08-1307 (RER)P.O. BOX 1504
78-495 CALLE TAMPI60
LA QUINTA, CALIFORNIA- 92253
Application Number:
• Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
08-00001307
51700 AVENIDA VALLEJO
773-132-010-15 -000000'-
REMODEL
000000=REMODEL - RESIDENTIAL
COVE RESIDENTIAL.
. 2500
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CECENA JESUS
•51700 AVENUE VALLEJO
LA QUINTA, CA 92253
(760)564-1184
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: License No.:
Date: •-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 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
ay pplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 155001.: ,
( 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 ISec. 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 I a�mf exempt under Sec. B..&&P.C�.. for this reason
Date: '!� �'� -0 3g Owner:: / W 515 S Cie -C_-1✓ ""�\
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:
i�L...o...,...
LQPERMIT
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/31/08
D Q
7AU042008
.
CITY AF LA QUINTA
FINANCE DEPT
>� 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 - - - - - - - - - - ------- - - - - -- Policy Number
4 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 the workers' compensation laws of California,
and agree that; if 1 should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwith comply with those provisions. '
Date: pplicant: T 7
✓ WARNING: FAILURES 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 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
r, performed under or following issuance of this permit. - r
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.
�1
�C c i�
- Date:q� 310&ignature (Applicant or AgenU,��Jy ✓ �`�•'�
f�
• Application Number 08-00001307
Permit . . . BUILDING PERMIT
- Additional desc; :. _
Permit Fee., 54.00
Plan Check
Fee
35.10
Issue Date
Valuation
2500
Expiration Date 1/2T/09
Qty Unit Charge Per
Extension
BASE FEE
45-.00
1.00 9.0000 -THOU BLDG 2,001-25,000
9.00
------ - - - - ------
Special Notes and Comments
--- - - - - --
- - - - -
- - - - - - - - - - - ----
WINDOW CHANGE OUT PER'APPROVED PLANS 4
WINDOWS 1 SLIDING GLASS DOOR
-------" -------------.----
Other Fees •. . . .•. ENERGY
REVIEW FEE
--------------------
3.51
. Fee summary Charged Paid
Credited
Due
-- - - - - - - -- ----- - - --
Permit.Fee.Total 54.00
---------
.00
. --- --
.00
--- - - - ---
54.00
Plan Check Total 35.10
.00
.00
35.10
Other Fee Total 3•.51
.00
.00
3.51
Grand Total 92.61
00,
.00
92.61
LQPERMIT .. -
r
f
. .. it � ,i , •
;r!. -
� �_. � t.
� �
F•
r
.
ti-
k,�
�
a
•
1
-
" i
U
5
-i
'�K-y�
SPECIAL SERVICES CUSTOMER, INV01�'
1 of 10 N0. Qq3 -245919
Notice of Cancellation (see Exhibit A) msay:k�� "'' ', ' r,, ` ��'VALIDATION
HOME DEPOT U.S.A. INC. Phone;: `(7'0 t` . r•
Store 6630 LA QUINTA Salesperson.(? l-ljEr--. _.__z.:_ 1:.. 6630r00i110 ii;763 `
79900 HIGHWAY 111 i-Reviewor: SALE' 6630CICILIIl1I5y'�9i�1,IW,:i17��h60p
LA QUINTA, CA 92253 z � S6L&NTINUATI001 1I F 116.aba 'P
This is only atQUOTE for.the merchandise and services printed below. This hocoines an Agreement upon payment
.and an endorsement by a Home Depot register validation.
1f .
A 15% restocking fee will be'charged on returned
or canceled Special.Order,Merchandise. Custom
Orders are not refundable..
,tHOTE is valid for this date: 0713012008
MERCHANDISE AND SERVICE SUMMARY o merchandise, eSOId L0 limit the quantities
CUSTOMER PICKUP
REF #W02 SKU #515.664 Customer Pickup I \
:. ...:.
S.O. MERCHANDISE TO BE PICKED UP: SIO WINDOWMASTER REF #S01 ESTIMATED ARRIVAL DATE: 0811312008
.......................................... ....
..........................
SKCl.................... .................:........................................:...................:...................:::..................................................... .
0 1'............
...... iu1::::::.:::::::...... ....
......:.......ESG f1 kP, .:.............:.:::::;.:::.::.....::...::..:.. ...:.
S0101 291 634 1.00 _:::::::::::...:::.:..::...�:..
EA /<> FRAME — 47 1/2%X 59 1/2" / {#1)<> Y $216.261 $216.26
!BI!!BQ!QAPRODUCTCATEGORY=WINDOWS,QAMANUFACTURER=JXS
WSDOO S -W
INDOWMASTER,QALANGUAGE=ENGLISH,QAPRODUCT=ROL S,QAPRODUCTTY E=V
INYL,QAPRODUCTLINE=410;QAFRAMETYPE=NAILO T INIH
' UCTCONFIGURATI
S0102 291-634 1.00., EA /(CONTINUED) � /(CO � C Y S0.00 $0.00
OLLING,QAHANDING DIRECT C W)=XO,QAFRAMEWIDTH=471/2",QAROUGHOP
- - - ' ENINGWIDTH 48 ,Q =591/2",QAROUGHOPENINGHEIGHT= 60",QAVENTTYP
Y ~
~ =STANDA' VT\' H=233/4",QA HARDWARE=WEN-LOCK,QAGLAZINGOPTION =ST NDA y
RD -(E �l
- 4
' �' - � •- � ` - ' � *** CONTINUED ON NEXT PAGE *"*
)
q\1
WILL -CALL 41ZHANDISE PICK-UP
Will -Call items will be held in the store for 7 days only.
Check your. current ordeY status online at
www.homedeoot.com/orderstatus
`Pa 0'1 of 10' No 6630-245919
NInu�InhIIII��VVI�
9 Customer Copy (9801) 0100279596
ECl/1L`9f R1/I-Ce CUSTOMER INVOICE
- Continued Last Name: CECENA Page 2 of, 10
NO..
.6630-24591,
CUS`TOMER'PICKUP
�x
}'�" ' (Continbed►.. ,......
REF #W02 SKU #515.664 - Customer Pickup I Will Call
S,Q; G
<, . R NOISE TO BE PICKED UP:"
711011'r,
SIO WINDOWMASTER < REF #S01.' ESTIMATED ARRIVAL DATE: 08 13 2008 1
., :... •:::::::::.:::::::.:::.. ... . ::......
rrrl� rr :::................:.:
.. ..............T.Y............
........................ ....................
.....:.............
' 'y
✓(CONTINUED) /(CONTINUED)
�®3
291-634 '" 1.00 EA'
W),QACALIFORNIAFIRERATED NO,QAGLAZING= DUAL, QATEMPEREDGLASS
Y. $0.00 $0.00
=NO,QAOUTER
L
'
ASSTINT=HPLOWE,QAINNERGLASSTINT'= CLEAR, QAGRID PATTERN =STANDARD ,QAGRIDTY
E°
�!
= 5/8 FLAT, QALITESWIDE(LEFTPANEL) = 2, QALITESWIDE(RIGHTPANEL) = 2,QALITESHI6
6� • •`,
'
•S0104
H = 5;QACAPIL
•_
/(CONTINUED)-
/(CONTINUED)
291'-634 1.00EA
TUBES = NO,QASCREENOPTION = YES,QAEGRESS = MEETSEGRESS;QASKU = 291634/S/OWIND
Y 50.00= $0.00
W
�� •
' <,::', �• ;
MASTERVINYLWINDOW,CHECKSUM=22336!EQ!!BM!GENERIC=RW,M20DATAVERSION'=05/
.
3-
/08,CATALOG VERS 10N=1.14.OA, SR=410,SR-GROUP=4,CFG=20,FT= ST, OT=0,OSM W=4
'
.5,FRW =48,0
!
150.00
/(CONTINUED) /(CONTINUED)
,
S0105 291-634 1'.00 EA
Y
=59:5, FRH =60,VTW=23.75,VTD=H,FN=W,HDW=W,GO=N,GLS-TYP=ANNE,FIRE =N,GLs-
$0.00
r K
r
=S,OVERALL=B,GLS-CLR=CLL3,LFG=A,GT=A,GTM=N,PT=C,LH=5,LH1 =5,LH2=5,LW=4
L
W1=2,LW2=2,SN=Y,SN-TYP=Y,MS-N=YES,MULLING=NO,STORESTATE=CA,STORENUMB
R=
6630,ENTITY
`
/(CONTINUED) /(CONTINUED) SENT=CD;!EM!!EI!
S0106 291-634 1.00 EA
Y 50.00 $0.00
•
—71
BASE BASE 1
S0107 '291-634 .00 EA
NA` _ /BASE /*ATT TO .
•
I
Y
•(#1)"STANDARD PATTERN WITH 5/8" FLAT GRILLES LITE PATTERN:
$0.00 <,. $0.00
VENDOR -SPECIAL INSTRUCTIONS: 1.14.0A::
,
-
SCHEDULED PICKUP DATE: Will be scheduled upon
arrival of all SIO Merchandise
$216.26
11
END OF..CUS.TOM:E .: K
TOTAL` CHARGES OF ALL MERCHANDLSE &SERVICES:
.,
i '$216'26
< .
• SALES TAX : $16.76
TOTAL $233.02
BALANCE DUE $233.02
ENp OF ORDER No: 6630-2459'19
Page 2 of 10 'No. 6630-245919.
Customer Copy
a
a�
Tr
lilt.0.71
'' .� Id . I . a' ,� �. ! H�I• i , ,•.
ro
0.56 O.69
IG Clear RIO
ff
300 Slider IG HP Duel•Coetod I,aw-B 0.59 10,97 O.62
0.65 0.68 0.71
f 10 Clear flip
zoo Single-HunO IG HP ouahcaated 1.ow-E
0.91 ' 0.37 .0.62
0.63 0.75 0.76
Ili Clear R20
zoo Flied0 NP Duel•Goatad Low•E 0,47 0,40 0.68
• 1' .
0.70. 0.70 0.71
V [pace? It80
•.
. , , •
i 800 Rolling IQ NPDuel-Costed !rower D.97 0,37 0.8Z
0.69 0.69 0,71
IG dear Rao
900 Single-Hung IG HP Dusl•C08ted Low-E
0.56 0,37 0.62
IG gger
0.5r 0.75 g'g7 Cf10 '
3 0 Pixad IG NP Dual•fo t®d I.aw•r
O.aR l 0.39 .. Q.38
r
0.69 0.55 0.98
IG Cleat [8D
alan!®nt also 0.30 OAS
500 C
16 HP Duel•eoated Lowe
0.70 0.5� 0,98
i 14 deer 690
0,49
500 Awning , IG H•f1 P OuabCaated Low
0.69 0.90
' 0.68 0.68 0.69
10 deet C30
900 Rolling Ia NP Duel•Coated LOW6
0.6A 0.36 0.61
0.69
10 Clear0.6t3 ego
0,88 0.67
500 Single-Hung O,Sa
- 10 HF Du6l•Coated I�We .
. 0.58 •0.73 0.75
la clear Cao
0.68
500 PIRed•deo•Red
0.42 0.98
IG HP Duel•Costed Low-E
,.0.68 0.71
ld dear 0.09 Rao
0.97 0.62 r
goo Patio Door 0.5a
10 HP Dual•Coated Low•E
--nn7t IAM
TELEPHONE (760) 777-7012 FAX (760)7774011
G .
OWNERBUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing' their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They ar`e also required by law to put their license number on all permits for whichrthey
apply. .
If you plan oto do your own work, with the exception of various trades that you plan to subcontract, you should be
aware of the following information for your benefit -and. protection.
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other'costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
'If y6u are, an employer, you must register -with the State and Federal Government as an employer and you are subject
to several obligations include State and Federal income tax withholding, federal social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may be financial risks for you if you donot carry out these obligations, and these risks are especially serious' 'with ,
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the Internal Revenue Service. (and, if
you wish, the U.S. Small Business. Administration). For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performing their own work
personally. ,
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner-builder.verification form, so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777-7012
FAX: (760) 777-7011
4eSUS CeCei
OWNER'S SIGNATURE/DATE
PROPERTY ADDRESS
09 /�S2,V
PERMIT NUMBER(S)
Bin #
t _ Qu i nta
City
iof La l,Q
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:
A. P. Number:
Owner's Name //JJ�11 gg 1,�/' //��L `
Address:5 QoQ V? Va
Legal Description:
City, ST, Zip:LA Cull (�
Contractor: '
Telephones
Address:
Project Description: I L S
City, ST, Zip:
v l
Telephone:
0
1 o e�acic 0 P -
State Lic. # :
City Lic. #:
5' 0 T r
Arch., Engr., Designer:
i pv/' bacwav 'a
Address:
LJ
City, ST, Zip:
Telephoner
State Lic. #: :.
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: #Stories: #Units:
Telephone # of Contact Person:
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person .
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.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. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees