07-2175 (RER)M
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
07-00002175
79120 KRISTEN CT
604-361-008-56 -27899 -
REMODEL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
9658
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: License No.:
Date: Contractor:
OWNER -BUILDER DECLARATION -
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 riot 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 contractors) licensed
pursuant to the Contractors' State License Law.).
( 1 I am exempt under Sec. , B.&P.C. for this. reason
Dat :-aTD-I FDZ Owner:
1 1 CON4RUCTION 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.I.
Lender's Name:
Lender's Address:
LQPERAIIT
Owner:
CRYSTAL PALUCK
79120 KRISTEN
LA QUINTA, CA
(
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/07/08
CT
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 2001/2205 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
700 of the Labor de, I shall for with com y w?6pa ovisions.
Date&pplicant: I
WARNING: FAILURE TO SECURE WORKER41 OMPENSATION 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
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 ccoonty-�tj renter upon the above-mentioned pr p ty for inspection purpose
Dat r- U � 1 (Jgig ature (Applicant or Agent)( -
Application Number . . . . . 07-00002175
Permit . . . . .
BUILDING PERMIT INV FEE
Extension .
Additional desc . .
BASE FEE
30.00
Permit Fee . . . .
234.00
Plan Check Fee ..
76.05
Issue Date . . . .
Valuation . . .
. 9658
Expiration.Date
8/05/08
Fee
3.75
Qty Unit Charge
Per
. . .
Extension
Expiration Date
BASE
FEE
90.00
8.00 18.0000
------------------------------------
THOU BLDG
-
2,001-25,000
---------------------------------------
144.00
Permit . . .
ELEC-NEW RESIDENTIAL INV FEE
30.00
Additional desc .
Comments
Permit Fee . . . .
30.00
Plan Check Fee
3.75
Issue Date . . . .
DONE WITHOUT PERMITS,
Valuation . . . .
0
Expiration Date 8/05/08
Qty Unit Charge Per
Extension .
----------------------------------------------------------------------------
BASE FEE
30.00
Permit . .
. MECHANICAL INV FEE
Additional desc .
Permit Fee . . .
. 30.00 Plan Check
Fee
3.75
Issue Date
Valuation
. . .
. 0
Expiration Date
8/05/08
Qty Unit Charge Per
Extension
BASE FEE
30.00
-------------
Special Notes and
Comments
CONVERT GARAGE TO
WORKSHOP 220 SQ.
FT.CONVERSION WAS
DONE WITHOUT PERMITS,
CODE CASE APPLICANT WAS CHARGED DOUBLE
FEE.
--------------------------------------------------'--------------------------
Other Fees . . .
. . . . . . ENERGY REVIEW FEE
7.61
STRONG MOTION (SMI)
- RES
.96
Fee summary
-----------------
Charged Paid Credited.
----------------------------------------
Due
Permit Fee Total
294.00 .00
.00
294.00
Plan Check Total
83.55 .00
.00
83.55
Other Fee Total
8.57 .00
.00
8.57
Grand Total
386.12 .00
.00
386.12.
..
LQPERMIT
Btu # -
CityofLaQuinta.
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 _# ,✓
�'1.
Project Address:' l 9 I oO TAY i STe
Owner's Name: iQ
A. P. Number:
Address: 7 q 1.;)-c,> CF. .
Legal Description:
Contractor: Do ne-r 13 ux U c y-
Address:
City, ST, Zip: ; c A
Telephone:
Project Description:
City, ST, Zip:
J? rOl Ca -r 6Le�
Telephone:
C,0 Y -\ S 1 O
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Address:
/' S
�t
City, ST, Zip:
V 66(&D oJ
Telephone:
State Lic. #:
Name of Contact Person: 6 l Lt ��
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. FL:
.# Stories:
#Units: .
Telephone # of Contact Person: — b
Estimated Value of Project: Es00. 00
APPLICANT: DO NOT WRITE BELOW THIS LINE
l
Req'd -
Reed
TRACKING
PERMIT FEES
FPIanSets
Plan Check submitted
Item
Amount
l 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°d Review, ready forcorrectiahviss.
Electrical
Subcontactor List
Called Contact Person
21Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
I
CERTIFICATE OF COMPLIANCE
Desert Sands Unified.School District
47950 Dune Palms Road Q BERMUDA DUNES O
Date 2/7/08 011 RANCHO MIRAGE
La Quinta, CA 92253 INDIAN WELLS
No._ 29908 (760) 771-8515 d� PALM LA QUINTAT:b 7
P INDIO
V O vv
Owner Paluck APN # 604-361-008
Address 79120 Kristen Ct Jurisdiction La Quinta
City La Quinta Zip 92253 Permit # .
Tract # No. of Units 1
Type Residential Addition
Lot # - No. Street
Unit 1 79120 Kristen Ct
Unit 2
Unit 3
Unit 4
Unit 5
Comments
S.F.
220 Unit 6
Unit 7
Unit 8
Unit 9
Unit 10
Lot # No. Street S.F.
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under'5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following mason:
Residential. Addition 500 Sq Feet or Less
EXEMPT
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.00 X 220 S.F. or $0.00 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 Exempt - Crystal Paluck Check No.
Name on the check Telephone
BY Dr. Sharon P. McGehee
Superintendent
Fee collected
Funding Exempt
Signature
NOTICE: Pursuant to bovemment Code Section 66020(d)(1), this will serve otify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on which 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
yr
�SF.
I= n
Payment Recd :. $0.00 ��=
- =
Vver/Urider�
Signature
NOTICE: Pursuant to bovemment Code Section 66020(d)(1), this will serve otify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on which 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
yr
TH,
October 12, 2007
Ms. Crystal Paluck
79-120 Kristen Court
La Quinta, CA 92253
SUBJECT: MINOR ADJUSTMENT 07-599
79-120 KRISTEN COURT
This letter is to report that the Planning Department has reviewed your Minor Adjustment
application, pursuant to Section 9.210.040 of the City of La Quinta Zoning Code.
MINOR ADJUSTMENT REQUEST:
To reduce interior garage dimensions from 20'x20' to 18'7"x 20'.
DECISION:
Approval is granted for the requested reduction, based on the following findings:
• Minor Adjustment 2007-599 is consistent with the La Quinta General Plan, in that
the reduction proposed does not alter the approved land use for the property, or
affect land use on surrounding similar properties.
• Minor Adjustment 2007-599 is consistent with the intent of the La Quinta Zoning
Code, in that the requested reduction in interior garage space will retain adequate
minimum interior garage dimensions and accommodate parking of two vehicles, and
as required under said Zoning Code.
• Processing and approval of Minor Adjustment 2007-599 is in compliance with the
California Environmental Quality Act. The adjustments requested fall under CEQA
Guidelines Section 15305(a), which includes minor setback and parcel adjustments
as Categorically Exempt under this Section.
• Approval of Minor Adjustment 2007-599 is not detrimental to the public health,
safety and general welfare, nor injurious or incompatible with other properties and
land use in the vicinity. The adjustment has no impact on health or safety issues,
and will not affect physical land use characteristics in the vicinity.
P.O. Box 1504 • La QUIN A, CALfFORNI A 92247-1504
78-495 CAL1.F: TAXI 1)1C0 • Ln Q1:1NTA, CA 1.1V()K\1:1 92253
(760) 777-7000 •FAX (760) 777-7101
L, `\
Please be advised that this approval relates only to allowance of the reduction as stated
above, and does not imply any entitlement or approval of a building permit for any
structures shown on the plans on file.All other provisions and development standards of
the 'La Quinta Zoning Code are applicable and shall be adhered to in preparing plans for
building plan check.
If you have any additional questions, please contact me at 760-777-7125
Very Truly Yours,
A
ERIC CEJA
Assistant Plan er
C: Building & Safety Department
TELEPHONE (760) 777-7012 FAX (760) 777-7011
OWNER/BUILDER 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 are also required by law to put their license number on all permits for which they
apply.
If you plan to 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 you 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 do not 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
F : (760) 777-7011
0,_
OWNE4"6 SIGNATURRE/DATE
%q I gO kri, 5;�n C�• ��
PROPERTY ADDRESS
PERMIT NUMBER(S)
CERTIFICATE OF COMPLIANCE: RFS1DFNTTAT,
CIV- 1ill
"JAjPt0LJvl1 t1UWID Telephone
i5
Compliance Method (Prescriptive) Climate Zone
Enforcement Agency Use Only
✓ ❑ Alternative Component Package Method: (check one) C D V D (Alternative)
Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -IR page 3)
For Package D Alternative see Appendix B Table 151-C Footnotes 7-14
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) c Zc2 U ft Average Ceiling Height: — ft
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 -- (5% X CFA) ft
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 — (20% X CF g
✓ ❑ Building Type: (check one or more) Single Family Multifamily Additio Alteration
(If adding fenestration fill out WS -4R, Fenestration Maximum Allowed Area Works d see Section 8.3.2
for Additions and, 8.3.3 for Alterations.)
Number of Stories:_ Number of Dwelling Units:
Floor Construction Type: 5 (0-10 Slab/Raised Floor (circle one or both)
Front Orientation: S[�t c Ll North / South / East/ West/ All Orientations (input front orientation .in degrees from True
North and circle one):
RADIANT BARRIER (required in climate zones 2,4,8-15)
OPAQUE SURFACES INCLUDING OPAQUE DOORS
Component
Type (Wall,
Roof, Floor,
Slab Edge,
Doors)
DO Q
Frame
Type
(Wood
or Metal
Uo
. Cavity
Insulation
R. -Value
5
Assembly U -
factor (for
Continuous wood, metal
Insulation frame and mass
R -Value assemblies)
Joint
Appendix'
IV
Reference
Roof Radiant
Barrier Location/Comments
Installed (attic, garage,
Yes or No typical, etc,
i1A —I()0
11 CPP 1n;M- A- -A:- 117
- - -- - -11 ------- - - -'• A • — 1 . -J tLlu 1 Y -Y, w1uc11 15 ule oasis ror me u-ractor criterion. U -tactors can not
exceed prescriptive value to show equivalence to R -values: .
,
CITY OF LA QUIiVTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE 0 B
Residential Cor4pliance Forms March 2005
j
CERTIFICATE .OF COMPLIANCE: RESIDENTIAL (Page 2 of 4) C&M
:)7
FENESTRATION PRODUCTS — U -FACTOR AND SHGC
✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WSAR —must be included for New Construction,
Additions and Alterations.'
Fenestration
#/Type/Pos. Exterior
(Front, Left, Orien- Shading/Overhangs 6, 7
Rear, Right, tation, Area U -factor SHGC ✓ box if WS -3R is
S li ht) N, S, E, W' (ft U-factor2 Source SHGC' Sources included
F_ �' j
•,fit` e (.r ❑
.❑
❑
1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tilted in any direction
when the pitch is less than 1:12. See § 151(f)3C and. in Section 3.2.3 of the Residential Manual
2) Enter values in this column are either NFRC Rated alue or from Standards default Table 116A.
3) Indicate source either from NFRC or Table 116A,
4) Enter values in this column from NFRC or from Standards Default Table 11613 or adjusted SHGC from WS -3R.
5) .Indicate source either from NFRC or Table 116B.
6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices.
7) See Section 3.2.4 in the Residential Manual.
HVAC SYSTEMS
Heating Equipment Minimum
Type and Capacity I Efficiency
(furnace, heat Duma hniter Pfr i I 1e Pt TC — vco
Cooling Equipment Minimum
Type and Capacity Efficiency
heat Dump, evap..cooling) (SEER or EER
Residential Compliance Forms
Type and Location Duct or Piping I ThermostatI Configuration
(ducts, attic, etc.) R -Value Type (slit or Dackaee)
Duct Location I Duct I Thermostat I/Configuration
(attic, etc.) R -Value `Ione 1-14
March 2005
CERTIFICATE OF COMPLIANC Ei RFNIMP.NTIAI, Mn e, z -f A\ 1
LQIG
SEALED -DUCTS and TXVs (or Alternative Measures)
A signed CF -4R Form must be provided to the building department for each home for which the following. are
required.
✓
Distribution
e
❑
Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.)
Energy
Factor' or
Thermal
. Efficiency
TXVs, readily accessible (climate zones 2 and 8-15 only)
Tank
External
Insulation
R -Value
(Installer testing and certification and HERS Rater field verification required.)
❑
Refrigerant Charge (climate zones 2 and 8-15 only) (Installer.testing and certification and HERS Rater field
verification r uired.
nu
- TAlternative to Sealed Ducts and Refrigerant Charge fMs.(See Package D Alternative Package Features for
Project Climate Zone in the RMAppendix B Table 151-0, Footnotes 7-14.
OR
For additions and alterations, duct systems that are not documented to have been previously
❑ sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the
Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned
spaces shall meet the requirements of Section 150 m and duct insulation requirements of Package D.
WATER HEATING SYSTEMS
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water beater per
❑ dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is
not allowed.
❑ Check box when using Preapproved Alternative Water Heating table, Table 5-4 in.Chapter 5 in the Residential
Manual. No water heating calculations are requirq4,and the system complies automatically.
Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved
El Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the
submittal.
❑ Check box to verify thata time control is required for a recirculating system pump for a system serving multiple
units
stems serving single dwel:Distribution
n . units
Rated Energy Tank
Input' Tank Factor' or External
Water Heater
(kw or Capacity Thermal Standby' Insulation
T uel e R /h ions Efficiency, . Loss MY R -Value
System serving multiple dwellinv unite
Water Heater
Type'
Distribution
e
Rated
Input'
Number (kW or
in System BttAr)
Tank
Capacity
(Ralloos
Energy
Factor' or
Thermal
. Efficiency
Standby'
Loss M
Tank
External
Insulation
R -Value
• "•• 5� O•VA�5� warn, uuiurrs krareu inputs or less than or equal to 75,000 Btu/hr), electric resistance, and heat
pump water heater's, list Energy Factor.. For large gas storage water heaters (rated input of greater than 75,000
Btu/hr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water
heaters, list Rated Input and Thermal Efficiencies.
Pipe Insulation (kitchen lines 2:3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are'/a
inches or greater in diameter shall be thermally insulated as specified by Section 150 6) 2 A or 150 6) 2 B.
Residential Compliance Forms March 2005
ri