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11-1338 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application. Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: LoAltq,/�►aP 11-00001338 18069 COBALT CT 604-023-024- - - REMODEL - RESIDENTIAL LOW DENSITY RESIDENTIAL 5000 Ti,ht 4 stP Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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.: 920223 *,Date: ��'/contractor: NER-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).: (_ 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.). ' 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: GRIGSBY JAY 78069 COBALT CT LA QUINTA, CA 92253 Contractor: LAWLISS CONSTRUCTION 73929 OLIVE CT PALM DESERT, CA 92260 (760)861-8488 Lic. No.: 920223 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/14/12 I'•*- S f 0 22 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 EXEMPT Policy Number EXEMPT _ I certify that, in the performance of the work for which this permit is issued, 1 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 bybme subject to the workers' compensation provisions of Section 3700 of the Labor Code, I Gall for thwit comply with those provisions. ' Date: /2 Applicant: WARNING: FAILURE TO SECURE WO R(✓ S' CO ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA ENALT •S 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 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 onstruction, and ereby authorize representatives of this county to enter upon the above-mentioned property inspection pur as. Date:/ T- Signature (Applicant or Agent): Application Number . . . . 11-00001338 ------ Structure Information KITCHEN REMODEL [ENGINEERED] ----- Other struct info . . . . . CODE EDITION ----------------------------------------- ---------------------------------- 2010 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 72.00 Plan Check Fee 46.80 Issue Date . . . . Valuation . . . . 5000 Expiration Date .8/07/12 Qty. Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 THOU BLDG 2,001-25,000 ----------------------------------------------------------------=----------- 27.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 26.25 Plan Check Fee 6.56 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/07/12 Qty Unit Charge. Per Extension BASE FEE 15.00 15.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 ---------------------------------------------------------------------------- 11.25 Permit PLUMBING .Additional desc . Permit Fee . . . . 30.00 Plan Check Fee 7.50 Issue Date . . . . Valuation 0. Expiration Date 8/07/12 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 ---------------------------------------------------------------------------- Special Notes and Comments KITCHEN REMODEL/VB/RES-3/CLASS A -FR [ENGINEERED] REMOVE INTERIOR LOAD BEARING WALL AND REPLACE CABINETRY - INCLUDES ALTERATION TO ELECTRICAL RECEPTACLES AND LIGHTING. 2010 CALIFORNIA BUILDING CODES. February 9, 2012 7:51:15 AM AORTEGA -------------------------------------------- ------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 LQPERMIT Application Number . . . . . 11-00001338 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 4.68 STRONG MOTION (SMI) - RES' .50 Fee summary Charged ---------- Paid Credited ------------------------------ Due ----------------- Permit Fee Total 128.25• .00 .00 128.25 Plan Check Total 60.86 .00 .00 60.86 Other Fee Total 6.18 .00 .00 6.18 Grand Total 195.29 .00 .00 195.29 LQPERMIT 71�8OS�h��ih�����'E�R��bnMk�Ae.092g30 ���8p}8au.88Go. fax (760) 834-88e1 Letter of Transmittal ' To: City ofLaQuinta Date: 2-7-12 78-485Calle Tampico City Due Date: 2-7'12 Lo Cluinta, CA 92263 Project Address: 78'060 Cobalt Court Attn: Kay Plan Check #: 11-1338 Submittal: [] 1m [] 4m Z 2nd [] 5m [] 3rd [] Othec___________ VVeare forwarding: By Messenger [] 8yMail (Fed EuorUPS) [] Your Pickup Includes: #Of Descriptions: Includes: #Of Descriptions: Copies: Copies: [] Structural Plans 1 Revised Structural Plans [] �� El [] Revised Truss [] --------' [] --------- Revised Soils Rm d [] __-_----- Approved Structural Plans [] Approved Structural Calcs El Approved Truss Calcs [] Approved Soils Report [] �� --------- �__ --------' Comments: Structural content is approvable. Structural Plan Review Time =i.OHrs. Your File FEB 0 7 2012 Per Your Request �l Your ReN E1 Approval El ChecWn Other: A4the request of: By: John VV.Thompson Rancho Mirage Office: (760) 834-8860 B►°#P Cii}r of La Quinta BulkUpg 8T Safety Di bion P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �" Project Address: 6 el A P. Number. 7Add=rcss: Legal Description: G�{ j'�{ C t4 Contractor. �j(/ ".111k s p yr ! Telephone: / Address: l�f ` j �d 6 v�G �/ y " Project Description: City, ST, Zip: G r WE ��. �' �/C ✓1!� Telephone: M M11 State Lia # : °� ity Lie. #; l Arch., Engr., Designer p, J Cd 5, Address: ,3 j�Os L., r► i�J QQ /` 18 IiT`.3 City., ST, Zip: Telephone: �jf f Construction Type: Occupancy: State Lia #: a63 Project type (circle one): New Add'n ter " Repair Demo Name of Contact Person: �T N/T/"l�%�►✓ Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: �/ ��ej�"� Estimatcd Value of Project: S coo. " P�fi• APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted 1a Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person plan Check Balance - Mee 24 Cales. Plans picked up II pit'. Construction Flood plain plan Plans resubmitted.. Mechanical Grading plan 2" Review, ready for correctio ue 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 eorreetionslissue Developer Impact Fee Planning Approval Called Contact Person .LP.P. Pub. Wks. Appr Date of permit Issue School Fees • Total Permit Fees -12 33 Zq �,u . Qiu:.c. .Zl ? �/? SPP IQ6Q Concorde Consulting Group, Inc Construction Management • Project Management • Architecture / Engineering • Development January 15, 2012 To: City of La Quinta P. O. Box 1504 La Quinta, CA 92247-15504 Attn: John Thompson P: 760/834-8860 F: 760/834-8861 RE: Grigsby Residence, 78-069 Cobalt Court„ La Quinta, CA Your Plan Check No: 11-1338 Our Project No: 11-060 Structural Plan Check Responses Sir: This note is to confirm that the 2"d floor roof framing does NOT bear on the wall /beam line involved in this retrofit. Please call me if you have any questions. Thanks and Regards Yours truly, K. M. Kripanarayanan B.Y C�C�r JAN 2q 2012`�I�, 3505 Camino Del Rio South, #332, San Diego, CA 92108. Ph: (619) 516-3377 Fax: (619) 516-3388