05-3911 (RER)l
j 1
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
0.5-00003.911
52350 DEL GATO DR
770-280-016- -
REMODEL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
1000,0
Architect -or
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'SDECLARATION
thereby affirm under penalty of perjury thatl' am licensed under provisions of Chapter 9 (commencing with
Sectjon7000) of Division,Tof the Business and Professionals Code, and my License is in full force and effect.
License Class: 'B License No.: 6914'05
�
c `
Date: n 'd+Ontrect0
'
OWNER -BUILDER DECLARATION
[,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,.ovrepair,any,structure, prior to its issuance, also requires the applicant for,the
permit to file asigned statement that.he or she is licensed'pursuant to,the provisions of the:Contractor's State.
License Law (Chaptar9`(commencing'wth Section 7000) of Division 3 of the Business and Professions Code):or
that he or -she is exempttherefromend-the basis'forthe ellegedexemption. ,Any. violation of Section 7031.5 by
any applicant for a permitsubjects the applicant to.a civil penalty of not -more than five hundred dollars (8500).:
(_ ► 1, as owner of the property, or my, employees with'wages as their,sole compensation, will dothe work; and,
the structure is: not intended or offered for sale: (See. 7044, Business and;Professions Cade: The
Contractors' State License Law, does not apply.to an'ownerof property wllo 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-builderwill,havwthe burden of proving that he or she did not build or
improve.for the purpose of sale.).
f _ 1 I, as owner of ,the property, am exclusively contracting with licensed contractors to construct the, proiectr(Sec.
7044, Business and, Professions Code: The, Contractors' Stste. License Law does notapply -to amowner of
property who builds; or improves'thereon, and who contracts for the; projects' with a'contrsctoris),licensed
.pursuant.to the Contractors' State License Law.).
b_ 1 I am exemprunderSac. B412Z. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1. hereby affirm under penafty of perjury that;thece Is a`conatructlon lending -agency for the, performanceof the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMT
VOICE (760) 777-7012
FAX (760) 777 7011
INSPECTIONS' (760) 777-7153
Date: 9/28/05
Owner:
SLADEK RICHARD B
P 0 BOX 377
ALAMO, CA 94507
Contractor:
CLASSIC -BUILDERS, INC.
48900 AVENIDA ANSELMO
LA.QUINTA, CA 92253
(7.60)333-1935
Lic. No.: 691405
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty'of perjury one, of the following declarations:
_ I have!and will•ma mainre cartificate,of cons ent:to self -insure for.workers' compensation, as provided
for by Section 3700 of the, Labor Code, for, the, performance of the.work4or-which thWpermit is
issued.
_ I'have'and will maintain,workers' compensationinsurance, as,requiied by Section 3700 of the Libor
Code,. for the performance of the work for which this permit:is:issued. My workers' compensation
insu"rance;camer.and policy numbsr:arei
Carrier STATE FUND Policy Number'
_ I'•c_ertify that, in the performanceof the work for which this'parmit'is issued, I shall not employ any
personin any manner, so as to become subject to the workers' compensation laws of'Califomia,
and, agree that;'if::Qshould becomesubjectto the workers' compensation, provisions, of Section
3700 of the Latrawr,1Code,;1 shall forthwith complyiwth those provisions.
Dateo- I �Applicant �O.w..r��, _ -
L;001
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,. AND SHALL
SUBJECT AN EMPLOYER?O:CRIMINAL PENALTIES AND CIVIL FINES 613't6 ^ONE HUNDRED 'TNOUSAND
DOLLARS101=000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS'PROVIDED FOWIN
SECTION 3708 OF THE LABOR CODE, INTEREST;,AND ATTORNEY'S FEES:
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is herebymade to the Director of Building and Safety for a permit subject.to the
conditions and restrictions set forth on this'application.
1. Each persom,upomwhose behalf tithe application is made, ea_ch.person at whose request: and for
whose benefit work is performed under orpursuart to any permit issued as a restilt.of th)siapplication,
the owner, and the applicant, each agrees.to, and shall: defend, indemnify and hold harmless the City
of,La-Ouinta, Rsofficeirs; egems,and'employees for any act or omission related to the.work being
perforated underor following issuance of this,permt..
2. Arty permit issued as a resut of this application becomesnull and.void if work;is not commenced
within 180 days from date of issuance of;such:permt,.or cessatiomof work for 180 days will subject
permit to.cancellation.
I certifyghat 1 have read this application and state -that the above,information is correct. I agree to comply withell
cityand county,ordinances and -state laws relating to building construction, and hereby authorize representatives
of�this(coumy to enter upomthe.above-mentioned pr fty for )nspectiomputposea.
Date r�'� Jrsignature (Applicant or Age (�/
r
Application Number . . . . . 05-00003911
Permit . .
. BUILDING;PERMIT
Additional desc'.
'Permit Fee
117.00
Plan.Check
Fee
76.0.5
Issue Date
Valuation_
. . .
. •10000
Expiration Date
3/27/06
Qty Unit Charge, Per
Extension
BASE
FEE
45.00
8.00 .9.0000 THOU BLDG
2,001-25,0100
72.00
-------------------------------
---------------------------------------------------------------
Special
Special Notes and
Comments
-------------------
-------------
Exterior garage door alteration•.
--------------------------------------- 4 ---
- ----------------
Other Fees . . ..
--------
. . . . . . STRONG MOTION (SMI)
- RES
1.00
Fee summary
Charged
Paid Credited.
Due
Permit.Fee .Total
117.00
.00;
.00
117.00
Plan Check Total
76.05
.00
.00
76.05'
. Other Fee Total
1.00
.00
.00
1.00
Grand Total
194.0.5
.00
.00
194.05
LQPERMTP
BAW City of La Quin'ta
Building 8r Safety. Division .
P.D. Box 1504, 78-405 Calle Tampico
Permit g La Quinta, CA P2253 - (760) 777-7012
D,S- 39/l Building Permit. Application and Tracking Sheet
Project Address: -!S72-35'0 pf-C C4TO 0A. I Owner's Name: X 104AAD 9 4� SQNARA s' A
A. P. Number: '7-,--70 _- 2 ft Address: X _S- 2 -.34�'O LSC L in TD Zle
Legal Description: ,. SS AC'R6S '/N 1 -,or 9'6 /;f 26:3
Contractor: XO4UL �R ftJ 14 22"170-1
ty. ST. Zip; K Z C31 UJJi1 rj4 GHQ
Telephone:
Address: r9Q O A i c- lvl o 4 4,AJ.5C L,/%1;d
Project Description:
•City. ST. Zip: G Q U frr C�4. 92 Z3
SARA GF 1JOv�
Telephone-
-
3 —
� 3
1 6 AT U D E 0 U
T tel, dL
/ v rvc �
State Lic. # : X.
Arch:. Engr.. Designer:E
Q City Lic. #:
d No cxisri v5 g;444cc P OJRS f
./,,� G TV r ,J 775
Address:
AA10 N ee-106C! e- 7 -/?e- 1 /T dA/C-
City. ST. Zip:
0 d u13 C E- 441z> 6 0 DIX
Telephone'
onstttction Type: Occu anc%C
State Lic.#:
ProJcct.ry PacirIe one): NewAdd`n Alter Repair Demoo
Name of Contact Person: x %/[--r E ni P/67-0
Sq. Ft.-,�Y,
4 Stories:
# Units:
Telephone # of Contact Person:'
Estimated Value of Project: X. Q Dt]
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING. A
PERMIT FEES
?/
:Plan Set's
�
�
Plan Check,"submitted
Item
Amount
Structural Calcs.,
Reviewed. ready for corrections
Plan Check Deposit
Truss Cales.
Called ContactTerson
Plan Check Balance
Title 24 Calcs.
i Plans,picked up
Construction
Floodplain plan
Plans resubmitted
Mechanical
Grading plan
2`A Review.,ready for correcti srssu w
Electrical
Subcontactor List
Called Contact Person . 4Vd Ate Z$
Plumbing,
Grant Deed
Plans picked up A
SAU.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'~ 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
-70 IJW9 404.71 11jj�¢
•
Total Permit Fees
R17 U�1
Tradition-Sladek-Hard copy to follow
Subj: Trad1tionSladek4lard,copy to follow
Date: 10222005 7:37:38 A.M. Pacific Standard Time
From:
October 21, 2005
Mr. David Larson
48900 Avenida.Anselmo
La Quinta, CA 9225.3
Re: 52350 Del Gato Drive/Sladek
Garage Door Modification — Hand drawn detail
Dear W. Larson,
Page 1 of 1
The Tradition Architectural Committee has reviewed your, request to modify the garage door
at this residence. The. committee has approved the door design as presented in your fax
dated 10/14/05 however the committee is requesting that: the door be reduced to 18' rather
than 20' as this is still two feet larger than a standard door.
Please contact Brook. Marshall at (760) .219-8057 or Brook@dc.rr.com with any questions.
Sincerely,
Tradition Architectural Design Review Committee
or: ADRC File
Log
Monday, October 24, 2005 America Online: Ddonna48