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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 Is i■ i 4sm��►�wrm x N j i1 a N 0 le !E 00 _ a 5 o 0 q F�m ti�