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11-0712 (ELEC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Applicatjon Number: 11=00000712 Property Address: 77933 CALLE COLIMA APN: 774-134-012-2 -000000- Application description: ELECTRICAL Property Zoning: COVE RESIDENTIAL Application valuation: 100 Applicant: Ti,ht 4 4 4" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: ACKERMAN RESIDENCE 77933 CALLE COLIMA LA QUINTA, CA 92253 _- 1 Contractor: 1t�f Owner r\ VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/29/11 Tam 4iu'•..: �:..✓'�/ 1� --------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I I hereby affirm under penalty of perjury one of the following declarations: ection 7000) of Division 3 o Sf the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: License No.: for by Section 3700 of the Labor Code, r the performance of the work for which this permit is Date: Contractor: i OWNER -BUILDER DECLARATION 7 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 _ 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, h ever, the building or improvement is sold within one year of completion, the owner -builder will have the rden 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 wi licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contrac s' State License Law does not apply to an owner of property who builds or improves thereon, and who racts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for n I,— D ;1 a: L O v e CONSTRUITMN LENDING AGENCY I hereby affirm under penalty of perjury that there is a cofstruction lending agency for the performance of the work for which this permit is issued ISec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT issued. I have and will maintain workers' compe a on insurance, as required by Section 3700 of the Labor Code, for the performance of the wo f r which this permit is issued. My workers' compensation insurance carrier and policy number r . Carrier P Number r _ I certify that, in [he performanc ork for which this permit is issued, I shall not employ any • person in any manner so a o b subject to the workers' compensation laws of California, and agree that, if I should eco s b ct to the workers' compensation provisions of Section 37 of the Labor Cod I s r h comply with those provisions. V LDate� v. rApplicant WARNING: FAILURE TO SECURE WORKER' 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 applicati4ne made, each person tlwhose request and for whose benefit work is performed under or put to any permit is ed as a result of this application, the owner, and the applicant, each agrees tohall defend, inde n�fy and hold harmless the City of La Quinta, its officers, agents and employany act or omi ion related to the work being performed under or following issuance of thiit.2. Any permit issued as a result of this applicatiomes null an id if work is not commenced within 180 days from date of issuance of surmit, or cess work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the infor cor ct. I agree to comply with all city and county ordinances and state laws relating to builnst i n her by authorize representatives of this uunty to a ter upon the above-mentioned propertn ti r sea^Signature (Applicant or Agent):- Application Number . . . . . 11-00000712 Permit . . . ELEC-SERVICE CHANGE Additional desc . Permit Fee . . . . 33.50 Plan Check Fee .00 Issue Date . . . . . Valuation . . . . 0 Expiration Date . . 12/26/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 18.5000 EA ELEC SVC <=600V/<=200A 18.50 ------------------------------ --------------------------------------------- Special Notes and Comments INSTALL NEW 200 AMP ELECTRICAL SVS INTO EXISTING RESIDENCE. ------------------------------=----------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) ---------- 1.00 Fee summary Charged -------------------- Paid Credited -------------------- Due ----------------- Permit Fee Total 33.50 .00 .00 33.50 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 34.50 .00 .00 34.50 LQPERMIT i 4LL I (E) BEDROOM 2 2 I REMOVE VISTINIG PALL MSTALL NEW 200 AMP ELECTRICAL PANEL � METER UNDERGROUND SERVICE PROM POLE I% o I UTILITYIP'OLE I (E) BATH 2 1ol`-oII I 1910 T (E) BEDROOM 1 (E) BATH 1 �f P.O. BOx 1504 LA QUINTA,.CALIFORNIA 92247-1504 78-495 CALLE TAM_PIC_O LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE _.(760)777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER 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 at We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a. building permit until you have read,'initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. J 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. -42. I understand building permits are not required to be signed by property owners unless they are responsible for the onstruction and are not hiring a licensed Contractor to assume this responsibility. 3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect yself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. p4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on ermits and contracts. �5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least -five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. _j�,6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal jo4inrnent, withhold payroll taxes, provide workers' compensation. disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. 4 7. I understand. under California Contractors' State License Law, an Owner -Builder who builds single-family residential tures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 8. 1 -understand as an Owner -Builder if I sell the property for which this, permit is issued, I may be held, liable for any financial. or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. 9. I. understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1- 800-321-CSLR(2752) or www.csib.ca.gov for more information about Ticensed contractors. 10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that 1 am the party legally and financially responsible for proposed construction activity at the following address: 11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's. license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of property owner Date: Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to btain an er-Builder Permit for my project. Scope of Construction Project (or Description of Work): / Project Location or Address: 77. g �!/ U/� L^�v�ii� /( 4 Name of Authorized Agent: `V45r1,1[",�/j// Address of Authorized Agent: (� I declare under penalty of perjury that I am the information and certify its accuracy. Note:.A o acceptable to the agency is required to be pr Property Owner's Signature: Tel No/& �� rh' owner for the address listed above and I personally filled out the above 'the owner's driver's license, form notarization, or other verification when the permit is issued to verify the pr peerry Ovner's signature. Date: Nov 10 10 05:29p ACKERMAN / PARADA 8316595152 P. Architectural sign & Devebpwtent Olt , k t , I:.. Mi 15 Cabe Estado, Suite 201 ` j r., La Quirft, CA 92353 ...t. ` .. Td (760) 564-4707 Fax (760) $64-4955 November 10, 2010 Q . l City of La Gu'mta Community Development Services I Building & Safa+dy - Re: Terry Ackerman 77-933 Avenida Colima La Quints, CA 92253 To all oonoerned, Let it be known that Mr. terry Ackerman, ft Oegal owner of the above referenced property, Jiereby authorizes Stephan NretolSouth West Concepts, irte. to act as his went. Mr. Nieto shall be authorised t rtle sigpatures on the a ner's behalf regarding all matters dealing to O submittals and' Pe A aired fylr ! aposed pmjed who/1� - SS6'7t S49z sIdMNM is3m, Hinos:i oad c4so:be e16p-oT-n0N -1-- SITE PLAN SCALE. SHEET INDEX S Site Plan GN General Notes 1 Slab Plan • Floor Plan _ 3 Elevations 4 Sections 5 Roof Plan 6 Electrical Plan 7 • • s • 0 Vii:. N.-• �Z,Z, Foundation Plan S•2 Framing Plan SD -1 _ ;', II■ IIIIIIIIII1IIIIIIIIII1 Foundation Details SD -2 Framing Details SD -3 Framing Details GENERAL INFORMATION AYMA Cara LA LEGAL DEBCRIPrItN A�TRAN1i4 04-M PROJECT ADDfEM 11.933 AMIDA COLM LA CUNTA, CA 92283 zow, RC OCCWANCI'. u trFE aF caNBtRuctla►r, TrPE v -s AREA TABULATIONS EWTM REBDM 13018a". PROPOSED ADDITM N SOFT. TOTAL RE9Ne= wo SOFT. EMTM GARAC,£ "2 SOFT. PRDPOBEO VERAPDAM ELLIS is 82". TOTAL 67MLlM 2,189 SOFT. TOTAL BITE 9,988 SOFT. TOTAL LOT COVERAGE 29A \ ;�>�•�.,�, �,,,�� '��t �� 00 0/ I � n �:• • A A �__ _• ------------- SITE PLAN SCALE. SHEET INDEX S Site Plan GN General Notes 1 Slab Plan 2 Floor Plan _ 3 Elevations 4 Sections 5 Roof Plan 6 Electrical Plan 7 Title 24 Requirements S-1 Foundation Plan S•2 Framing Plan SD -1 Structural Notes & II■ IIIIIIIIII1IIIIIIIIII1 Foundation Details SD -2 Framing Details SD -3 Framing Details GENERAL INFORMATION AYMA Cara LA LEGAL DEBCRIPrItN A�TRAN1i4 04-M PROJECT ADDfEM 11.933 AMIDA COLM LA CUNTA, CA 92283 zow, RC OCCWANCI'. u trFE aF caNBtRuctla►r, TrPE v -s AREA TABULATIONS EWTM REBDM 13018a". PROPOSED ADDITM N SOFT. TOTAL RE9Ne= wo SOFT. EMTM GARAC,£ "2 SOFT. PRDPOBEO VERAPDAM ELLIS is 82". TOTAL 67MLlM 2,189 SOFT. TOTAL BITE 9,988 SOFT. TOTAL LOT COVERAGE 29A CODE ANALYSIS CODE USED: 2010 CALFORNU+ BI11LDM CODE 2010 CALFWM M1De111AL CODE 2010 C 4LIR)" PIAMM CODE 2010 CALFOIWA 1EQI4NICAL CODE 2010 CALFO" ELECTRICAL CODE 2008 CALFO M DERGT CODE ALL 000TRICIIM GMI CORY UN TWE ABOVE LISTED CODER APD SHALL CORY WIN ALL ORDIIA M OF 1PE GTT OF LA MUM KNZIPAL CODE 5" W -z C. -fl" I,... PROGRESSIVE DESIGN CONCEPTS • A-hltectunl Deelen • Rmld..e.I end C.—.clef -PI ...1.9..M D ... I p—M 76715 C.11. E.t.do, SW. 105 La OuMU, CA BM53 O1Rce (780) 5864707 F.: (780) 5864855 pt.— PROJECT TITLE Proposed Addition & Remodel for Terry Ackerman 77933 Calle Colima LaWxi CA 92253 Q � A.PN.: 774-134-012 D.tol D..°.Ipwn Number PW Ch.cY Gnttsnao a5105no,1 PVtm a..1 I:tn..6Ua.o d7PII011 0— By Approved By P.o)oct M ... go, Z :5 CL W I -- a, a, Date: 04112/2011 S �M -- I- I -I- -- -I- I-- II■ IIIIIIIIII1IIIIIIIIII1 IIIIIIIIII1IIIIIIIIII' IIIIIIIIII1- 6 5" W -z C. -fl" I,... PROGRESSIVE DESIGN CONCEPTS • A-hltectunl Deelen • Rmld..e.I end C.—.clef -PI ...1.9..M D ... I p—M 76715 C.11. E.t.do, SW. 105 La OuMU, CA BM53 O1Rce (780) 5864707 F.: (780) 5864855 pt.— PROJECT TITLE Proposed Addition & Remodel for Terry Ackerman 77933 Calle Colima LaWxi CA 92253 Q � A.PN.: 774-134-012 D.tol D..°.Ipwn Number PW Ch.cY Gnttsnao a5105no,1 PVtm a..1 I:tn..6Ua.o d7PII011 0— By Approved By P.o)oct M ... go, Z :5 CL W I -- a, a, Date: 04112/2011 S Big # City of La Quinta ' Building 8z Safety Division , P.O. Box 1504,78-495 Calle Tampico La Quints, CA 92253 (760) 7777012 Building Permit Application and Tracking Sheet Pel# �I" /� Project Address: 779 i3 4N `e, A Owner's Name: A. P. Number: --/ �"�/ Address: Legal Description: City, ST, Zip: /' Contractor: OG✓N ��// D µ Telephone-, Project Description: Address: City, ST, Zip: p L / / / 1110-4141— /VL.J{"� ;200n G� Telephone: :.sc �.sv .: r P 5: �o x iiNG , �o State Lie. # : City Lie. #; Arch., Engr., Designer. Address: City, ST, Zip: T_ elephone: fV Construction Type: Occupancy: State Lic. #:ProJect type (circle one): jNew Add'n Alter Repair Demo Name of Contact Person:251f �,�✓� Sq. Ft.: \ # Storiees�- #Units " Telephone # of Contact Person: Estimated Value of Project: O APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted W Item Amount Structural Cala. Reviewed, ready for corrections Plan Check Deposit Trans Cala. Called Contact Person Plan Check Balance. Title 24 Cala. Plans picked up Construction Floodplain plan Plans resubmitted Mechanical Grading plan 2'' Review, ready for correctionstissue 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