10-0529 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10-00000529
Property Address: 79621 CORTEZ LN
APN: 649-051-014-14 -2667 -
Application description: REMODEL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 19454.
Ta�v 4 4 Q"
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
'I hereby affirm under penalty of perjury that .l am lic ed under provisions of Chapter' 9 (commencing with
Section 7000) of Division 3 of the' - and s Code, and my License.is in full force and effect.
e class: $
License License.No.: 826297
Date Z Contract r:
O ILDER DECLARATION
I hereby affirm.underpenalty ,perjury hat am,exempt from tete License Law for the
following reason (Sec. 7091,.5, usi and Professions Code: Any city or county that requires a permit to
construct, alter, improve,. demolis , or repair any structure, prior to its issuance, also requires the applicant for the
permit to file.a signedstatement that,he or.she,is licensed pursuanvto the provisions ofthe Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division'3 of the Businessand Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.8 by
any applicant for a permit subjects the •applicant toe civil penalty of not more,than five hundred dollars (8500).:
(_) I,: as owner of the,property, or my employees with wages,as.their sole compensation, wilWo the work, and
the structure_ is not intended or offered for. sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does notapply to an ownerof 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'yeacof'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 contractorsto 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 cont(actorls) licensed
pursuant to the Contractors' State License Law.).
(_ I I am exempt under Sec. ; B.&P.C.for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm.underpenalty 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
Owner:
NELSON JO
Contractor:
GEE -AR -GEE CONST_RUCTIQ
P.O_ BOX 580487
N PALM SPRINGS, CA 922
(760)3;18-.2490
Lic. No.: 826297
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/24/10
------------------- - - - - -- w- - - - -
fr
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 1509272
I certify that, in the performance7of the work,for which this permit is issued, I shall not employ any
person nany manner sto.becomesubject to the workers' compensation laws of California,
and agree that, if I s Id com 'ectto.the workers' compensation provisions of Section
3700 of the Labor ode, I hall fo ithcomply with those provisions.
Datea� pplicant:
WARNING: FAILURE TO SEC RE WO ERS' PENS A N COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO RIMIN , LTIE _ CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (8:100;000). INA ITI TO THE COST OF'COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE;LABO DE, INTEREST, AND ATTORNEY'S°FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANTApplication 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 applicationis. 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 issuedas;a result of this application becomes null and void if work is not commenced
within 780 days �irom date of iKh
rmjt, or cessation of work for 180 days will subject
permit to cancellation.
I. certify that I have read this. application and at ove act. I agree to comply with all
city and county ordinances and state laws ro. ildi con truction, andhere uthorize representatives
of this county to enter upon the above-mentrops r ins action purposes.
Date:�r Z I '�ignature(Applicant or i
Application.Number . . . 10-00000529
-- - Structure Information 675SF POOL HOUSE/465SF PATIO COVER [ENG] -----
Other struct info . . . . . CODE EDITION 2007/2008
Permit . . . BUILDING PERMIT INV FEE
Additional desc .
Permit Fee . . . . 414•.00 Plan Check Fee
134.55
Issue Date . . . . Valuation . . . .
19454
Expiration Date . . 2/20/11
Qty Unit Charge Per
Extension
BASE FEE
90.00
18.00 18..0000 .THOU BLDG 2,001-25,000
324.00
Permit . . . ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee . . . . 28.50 Plan Check Fee
7.13
Issue Date . . . . Valuation . . . .
0
Expiration Date . . 2/20/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
675.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL
13.50
-- --- -- - --- --
Special Notes and Comments
--
675SF POOL HOUSE (UNCONDITIONED/OPEN
STRUCTURE) AND 468SF PATIO TRELL.IS
[ENGINEERED] THIS PERMIT DOES NOT
INCLUDE MECHANICAL OR PLUMBING .
INSTALLATIONS. 2007/2008 CALIFORNIA
BUILDING CODES. ***INVESTIGATION FEE
ASSESSED PER 2007 CALIFORNIA BUILDING
CODE APPENDIX CHAPTER 1 §108.4 FOR WORK.
COMMENCING BEFORE PERMIT ISSUANCE
(BUILDING ONLY)***
August 24, .2010 8:02:22 AM AORTEGA
-----------------_-_--------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
13.46
STRONG MOTION (SMI) - RES
1.95
Fee summary Charged Paid Credited
Due
Permit Fee Total 442.50 .00 .00
442.50
Plan Check Total 141.68 .00 .00.
141.68
Other Fee Total 16.41 .00 .00
16.41
Application Number. . . . . 10-00000529
Grand Total 600.59 .00 .00 600.:59
LQYERMIT
• /�� CITY OF LA QUINTA
JOB ADDRESS �� l,�' i2'i�2 PERMIT .NUMBER
on this job. Any changes to this list must be approved by the Building Division prior to
i
SUB -CONTRACTOR LIST
OWNER N CA So rJ BUILDER' R CQnia k4a ad 5
isriicuous lace. Only persons appearing on this list or their employees are luthorized to work.
mmencement 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" isnot an..acceptable response.
:. .. - - .. .:
rade 1. _...... -
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.
Company Name
Classification
License Number,
, EX90 Date
Carrier Name.
Policy Number
Exp. Date
License Number
Exp. Date
(e.g. A. B, C-8)
Ixxxxxx)
(xx/icx/xx)
(e.g. State Fund, CalComp)
(Format Variesl
(xx/xx%xx)
(xxxx)
(xx/xx/xx)
>►rtrrlwoK fo)
m lR, oo is
3!
R g
b78o to
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Bin #
City Of La Quints
BAUng 8F Safety Division
P.O. Box 1504; 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
.Building- Permit Application and Tracking Sheet
Permit #
b "
Project Address- (o2-1 Om ftt, Z L A/
Owner's Name:/Q1-�7LS D
A. -P.-Number:
Address: 7 9 2 ! C �� �L L V
Legal Description: S/II/.(o I 45�X ,
City, ST, Zip:'('�' (� /stJ zzs—
Contractor: CSG` / . GeL- ef ArSr Cd ,A,
Telephone:
Address: Q �QX �8O
ProjectDescription: Z e X30
City..ST, Zip. P(+SIM S jf1,6C
.7(d ¢.
Tel hone•
State Lic. #: S 26 2 c2 City Lic..#,
Arch., Eng., Designer-
esignerAddress:
Address:
City, ST, Zip -
Telephone:
Construction. Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: 617je4,Wle�z
Sq. Ft.:1�1#
Stories:
#Units:
Telephone # of Contact Person: 746 1e -Z Y;P6 Estimated Value of Project: '
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req -d Reed
TRACKING
PERMIT FEES
Plan,Setr
Pian Check submitted
Item
Amount
Structural Cities.
Reviewed, ready for corrections 161
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance.
Tide 24 Cala.
Pians picked up
Construction
Mechanical
�y
Flood plain plan
Plans resubmitted
Grading plan
2'' Review, ready for correctiouslissue
Electrical
Subeontactor List
Called Contact Person
Plumbing
r-+
Grant Deed.
Plans picked up
S.M.L
H.O.A.,Approval
Plans resubmitted
Grading
nq HOUSE:-
'`' Replew, ready for corrections%issue
Developer Impact Fee
Planning Approval
Called;Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit.issue /
;%j
School Fees
GO
Total Permit. Fees.
1 • 1�5 R�*t .. 8 xq ;00 - NsI-sm
71013 IBAX4" - 40 Alts 601- ��c- g&tf I- -
lud-O
S 11
9M4064 Pool. �kvuo
Tsol-I e4glrdL
I-VVVWED(EANCH0RlWtI).WWGE
ANCHORTIORIPLACEEACHAGSOWG
INT WAILANCHOWBOLTAND USECD
WEDGEANCH(MSTOREPLACE EAC H
MWINGA.A.68MRIORSMEAR WALL
&9 MR. WALL WNM HOWEAND GARAGE.
2-2 VP HK OEDGE CIF FTG. CONMFICIN &
CENTEREDOMERIORWALL CONDITION.
3-4 VP bft OWEDGE ANCHORS &51
*gom
Nom
WEDGE ANC BESIlMP. WEDGE ALL
KrASWM OR IT WAMISET RED HEAD
WEbMANCIMICCE9-1396.
NO SPEClALMWM 6 REQURED FOR
WEDGEANCHORL FOUOW MFR.
momw&mmm KK INSTALLATION.
MIN. SPACMIG B'MIN. APICIiORS TO 8E 9'
IF SPACING BIBS THAN V' USq7HREADW
RODE mmmm So INTO CONCRETE W/
WAPSCIN SET -XP 01OW ICC
SPECK NVEC`rM 6 RE(rD. FOR IM
2.
ZING OR MISPLACED A.B.
C6708
X1,
BUILDING & SAFETY DEPARTMENT
.(760) 777-7012
FAX (760) 777-701.1
To: Greg Butler, Building & Safety Manager To CDD: (o - 30 • /D
From: C94c— Planning L441 &A¢rC q,5A
Building Permit Release
(This is an approval to issue a Building Permit)
The Community Development Department has reviewed the following project:
Description: ?Oz�e &xz'(z . �J y- bum
Address or general. location: 7q-(.2- 6kto+ r CLx.L�
APN and or legal description: (D t cl- ��� 7� --3/g
The Community Development Department finds that:
O ... issuance of this Building Permit does not require Community Development
Department approval.
... issuance of this Building Permit is approved by the Community Development
Department] jbj «t- -1 o qL c,*4cw" vAeo ovc..-Au — .
Planner
KAY'S GRN SHEET.doc
7/15/2004
P1�4 POO-WIM TO "MUO I"
toy' —herr J�+�rc E:I� c� F�P.w R- e��-3�?�9u7,
61 �f
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JUN 3 0 2010
Planning Depadm.3 1
Date
Sg;�icc S+ on IInlrcadc}Ch�wYeout
Conduit & Conductor Size
Service Sub
Section Panel
S
Size..
Conductor Si: e_�E_ f
conduit Size 1 ,
Grounding Electrode Conductor Size. --(250.66)
r Augment To Electrode Size (250.66)
Size Water Bond o � .gin
Size BondingConductoi for Cas Piping System*++
250.122)
A minimum of two 8 driven ground rods spaced
at least 6' apart shall be installed in the
absents of a concrete encased electrode (offer).
Table 250.122 Minimum Size &P*MW alwoft
Table 250.66 Grow t8 EkMi al
Y
Size of 1.MM* UWounded
ServiwEnMMw COAv*or Size of Cmamdm8
or gqunralaat Area fez Electrode Conductor
Parallel Canduotors" (AWG/ MMM '
(AWGAocatil) Aluminum or
Al�mtDm= oz
Copper -Clad
r•�near Ahs Colttter --
2 or smeller 1/0 or smaller 8 6
1 or 7/0 2/0 or 3/0 6 4
2/0 or 3/0 410 or 250 4 2
Over 3/0 Over 250 2 1/0
Orw* 350 tb 04 500
Over350 Ovor500 1/0 310"
duou$h 600 dwm& 900
Over 600 Over 900 2/0 4/0
&M%fi Tbmngb
1100 1750
;va i i00 Over 1750 310 Z50
I. Wbs�a m1p{s sass
Nota oattd� an need a P�� In
int �vkoe•mhanoa alae of1Le l>tgat asrvboe•mMsoa
zto,4q, ffimmptlm Na' z, me ey'avi°�
waft or 9M be dwm hW by dw hqPW sum of 90 meas of loin
monm>poodhig amduot>n of" set
2 Whys IM 00 eo nrvio"d=w MhawiagmftW gin >tie bt to vPhFdW d= d u
smse oa�mdo r tagnhed tot be ddmniwd ms bind to be M
s mb ob also WHO W the dmdvW om&wOn of sews* dw vmd sA O dOPL
sSao =h2 OA4.(4
gating or Settiag of Autawatir- Size (AWG or kcaml)
Ovmvun=t Devise ih C'nxwt Alumim m or
Abad of Bgtnpineat, Conddt,
Copper -Clad
ebe.,NotBxcaedinBiAmp �) � Aluminwu'
15 14 12
20 12 10
30 10 8
40 10 8
60 10 8
100 8 6
200 6 4
300 4 2
400 3 1
500 2 UO
600 1 2/0
800' 1%0 3/0
1000 2/0 4/0 •
1200 3/0 230
1600 410 350
2000 250 400
2500 350• 600
3000 400 600
4000 -500 800
5000 700 1200
6000 g00 1200
Note: Wba4 DOCOMY to vwMM - SOA(A)Gi) or Z30.4(B)(4� the equip
&to�B oaedmotor � ba >bxd ls�c+>dSe B� is tbL tabb.
+8ae t�llatlm tmgdcdaas ba 250:120.,