06-2954 (RER)4
ik
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00002954
Property Address:
49838 COACHELLA DR
APN:
646-250-011-11 -4275 -
Application description:
REMODEL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
18000
Tit!t 4 4 Q"
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT.
BUILDING PERMIT
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 Cod and my License is in full force and effect.
License as : B License o.:• 442118
Date: Contractor:
OWNER -SU 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 (55001.:
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, 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 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.).
(_) 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:
KIRK FRANK H
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/09/06
Contractor:
KENNEDY CONSTRUCTION CO, T.A.
48751 SAN PEDRO STREET
QUINTA, CA -92253
(7��
(760)275-3003 D
Lic. No.: 442118.
AUG 101006
WORKER'S CO�ENSATIONrWcQ%R/A*l2UINTA
I hereby affirm under penalty of perjury one of the follo�,,{�na declarati�t�. ANCiE DEPT
I have and will maintain a certificate of consent to self -insure or wor ers' coiTp'eris'BtISfl" 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 0024567-2006
_ 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 t t p workers' compensation provisions of Section
3700 of the Labor f I shall fo suwi ct t ply with t se provisioshall fo suwi ct tL_.y with t se provisions.
Date: `� Applicant: 41014w—
WARNING FAILURE TO SEC RKERS' COMPENSAT C ERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND NES 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.
1 certify that I have read this application and state that the above information correct. I agree to comply with all
city and coun ordinances and state laws relating to�bu�ildingns5truction hereby a thorize representatives
of this I ty o enter upon the above-mentioned prn oses.
Vo /
Date:
06 Signature (Applicant or Agent):
I
LQPERMIT
r
Application Number . . . . 06-00002954
Permit
BUILDING PERMIT INV FEE
Additional desc . .
Permit Fee . .
378.00 Plan Check
Fee
122.85
Issue Date . . . .
Valuation
. . .
. 18000
Expiration Date
2/05/07
Qty Unit Charge
Per
Extension
BASE.FEE
90.00
16.00 18.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
288.00
Permit .. . .
ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee . . . .
21.00 Plan Check
Fee
5.25
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
2/05/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
8.00 .7500
---------- --------------------------------------------------------
PER ELEC DEVICE/FIXTURE 1ST 20
6.00
Permit
MECHANICAL
Additional desc . .
Permit Fee . . . .
21.50 Plan Check
Fee
5.38
Issue Date . . . .
Valuation
0
Expiration Date
2/05/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . .
24.00 Plan Check
Fee
6.00
Issue Date . . .
Valuation
. . .
. 0
Expiration Date
2/05/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 6.0000
EA PLB FIXTURE
6.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
----------------------------------------------------------------------------
Special Notes and Comments
REMODEL KITCHEN ONLY.August
9, 2006
9:58:26 AM JJOHNSON.
APPLICANT WAS
I
LQPERMIT
Application Number . . . . 06-00002954
-----------------------
Special Notes and
------------
Comments
---------------
------------
--------------
CHARGED DOUBLE FEE
FOR STARTING WITHOUT
PERMIT.
------------------------------
Other Fees . . .
. . . . . .
----------------------------------------
ENERGY REVIEW
FEE
24.58
STRONG MOTION
(SMI) - RES
1.80
Fee summary
-----------------
Charged
----------
Paid Credited
------------------------------
Due
Permit Fee Total
444.50
.00
.00
444.50
Plan Check Total
139.48
.00
.00
139.48
Other Fee Total
26.38
.00
.00
26.38
Grand Total
610.36
.00
.00
610.36
Bin #
City of La Quinta
Building az Safety.Division .
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # /
OV l 1 1
Project Address: � q 838►
Owner's Name: '
A. P. Number: � Sd —0//
Address: co&C
Legal Description: (OT j / ?/7-1
City, ST, Zip: AC•,�}
Contractor: 5 `
Telephone:
Address:
N
Project Description:
City, ST, Zip:.
Telephone: 7-53
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair
Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
p�
Plan Check submitted
Q h
Q
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 correction issue L$
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
Develo
Planning Approval
Called Contact Person
P.
Pub. Wks. Appr
Date of permit issue q
School Fees
—
Total Permit Fees
8 f 1 �o� ons 5009 ,, W�) IV 6EV ,
J
L_
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
GnR MNSTRUCTION
BY,
r u-0Qj
City �5�r
Ex�Sk�nS
,.T, "' 1
t
"AN ADEQUATELY SIZED DEBRIS COWAI ALL
ISUST REQUIRED ON THE JOB
PHASES Of CONSTRUCTION
FAILURE M0 DO SO
EMPTIED AS NEC
ESSARY•
MAY CAUSETNE CIlYTO NA pFiHEOWAINER
NER/
DUMPED AT THE EpENSE
CONTRACTOR."
�e�au�
T MAD IH'SVTEiiffzm� oe n ULEDgo
Clim, UOVO ���s�
--Alp ri134 to 5:30 P•m•
October isF dg:01-04 am.0 a ro• to g:00 p�
Monday : N
Saturday' None °ne
Sunday• entCOdegoUda�•.
ernm
September 30ta m• t0'7 -'08'p'0 -
Gov
May 1st - Friday: 6:00 tog. per•
®naay - s.00 a m• N
Satuor yy* .. N° ljolidayg' one
�,,�� ernnlent code
i
.c
qq 016-1-3, 9 . COO A-F.."U.-th c9,
Cons��on isNOY PEa�sO
on the following Code N odY
New Year's other K►rig 1t: Day
Dr. Martin L
President's Day
Memorial Day ,
Independence Day
Labor Day
veteran's Day
Thanksgiving Dal
Christmas Day
Eti'79CJ'
00
N
. /
N
r
30"
- - 42"
24"
'71
- - 36" ........ _ _.. 44" -
6"
- 18" _. 36" -- .._ ...z-... 30 --;::__._.. _ .. 36" _ 44" _......
170" - ..._..._.. - ... . _..... __ ....._ ....... _. . __ .. ... '
1-Tiltdown Front 2 -Double Trash Pullout
6-(3)Rollouts 7-(4)Rollouts
3 -Spice Dwr Insert 4-(2)Rollouts 5 -Ref- Panels
Wood Divider Wood Cutlery Divider
8 -Framed For Glass 9 -Tray Dividers
CITY 4F LA Q INTA
BUILDING & SAFETY DEPT.
AP P R® U/CETION
FOR CO
DAT BY
If
- Z� t co, t, A, 5
t�.cEr�► J�,¢c,,r, E� � drat. �A►�rvc�r4-•
W
W&til. A¢t- Dori6ARim .
�S�•\ L,lq/YIY�
N,
i rl
I J
bN 5
Wt bD . W
r0 RM
����� ,�D
�/ � - �� S--dae4L�
I • �K
Qra1P - n I/Q" = 1'
01
N
30"
- - 42"
24"
'71
- - 36" ........ _ _.. 44" -
6"
- 18" _. 36" -- .._ ...z-... 30 --;::__._.. _ .. 36" _ 44" _......
170" - ..._..._.. - ... . _..... __ ....._ ....... _. . __ .. ... '
1-Tiltdown Front 2 -Double Trash Pullout
6-(3)Rollouts 7-(4)Rollouts
3 -Spice Dwr Insert 4-(2)Rollouts 5 -Ref- Panels
Wood Divider Wood Cutlery Divider
8 -Framed For Glass 9 -Tray Dividers
CITY 4F LA Q INTA
BUILDING & SAFETY DEPT.
AP P R® U/CETION
FOR CO
DAT BY
If
- Z� t co, t, A, 5
t�.cEr�► J�,¢c,,r, E� � drat. �A►�rvc�r4-•
W
W&til. A¢t- Dori6ARim .
�S�•\ L,lq/YIY�
N,
i rl
I J
bN 5
Wt bD . W
r0 RM
����� ,�D
�/ � - �� S--dae4L�
I • �K
Qra1P - n I/Q" = 1'
01