09-0631 (RER)P.O. BOX 1504.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253,
Application Number: 09=00"000631 -
Property Address: 53'960 AVENIDA VILLA
APN: 774-174-011-14 -000000-
Application description: REMODEL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: Soo
c �- -4Q
,4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CORWIN MARGARET
53960 AVENIDA VILLA
LA QUINTA, CA 92253;
VOICE (760) 777-7012
FAX (760).777-7011
,INSPECTIONS (760) 777-7153
Dater 6/24/09
Contractor. JUi j!
Applicant: Architect or Engineer: CONKLIN CONSTRUCTION C 1 'Jn
''• )W__ PO BOX 1732 U''
v T/ RANCHO MIRAGE, CA 92270
(760) 219-7676'..rv'A.
Lic. No.: 898038
---------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION ` - WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with - 1 hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of.the Business and Professionals Code, and my License is in full force and effect.. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B License No.: 898038 'for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
r�ro� issued. -
Date:-/ ��- v' 1 ,Contractor: I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
4 — —
Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION insurance carrier and policy number are: -
Ihereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier OK Policy Number OK -
following reason (Sec. 7031_5, Business and Professions Code: Any city or county that requires apermit to - _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires.theapplicant for the person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - 3700 of the Labor
iCode, I shall forthwith comply withthosepro ss.ons
. '
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section -7031.5 by / ✓ C t4,9 t"'K---� /V
any applicant for a permit subjects the applicant to a civil penalty of not more than five. hundred dollars ($500).: "Date: ' &- �7 Applicant:. -
(_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and - L ----J
the structure is not intended or offered for sale (Sec. 7044, Business and. Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION. COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO�CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale: If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.). APPLICANT ACKNOWLEDGEMENT
(_) I, as owner of the property, am exclusively contracting with.licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. -
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed - 1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) I am exempt under Sec. , B.&P.C. for this reason 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.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). - city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned propert for inspection purposes.
Lender's Name: r
Date: J�L _f7 t Signature (Applicant o g tl: \
Lender's Address: -----
LQPER'%IIT
Application Number . . . . . 09-00000631
---_-- Structure Information. MINOR REMODEL WORK Q KIT/LAUNDRY
AREAS -----
Other struct info ., CODE EDITION 2007CODES
Permit . . : BUILDING PERMIT
Additional desc ..
Permit Fee 15.00 Plan Check Fee
9.75
Issue Date Valuation
500•
Expiration Date 12/21/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
Permit . ... ,ELECT - ADD/ALT/REM
Additional desc .
'Permit Fee 21.00' Plan.Check Fee
5.25
Issue Date Valuation
01
Expiration Date 12/21/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
8.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
6.00
Permit . . . PLUMBING
Additional desc
Permit Fee . . 21.00 Plan Check Fee
5:25
Issue Date Valuation
0
Expiration Date 12/21/09
Qty Unit'Charge Per
- Extension
BASE .FEE
15.00
1.00 6.0000 EA PLB FIXTURE.
6.00
----------------------------------
Special Notes and Comments
REMODEL AT.KITCHEN AND LAUNDRY AREAS -
INCLUDES MINOR ELECTRICAL, PLUMBING AND
FRAMING WORK. 2007 CALIFORNIA BUILDING,
ELECTRICAL AND PLUMBING CODES.
June 24, 2009 9:39:03 AM AORTEGA
- -------------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
.98
Fee summary -Charged Paid Credited
Due.
LQPERA11T -
'
Application Number
09-00000631
'
Permit Fee Total
57.00
.00
.00
57.00
_ Plan Check Total
20.25
.00
.00
'20.25
Other Fee Total
1.98
.00
00
1.98
Grand Total
79.23
.00
.00
79,23
LQPEP.AI IT
.
'
Bin #
C(tv of La uln to
J � �' t rY /3usc • q
Building 8L Safety Division O
P.O. Box 1504, 78-495 Calle Tampico y�
La Quinta, CA 92253 - (760) 777-7012 �.
Building Permit Application and Tracking Sheet
Permit #
(,l
D
Project Address: Owner's Name:
A. P. Number: Address: S3 0 .�!/J/ rJk e�lL L4
Legal Description: City, ST, Zip: G wl.V j� GetContractor: 9 a aS3
'F �n15 pti..) , Telephone• [ 0 G� da,rd :<>::,;•<.<:.::.: ::.....: •::::.;..;..r
Address: �U3r�K 7- Project Description:
City, ST, Zip: Grp vl�l�2,/i �Lo-CAr pto,-6 4- 616zr A`r krve,,6,:
Telephone: 0 9—
State Lie. # : f9T U/ 38'
City Lie. #; /0 /;1-0 -
Arch., Engr., Designer:.
Address:
City., ST, Zip-
Telephone:
State Lie. #:
>?k:>sz><:::>::::«<:<.:>::>:::;::>::••:..r::..:., .
>;>:•.::;:;::; :;:;;: Construction Type: Occupancy:
><
...:.. Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: AF-0 4!7;0,V_Li Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: o % 9 Estimated Value of Project:
APPLICANT: DO NOT WRITE. BELOW THIS LINE
# Submittal
Req'd
Recd
T
PERMIT FEES
Plan Sets.
Plan Check submitted
U3 U
em
Amount
-Structural Cafes.
Reviewed, ready for co
ion 2009
1
an Check Deposit
Truss Calcs.
Called Contact Person
an Check Balance
Title 24 Calcs.
Plans picked up Construction
_ --Flood plain plan
Plans resubmitted Mechanical
--- Grading plan
2"a Review, ready for corrections/issue Electrical
Z1�0 5•'rS
Subcontactor List
Called Contact Person Plumbing
_: Grant Deed
Plans picked up S.M.I.
9:A;-Approval
Plans resubmitted Grading
IN HOUSE:-
3" Review, ready forcorrectio s/issu 6
4WI Developer Impact FeePlanning
� r
approval
. Called Contact Person
vb-K�ks: Appr
Date of permit issue
-Sch"l-Fees
Total Permit Fees
CITY, OF LA QUINTA'.SU.B-CONTRACTOR LIST
JOB ADDRESS PERMIT NUMBER OWNER M-fems e4?evJXA1 BUILDER. CarPdKz/A/ mss7
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.worl
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 4'I a stoppage of work and/or the voidanc(
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
ificatio :
n
Trade (Classt
::
: Contract or :::: :::::::::;>`
? ::<:>::=' : >:::`::>?`Sta e;Contracto , :.:.:.:::>
. I s L�certse... - ::. . ::. --
.:::.... .:.
:.: :: :: WtNkecs Corrlp�4satton:Insurane� ''" <:::... ;»:-:.:':::. -
City Biisries License`
Company Name
Classification
(e.g. A, B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Poficy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp, Date
(xx/xx/xx)
EARTHWORK (C-12)
CONCRETE (C-8)'::
FRAMING :{.0-51 :.'
L C�tJ.sTi�f�'
13-
Zf g 0 3
0�lliY
4OxrP /,A/ �"/>
�3�-/a yi3 - �c�9
�v %v/0,//NBt/
09
STRUCT `STEEL- je-51)
MASONRY IC -29)
-�
PLUMBING (C -.36i"
#4-V 1V4 P1uAd.
/a./$,
0S.
/�3�-
s3/ /O
LATH, PLASTER JG.=35)
—
DRYWALL (C-9)..:'.
L'�7�/KL,/l Ctw S i kUCT,
SArc.G� �S
/Fi3d7/El
i
ELECTRICAL.
G - t
SHEET METAL (C 431
.�
FLOO.RING (C`':15) ;.;'?::
e(.gA1KL/1z1COnI$T�LCGT
Steil" fis
�ar34
�
GLAZING (C-17):
INSULATION:: (C-2)
J
SEWAGE DISP (G-42)
—
PAINTING (C -33Y.:'
!•hln/r 3 qs- :� -V3
C 33
�8 S b 37
3 ( ��
t�u t%/i ll�Fs.
Ol, Wo 13 6 3 1
CERAMIC TILE (C-54)
CABINETS (C-6)
eo*
539 p,
:FENCING (C-13)
LANDSCAPING (C=27).-:_*'.
POOL (C-53)
2.
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FOR CONSTRUCTION
DATE
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CONSTRUCTION HOURS - N,r� , �•.o r u ti!ve� ��� �� s� / rrir y '
'"®r+iCTLe_T' /N NCW ,�Go567 ` r' •�+ +
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,October 1st - April 30
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Monday = Friday .7:00 am. to 5:30 p m. - - - , ,
I l' .�lL' %*J/�{� fl�y��c F/ec.�c/7' �•,� `
.w j• e M • � L� � ' //2£ U G'/,e LAG( % '�
tet. Saturday: 8.00 a.m. to 5:00 p.m: 7U el'L�C�xlSr�A/c, N t
• hLL(G L hE 5t DC' , or Geed /P 9L %/!n!d cGi
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' -- — - '
_ Sunday None -
,.. Government Code Holidays: None,
May 1st - September 30th
Monday-- Friday: 6:00 to 7:00 p.m.
:
Sa— : 8:
—
*, f turday 5.0 ..
00 O.p.m.a
a = 7 f� �Z�rSs «�3 - `l D A►1�7V IJJ+� illLL 4_ Sunday:
No*
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` , Q -Government C �a�lidays: None' - n • : , . , , • ^
- - r - • .�-Q [�A� � ,-�,1�'� _ - {- t �,�'(Sti,� �.�,s%,nlG . • . '
- INi•� � '�/.1. 9x153 •r. Gt�.ti -;' _ I
A&ADEW9T5E -QW)FB91$i WAINER ' .:., I -
'�E�-ON-TH€JOB,%TE DURING ALL' .'. /\f
A PHASES OF CONSTRUCTION AND. MUST BE
• , ' • {r• •FK- ` .I- - - �— J--�x `. R_-"'_'rS��U • - Z,
PHASES
/• �� *. .e/-,• _ t. r ♦ i• 7 +a 1. •�• - -1 4n .
r ' EMPTIED AS NECESSARY. fAILURE TO c u
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_
`
.!.MAY CAUSE THE CITYTO HAVE THE CON TOR
„. - °i - �L� t
7 s.
• 1�,���n
:t ,. � .�.. - • � D MPE THE N V�{�p'�) �' � a,b�-
U DAT EXPENSE OFTH6O �— — --
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APPROVED - {
t ... ), ry ' Ni l Ptd ' }` •. ` t +. ��•.� , MYF E X S.:� I'1 - F• \�.•. , '` • R - . ...•, y ,ty X y '.l'' . t _
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, • _ N s.: '� „ I NES L.frdivD�
t S, .. � - � on the follows Code Holidays. � •;. ;. ,. ., ' y . ., • 't _. • � , .
r ,• " .• ' . + `e. • � .. • •' a `� - "'•• WQL �flP�u6 � =1 ? _ , r as
New Years Day • . � � �� - _
4 ,t 'Dr. Martin 4uther Ki Jr.:Day G
-5� .cr s�,��y,wo ;3'
Presidents ay nc
-;� Memorial Day
} Independence Day � 14 rIAIL MM�nay . F
• . - �: Labor Day DOWN Aee% tA_S .
Veteran's D - w
.. _ • y Thanksgiving Day. ' '
• - ' ./, SJ • '/J ; ' .Christmas Day - • 'r '•' e r , F �.- �•-- k .z .. y \ . , .� i` . � ` •
t `f A IT-MR=N FEE OF .x30 F . >%L 002' L A -/v
r ' Vllitla BE
CHARGE[
iF THE APPROVE
-- - • �^ , -_` .r .4 � : �, ' � • ,..• -PLANS AND D �. , - _. , . •, •_c - � . -/` _ - • ' _
•
' JOB RD ARE, NOT ON , 4 ' z' 2
THE SITE FOR A • SCHEDULED r _y (2,'� [ (� 15
SON. - JUN 1 8,200
• NO NSi',� Kms, ,