxx)
License Number
(xxxx)
Exp, Date
(xx/xxlxx)
EARTHWORK (C-12)
C.ONCRPTE (C-8) ,-
FRAMING tc=s
IZ t f
��
3 1
�'7� -
17
W 1,45
STRUCT. -STEEL• IG,S �) -
MASONRY (C•29)
PLUMBING (C-361
uti PLASTER is
3 -,-7
�e t
DRYWALL (C-9) :.
HVAC (C-20)
ELECTRICAL
RQQFING'
'SHE�T.METAL (�-431 ,
FL -0 NG
GLAZING (0-17) . <>
INSULATIOt! IC -2) .
SEWAGE DISPt-(G-42)
PAINTING (C=33) .
CERAMIC TILE (C-54)
CABINETS (C-61
FENCING (C-13)
LANDSCAPING (C-27)
POOL (C-53)
Bin #
�70
Qty of LQ Qu►nta
Building 8L Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
—
Permit #
tj
Project Address: -- y —
41 (� V
Owner'.s Name:
A. P. Number.
Address: p
Legal Description:
City, ST, Zip: Lw(j-\,^ rj-7r'4
Contractor: g, �' c� r�13� 2� c i l
Telephone: ( - `( [ a
Project Description:
Address: 'so
City, ST, Zip: ZA.L ,. Com..
AM r aCC P�-Aa Ce-
Telephone: (�s9 Z V
f
M.
State Lie. # : [ S Z
City Lie. #;
Arch., Engr., Designer. Cj �,,eb ver 5
Address: 3
City., ST, Zip:
Telephone: G
' • '> ,
Construction Type: Occupancy:
State Lie. M
Project type (circle one): New Add'n Alter
Repair Demo
Name of Contact Person:
Sq. FL:
# Stories:
# Units:
Telephone # of Contact Person: tS
yaq'3oq !P
Estimated Value of Project: S d
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted ✓
Item
Amount
Structural Cates.
Reviewed, ready for corrections b1646
Plan Check Deposit
1'r -ass Cates.
Called Contact Person to W
Plan Check Balance.
Tide 24 Cates.
Plans picked up 7
Construction
Flood plain plan
Plans resubmitted a-7
Mechanical
^
Grading plan
2`' Review, ready for correctio
ElecMcal
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 correcdoW sue
Developer Impact Fee
^
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
w*-rtslt F04- 4PUTIZA44ia2 To Votov
Et46mt&L*1t- jms%*A�S.
10�� yea . Ns �PPi�1��, •