10-0216 (AR)4
P.O. BOX 1504 VOICE (760) 777-7012 4
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY.DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
" r Date: 11/16/11
Application Number: 'f� 10=00000216.`' Owner:
Property Address: 783^02'TALKING ROCK TURN LYON DONNA M REV. TRUST'
APN: 770-290-014- - - 1406 N. ASTOR.STREET
Application description: ADDITION - RESIDENTIAL CHICAGO, IL 60610 ("`-------
Property Zoning: LOW DENSITY RESIDENTIAL (760) 771-4722 I! Ii t
Application valuation: 160000
t
Contractor' -20H
Applicant: Architect or Engineer: DURRETT CONST., AL
P.O. BOX 3371 CIT`e(jl{yTi�1
PALM DESERT, CA 92261 �IFIrArl�;� it�p7
(760) 774-4368 - '-----
�''� Lic. No.. 451035
------------------
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 Cod ` and my License is in full force and effect.
`license Class: B cen o.: 45103
ate: �,,.,IM'ntractor:
OWNER -BUILDER DEC ION
I hereby affirm under penalty of perjury that I am exempt from the Con or'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 ofnot 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:
LQPERMIT
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penaltyofperjury 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.
h have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Cade, 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 1744606
_ 1 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 th Porkers' compensate laws of California,
and agree that, if I shpa!��mp
`ct to the r ers' compensation ovisions of Section
700 of the Labor Coth those provision
ate: Q'scant:
WARN( G: AIL Rl7 ETOSECUREWSATION COVERAGES NLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMIND CIVIL FINES UP TO NE HUNDRED THOUSAND
DOLLARS 1$100,0001. 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 w/su.bctpermit to cancellation.
I certify that l have read this application and state that the above information is corre . agree to complyll
city and county ordinances and state laws relating to building cyrstrypti ,and her y thorize represen
of this 5ountito erlter upon the above-mentioned property s plWse
Signa a (Applicant or Agent):
Application Number
10-00000216
Permit . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee
- 226.20 Plan Check
Fee ..
56.55
Issue Date . . . .
5/09/11 Valuation
0
Expiration Date
11/05/11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
20.00 .7500
PER ELEC DEVICE/FIXTURE 1ST
20
15.00
436.00 .4500
----------------------------------------------------------------------------
EA' ELEC DEVICE/FIXTURE >20
196.20
Permit
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
849.50 Plan Check
Fee %
552.18
Issue Date . . . .
5/09/11 Valuation
. .
160000
Expiration Date
11/05/11
Qty Unit Charge
Per
Extension
BASE FEE
639.50
60.00 3.5000
-------------------------------------------------
THOU BLDG 100,001-5001000
---------------------------
210.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
24.00 Plan Check
Fee
6.00
Issue Date . . . .
5/09/11 Valuation
0 ,
Expiration Date
11/05/11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 4.5000
----------------------------------------------------------------------------
EA MECH VENT INST/ DUCT ALT,
9.00
Permit' . . .
PLUMBING
Additional desc .
Permit Fee . . . .
84.75 Plan Check
Fee
21.19
Issue Date . . . .
5/09/11 Valuation
. . . .
0
Expiration Date
11/05/11
Qty Unit Charge
Per-
Extension
BASE FEE
15.00
10.00. 6.0000
EA PLB FIXTURE
60.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000
EA, PLB FIXTURE DRAIN/VENT
REP/ALT
3.00
5.00 .7500
EA PLB GAS PIPE >=5
3.75
----------------------------------------------------------------------------
Special Notes and Comments
REMODEL TO EXISTING RESIDENCE. 698 SF
LQPERMIT
Application Number . . . . . 10-00000216
------7----------------------------------------------------------------------
Special Notes and
Comments
LIVING ADDITION;
168 SF DEMO TO EXISTING
LIVING; 576 DEMO TO EXISTING COVERED
PATIO; 95 SF DEMO
TO EXISTING
GARAGE.2007-CODES
2008 ENERGY.
REPLACEMENT JOB, COPY OF APPROVED PLANS
AND CHANGE OF CONTRACTOR"REQUESTED BY
OWNER - THIS IS NOT A REVISION, FOR ANY
DISCREPANCIES SEE
APPROVED OFFICE COPY.
November 16, 2011
10:36:19 AM AORTEGA
7 ------------------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473).
7.00
CHANGE OF CONTRACTOR
4.50
ENERGY REVIEW FEE
55.22
REPLACEMENT APPR PLANS
20.00
STRONG MOTION (SMI)'- RES
16.00
Fee summary
Charged Paid Credited
Due
Permit Fee Total
1184.45 1184.45 .00
.00
Plan Check Total
635.92 635.92 .00
.00
Other Fee'Total
102.72 .•78.22 .00
24.50
Grand Total
1923.09 1898.59 .00
24.50
LQPERMIT
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Appljcation Number:
-10-000002167
Property Address: "-~78302-TALKING ROCK TURN
APN:
770 -290 -014 -
Application description:
ADDITION - RESIDENTIAL
Property Zoning:
LOW ,DENSITY RESIDENTIAL
Application valuation:
160000
T4.4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
,Applicant: Architect or Engineer: -
Co�tl7R�?'oR � /illGef���. a� �%//R,,R�i✓fE
Lic. No.: ---------------
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.: 744091
Date -6=9 -// Contractor:
OWNER -BUILDER D LARATION '
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 t6 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 employeeswithwages 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 intehded 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 impr6ves 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:
LQPERMIT
Owner:
LYON DONNA M REV. TRUST
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/28/11
1406 N. ASTOR STREET
CHICAGO, IL 60610
(760)771-4722 tCRP Contractor: �`�A0 9 2111
SUN VISTA DEVELOPMEN
P.O. BOX 1144 CITY OF LA QUINTA
LA_QUINTA, CA 92247 FINANCE(3EPT.
(760)771-4722
Lic. No.: 744091
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 000017972009
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.l should become subject to the workers' compensation provisions of Section
L / /f
3700 of the Labor Code, 1 shall forthwith comply with those provisions.
aate:J �7 1, -ofApplicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO RAGE 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 ASPROVIDEDFOR 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.
1 certify that.l 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.
Dates 7 �// LoSignature (Applicant or Agent):���
LQPERA-UT
Application Number .
. . 10-00000216
Permit
BUILDING PERMIT
.,Additional desc .
Permit Fee
849.50 Plan Check Fee
552.18
'Issue Date
Valuation
160000
Expiration Date
10/25/11
Qty. Unit Charge
Per
Extension
BASE FEE
639.50
6.0.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
210.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
226.20 Plan Check Fee
56.55.
Issue Date . . . .
Valuation . . . .
0
Expiration Date
10/25/11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
20.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
15.00
-436.00 .4500
---------------------------------------
EA ELEC DEVICE/FIXTURE >20
-------------------------------------
196.20
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . .
24.00 Plan Check Fee
6.00
Issue Date . . . .
Valuation
0
Expiration Date
10/25/11
Qty Unit Charge.
Per
Extension
BASE FEE
15.00
2.00 4.5000
EA MECH VENT INST/ DUCT ALT
9.00
Permit . . .
PLUMBING
Additional'desc .
Permit Fee . . . .
84:75 Plan Check
21.19
Issue Date
_Fee
Valuation
0
Expiration Date
10./25/11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
10.00 6.0000"EA
PLB FIXTURE
60.00
1'.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000
EA PLB FIXTURE DRAIN/VENT REP/ALT
3.00
5.00 .7500
EA PLB GAS PIPE >=5
3.75
Special Notes and Comments
REMODEL TO EXISTING RESIDENCE.
698 SF
LQPERA-UT
Application Number . . . . ..
10-00000216
----------------------------------------------------------------------------
Special Notes and
Comments
LIVING ADDITION;.168
SF DEMO TO EXISTING
LIVING; 576'DEMO
TO EXISTING COVERED
PATIO; 95 SF DEMO
TO EXISTING•
GARAGE.2007 CODES
2008 ENERGY.
----------------------------------------.----------
Other Fees
. . . . .
BLDG STDS ADMIN
(SB1473)
7-.00
ENERGY REVIEW
FEE
'55.22
STRONG MOTION
(SMI) - RES
16.00
Fee summary
Charged
----------
Paid
--------------------
Credited
----------
.,Due-
-----------------
r Permit Fee Total
1184.45
....00 -
.00
1184.45
Plan Check Total
.' 635.92
.00
.00
"635.92
Other Fee Total
78.-22.
.00
.00
78.22
Grand Total
1898.59
.00
.00
1898.59.
Bin 7#
City of La Quinta
Building 8r Safety Division' '
P.O. Box 1504, 78-495 Calle Tampico
Ca Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet }
Permit #•
♦ V�
Project Address: '79,'30 -a ��'
L
Owner's Name:
A: P. Number: t, 0 _ Zq Q _ _
Address: kLio(
Legal Description: Lp �^ '�" v� Zay O -Z
City, ST, Zip: 1C.Gl%O SL O
Contractor: 1%� .�% �.J.
Telephone: /- 72Z
Address: , Q, a6 k'i kk
Project Description:
City, ST, Zip: Liu, ' a, vim .9
6A ..
Telephone: l -4 12-2-,,
::4:^i:iii:}`Si:•vv}.C`::;S:i:{.:2•:::}::\v {tii:i'i:i+•
s<<>::i{:.,<::<s<::;>:>:z ';:%{:>.;:. ;; }•<:;
•
State Lic. #: �'���{ Oct
City Lic. #, -
� `�
Arch., Engr., Designer: ,�5"O,-W-WAS�- e
cl&Q) a-, S =9 3
Address: $' ��5� ���
City., ST, Zip: ave
Telepho: r :•:.y>: ::;.. „s:;•;:..
::>:::. { . ,.:.�;.;.:::.4:..4+'i<: .. 4v{: •.}}:
State Lic. #: Co Z Ljti �'. ��<�r v? s rr > :yF;%� ,r �? •
<: ..:.
Name of Contact Person:--Z;j�,,,\,\ -(-161D) 2 C 4173
Construction Type: Occupancy:r
J type a circle one): N Add'n lter Repair Demo
Sq. Ft. -A% 8 # Storiesj- # Units:
Telephone # of Contact Person:
01
Estimated Value of Project: bQ(� • �� O 5
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING '
PERMIT FEES
Plan Sets
d
Plan Check submitted
J
Item Amount
Structural Cates.
Reviewed, ready for corrections
2
Plan Check Deposit
Truss Cales.
Called Contact Person
�.
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
'.31AVj I
Mechanical
Grading plan
21' Review, ready fo correction sue
3
Electrical
Subcontactor List
Called Contact PersonPlumbing
Grant Deed
Plans picked up
S.M.1.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for correctionsliissue
Developer Impact Fee e
Planning Approval
Called Contact Person
A•I.P•P•
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq. .
in the amount of $2.97 X 698 S.F. or $2,073.06 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 CC/1st Bank- Bob Sturney
CERTIFICATE OF COMPLIANCE
238100329
Name on the check
Desert Sands Unified School District
q�,AiEDS0,O
47950 Dune Palms Road
Q BERMUDA DUNES O
Date 5/9/11
La Quinta, CA 92253
rn RANCHO MIRAGE
,J INDIAN WELLS
No. 30987
(760) 771-8515
PALM DESERT
� LA OU
�QINDIOTA
Y�
Payment Recd
y- $0.00 'w
Owner Donna Lyon
APN #
770-290-014
Address 78-302 Talking Rock Turn
Jurisdiction
La Quinta
City La Quinta Zip 92253
Permit #
Tract #
No. of Units
1
Type Residential Addition
Lot # No. Street
S.F. Lot # No.
Street S.F.
Unit 1 78302 Talking Rock
Turn 698 Unit 6
Unit 2
Unit 7
Unit 3
Unit 8
Unit 4
Unit 9
Unit 5
Unit 10
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered
patios/walkways, residential additions under
500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking,
eating or sanitation) or replacement mobile
homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq. .
in the amount of $2.97 X 698 S.F. or $2,073.06 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 CC/1st Bank- Bob Sturney
Check No.
238100329
Name on the check
Telephone
760-275-5586
Funding Residential
BY Dr. Sharon P. McGehee
Superintendent
Fee collected /exem ted by S o C i rey
Payment Recd
y- $0.00 'w
$2,073.06
'avertUnder,
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1) this will se a to notify you that the 90 -day approval period in which you may protest the fees.
or other payment identified above will begin to run from the dat whi 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
April 27, 2010
• t
.Ms. Donna Lyon • • +°
1406 N. Astor
Chicago, IL 60610 -
' Re:. ' Lot 17 at 78302 Talking Rock Turn 4
Remodel - Architectural and Landscape #5 `
Dear Ms. Lyon: `
The Tradition Architectural Design- Review .Committee reviewed the revised 'landscape plans
submitted for your home at Lot 17 on Talking Rock. ;
The plan has been approved subject to field verification of the lighting and' plant placement:
during the installation process. Additionally, the committee still offers a caution with respect to
some of the species selected which were previously discussed with your landscape team.
' As a note, any ,plant or tree replacements that are necessary after installation are subject to
additional reviews by the committee unless planted with a like "species.
' Please contact Brook Marshall at (760) 219-8057 or by email at'Brook c@dc.rr.com with.iany
-' questions.
Sincerely,'
Tradition Architectural Design Review Committee
cc: ADRC File , .
From: Brook Marshall <brook@dc.rr.com>
�a
To: Bob Sturney <Bobstumey@aol.com>; rjccorp <rjccorp@aol.com>
Subject: Lyons
Date: Mon, Apr 25, 2011 11:02 am ,
Bob - This is the approval letter which I previously sent as.well. It
states (in bold) architectural and landscape remodel. If the City won't
accept this please let me know why so I can accommodate their request. Brook
From: Brook Marshall[mailto:bmarshall@drminternet.com]
Sent: Monday, April 25, 2011. 1.1:01 AM
To: brook@dc.'rr.com f
Subject:
r
April 27, 2010
Ms. Donna Lyon
1406 N. Astor
Chicago, IL 60610
Re: Lot 17 at 78302 Talking Rock Turn
Remodel - Architectural and Landscape #5
Dear Ms. Lyon:
The Tradition Architectural Design Review Committee reviewed the revised
landscape plans submitted for,your home at Lot 17 on Talking Rock.
The plan has been approved subject to field verification of.the lighting and
plant placement during the installation process. Additionally, the ,
committee still offers a caution with respect to some of the species
selected which were previously discussed with your landscape team.
As a note, any,plant or tree replacements that are necessary after
installation are subject to additional reviews by the 'committee unless
planted with a like species.
Please contact Brook Marshall at (760) 219-8057 or by email at
Brook@dc.rr.com with any questions.
1 ,
IL115
lin'#.
ty• 0 QU
Bu'lldlrig 8t Safety Vvision
P.O. Box 1504,- * 78-495 Calle-Tampko-
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
.:
10 4
Project Address:
-3 z Z
Owner's Name: I
A. P. Number:
Address: D d2
ov
Legal Description:;City;ST,
Cojntractor:
Zip:
. . . . . . . . . . . . . . . . . . . . . . . . . .
Address:
Project Description:
City, ST, Zip:
Telephone: 60 77<4
State Lic. #
Arch.CEg,)r Designer: e�XfS
City Lic.D
70 P'z
o
Tom'�
Address:
IZ5- Xr,- 1,7
City, ST,
Telephone:
State Lie. #: 04-9 24-1
Name of Contact Person:
. . . . . . :;
AwiWo 4fe
Construction Type:Occupancy:
i Project type (circle one): New Add'n te em
Sq. FL: tol� 0
# Stories: #Units:
Telephone # of Contact Person: R
- 42--9
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Reqld
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Cheek submitted
Item Amount'
Structural Cales.
Reviewed, ready for corrections
'.Pian Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 CaIcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
f
Mechanical
Grading plan
2•w Review, ready for correction ssuie
Electrical
Subcontactor lust
Called Contact Person
-Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for correctionsMsue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
oep C>
Total Permit Few ILA2-dw
TO OUNG
P.O. BOX 1504'
LA QUINTA, CALIFORNIA 92247-1504 BUILDING &SAFETY DEPARTMENT
78-495 CALLE TAMPICO (760) 777-7012 4
'LA QUINTA, CALIFORNIA 92253 FAX (160) 777-1011
❑VCA
TODAY'S DATE: ! 0 15 ' It
PROJECT ADDRESS: •
APPLICANT NAME:
SUBMITTAL:
BIN NUMBER: ❑
TRANSMITTAL
❑ESGIL' ATTENTION:
02ND
INCLUDED HEREWITH:
NKANS ❑REDLINED PLANS
VTRUCT ❑REDLINED STRUCT
❑TRUSS ❑REDLINED TRUSS
03RD
2. 2Q- .11
04TH 057" . 3
PERMIT NUMBER: W.
❑REVISED PLANS
[]REVISED STRUCT
[]REVISED TRUSS
14PROVED PLANS
U�KPPROVED STRUCT
❑APPROVED TRUSS
[]SOILS ❑REDLINED SOILS []REVISED SOILS []APPROVED SOILS
❑ENERGY []REVISED ENERGY
❑CORRECTION LIST ❑CUSTOMER RESPONSES
[]OTHER
-BUILDING DEPARTMENT USE ONLY -
GREEN SHEET TO: ❑CDD 0(W/plans) ❑PUBLIC WORKS
❑COVE CHECK (w/Application)
LOCATION ON BOARD: LEFT &0000MIDDLE 'RIGHT
SENT TO: ✓ SY SV
SH
STRUCT/NON-STRUCT
ASSIGN NON-STRUCTURAL TO:.
COMMENTS:
PTUY
,O. BOX 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLE TAMPICO (760)'777-7012
roFTk�9 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
Finance Department; Please Collect the Following Fees for the Services Rendered
HTE PERMIT #10-216
PROJECT:'DONNA LYONS RESIDENCE REMODEL (UNDER CONSTRUCTION) ,,
ADDRESS: 78-302 TALKING ROCK TURN
CUSTOMER: DANNY ARMOUR .
SERVICES RENDERED: ADDITIONAL PLAN REVIEW - REVISIONS WHILE UNDER
CONSTRUCTION:
STRUCTURAL REVISIONS TO SFD.RENOVATION, PER ENGINEERED PLANS BY
ENGINEER: MICHAEL ERR.ANTE #C048241 SUPPLEMENTAL TO PERMIT 10-216.
Fees:•
YOUNG ENGINEERING (1.25 HRS x$70/HR).........................:.$ 87.50
NON STRUCTURAL REVIEW & ADMIN. (1.0 X 35/HR)...............................$ 35.00
TOTAL FEES NOW DUE: ...................... .................... $ 122.50
Date: _January 5, 2012
Initials•