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09-0138 (AR)Tityl 4 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 4; pplicatjon Nu'mber:... 09-00000138 Property Address: 556-111 PINEHURST APN: 775-241-057- - - Application description: ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 7344 . - " Applicant:. Architect or Engineer: — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - — — — — — — — — — f LICENSED.CONTRACTOR'S DECLARATION .+ 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 Code, and my License is in full force and effect. License Class:' - License No.: Dater Contractor. 4rOWNER-BUILDER.DECLARATION I hereby affirm under penalty of perjury that I am exe�m 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 applicantfor the permit to file a signed statement that he or she is licensed pursuant to the provision's of the Contr`actor'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 i any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: } 1, 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.). ( 1 I am exempt under Sec. , B.&P.C. for this reason Owner: CO STRUCTION LENDING AGENCY I hereby affirm under penalty of perjury thather s a construction lending agency for the performance of the work for which this permit is issued (Sec. 3 Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: JIM & JOANN EIMAN 938 PEBBLE BEACH PLACE GARDEN GROVE, CA 92840 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/13/09 e u Contractor: [YFFE3 Owner 13 209 w I CIVYI0 sWINI''A wsre*C r.R'oal' WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury one of the following declarations: 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, forthe;performance of the work for which this permit is. issued. My workers' compensation insurance carrier and policy number are: - Carrier Policy Number _SCI 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 to the workers' compensation provisions of Section 3700 of the Labor. Code, sh II forthwit omply with those provisions. ' Date: " /r . Applicant: WARNING: FAILURE TO SECURE W RK RS' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMFLOYER'.TO CRIM AL ENALTIE6'AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). IN ADDITI N T THE COST OF COMPENSATION, DAMAGES AS"PROVIDED FOR IN SECTION 3706 OF THE LABOR CO , INTEREST, -AND ATTORNEY'S FEES. AP.P.LICANT ACKNOWLEDGEMENT - IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject tothe conditions and restrictions set forth on this application. " 1 . Each person upon whose beh"alf 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned propepyfoLljnspection pwposes.. - Application Number . . . . . 09-00000138 ------ Structure Information 120SF GARAGE CONVERSION ----- Other struct info . . . . . CODE EDITION 2007CODES # BEDROOMS 1.00 1ST FLOOR SQUARE FOOTAGE 120.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT INV FEE Additional desc . Permit Fee . . . . 198.00 Plan Check Fee 64.35 Issue Date . . . . Valuation . . . . 7344 Expiration Date . . 8/12/09 Qty Unit Charge Per Extension BASE FEE 90.00 6.00 18.0000 THOU BLDG 2,001-25,000 108.00 ---------------------------------------------------------------------------- Permit . . . ELECT - ADD/ALT/REM INV FEE Additional desc . . Permit Fee . . . . 38.40 Plan Check Fee 4.80 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/12/09 Qty Unit Charge Per Extension BASE FEE 30.00 120.00 .0700 ELEC NEW RES - 1 OR 2 FAMILY 8.40 ---------------------------------------------------------------------------- Permit . . Additional desc . Permit Fee . . . Issue Date . . . Expiration Date . MECHANICAL INV FEE 75.00 8/12/09 Plan Check Fee . . 9.38 Valuation . . . . 0 Qty Unit Charge Per. Extension BASE FEE 30.00 1.00 18.0000 EA MECH FURNACE <=100K 18.00 1.00 9.0000 EA MECH VENT INST/ DUCT ALT 9.00 1.00 18.0000 EA MECH B/C <=3HP/100K BTU 18.00 -----------------------------------------------------------------_--=-------- Special Notes and Comments 120SF BEDROOM CONVERSION TO SINGLE CAR GARAGE/VB/RES-3 [CONVENTIONAL] INCLUDES REPLACEMENT OF EXISTING CONDITIONING UNIT LOCATED IN GARAGE. FEES ASSESSED FOR WORK BEGUN WITHOUT PERMIT. 2007 CALIFORNIA BUILDING CODES. LQPERM(T Application Number . . . . . 09-00000138 ---------------------------------------------------------------------------- Special Notes and Comments February 13, 2009 12:40:26 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 6.44 ENERGY REVIEW FEE 6.44 STRONG MOTION (SMI) - RES .73 Fee summary Charged Paid Credited Due Permit Fee Total 311.40 .00 .00 311.40 Plan Check Total 78.53 .00 .00 78.53 Other Fee Total 14.61 .00 .00 14.61 Grand Total 404.54 .00 .00 404.54 LQPERMIT Bin # City Of >a Quinta Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # CA - 0138 Project Address: Owner's Name: A. P. Number; 775�.�- —0 Address: Legal Description: Wt 2 1 � 4J 1- ity, ST, Zip: ..{:j Contractor: Telephone:ILI i�i�>i it � r: �j::< {�itjn:y.,.h i•:: ,,r,•>��>"%;A#r.<:%is;:i>:; Address: Project Description: City, ST, Zip: Telephone'"<x>.,:.,.k�E;:;i>:::�s:.<j'<::%>i>'�::��:< ;�: . V ✓ <:%is:fir,:.,.',Yr.;•..:.;yf.<.`;;,ti'%`i'+:'% tAMh /� ::.::,.::>.;<;•jj %•;ji'•}i.{nisi;.}:>' r ::•:::•�.�%. , kEVY1 State Lie. # : / T City Lie. M. n[ Arch., Engr., Designer: Address: City., ST, Zip: '?'�`�'+`+'•i+''tifiJ: ��: �.Y>i%+.$•L?"i'•i �if:;i':^i S:j •Y•% �'4:Jv,):S+ii+(i�(C�KClJi>':Y�+'. ' Telephone: `.:'>;�.;$4T: '> ` a }rs Construction Type: Occupancy: p� •J.)*•�iyyi� )•�"` Proect a Ci� State Lie. #: >r ; 'u?;>: ' :::s zm:t.: ) typ (rcle one). Now Add' Altcr Repair Demo Name of Contact Person: Sq. Ft.: 1;0 # Stories: # Units: 1 Telephone # of Contact Person: ZA : Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Tide 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"a Review, ready for corrections/issue 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 correctionsfissue Developer Impact Fee Planning Approval Called Contact Person .I.P.P. Pub. Wks. Appr Date of permit issue 1 School Fees Total Permit Fees I 404. �—. -. r riv�ia�' n s i' rt"�• fd ,��Y r s p K i �# A y s� rr?s '3 r r I'F „�gy.S`nS'��rw,.'k � ,�.�i 'iy� � �S'. ��a,'k�,�siS � ,w`.. 5, "'s t. is `• t ,...1at °ash s wlsF `yr�i��kfto ��yr� z �w f t, ' � R $..t'F� `��r��F'i�S`1"'arx ,�`" •+.�, .a tr�"^�'i-a,",y''� 5 s'�'� c s''w�.:. > as Iti W 0 GA G:E- WALL, ADJAC N: GARAGE o 4 E T .TO b4ELL I:NG SHALl --8 E PRO. - 9. 7E'CTED W/ • 2 HR .FIRE kESIST:IVE MATERIAL 5 816 TYPE 'X' GYPSUMco k 21. 0' CLAJ a I LU Z L_ U 1 _QO "#-- �Q .n Ln r wY D � � U) C0 f ollwlI � �«s z 1 � CLO p x 6p r 7_ TTT r.4H- l9 _N N ��,'.. r i -� "r'; ' t ,49- t ` n s , ;�+ d ; a. _a`�r,'^� .y:. 4 a,.�b .c � •, r � v F�;,'•:n 'F' .k< c : �,-'t.;�.Prn�C.gr i � - .a�,�., '�' :ra .rer�`ar:� x.+�.,�.p�� 'W `�;.; '�• � i. �Y� �' .rl. ` a.��.}d� 4 3 :.t � �• � �' I �`l'h tc��., uNy7b,,'-��,�� .� � �_ .7;a. ' �,•� � , . ... -_ .,..��..._.. _. _ �t'&'/.;t[:k�i: � � e �, ,� .ei .. � �'�_-'�fc�+`x"�.lw`�SrLKc � I�n��`�'"�-ssw •�°�`bei�.l6i+'h''�+ ��? �ucPif:.��ak�T.r��'aii:�.'asza'ki ✓fid l �l � O T-F- 22 0 ,�__ _ 0 2 rq arl . E4 Ili ��- F" _ �°ILDING & SAFETY DEUINTA PT. r D) �� APPROVED �[�,'�� aW tv FOR N c> CONSTRUCTION 1 LDATE--_!3 yl va uisicie iransmivance le suitability of,anyJproduc anufacturer's iiterzture for ?is fenestration product hes been cert meet the air iniittration requireme )ECL 397221.001 ;t 26, 2006 10:56:02 THIS PRODUCT QUALIFIES FOR: NORTHERN REGION ® IJORTH:CENTRAL REGION SOUTH/CENTRAL REGION ® SOUTHERN REGION y �F,ss.. yds �lti (gi^ x I A • 1 • October 11, 2006 Mr. & Mrs. James Eiman 55-611 Pinehurst La Quinta, CA 92253 Dear Mr. & Mrs. Eiman, The Architectural Committee has reviewed and approved your request to install a window in each of the three exterior walls of the dining area extension and install a window in the casita at your 55-611 Pinehurst residence. We reserve the right to make a final inspection of this change to make sure that it matches the original request. An approval is based only on the aesthetics of your proposed plan and should not be taken as any certification as to the construction worthiness or structural integrity of the proposed change. Additionally, we want to reiterate that the maintenance of the new windows are solely the responsibility of the homeowner and will not be in any way the responsibility of the Association. This provision is recorded with the County of Riverside and runs with the land. We appreciate your cooperation in submitting this request for approval. If I may be of further assistance, please contact me at the HOA office, (760) 771-1234, Extension 15. Sincerely, Kel .y 1M1cGalliard Operations Manager For the Architectural Committee KM/bvf cc: Architectural Committee 54-320 Southern Hills, La Quinta, California 92253-5665, Telephone 760-771-1234 FAX 760-771-5125 P.O. BOX .1504 LA QUIRTA, CALIFORNIK 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING &SAFETY DEPARTMENT (760) 777-7012 FAX (7 60) 7 77 -70 11 PROPERTY OWNER'-STACKAGE", Disclosures & Forms -for Owner -Builders Applying -for Construction Permits IMPORTANT! NOTICE TO PROPERTY..OWNER Dear Property -Owner: An application for a building ermit has. been .submitted ..in.; your name, listing yourself as the builder of the property improvements specified at �(� �?( j�,C,y9 {sJt 5t, 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.pprmit 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 signer you understand or `verify this information. f1. I understand a: frequent practice of unlicensed persons is to have the property. owner obtain an "Owner -Builder" ilding permit that erroneodsly'iinplies that the property owner is.providingIis or'herown,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. 2. I understand building permits are not required to be signed by property owners unless they are responsible for the c nstruction and are not hiring a licensed Contractor to assume this.responsibility.. t3. 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. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on emits and contracts. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value o my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. Ave6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal rnment, 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. 7. I understand under California Contractors' State License Law, ain, Owner -Builder who builds single-family residential s ctures 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. 'I 8. I understand as an weer -Builder if I sell the property for which this permit is issued, I may be held liable for any facialor personal injuries sustained byany subsequent owner(s) that result from any latent construction defects in the manship or materials. rI understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue e, the United States Small Business Administration, the California Department of Benefit Payments, and the California on of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1- 800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. 0. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the (Orty legally and f�iriannciall res onsible for proposed construction activity at the following address: I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all plicable laws and requirements that govern Owner -Builders as well as employers. Pomeo 2.I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the -information I rovided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with ne 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: -13 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 obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the 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 verb the property owner's signature. Property Owner's Signature: Date: Rug 04 09 10:27a i.Kathi Urie 206 542 6505 p.2 co E COUNTY OF RIVERSIDE • OFFICE OF i4SSESSOR gssEssoR�s PARCEL NUMBER 775-241-057-0 RC PROPERTY OWNER'S STATEMENT ON NEW CONSTRUCTION Owner's Name and Mailing Address Property Situs 55611 • PINEHURST 775241057-0 LA Q0INTA'CA 92253 URIE SCOTT 16505 9TH PL NW Date Sent: AUG 08, 2009 SHORELINE WA 98177 y Our records indicate a, building permit was issued for the above situs. Please complete this form and return it to .the Office of the Assessor within.3 weeks. of 'the date shown above. Also include any additional. information you believe. im'po'rtant in eyaluating the new construction. Owners' NameOwner-Builder Permit Date / 13 /2009 Permit number 02 Yes .......1. No Please com Tete below ,.Contractor 900138. Permit Intormauon BEDRM TO 1CAR GARAGE Contractor's Address` Completion Date --TEstimated date if not complete City Zip Telephone I ... STRUCTURAL CHANGES Please Check Where Appropriate a).....Addition ...................... Square feet (complete items 3, +3a & 4) b) ..... Alteration .................... Added; Square feet (complete items 3, 3a & 4) c).....Patio ........................ :... Square feet (complete'items 3, 3a &4) d).....Pool or Spa ................. (complete item 2 or -2a) e) ..... Other ............................ Square feet (complete items 3, 3a & 4) Please explain..................................... ..............................::....................................... . TOTAL COST OF WORK Labor and Material $...:....:.......:...... 2...POOLjSPA 2a ... SELF-CONTAINED'SPA ONLY Type) ..... Gunite ..... Fiberglass Type) .... Gumte ..... Fiberglass ..... Redwood ..... Plastic Lined Size) ................. In ground ..... Above -ground Heater) ..... Gas ..... Solar ..... None Size Pool Sweep) ..... Yes .....No, Heater).....' Gas ..... Electric Decking) ............... Approximate square feet Spa) ..... Attached ..... Detached ..... None TOTAL COST OF WORK FOR ABOVE $................. TOTAL COST OF WORK FOR ABOVE $:................ 3...INTERIOR DETAIL Floors) ..... Tile ..... Carpet ..... Vinyl ...—Concrete ..... Wood ..... Other ....:.................................. .................... Walls),_.. Drywall ..... Paneling .....'Piaster ..:.. Other ................. ............................................................... Plumbing) .... 1/2 Bath .... 3/4 Bath .... Full Bath Remarks:................................................:....::.:..............................................................................---.................................... ...................7...............------........................................................: 3a ... EXTERIOR DETAIL Walls Stucco ..... Siding ..... Brick..... Other .......................................................... Roof Covering) ..... Clay Tile ..... Concrete Tile ..... Composition Shingle ..... Wood Shingle ..... Gravel or Rock Composition Roll ..... Lattice ..... Other ..:......:.... Remarks:.......................................................................................:.............. . ... . ........ ............................................................................---....................... Please complete reverse side 163