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08-1100 (DSF)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00001100 Property Address: 80645 LA DOCENA TR APN: 777-040-004- - Application description: DEMO - SINGLE FAMILY Property Zoning: VERY LOW DENSITY RES Application valuation: 0 Applicant: eb Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am tic se under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine s and Pr tins Code, and my License is in full force and effect. License Cla s^,B License No.: 769229 `Date:. W dip 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 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 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.). (_) 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 orimproves 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: RICHARDS TOM & DIANE 80645 LA DOCENA TRAIT, LA QUINTA, CA 92253 Contractor: ALBERS CONSTRUCTION 78060 CALLE ESTADO, LA QUINTA, CA 92253 (760)771-9954 Lic. No.: 769229 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 . Date: 6/26/08 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 0004885-2007 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 I should become subject ytoAeorkers' compensation provisions of Section 3700 of the Labor Code, I s ell forte ith ith those provisions. Date: t� d` Applicant I' c WARNING: FAILURE 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 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. 1 agree to comply with all city and county ordinances and state laws relating to building constructi , a d hereby authorize representatives of this co ty t enter upon the above-mentioned propert f r insp do pu oses. (D!! 2 i Signature (Applic o Agentl: i N , Application Number, . . . . . 08-00001100 Permit . . . DEMO PERMIT Additional desc . . - Permit Fee 45.00 Plan Check Fee .00 Issue Date'•-. Valuation . . . . 0 OExpiration Date 12/23/08 Qty• Unit Charge Per Extension ' BASE FEE 45.00 - ---------------------------------------------------------------------------- Special Notes and Comments NON STRUCTURAL DEMO PER SCOPE OF WORK AND ATTACHED LETTER PER JJ Fee summary Charged ------------------------------------- Paid Credited -------------------- Due Permit Fee Total 45.00 .00 .00 45.00 Plan Check Total .00 .00 .00 .00 Grand Total 45.00 .00 .00 45.00 LQPERAIIT Bin # ' City of La Quinta Building & 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:Owner's uta Ief7L Name: A. P. Number: Address: Legal Description: Contractor: lfz-6 (---rL S rumsTele %i�t'rG/ZUN � City, ST, Zip: P hone: Address: !p �ox 2347 Project Description: City, ST, Zip: a� S tcPt,✓�.ft �� f� Telephone: -7 7 y$l ^ State Lic. # : '7 (o Q ZZ City Lic. #: y Arch., Engr., Designer: C /¢y A Address: -73 City, ST, Zip: Telephone: —7Z 3 &&K- State Lic. #: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: l3, (( �-Ibers Sq. Ft.: —# Stories: # Units: Telephone # of Contact Person: c{ 47k;? Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG 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 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2wd 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 Crading IN HOUSE:- 7rd 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 ERS CONSTRUCTION CO. ` e Q eo N01 10 1SN00 8O3 July 30, 2008 (13A O H d d v 'ld3G J113jVS W ONKI-in8 Jim Johnson VINIno j® ),L10 City of La Quin La Quinta, CA 92253 Re: Demo Permit — Non Structural - 80645 La Docena Trail Dear Mr. Johnson, As we discussed the other day, we would like to pull a Non Structural Demo Permit, if possible. The scope of work is as follows — please see attached Demo Plan, and Grading Plan 1. Tum off Propane to whole house 2. Turn off all relevant electrical breakers. 3. , Remove all appliances 4. Remove fireplace in Den/ Office — highlighted in Yellow 5. Remove Non -Structural / Non -Bearing Walls — highlighted in Pink. 6. Remove Sheet rock on one side of structural walls — highlighted in Green 7. Remove Tile Flooring inside house and on rear patios. 8. Remove Concrete Decking by Pool area 9. Highlighted in Yellow: a. Remove Countertops and Cabinets. b. Remove Showers and Tubs, Mirrors and Shower Doors 10. Remove -Gyp Rock ceilings to see framing connections — highlighted in blue 11. Remove existing Tom's Office and mechanical room at West side of house — highlighted in purple. a. Disconnect all propane lines, electrical lines, water lines to this area b. Remove water heater and 2 furnaces Sincerely, William C. Albers, President 49855 RANCHO SAN FELIPE LA QUINTA, CA 92253 LIC. #769229 (760) 771 -9954 (760) 771 -9833 l FAx it 1 ALBERS CONSTRUCTION CO. June 26, 2008 Jim Johnson City of La Quinta La Quinta, CA 92253 Re: Demo Permit — Non Structural - 80645 La Docena Trail Dear Mr. Johnson, As we discussed the other day, we would like to pull a Non Structural Demo Permit, if possible. The scope of work is as follows — please see attached Demo Plan, and Grading Plan 1. Turn off Propane to whole house 2. Turn off all relevant electrical breakers. 3. Remove all appliances 4. Remove fireplace in Den/ Office — highlighted in Yellow 5. Remove Non -Structural / Non -Bearing Walls — highlighted in Pink. 6. Remove Sheet rock on one side of structural walls — highlighted in Green 7. Remove Tile Flooring insidehouse and on rear patios. 8. Remove Concrete Decking by Pool area' 9. Highlighted in Yellow: a. Remove Countertops and Cabinets b. Remove Showers and Tubs, Mirrors and Shower Doors �Remve Gyp Rock ceilings to see framing connections — highlighted in blue -%I Q_ •� p N esi; i RANCHO SAN FELIPE . LA QUINTA, CA 92253 LIC. #769229 (760)771-9954' ' (760) 771 - 9833 l FAx