08-1910 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA,:CALIFORNIA.92253
Application Number:
_08-00001910
Property Address:
79640 RANCHO LA QUINTA DR
APN:
649=550-005- - -
Application description:
REMODEL - RESIDENTIAL
-Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
•14000
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT ,
Owner:
FRANCIS & KRISTIN VANDE CARR
79-640 RANCHO LA QUINTA DRIVE
LA QUINTA, CA 92253
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.:
Date: Contractor:
OWNER -BUILDER DECLARATION
1 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.).
(_) 1, 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 app to an owner of
property who builds or improves thereon, and who contracts for the projects with a cont actblr(s) licensed .
puisuaut Lu,dle CunuaLwis' State-LILVISe Law.1. - / 1�
1 1 I am exempt under Sec. , B.&P.C. for this reason '
Date: D `<"Own er:'
CONSTRUCTION LENDING AGENCY 1\
I 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor: �
Owner ,
�-
Date: 1/12/09,
C,
�o G�
WORKER'S COMPENSATION DECLAAeT18 tip
I hereby affirm under penalty of perjury one of the following declarations: �:i �1
_ I have and will maintain a certificate of consent to self -insure for wort 'r ' compel. `� J ided
for by Section 3700 of the Labor Code, for the performance o thew s, it is
issued.
I have and will maintain workers' compensation insurance, as requi d by�,eytiot('3700 of the Labor
' Code, for the performance of the work for which this permit is is ed. My workers' compensation
insurance carrier and policy number are: -
Carrier Policy Number '
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 to th or rs' compensation provisions of Section
^ D 37 0 of the Labor Code all forthwith co ply those provisions.
' Date: A
_ �¢plican
W / ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SU JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,0001. 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 BAildtit work is performed under or pursuant to anypermit 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.
certify that I have read thisapplicationand state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building constructio and reby authorize representatives
of Wji'county to eenntter upon the abo - e d property fo pactpi*Da'�"� � na Applic n '): ;Gr -
Application Number .
. . 08-00001910
------:Structure Information
REVISION TO PERMIT 08-1313
-----.
- ..Other struct info
CODE EDITION
2007CODES.
----------------------------------------------------------------------------
# BEDROOMS
2.00
- Permit . .
BUILDING PERMIT
Additional desc .
Permit Fee
153.00 Plan Check Fee
99.45
Issue Date
Valuation . .
14000 .
Expiration Date ..
7/11/09 _
Qty. Unit Charge
Pete
Extension
BASE FEE
45.00
12.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2;001-25,000
108.00.
Permit .'. .
ELECT.- ADD/ALT/REM
Additional desc .
Permit Fee . . . .
30.86 Plan Check Fee
7.72.
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
•7/11/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
` .'453.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
15.86
Permit
MECHANICAL
Additional desc .
Permit Fee
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
7/11/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 4.5000
EA MECH VENT INST/ DUCT ALT'.
4.50
1.00 6.5000
.EA MECH VENT FAN
6.50
Permit
PLUMBING•
Additional desc .
Permit Fee . . .
33.00 Plan Check Fee ..
8-.25
Ioouo Data . . , .
Valuation . . .
. 0
Expiration Date
7/11/09
Qty Unit Charge
Per'
Extension
BASE FEE
15.00
LQPERMIT - '
-
Application Number . . . . . 08-00.001910
Permit . . PLUMBING
Qty Unit Charge Per
Extension
3.00..-- 6.0000.EA PLB FIXTURE
-=--
18.00.
-----------------------------------------------
Special Notes and Comments
------------
-------------,-
REMODEL, AND BATHROOM ADDITION'TO PERMIT
NUMBER 08-1313. REMODEL PROPOSED STORAGE
AND WORKSHOP AREAS INTO OFFICE W/BATH
AND ADDITIONAL BEDROOM. 2007 CALIFORNIA ,
BUILDING, ELECTRICAL, MECHANICAL AND
PLUMBING CODES.
January 12, 2009 8:36:25 AM AORTEGA
Other Fees . . . . . . 'ENERGY REVIEW
----------------------
FEE
9.95
STRONG MOTION
(SMI) - RES
1.40
Fee summary Charged Paid Credited
Due
-- ----------
Permit Fee Total 242.86 .00
----------
.00
242..86
Plan Check Total 121.92 .00
._00
121.92
Other Fee Total. 11.35 ..00
.00
11.35
Grand Total 376.13 .00
.00
376.13
LQPERMIT
Bin #
•d City of La Quinta
• Building & Safety Division
A� P.O. Box 1504, 78-495 Calle Tampico
, La Quinta, CA 92253 - (760) 777-7012
f Building Permit Application and Tracking Sheet
Permit #
Ol
Project Address: 796 70 A&C-% CQ au.",,* 0/;
Owner's Name: �N�� t � �(Cr�J f�q Vqy de 6rrh
A. P. Number: 17 1)" - a. to _ 00 5
Address: 7 G Vo AwAo Q`
(# ,�Ar A-.
/
Legal Description: (d1 7 Al g Ziff -&v 29 yS7-J
City, ST, Zip: CQ 0G�
Address:
Project Description: .774 �yfdrJJ . lyi iavCy�, �jts
City, ST, Zip:
�
Qt e •T%i� �-Phowce .' Ag f4'/(J
Telephone:
�' (/ ake 710 fK e lwh4 1AY1411
State Lic. # :
City Lic. #:
Arch., Engr., Designer: CV -4 -tis' SSG &4We
Address: 7a 0 fo Fra 'tv jH ' DI'• 'k ? - S
City, ST, Zip: PW 1h, &few ch gZZG
h ' 1313
Telephone: 760 My 7 ?5'
State Lic. #: C
Construction Type: v Occupancy: A
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:6,�-T S/�v�
Sq. Ft.:
# Stories: 0 # Units:
Telephone # of Contact Person: 760 hl�o 7-35Y Estimated Value of Project: / it, w 00
v. 6' � APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING. PERMIT FEES
Plan Sets
Plan Check submitted I Item Amount
Structural Calcs.
Reviewed, ready for corrections 14
1* Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up "'
Constriction
Flood plain plan
Plans resubmitted Mecha¢ical
Grading plan
2"d Review, ready for correction su 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 correctionstissue Developer Impact Fee
Planning Approval
Called Contact Person A_I,P,?_
Pub. Wks. Appr
Date of permit issue
School Fees
Totali Permit Fees
tq,b
1�it- lite e& cwt MLYC
(2 31 � Seol.�Zt1t+�'�8IM