07-1066 (RER)P.O. BOX 1504 .
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
0,7�{00:00106;6 u�
?� �i�ax
Property Address:
•♦79279 PASEO DBL"`R"EY
APN:
604-440-019-19 -27519 -
Application description:
REMODEL - RESIDENTIAL
Property -Zoning:
LOW DENSITY, RESIDENTIAL
Application valuation:
15000
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
TWETEN BRUCE L
79279 PASEO DEL REY
LA QUINTA, CA 9.2253
Contractor:
BELFOR USA.GROUP
11545 SORRENTO VA
SAN DIEGO; CA .921
(858)847-9886
LiC. No.: 810553
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/06/07
LICENSED CONTRACTOR'S' ECLARATION - _ WORKER'S COMPENSATION DECLARATION '
I hereby affirm under penalty of perjury That I am licensed under provi or
of Chapter 9. (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, d my License is in full force and effect. _ I have and will maintain a certificate of.consent toself-insure for workers' compensation, as provided
License Class: B k cense o.: 810553 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is -
lIL o -G� issued. .. -
Date 'CCbr t 5 L•' _ ,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
.OWNER -BUILDER DECLARATION' insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from=the Contractor's State License Law for the Carrier AMERICAN HOME Policy Number WC1593151
following -reason (Sec: 7031.5,- Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the -work for which this permit is issued, I soh, not'employ any
construct, alter, improve, demolish, or -repair any structure, prior to its issuance, also requires the applicant for the person in.any manner sous to become subject to the workers' compensation aws of California,
permit tofilea. signed statement that he'or she is licensed pursuant to the provisions of ,the Contractor's" State and. agree that, if I should become subject the workers' compensation pro isions of Section,
License Law'(Chapter 9 (commencing with Section 7000) of Division 3 of -the .Business and Professions Codel.or 3700 of'the Labor Code, I shall f ply wit those pr visions.
that heorshe is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by�
any applicant for a`permit subjects theapplicant to a civil penalty ofnotmore than five hundred dollars ($5001.: Date:? Aoobcant.. n� '
(_) I,.as owner oftheproperty; or my employees with wages as their sold compensation,'will do the work, and
. - the structure is,not.inte,nded or offered for sale (Sec: 7044, -Business and Professions Coder 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 _ I 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.1.
Lender's Name: _
Lender's Address:
\I
`LQPERMIT
e
WARNING: FAILURE TC RE WORKERS' COMPENSATION COVERAGEIS 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 i
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 applic tion,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the ity
of La Quinta, its officers, agents,and employees for any act or omission related to the work bei
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 commen d
. within 180 days from date of issuance of such permit, or cessation of work for .180 days wi subject
permit to cancellation.
I certify that I have read'this application and state that the above i for tion is corre I afire corn y with all
city and county ordinances and state laws relating to. building co tion, and y aut ize r pr natives
of this county to enter upon the above-mentioned propertyfo n p , es. -•�
Date` a, �%� .iSignature,(A ppt cant-orAgen
Application Number . . 07-00001066
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 162.00
Plan Check
Fee
105.30
Issue Date . . . .
Valuation
15000
Expiration Date 10/03/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
13.00 9.0000 THOU BLDG 2,001-25,000
117..00
----------------------------------------------------------------------------
Special Notes and Comments
FIRE DAMAGE REPAIR INCLUDING TRUSS
REPLACEMENT/DRYWALL/INSULATION/REPLACE
EXHAUST FAN/PER APPROVED PLANS.PRESITE
INSPECTION REQUIRED PRIOR TO THE START
OF REPAIR WORK.
------------------------------------------------------------
Other Fees . . . . . . . . ENERGY REVIEW FEE
----------------
10.53
Fee summary Charged Paid
-------------------------------------
Credited
Due
Permit Fee Total 162.00
----------
.00
----------
.00
162.00
Plan Check Total 105.30
.00
.00
105.30
Other Fee.Total 10.53
.00
.00
10.53
Grand Total 277.83
.00
.00
277.83
LQPERMIT
• PREPARED 2/01/08,
14:41:35
INSPECTION HISTORY REPORT
PAGE 1
PROGRAM BP521L
0/00/00 THRU 0/00/00
CITY OF LA QUINTA
-----------------------------------------------=------------------------------------------------------------------------------------
APPLICATION PROPERTY ADDRESS
APN
Alternate ID
STRUCTR PERMIT
------------------------------------------------------------------------------------------------------------------------------------
INSPECTION
RESULT DATE/STATUS
INSPECTOR
'
07 00001066 79279
PASEO DEL REY
604-440-019-19 -27519 -
000 000 B001
00
BUILDING
PERMIT
135 0001 ROOF'NAIL
5/04/67 APPROVED
DG
000 000 B001
00
BUILDING
PERMIT
145 0001 FRAMING
5/04/07 APPROVED
DG
REQ
COMM:
INSPECTED FRAMING AT
GARAGE LID, AND_ROOF NAILING,
O.K. TO
REQ
COMM:
PROCEED. May 4, 2007
2:44:24 PM' dgatica
000 000 B001.00
BUILDING
PERMIT
150 0001 INSULATION
5/14/•07 APPROVED .-
EM ,
000 000 B001
00
BUILDING
PERMIT
150 0002 INSULATION
5/14/07 APPROVED
'"- EM
• P
REQ'
COMM:
AYto'irispected 'rough
electrical acid rough HVAC and
gas line
REQ
COMM:
gas test, not able to
access through inspection menu for
REQ_COMM:
this unit
REQ'
COMM:
May 14, 2007 3:04:38
PM emuir
000 000 B001
00
BUILDING
PERMIT
160 0001 DRYWALL NAIL-
5/17/07 APPROVED
EM -.
000 000 B001-00
BUILDING
PERMIT.
199 0001 FINAL
12/20/07 -APPROVED
.ST
i
Bin#City
f, La`:
oQAta
Building U Safety Division
Pio—Box 1504,.78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application: and .Tracking Sheet
Permit _#
�(�
Project Address: .7� L. . Z- 71 ` q 516Owner's
Name::. j j 2 iJG� T LA_,_
A..P. Number:
Address:
Legal Description: (, F
City, ST, Zip: LA a-,JQQ
Contractor:
Telephone::', w . fS� C ' q 9 7
Address: (�S Sc /_ VA � --
Project Description:
City, ST, Zip: SA ti a i C-1
Telephone:'
State Lic. # : ZS .i b 7 .
City Lie. #:
�.
Arch.,: Engr., Designer:C4/kk
LAI
Address:. Pig ; Z 3
71 - �t D
City., ST, zip: SAA] A. L, D . r-4
Telephone: {o / % '. j"'� '� Zrf Z/
State Lit. #: C v 1
Name
Nae of Contact Person: S j f� �/� �./ fJ .S
Construction,Type: 2 f S .,.. Occupancy:
Project circle one : New Add'n . Alter t
J h'Pe,( ) epa Demo
Sq. Ft.:.I �{ O.U.
#Stories:. (
#Units;
Telephone # of Contact Person:.
Estimated VauPet:. o(S v
APPLICANT: DO NOT WRITE BELOW THIS LINE . .
#
Submittal ,
Req'd.
Rec.'d
TRACING .
PERMIT FEES
PIan.Sets
Plan Check submitted
item
Amount
Structural. Calcs
Reviewed, ready for corrections
Plan, Check Deposit .
Truss Cities.
Called Contact Pelson
Plan Check Balance
Energy Calcs.
Plans picked up `
Construction
Flood plain plan:
Plans resubmitted
Mechanical .
Grading.plsn'
V ReAew, ready for. corrections/issue
Electrical
Subcontactor List
Called Contact Person -
Plumbing
Grant Deed
Plans Qicked aP
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading.
IN HOUSE:-
''' Review, ready for corrections/issue.
Developer Impact Fee
Plannigg�Approvai
Called Contact Person
Pub. Wks. Appr
Zate of permit issue .
School Fees
Total Permit Fees
,.
d -
EXTERIOR
1'tysr
0
14'-10+
BEDROOM
KITCHEN N
HALLWAY ,°'` LA QUI NTA
F' SAFETY DEPT.
,t PROVED
4 R
CLOSET CLOSET CONSTRUC
TO
BY�jl
BATH
�—
20y2
GA BLE Tav S s
wTTM lfl 1L.L,;SEE 2Os3
?,
24'�
G�ABLE:TRU55TO BE REPI-ACEO
'3
F
LAUr
3T'L1TAl.1 SEE SHEAT 2. OF
GIRDERTRUSS TO BE REPLACED
GARAGE
u T M
x l c
SCISSORT'RUSS-MeE REPAIRED
BY 515TERIING ZToTAL. , SEE SN6ET 3 Oti= 3,
5CRAPE,CrVsR, cHEMICALL�I DE-000R�ZE�
e SEAL.
BEDROOM
I
f.
IIOSIT
NOTE: REPLACE INSULATION IN LOCATIONS
WHERE'SHEET ROCK IS REMOVED. CLEAN AND
CHEMICALLY DEODORIZE EXPOSED CEIL ERG
AND ROOF FRAMING & SHEATHING AS NEEDED, BEDROOM
NEW SHEETROCB MR THE GARAGE SHALL CONSIST
OF 5/8" TYPE X.
L E
3�-0It
REPAIR PLAN
SCALE: 1/4" = 11- O"
x , .
EXTERIOR
SITE
VICINITY �NIAP
NO SCALE.
_7 r
SCOPE OF REPAIR. AN:ELECTRICAL FIMEICACSED
PARTIA BURNl,N OF SEI --ROOF TRUSSES. FOUR•,
OF.THE TRUSSES WILL'BE REPLACED, THE
REMAikikC•WILL BE•REPAIRED 8TY'iIS'I'ERDTG
HE '.
TWORH.WR
ILI: EQUIRE REPLACING CEILING
SHEET ROCR; ik5fdI:ATION, OSB ROOFxSHEATHING,
AND LIGNT-WEIGHT CONCRETE TILE 'R00iF1<NC,
AS -NEEDED, TO°REPALCE/REPAIR THE TRUSSES.
CLEAN AND,CHEMICALLY DE-ODORIZE SURFACES
WITHIN THE LIVING SPACE AND ATTIC AS -NEEDED
TO ELIMINATE ODORS.
REPAIR FIRE DAMAGED DWELLING
E: AS SHOWN APPROVED BY: DRAWN BY SCC
01/28/07 CG= REVISED -7VV
TWETEN PROPERTY
79 219 PASEO DEL REY
LA QUINTA, CA. 92253
DRAWING NUMBER
PROJECT NO. 4531 1 OF 3
5'-6 8h
GIRDER TRUSS .
GABLE TRUSS
13.'-- 4
� � �1� NEW PART1Al.TRUSS
Z��u ExISTINGTRVSS 1 1
Tio BE SISTEREDTO
TO RCtNA1N EXISTING • SEE 0E'CA1L
i
SNEE'T Sop '6.
�J
SCISSOR TRUSS
29:8'
CITY OF
SAFUIDEPA
BUILDING
T.
APPROVED
FOR CONS
o7 BY
AA�
DATE— —
NOTE: NEW TRUSSES TO BE FABRICATED
WITH 2" X 4" DF IQLN DRIED LldMBER. THE
CONTRACTOR SHALL FIELD VERIFT ALL TRUSS
DIMENSIONS PRIOR TO ORDERING TRUSSES.
k
EXISTING SC1350R
-Te-kiss TO REMAIN
Z ' END or -Mew 515TER TRu55
El SSI A�
0 VIM
W
OF
SCISSOR TRUSS REPAIR PLAN
SCALE: 193'= i'- 0"
CITY OF LA. QUINTA
BUILDING & SAFETY
APPROVED ,
FOR CONSTRUCTIO
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SCALE: 193'= i'- 0"
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