12-1191 (RER)P.O. BOX 1504
78=495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12-00001191
Property Address: 53690 DEL GATO DR
APN: 770-370-007- - -
Application description: REMODEL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 25000
Applicant: Architect or Engineer:
�N'G�kc9'7tJ:i- 1�IA-
--
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am licensed nder provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busin nd Profe ' als Code, and my License is in full force and effect.
License Class: 13 License No.: 803175
Date: Contracto .
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.).
(_ 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:
IT
Owner:
PERRY
53690 DEL GATO DRIVE
LA QUINTA, CA 92253
Contractor:
JET PROPERTIES INC
44489 TOWN CENTER WAY
PALM DESERT, CA 92260
(760)408-8184
Lic. No.: 803175
VOICE (760 , 7 7- 01
FAX (760) -70
INSPECTIONS (760) 777-7153
Date: 10/17/12
V a l zo�z
#D47
CITY OF LA QUINTA
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 Nect to the workers' compensation laws of California,
and agree that, if Isho e e ct to the workers' compensation provisions of Section
3700 of the Labor Co with comply with those provisions.
CDate:yQ ZApplicant:
WARNING: FAILURE TO SECURE WOR S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,000). 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 that the ab mOnd
correct. I agree to comply with all
city and county ordinances and state laws relating to buildi cons therebyauthorize representatives
of this county to enter upon the above-mentioned property cses.
r
`Date4 ignature (Applicant or Agent):
Application Number . . . . . 12-00001191
------ Structure Information BATHROOM ADDITION IN EXISTING GALLERY -----
Other struct info . .
. . . CODE EDITION
2010
----------------------------------------------------------------------------
# BEDROOMS
1.00
Permit
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
252.00 Plan Check
Fee 163.80
Issue Date . . . .
Valuation
. . . . 25000
Expiration Date . .
4/07/13
Qty Unit Charge
Per
Extension
BASE FEE
45.00
23.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
207.00
Permit
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
26.00 Plan Check
Fee 6.50
Issue Date . . . .
Valuation
. . . . 0
Expiration Date
4/15/13
Qty Unit.Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
----------------------------------------------------------
EA ELEC MISC
11.00
=-----------------
PermitMECHANICAL
Additional desc .
Permit Fee . . . .
26.00 Plan Check
Fee6.50
Issue Date . . . .
Valuation
. . . . 0
Expiration Date
4/15/13
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
---------------------7-------------------------------------------------I-----
EA MECH VENT FAN
6.50
Permit . . .
PLUMBING
Additional desc .
Permit Fee36.00
Plan Check
Fee 9.00
Issue Date . . . .
Valuation
0
Expiration Date . . '
4/15/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
LQPERMIT
Application Number . . . . . 12-00001191
Permit . . . . . . PLUMBING
Qty Unit Charge Per Extension
3.00 6.0000 EA PLB FIXTURE 18.00
1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00
----------------------------------------------------------------------------
Special Notes and Comments
BATHROOM ADDITION IN EXISTING GALLERY
ROOM [CONVENTIONAL] THIS PERMIT DOES NOT
INCLUDE ALTERATION TO EXISTING FRAMING
OR OPENING, FROM EXISTING GALLERY ROOM TO
RESIDENCE. PLANS APPROVED WITH COMMENTS:
LIGHTING CONTROLS PER ENERGY CODE AND
50CFM.EXHAUST FAN REQUIRED AT SHOWER. -
2010 CALIFORNIA BUILDING CODES.
.October 17, 2012 9:08:02 AM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ENERGY REVIEW FEE 16.38
STRONG MOTION (SMI) - RES 2.50
Fee summary Charged
Permit Fee Total 340.00
Plan Check Total 185.80
Other Fee Total 18.88
Grand Total 544.68
LQPEIN1IT
Paid Credited Due
.00 .00 340.00
.00 .00 185.80
.00 .00 18.88
.00 .00 544.68
Bin.#
City �f QUinta
Building 8L Safety Division
Box 1504,"76-495 Calle Tampico
[.a .Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Perinit #P.O.
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1
Project Address: A53 -(P90 hIU�Owner's
Name:.
A. P. Number. �"� 7�"(rj. 001
Address:
Legal Description:City,
Contactor: � �r � ���, .
ST, Zip: L4 C -A
�w. <
Telephone• �
�" > , „°Mass •;x
Address: LW4ffl t-IpW4
Project Description:
City, ST, Zip:Woo
( '
.
Tele hon
State Lic. # : 803 �, City Lie. M.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
State Lic. #: ;? ;w j y
Name of Contact Person:Sq.
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alte Repair Demo
Ft.: # Stories: # Units:
ol
Estimated Value of Project: 2 rj 1
Telephone # of Contact Person:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
'Rec'd
TRACKIlVG PERMIT FEES
Plan Sets
Plan Check submitted � Item Amount
Structural CaIcs.
Reviewed, ready for corrections Plan Check Deposit. .
Truss Cates.
Called Contact Person Plan Check Balance.
Title 24 Cates.
Pians picked up Construction
Flood plain plan
Plans resubmitted. _ Mechanical
Grading plan
2i4 Review, ready for correcfionsliissue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.L
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
'^' Review; ready for correctio ue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
►0V-11 -- N� Pt �R t co tb, -
CITY, OF LA QUINTkSUB-CONTRACTOR LIST
JOB ADDRESS 5-5-41)0 OVA- Q.TV PERMIT NUMBER OWNER BUILDER .�I �R-�E�7w N��C. •_
This form shall be 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 this 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 / Classification
Contractor ..
tate::Contractot.s License_..
:.:... .:.....:. .
:Workecs.Com ensation;Irisurance:' •:':' :`::::::;:.:.
City. Biis(riess
Company Name
Classification
(e.g. A, B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp. Date
(xx/xx/xx)
EARTHWORK (C-12).. .
CONCRETE (C-8)
FRAMING :(C-5) .`::
GA,. Vr04V10 1"
V
-1'50(49 it
4-50-13
/
WL
STRUCT.'STEEL (C-51)
MASONRY (C-29)
PLUMBING (C-36► _
D.
L
�..
10-'3 '.I
1.1l,1b
CABINETS (C-6)
''
ue, W �
L.
✓ s qes
T -W
FENCING (C713) ` J
LANDSCAPING (C=27) :::
POOL (C-53)
Perry Res.
Traditions golf club
53- �90del gato dr.
la quinta, ca 92253
lot 106
tract 28867
apn 770 370 007
ENTERED
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NOV - 9 2012
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existing building total sqft. 7,690.49
new building total sqft. 7,690.49
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LOT 106
AVENUE 50
La Quinta
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DEL GATO DRIVE
LOT 106
AVENUE 50
La Quinta
AVENUE 52
the TRADITION
COMMUNITY
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CITY OF LA QUINTA
BUILDING & SAFETY DEPTAPPROVED
FOR CONSTRUCTION
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115' sgft remodel of existing prepared bathroom 013
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Existing rough plumbing at sh ower, lab and toilet
Existing hvac system, duct }
New 2x6 wall
d shower/tub surfaces
5- New the/stone flooring, tops an
6. New plumbing fixtures, tub, toilet, lab
7. New doors, hardware
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