10-0867 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
10:=•0,00:008617
Property Address:
5.062`5�`CAL`LE�PALOMA
APN:
770 -096 -001 -74 -000000 -
Application description:
REMODEL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
4000
Applicant:
Architect or Engineer:
�JA
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------- - ----- --------------------
LICENSE CO TRACTOR' CLARATION
I hereby affirm under penalty of perjury that I'a'm 1' an 'under pr i ' ns of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and of sio als Co nd my License is in full force and effect.
License la §$: B is s No.: 947886 .
a ntractor:
OWNEe UIL DECLARATION
I hereby affirm under penalty of perjury that I am=ea pt from the Contractor's State License Law for the
following. reason (Sec.. 7031..5. Business and Prof ions Code: ' Any city or county that requires a permit to
construct, alter, -improve, demolish, or repair an ructure, 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 therefromand the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant toa 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 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 _
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.I.
Lender's Name:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/07/10
Owner:
JERRY WITTINGTON
50-625 CALLE PALO
LA QUINTA, 'CA 922 /AI n
�_
Contractor:. SEP os 1010
PRADO c
28750 SUNNY SLO E ROAR"OFIAQjljilq A
DESERT HOT SPRINGS, QF
(760).393-6809
Lit. No.: 947886
WORKER'S COMPENSATION; DECLARATION
I heieby 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 whichthispermit is
issued. ;
1 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 subject to the workers' compensation laws,of California,
nd�agree that, if I should become subject to the Workers'Icompensation provisions of Section
,3700 of'the Labor Code. I shall forthwith co m lywjth`t. ose revisions.
Da plicant:
WAR G: FAILURE TO SECURE WORKERS' CAIPENSATION COVERAGE.IS UNLAWFUL, AND SHALL
SUBJECT AN.EMPLOYER TO CRIMINAL PENAUTIES 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 per o at whose request and for
whose benefit work is performed under or pursuant to any perm: is ued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, if de nify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or
is ion 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 a oid if work is no commenced
within 180 days from date of issuance of. such permit, or cess Y n of work for 0 days will subject
permit to cancellation.
1 certify. that I have read this application and state that the above informati is correct. I ree to comply with all
city and county di nces and state laws relating to building constru io and rept' a is/no
of th' coun yyjtoo an r upon t above-mentioned property for inspec , urpos
at ✓ v ature (Applicant or Agent):
Application Number . . . . . 10-00000867
------ Structure Information REMOVE FIREPLACE + PATCH & REPAIR -----
Other struct info . . . . . CODE EDITION
----------------------------------------------------------------------------
2007/2008 .
Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee
40.95
Issue Date . . . . Valuation . .
. . 4000
Expiration Date 3/06/11
Qty Unit Charge Per
Extension
BASE FEE
45.00
2.00 .9.0000 THOU BLDG 2,001-25,000
----------------------------------------------------=--------7--------------
18.00
Permit . . . ELECT - ADD/ALT/REM
Additional desc DEMO ELECTRICAL
Permit Fee . . . . 15.75 Plan Check Fee
3.94
Issue Date . . . . Valuation . .
. . 0
Expiration Date 3/06/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
---------------------------------------------------------------
.75
-------------
Permit . . . PLUMBING
Additional desc . . RELOCATED GAS PIPING
Permit Fee . . . . 18.00 Plan Check Fee
4.50
Issue Date . . . . Valuation . .
. . 0
Expiration Date 3/06/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
1'.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
-------------------
3.00
---------------------------------------------------------
Special Notes and Comments
REMOVE LIVINGROOM FIREPLACE ONLY - DEMO
EXISTING MEP. INSTALLATIONS, FRAME HVAC
SOFFIT PLUS PATCH AND REPAIR DRYWALL.
2007/2008 CALIFORNIA BUILDING CODES.
September 7, 2010 12:21:11 PM AORTEGA
------------------------------------=---------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
.4.10
Fee summary Charged Paid Credited
Due
LQPERMIT
Application Number . . . . . 10-00000867
Permit Fee Total 96.75 .00 .00 96.75
Plan Check Total 49.39 .00 .00 49.39
Other Fee Total 5.10 .00 .00 5.10
Grand Total 151.24 .00 .00 151.24
M
LQPERMIT
CITY OF LA QUINTA
BUILDING PERMIT REQUEST
September 7, 2010
Property Address
50625 Calle Paloma �61
La Quinta, Ca 92253
The purpose of this letter is to request a compliance permit in conjunction with the above
stated residential address.
1. Attached hereto are numerous photos depicting an existing prefabricated fireplace in
the open family room.
2. The walls were covered with stone tiles and have been removed.
3. No studs nor electrical outlets or gas connections have been touched.
4. The below listed professional licensed trades have been employed to remove all
electrical wiring and gas supplies to this particular unit after city Permits are issued!
A. Alfredo Electric -(760) 541-1674 Lic# 877827
B. La Quinta Cove Pluming (760) 342-2279 Lic# 910274
k you for your favorable consideration in this timely request.
1cere ,
rry Jt'tington, Satcom LTD. Trust
10-218-0620
M
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Bin #
City of La Q.uinta
Building 8i Safety Dlvislon
P.D. Boz::1504,78-' Ca Ile Tampico . .
La.:Quanta, CA 92253= (760): 777-7012
Building PermitQApplicad6n,a'Tracking Sheet
Permit #
I a o467
Project Addd : J` (rP 2 S
C&A e ` 0.L oI" off.
Owner's Nome:
A. P. Number.Address:.
0 (o' 2 C �� "A 4—
Legal Description:
ty–ST; Zip: (A,-_ J LAAtl Q,d. -
-Contractor: r c.,4,1D
Ti .7 D
Address:
.'Project-Description:r-'
City; ST, Zip:CA.z (
-
^
M 1Q Le ..
Telephone:
__ Mug-
State-Lic. # : g
City #:
Arch., Engr., Designer
Address:
-City, ST, Zip:
Telephone:Conshuction
T an
ypt: Occupancy:.
Pioject type (circle one): "New: . Add'n Alter
Repair Denio
State Lie. #:
Name of Contact Person:
Y
Sq. Ft.:
# Stories:
# Units:
Telephone # ofContact•Person:o�
".
(Estimated-Value ofProject
APPLICANT:.DO.NOT WRITE-BELOW.THIS LINE `
N
Submittal
Req'd
Rec.'d
TRACKING
PERMIT FEES
Plan Sets
°Plan Check submitted.,
Item
Amount
Structural Cales.
Reviewed, ready for corrections ' `.
Plan Check Deposit
Truss Calcs.
Called Contact Person - :
Plan Check Balance
o
Title 24 Calc*.
Plans picked pp- '
Gonstraetloa
Flood plain plea
Plans resubmitted
.-Mechanical
�+
Grading plan
2i° Review, ready:[or eorrtctioas%issue
Electrical
15� 3,4�
Subcoatactor List
Called ContactPerson
tiPlumbing
.
Grant Deed
Plans picked np
S.M.I. '.
...,,
H.O.A. Approval
Plans resubmitted
.Grading
IN HOUSE:-
Reyiew,, ready for cor"tIdon .Vissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP P.
Pub. Wks. Appr
Date of pprTit Wil
? ►+ n77
School Fees
L to.
Total Permit Fees
Mi Aq
CITY OF LA QUINTA SUB-CONTR CTOR LIST
JOB ADDRESS 54;p2S CAu.0 ?A&D—WA-
PERMIT NUMBER �p-p$(B�- OWNER ��.��i..tc�v BUILDER_
This form shall be posted on the job with the Building Inspection Card at all times in a- conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to tPis list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
of building permit. For each applicable trade, all information requested below must be completed
by applicant. "On File" is not an acceptable response.
...
Trade Class�frcat�on....................................Contra
.:...........
r.......................................................:.State..Contractor.s.Lcense..........:.::..:.....
::
.:
W. r n' ;;..:..:.:.>:::.::
<;:.::...................::..:::..:..::... rkecs:::C :m ensat�on.lnsu.a ce..
:Ci Bustness:Liceris�:::::;.;:::
-Company Name
Classification
License Number
Exp. Date
Carrier Name
Policy umber
Exp.
License Number
Exp. Date
(e.g. A, B, C-8)
(xxxxxx)
(xx/xx/xx)
(e.g. State Fund, CalComp)
(Format Varies)
(xx/xx/xx)
(xxxx)
(xx/xx/xx)
EARTHWORK; (C: 12)r ... '>
....................................................
..........................................................
FRAMING IG 5)
--
Q
STRUCT
MASONRY (C 29)..:....::...........
PLUMBING I;C 361 :
n-
iW►1�ib C&de A^*"1
`�
gTIW�O
7oZ.f'o
JAW//
t .
LATH PLASTER (C<35)
HVAC: C=20`.:'«>:<<<
b 3
ROOFING(C-39)
SHEET METAL (G 43)
FLOORING C'=15)> ? ::` `
CLAZIN:OAC'=:7:71>> ;
...................................
ANSl11 lTIUN<(.G=21
SEWAGE: bIS
.....................
.......................................................
.........................................................
PAINTING....'(-C'33)`. `<':::>>;;:: ':
CERAMIC. TILE (C 541:.
........................................................
.......................................................
..................................................
CABINETS (:C 6)
FENC,ING'4C:=1:'.31":
........................................................
.......................................................
LANDSCAPING (C 2.7
POOL (C 531