BRES2017-0102,
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BRES2017-0102
Property Address:
54935 SHOAL CREEK
APN:
775141043
Application Description:
GART / KITCHEN REMODEL
Property Zoning:
Application Valuation:
$30,000.00
Applicant:
D & T REMODELING INC
78365 HWY 111 #533
LA QUINTA, CA 92253
4
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
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 Professions Code, and
my License is in full force and effect.
License Class: B License No.: 997936
Date: ) 11Coni tractor.
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).:
(_) 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.).
(_) 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 ) 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. 3697, Civ. C.).
Lender's Name:
Lender's Address:'
VOICE (760) 777-7125
FAX(760)77 7-7011
INSPECTIONS (760) 777-7153
Date:,. 5/31/2017
Owner: .
MARK GART
54935 SHOAL CREEK
LA QUINTA, CA 92253
Contractor:
D & T REMODELING INC.
78365 HWY 111 #533
LA QUINTA, CA 92253
(760)902-3914
Llc. No.: 997936
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.
� yI 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: EVEREST NATIONAL INSURANCE COMPANY Policy Number:
_ 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, I shall forthwith
comply with those rovisions.
Qat3it`'/31 Applicant:
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 Building Official 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 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 city to enter upon the above-
mentioned property for inspection purposes.
Day ( Signature ( phcant or Agent)
Date: 5/31/2017
Application Number:
BRES2017-0102
Owner:
Property Address:
54935 SHOAL CREEK ;
MARK GART
APN:
775141043
54935 SHOAL CREEK
Application Description:
GART / KITCHEN REMODEL
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$30,000.00
Applicant:
Contractor'
D & T REMODELING INC
D & T REMODELING INC
78365 HWY 111 #533
78365 HWY 111 #533
LA QUINTA, CA 92253
LA QUINTA, CA 92253
(760)902-3914
Llc. No.: 997936
Detail: KITCHEN REMODEL ONLY, REMOVE AND REPLACE CABINETS AND APPLIANCES. ADD OUTLETS AND LIGHTING. RELOCATE SINK AND RANGE. PER
2016 CRC.
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FINANCIAL •• •
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES/FIXTURES, ADDITIONAL
101-0000-42403
0
$27.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES/FIXTURES, ADDITIONAL PC
101-0000-42600
0
$6.93
Total Paid for ELECTRICAL: $85.42.
DESCRIPTION
ACCOUNT
QTY
AMOUNT
EXHAUST HOOD
101-0000-42402
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
EXHAUST HOOD PC
101-0000-42600
0
$5.07
Total Paid for MECHANICAL: $17.74
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTUREITRAP PC
101-0000-42600
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.67
Total Paid for PLUMBING FEES: $50.68
DESCRIPTION
ACCOUNT,
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400
0
$22.80
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$18.24
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, FIRST 1005F.
101-0000-42400
0
$51.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, FIRST 500 SF PC
101-0000-42600
0
$141.36 77]
Total Paid for REMODEL: $234.08
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$3.90
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $3.90
DESCRIPTION
ACCOUNT
I QTY
AMOUNT
Bin /f K
Permit u
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e Pr`cject`Address:) 3s U
City of .La Q u«n ta '
Building 8£ Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2 ,
Building Permit Application and Trackilig Sheet
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A. P. Number:
Address:,,.
Legal Description:
City, ST, Zip: kc, QV I�"(/� 12Z �3
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ProjectDescription:"?.K� e_QA.11 Q .(:
City, ST, Zip: Qtj\ C.
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Telephone: hone:
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State Lie. # : ' 9q -7
City Lie.;a1<.:
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Arch., Engr., Designer:
Address:
City, ST, Zip: .
Tel h .
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Co tructi n Type:
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(ate ie. #
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Alter e (circle ne • w d'n AI e Re ai
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Name of Contact Person:--1n ,t S_
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Sq. Ft
# Stories:
#: Units:
Telephone # of Contact P son: `7 (op 010,), ' j�1 (
Estimated Value of P>oject`. "`I
APPLICANT: DO NOT. WRITE BELOW THIS LINE
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Submittal
Req'd
Rec'd
TRACKING
PERMIT PEES
Plan Sets
Plan Check submitted
Item :'
Amount -
Structural Calcs.
Reviewed, ready'for corrections
Plan Check Deposit '
Truss Cales.
Called Contact Verson
.'
Plan Check Balance.
Title 24 Cates.
Plans picked up •
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
'2" Review, ready for corrections/issue.
Electrical
Subcontact'orList
Called Contact Person
Plumbing
Grant Dced
Plans picked up
S.M.I.
II.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. Ms. Appr
Dale of permit issue
School Fees,
Total Permit Fees
PGA WEST
RESIDENTIAL ASSOCIATION, INC.
April 10, 2017
Pensco Trust Company
Mark Gart
P.O. Box 2024
Newport Beach, CA 92659
RE: 54-935 Shoal Creek —Move Kitchen Waste Drain -To Go Through Common Area
Dear Mr. Gart,
Page 1 of 2
The Architectural Committee has reviewed your submittal for the proposed re-route of the kitchen waste drain
per the plan submittal prepared by Coronado Design Group. dated 3/6/17. The proposed scope of work is
acceptable in accordance with the Architectural Guidelines, Homeowner's Association. CC&R's, Maintenance
and Indemnity Agreement and subject to the following conditions and/or requirements are applicable:
1. Prior to the start of any work, provide a signed set of plans, stamped by the City of La Quinta,
and the city issued permit.
2. The homeowner and contractor to schedule a pr meeting with the Maintenance/Lighting
Manager, William Aceves, and the Landscape/Irrigation Manager, Bill Bobbitt, to coordinate and
review the proposed work and existing conditions.
3. All work is to be done in accordance with building codes.
4. The contractor is responsible for the removal of all demolition materials. Construction dumpster is
limited in size to a 3 -yard unit located in garage or driveway.
5. Any electrical wiring exposed during construction must be reported to the HOA.
6. The contractor to repair and/or replace any damaged. irrigation, landscape, hardscape, lights, drainage
devices and/or street surface to the satisfaction of the HOA. All demolition and construction debris is
to be removed daily and no stockpiling in the street.
7. The street gutters are not to be used for concrete and construction material clean up. The street is to be
broom -washed, as needed each day during construction. Neither debris nor dirt are to be washed
down the gutter.
8. The street and work area are to be kept clean and safe daily.
9. The contractor is to observe all Association rules and regulations. Contractor vehicles to be parked on
one side of the street.
54-320 Southern Hills, La Quinta, California 92253-5665, Telephone 760-771-1234 FAX 760-771-5125
Page 2 of 2
10. A Maintenance and Indemnity Agreement shall be signed prior to the start of work and reviewed at the
completion of the project. Same shall delineate all applicable. work, which current and future owners
shall be compelled to solely maintain and/or replace as needed and be responsible for any damage,
including water intrusion, which may occur as a result of said installation. The document shall be
recorded with the County of Riverside and runs with the land.
We reserve the right to make a final inspection of this change to make sure that it matches the original request.
An approval is based only on the aesthetics of your proposed plan and should not be taken as any certification
as to the construction worthiness or structural integrity of the proposed change.
We appreciate your cooperation in submitting this request for approval. If I may be of further assistance, please
contact me at the HOA office, (760) 771-1234, Extension 15.
a
Sincerely,
Kelly cGalliard CAM PCAM
Operations Manager
For the Architectural Committee
KM/bvf "
cc: Architectural Committee
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