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12-1018 (RER)
T4 4 4 P.O. BOX 1504 gum& VOICE"1 78-495 CALLE TAMPICO FAX (749MQNMN LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/03/12 Application Number: '12-00001018 Owner: Property Address, 48520 CAPISTRANO WY LAIRD DAVE APN: 646-390-043- - - 48520 CAPISTRANO WAY D hfn Application description: REMODEL - RESIDENTIAL LA QUINTA, CA 92253 (^T 03 Property Zoning: LOW DENSITY RESIDENTIAL ( OCT 2012 Application valuation: 35000 ! V Contractor: CI I Y 4 �` Qtll�l7A Applicant: Architect or Engineer: GUSTAFSON CONSTRUCTION FlNAe:CE �E:'T P O BOX 6237 LA QUINTA, CA 92248 / (760)340-3462 L i c. No.: 677600 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Businesylind Profess' nals Code, and my License is in full force and effect. License Class: B License No.: 677600 Date: DContractor: 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.). 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 _ 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 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 STATE FUND Policy Number 1795609-2012 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 ecome su ' t to the workers' compensation provisions of Section A 3700 of the Labor Code shall fort th comp) with those provisions. Date: Il -3-/1iApplicant: A WARNING: FAILURE TO SECUR 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, indemnity 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 'he ab o information is correct. I agree to comply with all " city and county ordinances and state laws relating to buildin onstructi and hereby authorize representatives of this county to enter upon the above-mentioned prop y r inspecti ur Date: to -3 - Z Signature (Applicant or Agent): >czc,. Application Number . . . . . 12-00001018 ------ Structure Information WINDOW CHANGE OUT W/ REMODEL ----- Other struct info . . . . . CODE EDITION 2010 ---------------------------------------------------------------------------- Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 317.00 Plan Check Fee 206.05 Issue Date . . . . Valuation . . . . 35000 Expiration Date . . 4/01/13 Qty Unit Charge Per Extension BASE FEE 252.00 10.00 6.5000 THOU BLDG 25,001-50,000 65.00 ---------------------------------------------------------------------------- Permit . . . Additional desc . . Permit Fee . . . . Issue Date • . Expiration Date . ELECT - ADD/ALT/REM 26.00 Plan Check Fee . . Valuation . . . . 4/01/13 6.50 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA ELEC MISC 11.00 -------------------------------- ------------------------------------------- Permit . . . PLUMBING Additional desc . Permit Fee . . . . 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/01/13 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 REAR PATIO SLIDING GLASS DOOR CHANGE OUT WITH LIVING ROOM REMODEL AT FIRE PLACE .(ENGINEERED] THIS PERMIT DOES NOT INCLUDE ADDITIONAL CONDITIONED SQUARE FOOTAGE. 2010 CALIFORNIA BUILDING CODES. October 3, 2012 10:29:12 AM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 ENERGY REVIEW FEE 20.61 STRONG MOTION (SMI) - RES 3.50 LQPERMIT Application Number . . . . . 12-00001018 Fee summary Charged ---------- Paid ---------- Credited -------------------- Due ----------------- Permit Fee"Total 361.00 .00 .00 361.00 Plan Check Total 217.05 .00 .00 217.05 Other Fee Total 26.11 .00 .00 26.11 Grand Total 604.16 .00 .00 604.16 LQPERMIT RANCHO LA QUINTA MASTER ASSOCIATION Architectural Control Committee August 27, 2012 Mr. and Mrs. Dave Laird 48-520 Capistrano Way. La Quinta, CA 92253 Re: 48-520 Capistrano Way Approval of Submission The Architectural Committee reviewed your submission for Relocation of your existing Bar B Q and Remodeling of existing rear windows per submitted drawing. The submission as presented is approved upon condition of.- The f:The Committee requires the following: • All work is to be done in accordance with all applicable requirements of governmental entities, 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 to the Association prior to commencement of work. . . • No access from the Golf Course may be used. Dumosters are to be placed in driveway— not In the street. 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 receipt of such notice; when verification of the approved plan modifications have been concluded, your 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-site office 7 .8807. Si cerely, Q7p L� CCAM" Association General Manager 760-777-8807 fax 760-777-8961 mwalker((Ddmuntemet.com cc: Architectural Comm. P.O. BOX 6419 • LA QUINTA, CA 92248-6419 • 760-777-8807 • FAX 760-777-8961 4 0 m WAPPROVED F- NO'T APPROVED REQUIRE INFORMATION NOTED ON PLANS Oi'LETTER DATED BY RANCHO L.Q. ,R •. Pro osedAfE 2-1 INITf L-llf;--�illa mlk-� "-� I 0 T(APPROVEB 0 NOT APPROVED 0 REQUIRE INFORMATION APPROVED SUBJECT TO: NOTED ON PL^"'� ('G LETTER DATEI BY RANCHO L.Q. ARCI DATE Z? IZ» 71-780 San Jacinto Dr. Ste. E2, Rancho Mirage, Ca. 92270 ph. (760) 834-8860 fax (760) 834-8861 Letter of Transmittal To: City of La Quinta Today's Date: 10-1-12 78-495 Calle Tampico City Due Date: 10-1-12 La Quinta, CA 92253 Project Address: 48-520 Capistrano Way Attn: Kay Plan Check #: 12-1018 Submittal: ❑ 1sl ❑ 4 t ® 2nd ❑ 5th ❑ 3`d ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: Descriptions: Includes: # Of Descriptions: Copies: ❑ Structural Plans ® 1 Revised Struct. Plans ❑ Structural Calculations ® 1 Revised Struct. Calcs ❑ Truss Calcs ❑ Revised Truss w!Ltr. ❑ Soils Report Update ❑ Revised Soils Report ❑ Structural P/C Comments ❑ Approved Structural Plans ® 1 Redlined Structural Plans ❑ Approved Structural Calcs ® 1 Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other: Comments: Structural content is approvable. Structural Plan Review Time =.75 HRS This Material Sent for: ❑ Your Files ® Per Your Request ❑ Your Review ❑ Approval ❑ Checking ❑ At the request of: Other: ❑ By: John W. Thompson Rancho Mirage Office: ® (760) 834-8860 Other: ❑ R- v. -.1V D BY' OCT O 12012 VA is'" ffL& �G City of La Quinta 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 # i 0/9 Project Address: — s'Z o ci r. wner's Name: A V e L—Q i r A. P. Number: Address: 'q8-520 A C Gwt O } Legal Description: City, ST, Zip: q �J �Kr�„ �� 2Z 51 Contractor: O elePhon e fi4. Address: Project Description: ..O- 3o b 23? J P e% `aGivL 6L, 0 � City, ST, Zip:y tv��` - �2Zi �LId IN �p oest 004 �o b � , 0 CIA Ck gE T leh e ne o p %6� 4O" � D OO 0 (� aK�®w 6 X 7 0 (0 e State Lic. # : �� Gj a(� City Lic. #: L�� a4 f� 3 P, Ci VJlkb:ow r Arch., Engr., Designer: 1 1% t , �I��[ �tcc a f0 den Qv - Address: City, ST, Zip: an c>. Telephone: nstrcti n Type: Occupancy: CoTelePh State Lic. #: j Project nPe�circleone: New Add nAIter Repair Demo Name of Contact Person: I M Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: -7 to U " 2? 0 V Estimated Value of Project: 3J ©0O APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES r. Plan Sets Plan Check submitted Item Amount Structural Coles. Reviewed, readv for corrections Plan Check Deposit Truss Calcs. Called Contact Persont� Plan Check Balance Title 24 Cates. �'" Plans picked up Y Construction Flood plain plan ZU Plans resubmitted Mechanical Grading plan 2nd Review, ready for correctio u Electrical Subcontactor List Called Contact Person bing Grant Deed Plans picked up S.M.I. MAP H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees CI -w%* rpe ►o /01 / --5�-