11-0895 (AR)P.G. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA, 92253
Application Number:
-11-00000895
Property Address:
48801 SAN LUCAS ST
APN:
658-310-001- - -
Application description:
ADDITION - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
250000
Tiht 4 4 Q"
Applicant: Architect or Engineer::
a�A
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that ensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busfess and Pro ssionais Code, and my License is in full force and effect.
License ass: Bi Lic 's o.: 786919
ate ontractor:
OWNER -BUILDER DECLARATION
I 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.).
(_) 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
VOICE (760) 777-7012
FAX (760) 177-7011
INSPECTIONS (760) 777-7153
Date: 12/06/11
Owner:
PAGE TOBY C
C/O CANTOR & FITZGERALD
3811 TUTLE CREEK DR NO 16
DALLAS, TX 75219
Contractor: D 4
GOLDEN CONSTRU I N INC, PAUL
73710. FRED WAR. G DRy�y" @ 1,0 201qq
PALM DESERT, CA 9 260
(760)776-42i5 I G17YQFiA1*UINTA
Lic. No.: 7869&9 etr.t::ir.r+-..�._
--------------- - - -
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 0000268-2010
_ 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 become subject to the workers' compensation laws of California,
and agree that, if I s d be me subject to the wor compensation provisions of Section
3700 of he abo Code, I all fswith co p,�`` those provisions.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000)• 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 thaVe
e 'nformation is correct. I agree to comply. with all
city and county ordinances and state laws relating to gcotruction; and her by authorize representatives
oft' county to en r up the, above-mentioned py for ' s c '6n pu
Z%A ignature (Applicant or Agentl: �
Application Number . . . . . 11-00000895
Structure Information
Construction Type . .
. . . TYPE V, UNPROTECTED
Occupancy Type . .
. DWELLG/LODGING/LONG <=10
Other struct info . .
. . . CODE EDITION 2010
# BEDROOMS
3.00
FLOOD ZONE NO
PATIO SQ FTG
457.00
---------------------------------------------------------7------------------
1ST FLOOR SQUARE FOOTAGE
258.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
117.92 Plan Check Fee
29.48
Issue Date . . . .
Valuation . . . .
0
Expiration Date
6/03/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
258.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
9.03
457.00 .0200
ELEC GARAGE OR NON=RESIDENTIAL
9.14
20.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
15.00
155.00 .4500
----------------------------------------------------------------=-----------
EA ELEC DEVICE/FIXTURE >20
69.75
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
1164.50 Plan Check Fee
756.93
Issue Date . . . .
Valuation . .
250000
Expiration Date
6/03/12
Qty Unit Charge
Per
Extension
BASE FEE
639.50
150.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
525.00
Permit . . .
MECHANICAL
Additional desc . .
Permit Fee . . . .
200.00 Plan Check Fee
50.00
Issue Date . . . .
Valuation
0
Expiration Date
6/03/12
Qty . Unit Charge
Per
Extension
BASE FEE
15.00
4.00 9.0000
EA MECH FURNACE <=100K
36.00
2.00 9.0000
EA MECH APPL REP/ALT/ADD
18.00
4.00 16.5000
EA MECH B/C >3-15HP/>100K-500KBTU
66.00
9.00 6.5000
EA MECH VENT FAN
58.50
LQPERMIT
Application Number . . . . . 11-00000895
Permit . . . . . MECHANICAL
Qty Unit Charge Per
Extension
1.00 6.5000 EA MECH EXHAUST HOOD
-----------------------------=----------------------------------------------
6.50
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 120.75 Plan Check Fee
30.19
Issue Date Valuation . . . .
0
Expiration Date 6/03/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
15.00 6.0000 EA PLB FIXTURE
90.00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000'EA PLB FIXTURE DRAIN/VENT REP/ALT
3.00
13.00 .7500 EA PLB GAS PIPE >=5
9.75
----------------------------------------------------------------------------
Special Notes and Comments.
258 SF LIVING AREA, 457 COVERED PATIO
ADDITION AND 254 SF DEMOLITION TO
EXISTING 4895 SF 3 BEDROOM SFD.2010
CODES. MICHAEL KINER ARCHITECT C29396.
------------------------------------------=---------------------------------
Other Fees . . . . . . ART IN PUBLIC PLACES -RES
125.00
BLDG STDS ADMIN (SB1473)
11.00
ENERGY REVIEW FEE
75.69
STRONG MOTION (SMI) - RES
25.00
Fee summary Charged Paid Credited
Due
----------------- ---------- ---------- -7 -------- ----------
�' Permit Fee Total 1603.17 .00 .00
1603.17
Plan Check Total 866.60 .00 .00
866.60
Other Fee Total 236.69 .00 .00
236.69
Grand. Total 2706.46 .00 ..00
2706.46
LQPERMIT
Bin #
City of La 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 #
"
Project Address: ItoLK ea S
Owner's Name: q e
A. P. Number:
Address: �Same, as 6P-ak CG
Legal Description:
Contractor: 0 /% � S
City, ST, Zip:
Telephone: x<�:>:,.:;;:::. •:�.. ca::.:<;;<sz::
Address: 73 "- -7
Project Description:
City, ST, Zip: G%YI �C �� t
Z/Yr D�eZ; `1 4 ev,e
Tele hone: 9
!00 -- Z� -5=Z5
:::> :<: :::::<: ..> � .,:. »:::
:.r.R,: f:;::;::w :a
hv:n� ':.i\>:i:'i�:iiiv.v:r.::)>3i:iry v:;.:ENE
City Lie.
/w/ /�J, /fir I
V{ �I� 1�—'_�` t
� e
State Lic. # :
,
rc ., ngr., Designer: 00,
I/C`1: j e,e
Address: '70'/77
City, ST, zip: anch o t
r.:,
::. .grs*< : ^,G
Telephone: ��:3 Qom,! 1j� � :.. >s��• x ��;~:;:<.,:r<>� ;:�s„�,,A;::.:.;�
State Lic. #: Z 3 fps ? '” g; ::: w:<>.s
Name of Contact Person: LGiY�/eL µ �hC`
Construction Type: Occupancy:
Project circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 7100 _ 5 O
Estimated Value of Project: 2. SO O O tO
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Pian Cheek submitted
Item Amount
Structural Cities.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
O�
Called Contact Person LAM -Plan
Check Balance
Title 24 Cities.
Plans picked up�/ %
Construction
Flood plain plan
Plans resubmitted ��/ Io
Mechanical
Grading plan
2"' Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
V-100,
Plans resubmitted
Grading
HOUSE:-
HIN
' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
•
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
A -
Total Permit Fees
kff,,wit # Aq�
Project Address:
A. P. Number:
Legal Description:
Contractor: adc&
7 Address: 7(Ci
City, ST, Zip: rdlk—k C tv
Telephone: .J
P
�Ca- 6
�C State Lic. #
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person:
# Submittal
Plan Sets
Structural Calcs.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
1CJ
City of La Quinta
Building 81' Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
wner's Name: -772,
Address: Z 8 80 I
City, ST, Zip:
elephone:
Project Description:
✓� Y
6
� Q
City Lic. #:
Total Permit Fees
7/ 3 -� /�° - d L 7//7 /Z dQ-n�
.z
Construction Type:
W
Occ u P an cY:
Project e
ct e
type (circle cl one): .
New Add'n Alter Repair pair Demo
P ? aA Sq. Ft.:
# Stories:
# Units:
Estimated Value of Project:
12, es1j e �s0
APPLICANT: DO NOT WRITE BELOW THIS LINE
Rec'd
TRACKING
PERMIT FEES
?►
PlanChecksubmitted
qPlan
1Reviewed,
ItemAmount
ready for corrections
Check Deposit
le
Called Contact Person
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
Review, ready for corrections/issue
t.
Called Contact Person
Z
FElectrical
ng
Plans picked up
S 111
Plans resubmitted
Grading
Jrd Review, ready for corrections/issue
Developer Impact Fee
Called Contact Person
A 1 P P
Date of permit issue
\1%
A L
Total Permit Fees
7/ 3 -� /�° - d L 7//7 /Z dQ-n�
.z
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road ¢BERMUDA DUNES 0
� RANCHO MIRAGE
Date 12/7/11 La Quinta, CA 92253 INDIAN WELLS
PLAUIyAQNT�� VNo. 31162 (760) 771-8515 INDDIO
P
Owner Toby Page
APN # 658-310-001
Address 48801 San Lucas
Jurisdiction La Quinta
City La Quinta Zip
Permit #
Tract #
No. of Units 1
Type Residential Addition
Lot # No. Street
S.F.
Lot # No. Street S.F.
Unit 1 48801 San Lucas
258 Unit 6
Unit 2
Unit 7
Unit 3
Unit 8
Unit 4
Unit 9
Unit 5
Unit 10
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under
500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile
homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
Residential Addition 500 Sq Feet or Less
EXEMPT
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.00 X 258 S.F. or $0.00 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By Exempt - Paul Golden Check No.
Name on the check Telephone
Funding Exempt
By Dr. Sharon P. McGehee
Superintendent
Fee collected /exem ed by a Mc iIv y Payment Recd so::oo 7-1
Over/Under"
f �•
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1), this wl se a to notify you that the 90 -day approval period in which you may protest the fees
or other payment identified above will begin to run from the date on whic the building or installation permit for this project is issued, or from the date on
which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID without embossed seal
Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting
La Quinta Golf Estates
Community Association
Architectural Committee
P.O. Box 553
La Quinta, CA 92247
(760)564-0136
jimaridiaynew@verizon.net
July 12, 2011
Mr. Michael Kiner
70-177 Highway 111, Suite 200
Rancho Mirage, CA 92270
Dear Mr. Kiner:
The Architectural Committee for the La Quinta Golf Estates Community Association has
reviewed the plans that you submitted for the remodel/addition to Mr. and Mrs. Toby
Page home at 48-801 San Lucas and we have approved them. I have stamped the plans
indicating our approval so that you can submit them to the City of La Quinta for approval
by them.
Please remember that the approval is for these plans only and if you make changes to
them they will have to be resubmitted for approval.
Yours truly,
Jimmie D. Woods
Chairman, Architectural Committee
1ECEIw,-D
0.0
AUG .a 2011
45090 Golf Center Parkway, Suite F, Indio. CA. 92.201(760) 863-0713 Fox (760) 863-4847
6782 Stanton Avcnuc, Suitc A. Buena Park. CA 90621 (714) 523-0952 Fax (714) 523-1369
450 Egan Avenue, Beaumont, CA 92223 (951) 845-7743 Fax (951) 845-8863
800 E. Florida Avenue, Hcme� CA 92543 (951) 766-8777 Fax (951) 76"778
February 23, 2012
Mr. Toby Page
c/o Paul Golden Construction
73-710 Fred Waring Drive, Suite 101
Palm Desert, California 92260
Project. Page Residence Renovations
48-801 San Lucas Drive
La Quinta Country Club
La Quinta, California
Subject: Soluble Sulfate Content
Project No. 522-12005
12-02-047
As requested, we have sampled the surface soil subsequent to grading to determine the soluble
sulfate content as it relates to selecting appropriate concrete mix designs. Testing indicates that
the site soil is considered non -corrosive with respect to concrete. The testing indicated non-
detected soluble sulfate content that corresponds with the "negligible" exposure category in
accordance with Table 3 of ACI 318-08 Chapter 9. In accordance with ACI 318-08, special sulfate
resistant concrete mix designs should not be required. ,
If you have questions regarding this letter, please contact the undersigned.
Respectfully submitted,
ShADDEN ENGINEERING
Brett L. Andersoi`
Principal Engineer
Letter/91
u NaC4m
DpO(=2
Copies: 4/ Paul Golden Construction
I I I I I I I
I I I I I I I
I I 1 1 I 1
I I I I i I
I I I I I 1 I
I I I I 1 I II
I I I I I I I
1 I I I I I I I
I I I I I I I
REF
--I -
I �
MGA s ) A s
new
,fee A4 's
! GARAGE
E
BUILDING & vulA A-6.1
�r
APPROVEDo�.
FOR C0NSTRCMo
1 dt
22
-------------------------------------------------------------------
NOTE= ALL NEW WALLS AND
GEILING5 IN GARAGE
TO BE 5/e" TYPE X
DRYWALL (I HR.)
IF ROOF RAFTER
SPACING I5 NOT I6 `
O.G. OR LE -55 THE
CONTRACTOR 5HALL
U5E HAT CHANNEL RUN
PERPENDICULAR TO THE
FRAMING m 16" O.G. TO
ACHIEVE THE I HR.
A55EMBLAGE.
I
1
I
I
I
I
I
I
I
I
I
I
I
1
-------------------j
PAGE RESIDENCE -DOOR WINDOW and SKYLIGHT SCHEDULE
(s) ^"`,_-,
fi�l7t t!{�