13-0318 (RER)•
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA,-CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
13-00000318
60959 FIRE BARREL DR
764-280-999-63 -300235-
REMODEL - RESIDENTIAL
MEDIUM HIGH DENSITY RES
10000
Architect or Engineer:
1`'' 1)K
LICENSED CONTRACTOR'S DECLARATION
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
LARSON, JAY & CAMILLE TRUST
60959 FIRE BARREL DR
LA QUINTA, CA 92253
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: A -B -0O3 -DO .cense No.: 317990
Date: -Contractor,
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).:
(_ 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 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 or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 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: �Q
Lender's Address: \
LQPERA7IT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/15/13
Contractor:
DESIGNER CABINETRY & MORE
136 AVENIDA LAS PALMAS0
RANCHO MIRAGE, CA 9227 i ?t -3
(760)346-0619 CIT. �✓
Lic. No.: 31.7990
CEnic.._ A f
-----------------------------------------------
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 &YPT 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 subject to the workers' compensation laws of California,
a Pd agree that, if I should become subject to the workers' compensation provisions of Section
700 of the Labor ///Code,) shall forthwith comply with those provisions.
Date: Applicant: JVj l
WARNI G: AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJE A 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 rdinances and state laws relating to building construction, and hereby authorize representatives
of this COu y t enter upon the above-mentioned property for' coon put S.
t
Date: /Signature (Applicant or Agent):
Application Number . . . . . 13-00000318
------ Structure Information INTERIOR REMODEL AT KITCHEN/NOOK
-----
Other struct info . . . . . CODE EDITION 2010
----------------------------------------------------------------------------
Permit . . . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 117.00 Plan Check Fee
76.05
Issue Date Valuation . . . .
10000
Expiration Date 10/07/13
Qty Unit Charge Per
Extension
BASE FEE
45.00
8.00 9.0000 THOU BLDG 2,001-25,000
----------------------------------------------------------------------------
72.00
Permit . . . ELECT - ADD/ALT/REM
Additional desc..
Permit Fee .. 26.00 Plan Check Fee
6.50
Issue Date . . . . Valuation . . . .
0
Expiration Date 10/07/13
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 11.0000 EA ELEC MISC
------------------------------------------ ---------------------------------
11.00
Permit . . MECHANICAL
Additional desc .
Permit Fee . . . . 26.00 Plan Check Fee
6.50
Issue Date . . . Valuation . . . .
0
Expiration Date .. 10/07/13.
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 4.5000 EA MECH VENT INST/ DUCT ALT
4.50
1.00 6.5000 EA MECH EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Special Notes and Comments
INTERIOR REMODEL AT KITCHEN/NOOK - NEW
SOFFIT, RELOCATION OF EXISTING LIGHTING
FIXTURES AND APPLIANCE VENTING, AND
REMOVAL OF TWO WINDOWS [CONVENTIONAL]
THIS PERMIT DOES NOT INCLUDE RELOCATION
OF EXISTING APPLIANCES OR REVISION TO
FLOOR PLAN. 2010 CALIFORNIA BUILDING
CODES.
April 10, 2013 7:42:08 AM AORTEGA
LQPERN11T
LQPLRn1IT
------------------
3) 1.00
7.61
Due
169.00
89.05
8.61
266.66
sin.#
City Of La Quinua
BtdWg 8T Safety Division
P.O. Box 1504,78-495 Calle Tamplco
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking
Sheet
Permit #
Project Address:
/ �L Owner's Name:. L
A. P. Number.
Address:
Legal Description:
City, ST, Zip:
Contractor.
Telephone:
?� s
Address: ,,1
NectDescription:
City. ST, Zip: C
(_ LAS /A J L 6�A470 Waff
Telephone76 n - r
State Lic. #:-7
City Lic.
r
Arch, Engr., Designer
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type:. Occupancy: .
Project type (circle one): New Add' Alter Repair Demo
G Sq. Ft : c3'GZ-->�D #Stories: #U
Telephone # of Contact Petson:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Roq'd
Recd
TRACMG
PERMIT FEES
Pian Sets
Plan Check submitted
Item Amount
Structural Cake.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cales.
CaUed Contact Person
Pian Check Balance.
Title 24 Calci.
Plana picked up
Construction
Flood plain plan
Plans resubmitted
Mecharilcal
Giading plan
2'` Rmlew, ready for correctio tssu
i!
Electrical
Subcontactor List
Called Contact Person
®
Plumbing
Graut Deed
Plans picked up
ShLL
H.O.A. Approval
Plass resubmitted
Grading
IN HOUSE:-
2" Review; ready for correetionalissue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr -
Date of permit Issue
School Fees
Total Permit Fees
�:lu���3 • Co1Al �tA�lou�) �. � . �,,�,E 'A ►ssti,�� w� to
J $ H
� Z,•S Y
t , 1
March 12, 2013
Jay .Larson
Canulle .Larson
60959 .Fire .Barrel Dr
La Quinta, CA 92253
Property: 60959 Fire Barrel Dr
Account: 015000020749
Dear Jay Larson:
CONDITIONAL APPROVAL
We are pleased to inform you that your plans for removing 2 existing kitchen windows and to relocate the
existing vents on the side of the home to the top of the roof, received on 03/04/2013, have been approved by the
Design Review Coconuttee. The following conditions apply: 8, 1.9 and 23. Please provide the HOA Office
with a copy of the City of La Quinta building permit (see attached copy).
.Please note: Any damages caused by contractor due to construction must be repaired.
This approval does not constitute consent by the Association for the applicant to encroach, trespass, or build
on any property other than that of the applicant. This approval is related solely to the items reserved for
approval by the CC&R's in accordance with the .Design Review Guidelines. The approval does not extend to the
quality of work done by your architect, or contractor, or to any structural engineering, soils engineering, or site
grading and drainage design. You are urged to obtain the services of a state licensed professional for consultation
as needed.
The Design .Review Committee is composed of volunteers. As such, it does not review applications to ensure
compliance with building codes, or other local or state laws. Please be advised that this approval does not relieve
you from obtaining any necessary building permits from the governmental agencies involved to ensure
compliance with these codes. Any violations of these ordinances will be your responsibility to correct. Thank
you for your patience in this matter and for complying with the Association's policies and standards.
t -
For't e Desi« R view Committee
Barry Stere , CCAM, CMCA, AMS
General Ma lager
Enclosures
cc: Board of Directors
Design Review Committee
Tril6gy at La Quinta Maintenance Assoc.
l't-ofc:ssionally Managed 4v Action Property Management, Inc.
60-750 Trilogy Parkway, LaQuinta, CA 92253-7717
Phone: 760-777-6059 Fax: (760) 564-2474
www.actiontife.com
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