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11-0417 (RER)t f. P. 0:, BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253, Application Number. ~I1-00000417.3 Property Address: ` 5189'9",AVENIDA VILLA APN: 773-182-018-6 -000000- Application description: REMODEL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL ,Applin,,ation trahiatinn: 1000 Applicant: Architect or Engineer: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: BARRAGAN LAURA r 51899 AVENIDA VILLA (^ LA QUINTA, CA 92253 11" (760)702-6352 Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-701.1 •INSPECTIONS' (760)-777-7153, Dater 4/26/11 r 7 9 yy 2011 ' - LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION .. , hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I 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: - License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: - Contractor: _ 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier - - - - - - - - - - - - - - - - - - - - - - - Policy Number following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit 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 the applicant 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 Code, I shall forthwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. - Any violation of Section 7031.5 byqq any applicant for a subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: - r - "Dater L Applicant: V.� -�l',fl� 't�'3�Qq`�•� permit (�) 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 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 - ( 1, 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 fora 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. " 2. Any permit issued as a result of this application becomes null and void if work is not commenced ' ;_ Date:" ' Owner.`X�� GL CD--q�`a�� ; 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 property for inspection purposes. Lender's Name: r h%O�II {-+-- --- -�•-"' "Date: Signature (Applicant orAgent): - Lender's Address: _ ` LQPERMIT - Application Number . . . . . 11-00000417 Permit. .. BUILDING PERMIT Additional desc . Permit Fee 41.00 Plan Check Fee 26.65 - Issue Date Valuation 1800 Expiration Date•. 10/23/11 Qty Unit Charge Per Extension' BASE FEE 15.00 13.00 2.0000 HND BLDG 501-2,000 26.00 --------------------------- Special Notes and Comments (6) WINDOW REPLACEMENT AND (1) FRENCH DOOR PER APPROVED PLANS B.H. 2010 CODES. . ------------------------- -- ---- --------------- Other Fees BLDG STDS ADMIN .(SB1473) 1.00 ENERGY REVIEW FEE 2.67 Fee.summary Charged Paid Credited - ------ Due -- - - - - - - - - - - - - - ----- Permit Fee Total 41.00 .OQ .00 41.00 Plan Check Total 26'.65 .00 .00 26.65 Other Fee Total 3.67 .00 .00 3.67 Grand Total 71.32 .00 :00 71.32 LQPERMIT - .. s, pose- ®P411 y 1:� �{ �'� X i d_ +iee--------------- �. nil eel -�, Prescriptive Certificate of Compliance: Residential Residential Alterations Project Name: Climate Zone N CF -IR -ALT age I of 5 N of Stories General information Site Address: �it' Enforcement Agency: Date: C) ZG ZG I Building Type Single Family O Multi Family Circle the Front Orientations S� @) or degrees: Conditioned Floor Area (CFA): Project Type: O Alterations O Envelope O Fenestration O Roof O HVAC Re lacement or Change Out O Duct Re ikeemem. O Water Heater NOTE: This form is not to be used for Newly Constructed Buildings or Additions Insulation Values For Opaque Surfaces (for Furring use the .Mass and Furring Strips Construction table below) Assembly Alteration O Opening of framed cavity alone - Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor must install the mandatory minimum insulation value per §1 SO for the altered assembly. Fill in Columns A C and enter mardatoy insulation value in Column H. O Replacement of entire assembly - Replacement of an entire wall, ceiling, or floor assembly requires the instaNation of Component Package- D insulation values in Table 151-C. Fill in Columns A - J. O a ue Surface Details For the furred rtioned of Mass Walls see Furring Strips Construction Tabl: below. A B C D E F G I H I1 J Proposed W ROOStandard Values From JA4 Table Proposed Properties of Masonry and Concrete Framing Thickness, Framed Continuous JA4 Proposed Ta� Assembly Name iD or Type' Material Spacing, U- JA4 Table Cavity Insulation Assembly Assembly and Size' or Others factor' Numbers R -value° R-Valx' Cell Values U -fano? Joint Appendix Table 4.3.5.4.3.6 4.3.7 Joint Appendix Table 4.3.13 u Note: For furred assemblies, accounting for Continuous insulation R -value, see Page JA4-3 and Equation 4-1. For calcalatingfwred walls use the MOand Furring Construction table below. 1. For Tag/11) indicate the identification name that matches the building plans. 2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc... Indicate the Frame type and Size: For Wood, Metal. Metal Buildings. Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies 3. Enter the thickness for mass in inches or Spacing between framing members enter: 16 "or '24 "OC: or Other for all other assembly description such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc.... 4. Based on the Climate Zone: enter the Standard U factor from Table 151-B, C or D for each different assembly Name or W. S. Enter the Table number that closely resembles the proposed assembly. 6. Enter the R -value that is being installed in the wall cavity or between the framing: otherwise, enter 7. Enter the Continuous Insulation R -value for the proposed assembly: otherwise, enter "0 ". 8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J 9. The Proposed Assembly U factor, Column J. must be equal to or less than the Standard U factor in Column E do comply. Furring Strips Construction Table for Mass Walls CMI A I B C D E F F 7-77 1 J K L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space from Reference Joint Appendix Table 4.3.5.4.3.6 4.3.7 Joint Appendix Table 4.3.13 u aq VN w t,.. � V • V �• > V O nT G W n Assembly' 9 4- .� C L p c s F— g v ^ _ = Prescri tive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 2 of 5 Project Name: Climate Zone k # of Stories and /. Indicate the type of assembly to include: Hollow Unit .Masonry {Valls. Solid Unit .Vasonrv. Solid Concrete Walls. Etc. Additional assemblies can befound Reference Joint Appendix J44. 2. This is the U -Factor based on the thickness of the assembly in inches. 3. The R -value of the insulation to be added on the interior or exterior of the assembly. . The Calculated R- ! alue is the R -value of the furred out section of the assembly. -6. The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. rhe equation is the inverse of Colum added to Column I. Column K is the inverse from column J. 7. Insert the calculated U- actor value on to the Opaque Surface Details in Column J FENESTRATION PROPOSED AREAS IQ Replacing window alone — Replacement windows shall meet the U -Factor and SHGC l•alue requirements of Component Package D in Table 151-C The Total Fenestration and West facing Area requirements are not applicable. ❑ Adding 501it2 or less of window area — A`ewly installed windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C. ❑ Adding more than 50fe of window area — Newly installed windows shall meet the 'U -Factor and SHGC 1 alue and the Fenestration Area requirements of Component Package Din Table 15/'-C. Complete the Altered Fenestration Allowed Area. Table on Page 2 of the CF -/R -ALT Orientation Fenestration Type and France (North. East. PropsedArea' Maximum Maximum NFRC or Default Window, Glass Door or Skylight) South, West ft U-factotz' ' 3HGCZ' 1.4 Values c Yx6 - 0 G -o-30 A X C 0 2 Allowed W �r�\vw C x Fenestration \(l�C9W S Ll o r' Q 30 A 2 CFA of Entire %of I. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception: When a door is less dwn 50'9 glass. the fenestration area may be the glass area plus a -2 inch frame -around the glass. Z 2 2. Enter value from Component Package. D Requirements in Table 151-C.�z,; c- 3. Actual fenestration products installed and as indicated in CF -6R -ENI' Form shall be equivalent to or have a• lower U factor and/or a lower SHGC value than that specified on the CF -IR ALT Form. 4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading. 5.,(f applicable at this stage enter "NFRC" for NFRC Certified windows or are CEC "De ault " values found inZable I16 -A or B. ALTERED FENESTRATION ALLOWED AREAS (CompI If ntore than 50j? offenestration Is Added) A B C D E F G Allowed Existing Fenestration Total Area CFA of Entire %of Fenestration Area Fenestration Allowed Proposed Area'- Dwelling. CFA Area Removed Area Added A x B) (E -D) + C Total Fenestration Area ft) .20 > West Fenestration Area (Required In .05 T CZ's 2. 4 & 7 -15) 1 1 1 — 1. West Fenestration .4rea includes west -sloping skylights and only skylights with a pitch less than 1:12. 2. West facing glazing area removed cannot be -counted - twice. - In order to distribute the west glazing area removed to the other orientations, input the west glazing area removed in the Total Fenestration Area row, column D. 3. include the Proposed Area of the !fest facing fenestration'in both Area columns below. 4. To meet compliance, the Proposed Area must be less than orequal to the Total Allowed Area or BOTH the Total and West Fenestration Areas. Registration Number: Registration Date'Time: HERS Provider: 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 5 of 5 Project Name: Climate Zone # # of Stories HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF -4R Form Jor all the measures specified shall be submitted to the building inspector before final inspection. Duct Sealing & Testing HERS verification is required for this measure. ❑ YES ❑ NO YES: In Climate Zones 2 and 9-16. if more than 40 linear feet of new or replacement ducts are installed in unconditioned space. the ducts are to be sealed per § 152(b) I Dii and the newly installed ducts are ,o be insulated per §151(f)10. ❑ EXCEPTION: Existing duct systems that are extended, which are constructed. insulated or sealed with asbestos. ❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC egdpment and ducting) is replaced, the ducts are to be sealed per §152(b)IDi. ❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system. cooling or heating coil. or the furnace heat exchanger) the ducts are to be sealed per § 152(b)1 E, ❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. ❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos. Refrigerant Charge- Split System HERS verification is required for this measure. O YES 13 NO YES: In Climate Zones 2 and 8-15, when the existing HVAC equipment is replaced (intruding the replacement of the air handler. outdoor condensing unit of a split system A/C or heat pump. cooling or heating coil, or the furnace heat exchanger) a refrigerant charge measurement shall be verified per § 152(b)I F. Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw The ventilation requirements of § 15 o do not apply to existing residential homes. Ducted Split Systems Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure. 0 YES O NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is replaced. the airflow and fan watt draw shall be verified per 152(b)lCi to meet the requirements of 151(f)7B. Documentation Author's Declaration Statement • i certify that this Certificate of Compliance documentation is accurate and complete. N e: Si Company: Date: Oy '2C) Address: \ ` If Appbca le ❑ EA or ❑ CEPE (Certification #): City/State/Zi : Phone: Gt22 Responsible Building Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • 1 certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24. Parts I and 6 of the California Code of Regulations. The building design features identified on this Certificate of Compliance are consistent with the information to document this, provided building design on the other applicable compliance forms, worksheets, calculations. plans and specifications submitted to the enforcement agency fora roval with this building permit application. Name: Signature: Company: Date: Address: License: City/State/Zip: Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration :`umber: Registration Date='Time: 2008 Residential. Compliance Forms HERS Provider.: August 2009 faetured produ n�ct . l 'Canada + o: energystar.nrcan-rncan.gc.ca QualifiedENERGY STAR@ Highlighted Regions for .reaI 'life ENERGY" '• • .•• 'Canada + o: energystar.nrcan-rncan.gc.ca I yy+y v �o U.S. E.U. energystar.gov ®= Qualified/A.imissible JELDWEN. WI N.DOWS & DOORS NFRC Vinyl Frame Builders. Slider CU -D Spacer CLR + LowE 366 National Fenestration Wide Contour Grid (1") • . Rating Council® Argon, 3810E41 ENERGY PERFORMANCE RATINGS ! EVALUACION DE RENDIMIENTO ENERGETICO U -FACTOR (U.S.11-P) FACTOR-14COEFICIANTE:GAIUINCIA SOLAR HEAT GAIN COEFFICIENT DE ENERGII SOLAR i 0.30 (U.S./I-P) 1 1.7 (Metric/SI) • 0.21 ADDITIONAL PERFORMANCE RATINGS EVALUAGON SUPLEMENTARIA DE RENDIMIENTO VISIBLE TRANSMITTANCE TRANSMISION DE L( UZ VISIBLE ' 0.4.7 A6rukWfa sliDtf@s Cat Cwse rCigS ta�Im m riAC pI xdaes tv aamnnag vi* quoiummtz. NFFG'a4ryS ae aetemle7 b a raeC SZI d pa eRrtDtl 0 softs Std a WC Aid *e. W SCS to mrmlat n D,e; PEI D]m at dHarm ae vii' d a7 pIWW ID airy yEA ke Cosa DI�W I er' &An b Wo padG Wbim u Fda ami ' [steWra*W"PEesex num arm tanmprok aiiaprabwaeWWonwoumawanedamtdadpiwim.insQtz.3dospDNPCwt dWfnvWZ pD m M*M $ dt calk, Es anbiaUM y m MM ae D'AM'apediro. NK no mmmettd mmW%uMM y nog'g3=U d xl J= sea Onop•alntoepdmCaedmandh6amUJlaprawPNdlcaapwbmd!estewaxw. www.nfrc.org r chis fenestration product has been certified by the manufacturer to meet the air ialiltration requirements of Section 116/a/ 1, 2005 California Energy Standards. i - JELD-WEN Windows & Doors Builders Slider F , REMOVE ONLY AFTER FINAL INSPECTION -RETAIN LABEL FOR YOUR RECORDS Order Line Batch Seq Build Date 452207 4 07140010 7SO180 07[14,'10 P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 ,�t,Qr�ra BUILD NG & SAFETY DEPARTMENT PROPERTY O'WNER'S PACKAGE (760) 777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPML48� T! NOTICE TO'PROPERTY OWNER Dear Property Owner- An wnerAn application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at We are providing you with an Owner -Builder Acknowledgment and Information Verification:Eorm to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the . Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, -signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OYMM'S ACKNOWLEDGMENT AND VERIFICATION OF INEORMAMN DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. LZ `I. L understand a frequent practice. of unlicensed peisons is to have the property owner obtain. -an "Owner -Builder'' building permit that erroneously implies that the property owner is providing his or. her own (labor and material personally. [; as an Owner�Builder, may be held liable and subject to serious financial risk for any injuries.sustained by an unlicensed person and his or her employees while working on my property. My. homeowner's insurance m.3y not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. LS�) 2. I understand building permits are not require to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility - '1 ( 3_ [understand as an "Owner -Builder" 1 am the responsible party of record on the permit. I understand that 1 may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of.my own. Lj4. 1 understand Contractors are required by to be license and bonded in California and to list their license numbers o permits and contracts. 1,fS 5: I understand if l employ or otherwise engage any persons, other than California licensed Contractors, and the total vab of my construction is at least five hundred dollars ($500), including labor and materials, I.may be considered an "employe under stale. and federal law. Lh_6. l understand if I' am considered -an "employer" under state and federal law, t most register with the state and fede government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute 'to unemploym compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious ftnan( risk. L 2) 7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family resides structures cannot legally build them with the intent to offer them for sale, unless all work is performed by dicer subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is perfor under contract- with a licensed general building Contractor. a understand as an Owner -Builder if I sell the propeny for which this permit is issued, I may be held liable for any 4 financial or personal igiuuies sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. LT9. 1 understand 1 may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California vepartxnent of Benefit Payments, and the California Division of industrial Accidents. 1 also understand l may contact the California Contractors' State License Board (CSLB) at l - 800-321-CSLB (2752) or wwmv.cslb.ca.gov for more information about licensed contractors. L_J?) 10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that t am the party legally and financially responsible for proposed construction activity at the following address: l L 1 agree that, as the party legally and financially responsible for this proposed construction activity, 1 will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. 1_ fj 12. f agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information [ have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board maybe unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It. is also important for you to understand that if an unlicensed Contractor or errtployee.of that individual or firm is injured while worlang on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, You wdl be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to ng the agency responsible for issuithe permit- Note: A copy of the property owner's driver's license, farm ttotsriroatcon; or other verification acceptably to tie agency is required to be presented tAen tie permit, is issued to verify the property owner's signature. r Signature of property owner vc y �3' Y,r Date: ��10 Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which l understand is my personal responsibility, l hereby authorize the following Person(s) to act as. my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that l am the property owner for the address listed above and I personally filled out the ab information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's Isignature. Property Owner's Signature: Date: _ B►n # 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 # q0 Project Address: S X2�ckQ' � �`\ Owner's Name: A. P. Number: Address: S`e' Mqxj` Legal Description: Contra ctor:�C.Jv1 City, ST, Zip: Lot, q CJW�rr, -.zab�62k<3i•`<'>.'.,'�',n.''.>%:;':f: Telephone: O-�i—&352;{:�,•s..xk„�;,�<��;xr.{yy.:<J:Y:{y:: Address: Project Description: City, ST, Zip:. r Telephone: .:> •; t:.,;<"'' >"':> ,>'y:4y:::<{{. : (_ ` 'State Lic. # : City Lic. #.:��(� Arch., Engr., Designer: c>,,c O Address: City., ST, Zip: Telephone: State Lic. #: ...{;y.�Av{r'F,.i{{!{4"{j•1y::' iY: `SY:•:�;:.;y: y;;}:<;<•:;{JYY:onstructionType: .J: k•�yiJi:{yv.}�yf %�r1�;:YS:;v.y. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: sov. ", C,\ Y 4 Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: O - _-O Z G V5 2 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE' N Submittal Req'd Recd TRACKING 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 Tide 24 Cates, Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" 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 Grading N HOUSE:- ''d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact.Person A.I.P.P. . Pub. Wks. Appy Date of permit issue School Fees 'Total Permit tees