06-1589 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00001589
Property Address:
78591 -'TALKING -ROCK TURN
APN:
770 -300 -031 -
Application description:
REMODEL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:.
225000
T44 4
uit�Gv
BUILDING & SAFETY DEPARTMENT
Applicant: Architect or Engineer:
�.Ltn
BUILDING PERMIT
-------------------------------------------- - - - - - -
LICENSED CONTRACTOR'S DECLARATION
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: 13 License No.: 819444
te: �9 " ontractor:,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 applicantfor the
permit to file 6 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 _ 1 I, as owner of the property, of 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 thathe 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.). - -
(_ 1 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:
LQPERMIT
Owner:
SEGAL MICKEY
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/18/06
Contractor:
DWC GENERAL CONTRACTORS INC
7720 PAINTER AVENUE, #C F
WHITTIER, CA 90602(562)652-4125Lic. No.: 819444
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: ,
CarrierEM� PTT - Policy Number EXEMPT
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 bor Code, I shall forthwith comply with those provisions. "
ate: > %' pplicant: _
WARNING: F (LURE TO SECU 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 owrier, 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 nd state that the above information is correct. I agree to comply with all
city and cou ty ordinances and stat ws relating to building construction, and hereby authorize representatives
of this c ty to enter upon th ove-mentioned proper for inspa cti n purposes.
e: S /A—� nature (Applicant or Agent):
LQPERMIT
Application Number
06-00001589
Permit'
BUILDING PERMIT
Additional desc .
Permit Fee
1077.00 - Plan Check
Fee
700.05
Issue Date
Valuation
. . .
. 22500.0
Expiration Date
11/14/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
125.00 3.5000
THOU BLDG 100,001-500,000
437.50
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee
22.50 Plan Check
Fee..
5.63
Issue-Date
Valuation.
0
Expiration Date
11/14/06
Qty 'Unit Charge
Per
Extension
BASE FEE
15.00
10.00 .7500
PER ELEC DEVICE/FIXTURE 1ST
20
7.50
'Permit 'MECHANICAL
Additional desc ...
Permit Fee . . . .
24.00 Plan Check
Fee
6.00
Issue Date . . . .
Valuation
0
Expiration Date
11/14/06 .
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH APPL-REP/ALT/ADD
9.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
27.00 Plan Check
Fee
6.75
Issue Date
..Valuation
. . .
0
Expiration Date
11/14/Q6
Qty Unit Charge
Per
Extension
BASE FEE
15.00
- 2.00 .6.0000
EA PLB FIXTURE
12.00
Special..Notes and Comments
fire damage repair.
-----------------------------------------------------------
Other Fees
ENERGY REVIEW FEE
--
70.01
LQPERMIT
Application Number
. . . . .
06-00001589
l
-----=----------------------------------------------------------------------
Other Fees
STRONG'MOTION
(SMI) = RES
45.00
Fee summary.
Charged
Paid
Credited
Due
----------- --------
Permit Fee Total
-------
1150.50
----------
..00
------
.00
1150.50•
Plan Check Total
718.43
.00
.00
718.43
- Other Fee Total
115.01
.00
.00
115.01
Grand Total
1983.94
00
.00
1983.94
s
.
BILI
}
City of La Quints;-
Building U Safety Division _
Bob 1504, 78-495 Calle Tampico
t La Quinta, CA-92253 - (760) 777-7012
Building Application
g Permit A pp cation an'd Tracking Sheet
Permit.#P.O.
1
�
Project Address: I �y
Owner's Name: S�
A. P. Number: -r.;2 FS44 i0 - Q
Address:
Legal Description: Ut
City, ST, Zip:
Contractor: !%j F j,4W rl (A-) 11,41- � r_x. 4-2
Telephone:
Address: '77 4�UI771G
Project Description:'
City, ST, Zip: W)-AIT[ I e42' a
Telephone:
State Lie. # : 19 444 City Lic. #:
Arch., Eno., Designer: &5"0
e .
Address: 4- QjS� Gjc�f�. �N.�,
City, ST, Zip: �{'�Lv1 ���✓i�L1 {�ZtivO
,
Telephone. '6cs) , 42-T 3
State Lic. '
Name of Contact Person: &orJ->C;id
Construction Type: Occupancy: CD S
Project type (circle one): New Add'n Alter pair Demo
Sq. Ft.:
#Stories:
#Units: '
Telephone # of Contact Person: `% (off, 4a4 -
Estimated Value of Project: • �r'/ . -�'
i-
• APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
Item ` Amount
Structural Calcs.
Reviewed, readyf corrections
Plan Check Deposit
Truss Calcs.
Called Contact Pe
Plan Check Balance
Energy Calcs.
Plans picked up
Construction ;
Flood plain plan
Plans resubmitted
Mechanical
Grading, plan
2"" Review, ready for correctionissue
L Electrical
Subcontactor. List
Called Contact Person
l� lumbing
Grant Deed
Plans picked up
S.MA
H.O.A. Approval;
Plans resubmitted
° Grading �b '
IN HOUSE:-
''� Review, ready or correctionsfissue
Developer Impact Fee
Planning Approval
Called Contac Persons
p
Pub. Wks. Appr ' •
Date of permit is ueIKA
i
School Fees
Total Permit Fees
((?"I EA L/ a � �nl �-v lL�-iCa,.j iV G 6-0-3
TO Qp�� 7d P�erU
Fmw. Paul.Campbell(
CW. pages;
I.
P40A
D UrgeM 13 For RiMew 13 PI"M Comet 0 Plmm R qgy D Plow It4cycle
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FETY DEP
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g.
EION
13UILDING&S jUC7pp RAPPROVDFFOSCONs -TR ORCONSRU
BY
AT E -------
November 19, 2005
DWC
7720 Painters Avenue, Sie. C
Whittier, CA, 90602
Re;_ Mossino Glanulli
79-591 Talking Rock Tach: ,
La Quiaxta, CA
Please accept our Propond for the fo
1-521/4" X I IV' Custom >C i
tp replace damaged old skylit
Bronze Frame,- Bronze Soler
Glass. INST
Does not include repair to cud
No protection after instar ;
No cleaning of glass or alutni 11
No breakage other than our
PAS SCMULE
5(rmaterial to order
50°/a at installation
sincerely,
Paul Campbell's
Estimatpr
Job Ref #5273
wing work:
ridge Skylite
)ol Reflective
LED COATiLETE $4,962.00
or demo of old unit
Acoepted by.
N0.266 P.2i4
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APPROVE®
FOR CONSTRUCTION
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APPROVE®
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Architect,, �
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.1 9M► AAA Is floral.
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�� etoes �
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I'm* twor sMslt dt etemed the oerRin* pricey S�j3&AN TOWS CARRY A LIFETI
and conditioni are satistactory and
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