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12-0567 (RER)-• ,P•O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: ADolication valuation; Applicant: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 12-00000567- .5,01.05-'CALLE.ROSARITA 658 -250 -031 - REMODEL - RESIDENTIAL LOW DENSITY RESIDENTIAL. •3000 Architect or Engineer: LICENSED CONTR CTOR'S DECLARATION I hereby affirm under penalty of perjury that I apwcensed u,deprov ions of Chapter 9 (commencing with Section 70001 of Division.3 of the Busines d Professionals CN de, nd y License is in full force and effect. License la, icense 903943 Dater Contract r:41( • O&BUILDER DECLARATION I hereby affirm under penalty of perjury that I am 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, atter, 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 _ 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: OKEEFE,KATHLEEN 50105 CALLE ROSARITA LA QUINTA, CA 92253' . Dil Contractor: D'& R REPAIR, INC 44630 FRANKLIN CT LA QUINTA, CA 92.253. CI1 (760)218-6414 Lic. No.: 903943 VOICE (760) 777-7012 FAX (760)'777-7011 INSPECTIONS (760) 777-7153 AIAY 312012 qN , /Alrq Date: 5/30/12 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 EXEMPT Policy Number EXEMPT 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 biect the workers' compensation laws of California, and agree that, if I should be esubjec tot rkers' compensation provisions of Section 3700 of the Labor Code all forthwith o p i[h those provisions. Date: % Applican • WARNING: FAILURE TO SECURE WORKERS'O ENSATION.COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN'EMPLOYER TO CRIMINAL PENA tES 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 forthonthis 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, indemnity 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 abov • ormation i orrect. I agree to comply with all city and cou ty o dinances and state laws.relating to buildin onstruction, and reby a horiz representatives of this co y to nter upon the above-mentioned prope inspection purpose . (Date: I 2signature (Applicant or Agen Application Number . . . . . 12-00000567 ------ Structure Information MASTER BATHROOM REMODEL [CONVENTIONAL] ----- Other struct info . . . . . CODE EDITION 2010 ---------------------------------------------------------------------------- Permit . . . BUILDING PERMIT.INV FEE Additional desc . Permit Fee . . . . 108.00 Plan Check Fee 35.10 Issue Date . . . . Valuation 3000 'Expiration Date 11/26/12 QLy TMUL.Chaiye Per EXLAriSiOfl BASE FEE 90.00 1.00 18.0000 THOU BLDG 2,001-25,000 18.00 . ---------------------------------------------------------------------------- Permit ELECT -.ADD/ALT/REM INV FEE Additional'desc. Permit Fee 52.00 Plan Check Fee 6.50• Issue.Date Valuation 0 Expiration Date 11/26/12 Qty Unit Charge Per Extension BASE FEE 30.00 1.00 22.0000 EA ELEC MISC 22.00 ---------------------------------------------------------------------------- Permit MECHANICAL INV FEE Additional desc Permit Fee . . 43.00 Plan Check Fee 5:38 Issue Date Valuation . . . 0 Expiration Date 11/26/12 Qty Unit Charge Per. Extension BASE FEE 30.00 . 1.00 13.0000 EA - MECH VENT FAN 13.00 Permit . . . PLUMBING INV FEE Additional desc . Permit Fee . . 48.00 Plan Check Fee 6.00 Issue Date . . . Valuation 0 Expiration Date 11/26/12 Qty Unit Charge Per Extension BASE FEE 30.00 1.00 .12.0000 EA PLB FIXTURE 12.00 1.00 6.0000 EA PLB WATER INST/ALT/REP 6.00 LQPERMIT • Application Number 12-00000567 Special Notes and Comments MASTER BATHROOM REMODEL TO REMOVE AND REPLACE TUB WITH FREE-STANDING MODEL AND, , P FRAME OUT OPENING TO EXISTING TOILET ROOM [CONVENTIONAL] THIS PERMIT DOES NOT INCLUDE ALTERATION TO LOAD BEARING WALLS OR LAYOUT OF EXISTING FIXTURES. - ***INVESTIGATION FEE ASSESSED'PER 2010 CALIFORNIA RESIDENTIAL CODE CHAPTER 1 §108.6 FOR WORK COMMENCING BEFORE PERMIT ` iSSUANCR*** CODE CASE WNMR: 12-2649 - [MR] 2010 CALIFORNIA BUILDING CODES". w May -30, 2012 3:49:16 PM AORTEGA -------------------_------------------------------------------- r .Other Fees . . . . . BLDG STDS ADMIN (SB1473) - ----- 1_.00 ' ENERGY REVIEW FEE 3.51 Fee summary Charged Paid Credited Due Permit Fee Total 251.00 .00 .00 251.00 Plan Check Total 52.98 4.00 .00 5.2.98 Other Fee, Total 4.51 .00 .00 4.51 Grand. Total 308..49 .00 .00 308.49 r O'zAw CITY OF LA QUINTA BUILDING & SAFETY DEPT., APPROVED FOR CONSTRUCTION DATE 6Y --C— IA .,� thalle WK wt.ars� MAW Moder Dedwom e $aHe j 1 i � y 1 � - I I i La�okt- �7/ +A4 -ti b 0 , c::) CITY OF LA QU I NTA UILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION I DATE BY N� �a y our ;�� le, + . // ff - .211q 4-o 4h A� At .44, . // ff - .211q 4-o Plan Notes: 1) All construction shall comply with the 2010 California Residential, Mechanical, Electrical, Plumbing, Energy, and Green Building Codes and the La Quinta Municipal Code. 2) All 'or equal' substitutions must be submitted to, and approved by the Building Official prior to installation of the item. 3) Penetrations through the walls or ceilings separating the dwelling from the garage shall be protected (such as those for vents, pipes, ducts, cables and wires) with an approved material to resist the free passage of flame and products of combustion. (CRC §R302.5) 4) 50 CFM mechanical exhaust fan shall be provided at all bathrooms in accordance with California 'Mechanical Code (Table 4-4 (pg. 70))* 5) Provide at least one 20 -ampere branch circuit to serve bathroom receptacles."Such circuit(s) shall have no other outlets." (CEC §210.11(C)(3); 210.52(D)) 6) Provide at least one wall receptacle outlet within thirty-six (36) inches of the outside edge of each bathroom basin. The receptacle outlet shall be located on a wall or partition that is adjacent to the basin or basin countertop, or installed on the side or face of the basin cabinet not more than twelve (12) inches below the countertop. (CEC §210.52(D)) 7) Specify GFCI .protection for receptacles in bathrooms. (CEC §210.8(A)(1)) 8) Provide tamper-resistant type receptacles in all 125 -volt, 15- and 20 -ampere receptacles located in Areas required by 210.52. (CEC §406.11) 9) Luminaires (Fight fixtures) in tub or shower enclosures shall be labeled 'suitable for damp location'. (CEC §410.4(A)) 10) Luminaires (light fixtures), lighting outlets, and/or ceiling fans located over a spa or hot tub or within 5 feet of the inside walls of the spa or hot tub shall be a minimum of T-6" above the maximum water level and shall be protected by a ground -fault circuit-interru 6ffA3 h)MOWTA note on Plans how compliance is achieved, or relocate fixture(s). BUILDING &SAFETY DEPT. 11) Provide 120 -volt smoke alarm(s). (CRC §R314.4) PPITOAED' 12) Provide 120 -volt carbon monoxide alarm(s). (CRC §R315.1.1) FOR CONSTRUCTION 13) Lighting at Bathrooms, toilet rooms, garages, laundry rooms and uti ilM{ rn installed that are not high efficacy are allowed provided they are controled by a manual -on occupant sensor(s). (California Energy Code §150(k) 3) 14) Luminaires that are recessed into in ceilings are required to be IC & AT rated (insulation contact and airtight with air leakage less than 2.0 CFM at 75 pascals when tested in accordance with ASTM E283), and be sealed with a gasket or caulk between the luminaire housing and ceiling, and shall have all air leak paths between conditioned and unconditioned spaces sealed with a gasket or caulk. 50-105 Calle Rosarita BIR 0f LaQuinta Budding a Safety Division P.O. Box 1504,•78-495 Calle Tampico ta.Qulnta, CA 92253 - (760) 777-7012 Building pA Peanit-A lication and TrackingSheet Permit # � Project Address: Q f�SGL Owner's Name:. lis OI E. A. P. Number. Address: 5*0 ` (i Legal Description:City, Contractor. 4. ST, Zip: La GV�� C I2�3 lephone: a Address: ' 1A_ Sok Project Description: I CX .% lot City, ST, Zip: LC— v —t Z 2 �3 (d O0 r\A0 4 U Telephone: d(g &q I - ' State Lic. # : q c7 3 q 4' 3 City Lic. #; p 1pe Arch , Engr., Designer �ar�� 'K� e, 'Address:Por A l; -'i Te Q- City, ST, Zip: 1 Telephone: Construction e: _ Occupancy: Project type (c►rcle one): New Add'n Alter Repair Demo Sq. Ft.: #Stories #Univ z. State Lia #: ' � ' :.' ... Name of Con= Person: Telephone # of Contact Person: Estimated Value of Proj APPLICANT: DO NOT WRITE BELOW THIS UN N Submittal Req'd Recd TRACMG PEkNUTFEFS- Plan Sets Plan Cheek submitted 5 ZZ item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposi-. . Truss Cates. Called Contact Person Plan Check Balance. Title 24 Calm Plans picked up Construction Flood plain plan Plans resubmitted.. Mechanical Grading plan 2'j Review, ready for correctionsfissue Electrical Subeoutactor List Called Contact Person Plumbing Grant Deed Pians picked up MIL H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for corrcalonAme Developer Impact Bee i Planning Approval Called Contact Person AJX.P. 04 . . Pub. Wks. Appr Date of permit issue School Fees 1 Total Permit Fees