09-1017 (AR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
pwolut
0970001017
4TT58-9_PARMA CT
609-542-005-17 -28457 -
ADDITION - RESIDENTIAL
LOW DENSITY RESIDENTIAL
21952
Architect or Engineer:
4i Q%(&&
r
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT -
P&S"A
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and, Professionals Code, and my License is in full force and effect.
License Class: B' License No.: 41.2506.
? r
Contractor:
•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 thathe or sheis licensed pursuant to the provisions of the Contractor's State
License Law (Chapter9 (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).:
as owner of the property, of my employees with wages as their.sole compensation„ will do the work, and
the structure•is.notintendedior offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License -Law does not apply wan 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 intendedi 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:
LQPERAIIT
Owner:
MACRO MICHAEL E
43-586 PARMA COURT
LA QUINTA, CA 92253
Contractor: D
AVILA CONSTRUCTION, FRED
82567 AVENUE 48, #50
INDIO, CA 92201 I
(760)793-2728
Lic. No.: 412506
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/09/09
_ U
carr` x1A I
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 subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section_
3700 of the Labor Code; 1 shall fortM%vith comply with those provisions.
wDa�iw' / � ,rApplicant:
'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 ($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 theapplicant, 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 above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
Application Number . . . ... 09-00001017
------ Structure Information 374SF ADDITION/VB/RES-2/CL-A [ENG]
-----
Other struct info . .
. . . CODE EDITION 2007CBC
# BEDROOMS
1.00
FLOOD ZONE NO
PATIO SQ FTG
42.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
374.00
Permit . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
225.00 Plan Check Fee
146.25
Issue Date . . . .
Valuation . . . .
21952
Expiration Date
6/07/10
Qty Unit Charge
Per
Extension
BASE FEE
45.00
20.00 9.0000
=---------------------------------------------------------------------------
THOU BLDG 2,001-25,000
180.00
Permit . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
28.93 Plan Check Fee
7.23
Issue Date . . . .
Valuation . . . .
0
Expiration Date
6/07/10
Qty Unit Charge
Per
Extension
BASE FEE
15.00
374.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
13.09
42.00 .0200
--------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
.84
--
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
44.00 Plan Check Fee
11.00
Issue Date . . . .
Valuation . . . .
0
Expiration Date
6/07/10
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE <=100K
9.00
1.00 4.5000
EA MECH VENT INST/ DUCT ALT
4.50
1.00 9.0000
EA MECH B/C <=3HP/100K BTU
9.00
1.00 6.5000
----------------------------------------------------------------------------
EA MECH VENT FAN
6.50
Permit . . . PLUMBING
Additional desc . .
LQPERA11T
Application Number . . . . . 09-00001017
Permit PLUMBING
Permit Fee . . . . 55.50 Plan Check Fee
13.88
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 6/07/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
4.00 6.0000 EA PLB FIXTURE
24.00
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
2.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
6.00
----------------------------------------------------------------------------
Special Notes and Comments
374SF BEDROOM ADDITION/VB/RES-3/CLASS
A -FR [ENGINEERED] THIS PERMIT DOES NOT
INCLUDE BLOCKWALLS OR THE RELOCATION OF
EXISTING POOL OR MECHANICAL EQUIPMENT.
2007 CALIFORNIA BUILDING CODES.
December 9, 2009 9:36:04 AM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
14.63
STRONG MOTION (SMI) - RES
2.20
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 353.43 .00 .00
353.43
Plan Check Total 178.36 .00 .00
178.36
Other Fee Total 17.83 .00 .00
17.83
Grand Total 549.62 .00 .00
549.62
LQPERMIT
s
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 # `�
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Project Address:
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Owner's Name: I'( - k6U,
A. P. Number:
Address: 3 J Vyk C4 r
Legal Description:
City, ST, Zip:
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Contractor:
G
Tele h n -
P o e. .S S
Address:
Project Description: Eno1
City, ST, Zip:
Telephone:
hone:
................................................
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State Lic. # :
Arch., Engr., Designer:
City Lic. #•:
5 L
Address: _ e
i (—
City, ST, Zip:
Telephone:
�_
a Lic. #: .
State to L J 6
Name of Contact Person:
�`:
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Co tract'
s ton Type. Occupancy:
Y P P cY
Project e (circle one): N w
J tYP � t o e Add n Iter Repair Demo
P
Sq. Ft.: L # Stories: J# Units:
Telephone # of Contact Perso .
t
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
3
Plan Check submitted
Item
Amount
Structural Calcs.
a
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Title 24 Calcs.
a
O+
Called Contact Person
Plans picked up
Plan Check Balance,
'
Flood plain plan
Plans resubmitted
tl(gS-M-I.
Mechanical
Grading plan
2°" Review, ready or correcti /issue ��
Electrical
43
Subcontactor List
Called Contact Person �1Plumbing
Grant Deed
Plans picked up
2 4
H.O.A. Approval
Plans resubmitte 2 I
Grading
IN HOUSE:-
'"' Review, ready for correctionissue
Developer Impact Fee
.^
Planning Approval
Called Contact Person 1
A.I.P.P.
Pub. Wks. Appy
Date of permit issue
School Fees
O
Total Permit Fees
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ct
14�� - IU Yk.-
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Date
11/24/09
No.
30537
Owner
Mike & Trixie Macro
Address
43589 Parma Court
City
La Quinta Zip 92253
Tract #
Type
Residential Addition
Lot # No. Street
Unit 1 43589 Parma Court
Unit 2
Unit 3
Unit 4
Unit 5
Comments
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
S.F.
374 Unit 6
Unit 7
Unit 8
Unit 9
Unit 10
Aar,: o
Q BERMUDA DUNES r
En RANCHO MIRAGE (�
INDIAN WELLS
PALM DESERT ,y
(� LA QUINTA
-yQ INDIO y�
O
APN # 609-542-005
Jurisdiction La Quinta
Permit #
No. of Units 1
Lot # No. Street
S.F.
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. 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 374 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 N/A -Michael Macro
Check No. N/A
Name on the check Telephone 760-772-9545
Funding Exempt
By Dr. Sharon P. McGehee
Superintendent
Fee collected /exempted by Yolanda Garcia Payment Recd
Over/Under
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the,90-day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on which 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
2 CITY OF LA QUINTA SUB—CONTRACTOR LIST y
JOB ADDRESS / ��% ?96e2LAA, PERMIT NUMBER OWNER' 2�L x- 771 " 'BUILDER— W_Ozz, �
This form shall be posted on the iob with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on .this list or their employees are authorized to wort
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 voidanc(
of building permit. For each applicable trade, all information requested below must be completed by applicant. 'On File' is not an acceptable response.
ica
Trade ! Classif lion
Contractor
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:; ....;' .: .' .. ..-'. cit* Business
,.:; W..9tlfer .Go . rlsatXof�:it>Steran
Company Name
Classification
(e.g. A, B, C-8)
License Number
(xxxxxx)
Exp. Date
Ixx/xx/xx1
Carrier Name
le.g. State Fund, CalCorlip)
Policy Number
(Fomtat Varies)
Exp. Date Lkense Number
lxx/xxlxxl lxxxx)
Exp, Date
Ixx/xx/xx)
EARTHWORK IC -12)
N
CONCRETE (C-81 :.. ...
�'il✓r
y
FRAMING:(C-5)
STRUCT :STEEL,.(G 5W, .
�
MASONRY: (C-29)
PLUMBING IC .361'
WTH PLASTER �C-31
(C9).LDRYWA
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(✓��IzCOD
►lot"
10 ��aZ
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HVAC to -2o)
S p tA
TRIM (C. .':
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ROOFING'IC
`SHEET.METAL
FLOOiRING
GLAZING (C-:,17)
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INSULATION (G2) .'
v� UQ'I'-tr+�
G► .r 000��'%
SEWAGE DISP: (C-42)
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l'w'....',
(Nn Q %� 2D�
IPAINTING (C=33) ' :
U �
7 Sd�
CERAMIC TILE (C-54)
CABINETS (C-6)
FENCING 'IC -13)/
LANDSCAPING
POOL (C-53)
4
Concorde Consulting. Group, Inc
Construction Management * Project Management Architecture I Engineering a Development
September 15, 2009
To:
Jim Gleason
Designer
Palm Springs, California
RE: Macro Residence — 43589 Parma Court, La Quinta, CA
Our Project No: 09-999
Jim:
This note is to confirm that we have reviewed, the truss design package provided by Trussworks on
9/15/09 and find the same in general -conformance with. design requirements
Please call if you tiaue}any questions
Yours
truly,
K. M. Kripanarayana.ri S sE""
Concorde Cons'ultingGroup;''Inc
3505 Camino Del Rio South, #350
San Diego, CA 92108 ,
Tel(619)516-3377 Fax(r519)5-115-338B
, � m
C -
0 T 'z
,i
SEP 2 1 2009
3505 Camino Del Rio South, #350, San Diego, CA 92108. Ph: (619) 516-3377 Fax: (619) 516-3388
C -
0 T 'z
,i
SEP 2 1 2009
3505 Camino Del Rio South, #350, San Diego, CA 92108. Ph: (619) 516-3377 Fax: (619) 516-3388