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10-0403 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000403 Property Address: 57355 PENINSULA LN APN: 762-150-011- - - Application description: REMODEL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 50000 T4ht aF 44" Applicant: Architectoj Engineer: S- Z�s4 LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT O I hereby affirm under penalty of perjury that I am licensed under pr ns of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profe nals Co , an my License is in full force and effect. ./License �Class: B �/�C Licen allo 838041 II Date: /,_^ ontractor, T OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjur at 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).: V (_ 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. , BAP.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: LQPERA11T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: MOORE, RICk & DO JUL 2?' 2090 57355 PENNINSUL E LA QUINTA, CA 92 5 Cmc of LA OUll >T, Contractor: SOUTHERN HILLS DEVELOPMENT INC 78150 CALLE TAMPICO STE 101 LA QUINTA, CA 92253 (760)771-3497 Lic. No.: 838041 7/23/10 ----------------------------------------------- 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 STATE FUND Policy Number 1900890-2010 _ 1 certify that, in the performance of the work for whic his permit is issued, I shall not employ any person in any manner so as to become subject to a orkers' compensation laws of California, and agree that, if I should bec a sub' to the or rs' compensation provisions of Section 3700 of Labor Code, I sh II ort comp wi those provisions. /ate: �� Iicant: WARNING: FAILURE TO SECURE WO K RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN 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 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 informatio correct/, orrect gree to comply with all city and county ordinances and state laws relating to building con ructio d hereb a horize representatives of this county to enterypon the above-mentioned property for in ctio rposes. Date: _� SiSignature (Applicant or Agent): Application Number •. . . . . 10-00000403 ------ Structure Information EXIST. 1563 SF SFD ----- Construction Type . . . . TYPE V, UNPROTECTED Occupancy'Type . . . . . DWELLG/LODGING/LONG <=10 Other struct info . . . . . CODE EDITION 2007-/ 08 ENERG ---------------------------------------------=------------------------------ # BEDROOMS :00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 414.50 Plan Check Fee 269.43 Issue Date . . . . Valuation . . . . 50000 Expiration Date 1/19/11 Qty Unit Charge Per Extension BASE FEE 252.00 25.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 162.50 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 23.20 Plan Check Fee 5.80 Issue Date. Valuation . . . . 0 Expiration Date 1/19/11 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY .70 10.00 .7500 ---------------------------------------------------------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 7.50 Permit MECHANICAL Additional desc . Permit Fee . . . . 42.00 Plan Check Fee 10.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/19/11 Qty Unit Charge Per Extension BASE FEE 15,00 6.00 4.5000 ---------------------------------------------------------------------------- EA MECH VENT INST/ DUCT ALT 27.00 Permit PLUMBING Additional desc . Permit Fee . . . . 36.00 Plan Check Fee 9.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/19/11 Qty Unit Charge Per Extension LQPERAIIT Application Number 10-00000403 Permit . . . PLUMBING Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 2..00 3.0000 EA . PLB FIXTURE DRAIN/VENT REP/ALT '6.00 ---------------------------------------------------------------------------- Special Notes and Comments .REMODEL EXTERIOR REAR WALL FOR NEW BY-PASS DOORS, ADD 20 SF TO INTERIOR AREA. RELOCATED WET BAR. 2007 CODES, 2008 ENERGY CODE. TYPE V -B CONSTRUCTION , R-3 OCCUPANCY. ---------------------------------------------7------------------------------ Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 ENERGY REVIEW FEE 26.94 STRONG MOTION (SMI) - RES 5.00 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 515.70 .00 .00 515.70 Plan Check Total 294.73 .00 .00 294.73 Other Fee Total 33.94 .00 .00 33.94 Grand Total 844.37 .00 .00 844.37 LQPEPIWIT Bin # Qty Of La Quintd Building 8I• Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �b Project Address: S7 315S P1 A)IVIV5UL Al'fi Owner's Name: R1C Qy ©'V'Vf+ %id RE A. P. Number: Address: S' ] SS AeNAII NSU L.4 L .v Legal Description: City, ST, Zip: L A QN / N 77¢ C 1A 4 Z ZS"3 CQnLL4Citor'JoTNtR N /✓ �6� /y/LLS >r�� Telephone: Address: % 8 /Sa C -441-Z- MNP/c-D 51111— /,a,/ Project Description: City, ST, Zip: ' LA Qui,o Telephone: 260 % %/ 3 Lt 9 J ~ ,.: �,;.>., ,.,:>,{;:�� �'J.:l+ .,�.•:i?/,.n\f:�i>$�i{�} ipF:Civi State Lic. # : O % l 9717 7 City Lie. #.- � K t L d Aj _ S C i & Arch., Engr., Designer: �t g i✓% E X — C z: bOA L L Address: 7 ff / /S CAL<i If S 09914 $U / 7L= City., ST, Zip: L A (y} U IN -17k .••„}4: Sn+'tiliii:\•Y{tifvv:};i:^i}'{Cv'....... ' Telephone: x.. :::fi,ta<><:;;> P (o ® 4 a'3 �N %� "�`:i. \x , ,r / State Lic. # •7,;.;�yi Name of Contact Person: ; pNN Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: c (�S D l� �y 7 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Ree'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Z, Reviewed, ready for corrections Plan Check Deposit Truss Cales. I / �� . Called Contact Person S Plan Check Balance Title'24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted t }° Mechanical Grading plan 20° Review, ready to corrections ssue�17 Electrical Subcontactor List Called Contact Person (030 Plumbing Grant Deed Plans picked up�//i S.M.I. Approval Plans resubmitted rH.O.A. I 1D Grading IN HOUSE:- '^' Review, ready for correction ssue Zj Developer Impact Fee Planning Approval Called Contact Person '1 3 A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Feesus-1144 . 3 r� rr- jP, revax Al 7 l /g K15 �Zf� 7� SZR Aff - - PENINSULA PARK May 14, 2010 Ric Moore 57355 Peninsula Ln. La Quinta, CA 92253 Re: 57355 Peninsula Ln Architectural Variance Request Dear Mr. Moore: The Board of Directors has reviewed and approved your recent request to install decorative file at the entrance, along with new entry gates, install glass sliders in the rear and a fire pit in the back yard. You may proceed with the work. Sincerely, By Direction of the Board of Directors Rosie Galla, CCAM Community Association Manager 0