12-1302 (RER)P.O. BOX 1504 ? + ^' VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011.
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/08/13
Application Number: 12-00001302 Owner:
Property Address: 78660 AVENIDA LA FONDA JM KENDALL LLC
APN: 770-145-010-142 -000000-
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 6500
Contractor: • Q
Applicant: Architect:or Engineer: PREMIER BUILDERS D
�. P.O. BOX 1329
INDIO, CA 92202 ,r 0-
t
(760) 296-1726 Ili.r%( V 2013
Lic. No.: 958992
CITY OF lA QUI14TA
------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am [',can ed under provis s of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Pro s ionals Code nd my License is in full force and effect.
License Class: B ' J_ -+r Li en No 958992
Oat' e` Contractor"
OWNER-BUI DER DECLARATION
I hereby affirm under penalty of perjury that 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 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.l.
(_ 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:
,11iiiiAV__1
LQPERA11T
-----------------------------------------------
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.
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, I shall not employ any
person in any manner so as to become s ject to the work ompensation laws of California,
and agree that, if I should become su ct to the
'kers
ker co pensation provisions of Section
dd 3700 of the Labor Code, I shall for w'th co ly it ho provisions.
D,ate fl Applica7/
b40e I
WARNING: FAILURE TO SECURE WORKER' COMPENSATIO COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES 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 inform n is correct a ee to comply with all
city and county ordinances and state laws relating to building constru io , an a aut prize representatives
of thiscoun Qto enter upon the above-mentioned property for insp do p os
Date: r/ f/Signature (Applicant or Agent)
LQPERn9IT
Application Number .
. . . . 12-00001302
'------• Structure Information
INSTALLATION OF TWO (2) A/C UNITS
-----
Other struct info . .
----------------------------------------------------------------------------
. . . CODE EDITION 2010
Permit . . . . .
BUILDING PERMIT
'
Additional desc .
- Permit•Fee
81.00 Plan Check Fee
52.65
Issue Date . . . .
Valuation
5988
Expiration Date
11/04/13.
Qty Unit Charge
Per,
Extension
BASE•FEE
45.00
4.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000,
36.00'
Permit . . .
ELECT - ADD/ALT/REM "
Additional desc
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date
Valuation . . . .
0
Expiration Date
11/04/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
----------------------------------------------------------------------------
EA FLEC MISC
11.00
Permit . . .
MECHANICAL
Additional desc . .
Permit Fee . . . .
42.00• Plan Check Fee
10.50
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
11/04/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 4.5000
EA MECH VENT INST/ DUCT ALT
9.00.
2.00 9.0000
----------------------------------------------------------------------------
EA MECH B/C <=3HP/100K BTU
18.00
Permit . . .
WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . .
17.00 Plan Check Fee
.00
Issue Date
Valuation
512
Expiration Date
11/04/13
Qty Unit Charge
Per
Extension
• BASE FEE
15.00
1.00 2.0000
HND BLDG 501-2,000
2.00
LQPERn9IT
I.QPERMIT
` -Application Number .. . . . . 12-00001302
----------------------------------------------------------------------------
Special Notes and Comments
INSTALLATION OF SPACE -CONDITIONING
EQUIPMENT AT UNITS 3 AND 4, INCLUDING
DUCT WORK, SOFFIT CONSTRUCTION AND 32LF
OF 4' HIGH BLOCK WALL FOR SCREENING OF
GROUND MOUNTED EQUIPMENT [ENGINEERED]
.THIS PERMIT DOES NOT INCLUDE PLACEMENT"
OF MECHANICAL EQUIPMENT ON ROOF TOP.
" CODE CASE: 12-5410 [AM] 2010 CALIFORNIA
BUILDING CODES.
May 6, 2013 5:08:20 PM AORTEGA `
-----------------------------------------------------
Other Fees . . . . ... BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVI-EW FEE
5.27
HOURLY PLAN CHECK
52.50
STRONG MOTION (SMI) - RES
.65
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 166.00 .00 .00
166.00
Plan Check Total 69.65 .00 .00
69.65
Other Fee Total 59.42 .00 .00
59.42
Grand Total 295.07 .00 .00
295.07
I.QPERMIT
Bin ; I
City of, La Quihta
Building &r Safety Division
P.Q. Box 1504,78 495 Calle Tampico
ia.Quinta, CA 92253 -:(760) 777-7012
Building Permit -Application and Tracking Sheet
Permit # O
1�
Project Address: Q E-
Owner's Name:.
A. P. Number. %0 _ . yh�- D O
Address:
Legal Description:
Contractor -T;::, ,L -LIT-�? ..�
City, ST, Zip: (
Telephone: - '
Address: q 6614 iAlrlAli¢
Project Description: v 1 1
City, ST, Zip: a ,tj w 46,4. e^.F-
^-�-p ✓L+�
Telephone:
State Lie. # : C12y2 City Lic. #;
Arch., Engr., Designer:�✓�
O(V 4`
K t }; -'Nl) ._ . a✓t� Cr v� (Zua�
/. /fj !1
oc r'+l i
Address:
City, ST, Zip:
Telephoner
air Y
State Lic. #:II
Name of Contact Person: t - t'lj✓L
Construction Type: _Qe-t Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft : ! `�� 'C/ # Stories: # Units:
Telephone # of Contact Person: 76o --:96q-3Y-,>7
Estimated Value of Project: Z 1900 —
APPLICANT: DO NOT WRITE BELOW THIS UNE
p
Submittal
Req'd
'Reed TRACKING PERMIT FEES'
Pian Sets
Plan Cheer submitted ' item Amount
Structural Calci.
Reviewed, ready for corrections Plan Check Deposit. .
Truss Coles.
Called Contact Person tv, % . Plait Cheek Balance.
Tide 24 Calci.
Pians picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
tad Review, ready for correctioustissue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.L
H.O.A. Approval
Plans r bmi d Grading
IN HOUSE:-
7id 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
-d1AA5A
�P Q•e-- kPC IQ8
►��tS�'� - NS,S'f�-art- - .
Zl�i �0�3- =dwa~v�D fes, la�awri�l'�S
Bin. #
Sk
101 11M City of La Quinta
BulkUng at Safety Division
-P.O- Box 1504,78-495 Carie Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
ProjectAdd(ess: (Q (Q(� r'i�L..��
Owner'sName:.�V V�0.lLI L{�.�(
A- P. Number. 0 .. q S C7
Address: �
Legal Description: n
Contractor. Qi^etN� ✓ L
City, ST, Zip:
Telephone: (.(
Address: P O 2-1
Project Description: � I! 3tel t k w C z
City, ST, Zip: \
lS I U ti 4S 0V\ I, 0 r - •e IJ
Telephone:,Lqp • Z -7 Z. - 1 % -
City Lia #:
OT t° + l�U e v
e �. li L t.� 6 irl L '� r f x+r h V
State Lic. #:
n
Arch, Eau., Designer. L � � 1'I�C, f � (/L ✓.
rr
� U Lr l/--rJ V- L �. ✓0 V � 0l1 t -
Address:. 6D (A �Le" �t'�t 1. o S�G OZ
l)Vl IT .t✓ dC,LI�e • L UVII"f-S:
City, ST. Zip: [-gi 'l'E� ZZ
-+vl-vi VC Yi7 & � '"EO I'D
Telephone:' o. 1-71 - j 3 0 Construction Type:. S Occupancy:
State Lie. #: 9 S g 2 Project c _
type (circle one): New, Add'n Alter Repair Demo
Name of Contact Person: GO V12-CLCO G L-r-WLrA h Sq. Ft.: # Stories: - # Units:
Telephone # of Contact Person: -7 ie a • Z7 Z - -] N% S Estimated Value of Project (p 5-00 ov
APPLICANT: DO NOT WRITE BELOW THIS UNE
M
Submittal
Req'd
Reed
TRACKINIG PERhIIT FEES
Plan Sets
Plan Check subtntued 3: L Item Amount
Structural Cala.
Revaewdl, ready for corrections Plan Check Deposit. .
Truss Cala.
Called Contact Pa= Plan Check Balance
Title 24 Cales.
ruction
Plana picked up4%*Ele,"d.cal
Flood plain plan
Pians resubmitted ankal
Grading plan
2' Review, ready for correctio
Subcoatactor I3stCalled
Contact Personbing
Grant Deed
Pians picked upL
H.O.A. Approval
Plans resubmitted Grading
k tx0USE:-
''a Review; ready for cormcdonslissuc Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
00,
Total Permit Fees
h
316�Zoc�i- I�lco�Ni,.--re= a,ewarrcr4-e:-. �C��ro;o: 5���� Pl�l.r�l, A�H1t�UIR�,� Imo*!, ww-r+�l�tge, lowiPNaKc:. Coat
e>d+wan-
g� bltien, - tk+�f sv �c�.wa w teovui..�
M
_ CITY OF LA QUINTA' SUB -CONTRACTOR LIST �
�� ��%� a PERMIT NUMBER l - p� OWNER' 2- SW v�G1c e_ BUILDER 1'' e 11` r �jyl (�,�p ✓-P
JOB ADDRESS ti I�
This form shall be posted on the job with the Building Inspection Card' at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
,.� 1, "1A;r Gnr nnnh +r-nrla nil infnrmatinn rarmaetari halAW mimt hp CnrnnlP_tPrf hV nnnlir-nnt_ "On Filen is not an accentable reSDonse.
::'..",<.. .. ::Workers Com ensation;lrisurance:::.:.:..: :::::.':, :.< ::.:
:..City Business License; .:
Trade / Classification
Contractor :::.:
.;:..;>:'.:;........'..::..:
:.::..,.::. State:.Contractor, .s. Llcertse...
Company Name
Classification
(e.g. A,' B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp. Date
(xx/xx/xx)
EARTHWORK (C-12),
CONCRETE IC -81
FRAMING{C-5) :`.'
i 1eti'►irLr�litWe
1
�I ��s�`I Z
3 r3 ►
STRUCT. STEEL (C-51)
MASONRY lC-291
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L
(� Z� c7
,�.[ _?�,o S
XY.t^�
LI r`�' V v�f.al
ZijC r'f'
�G^ ) �y vl L
? 3
—_`;
?jJ.
l
O 3u )
PLUMBING (C-361
777-
LATH; PLASTER (035) "
DRYWALL (C-9),, ..:
�K IM 1'C .✓ i Cc�a �S
S$q Z
!
3 �3 I
-t: '<
N
1 v (o I
3 0 lel
HVAC- (C-20)-.`..'..?
ELECTRICAL. (C 10) : '::
/ ''
Ise •� F-1 1- IC-
t7
Z %
�( l
X (�
2!i�+ew`
N
0 f3 S
3 0
ROOFING` (C=39)::: ` ..." :: .
SHEET -METAL (C=43)'
r
GLAZING (C-17)'
INSULATION'. (C72)
SEWAGE DISP (C-42) .
PAINTING (C=33)
YL`(�c4 ✓ w C.✓l
z
l3 I
(z, (°
CERAMIC TILE (C-54)
CABINETS (C-6)
FENCING (C-13)
LANDSCAPING (CG27).
POOL (C-53)
u��tt'cv
P.O. 30X 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLS TAMPICO (760) 777-7012
LA Q_-JINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Burt Hanada, Plans Examiner, Inspection Supervisor To CDD:
From: Les Johnson, Planning Director Due Date: 8' I Z
Status:)5� C le—
Building Plans Approval
The Community Development Department has reviewed the Building Plans for the
following project:
Description:9atjo��ULA& &n,
Addressor general location: 76- (0&0. �fi
Applicant Contact: �706- 9 3 q 77
The Community Development Department finds that:
S
❑ ...these Building Plans do not require Community Development Department
approval.
Les Jo
...these Building Plans are approved by the Community Development
Department.
=::.,these Building Plans require corrections. Please forward a copy of the attached
co ections to the plicant. When the corrections are made please return them to
;thmminnuty D velopment Department for review.
� 1 A
received
OCT 312012
cry of LO GAM0
Planning Department
Date
received
NOV X 12012
City of La Qulnta °
Planning Department
received
NOV X12012
City of La QuInta
Planning Department
Is