10-0695 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
10-00000695
Property Address:
81405 GOLF VIEW DR
APN:
762-410-040- - -
Application description:
REMODEL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
30512
Applicant:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
ANDY & KIMBERLY BEAL
81-405 GOLF VIEW DR
LA QUINTA, CA 92253
-- — — --- ---- - - -----Contractor:.
Architect or Engineer: LEGACY CONSTRUCTORS INC
78670 HIGHWAY 111,. #174
LA QUINTA, CA 92253
(760)88
Lic. No..::B B
LICENSED CONTRACTOR'S DECLARATION -
I hereby affirm under penalty of perjury that I am ycensed 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: 900828 License No.: B
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perressand
am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, BusProfessions Code: Any city or county that requires a permit to
construct, alter, improve, demolish,ny 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).:
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:
Lender's Address:.
LQPERM[T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/29/10
d
ciry?Qip
•I t ~,'��E �pT�T�
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 PREF CONTR INS Policy Number TBA
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,
and agree that, if I should bec a subject to the workers' compensation provisions of Section
�i 3700 of the La or Code, I forthwith comply with those provisions.
aD te: (i �� pplicant:
WARNING: FAILURE TO SECUREW AKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITI TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR C E. 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 Ouinta, 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 ordinances and state laws relating to building coruction, and hereby authorize representatives
of this (��,unttyy to enter upon the bove-mentioned to for i-pection purposes.
te: V S' ature (Applicant or Agent):
t �
Application Number . . . . 10-00000695
------ Structure Information INTERIOR REMODEL + EQUIPMENT SCREEN WALL -----
Other struct info . . . . . CODE EDITION 2007/2008
----------------------------------------------- L ----------------------------
Permit
BUILDING PERMIT
Additional desc
INTERIOR REMODEL PER MISC INFO
Permit Fee
284.50 Plan Check Fee
184.93
Issue Date . .
. . Valuation . . .
. 30000
Expiration Date
1/25/11
Qty Unit
Charge Per
Extension
BASE FEE
252.00
--5-00_. _._.-6-5000
-----------------------------------------------------=----------------------
-THOU —BLDG _251001=5.0-00.0--_
_..__..32.50 __.........._..------...._. .:
- Permit .
. . ELECT - ADD/ALT/REM
_ Additional desc
REVISED KITCHEN ELECTRICAL
'
_ Permit Fee . .
. . 17.25 Plan Check Fee
4.31
__aIssue Date . .
. . Valuation . . .
. 0
2� Expiration Date
1/25/11
Qty Unit
Charge Per
Extension
_.
BASE FEE
15.00
3.00
----------------------------------------------------------------------------
.7500 PER ELEC DEVICE/FIXTURE.IST 20
2.25
Permit
PLUMBING
Additional desc
SHOWER, BAR SINK AND GAS STUB
Permit Fee.
39.00 Plan Check Fee
9.75
Issue Date . .
. . Valuation . . .
. 0
Expiration Date
1/25/11
Qty Unit
Charge Per
Extension
BASE FEE
15.00
3.00
6.0000 EA PLB FIXTURE.
18.00
1.00
3.0000 EA PLB WATER INST/ALT/REP
3.00
- 1:00
----------------------------------------------------7-----------------------
3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
Permit .
. . WALL/FENCE PERMIT
Additional desc
32LF OF 4' BLOCK WALL
Permit Fee . .
. . 17.00 Plan Check Fee
.00
Issue Date
Valuation . . .
. 512
Expiration Date
1/25/11
Qty Unit
Charge Per
Extension
BASE FEE
15.00
LQPERMIT
LQPERMIT
Application Number . . . . . 10-00000695
Permit . . . . . . WALL/FENCE PERMIT
Qty Unit Charge Per
Extension
1.00 2.0000 HND BLDG 501-2,000
2.00
----------------------------------------------------------------------------
Special Notes and Comments
INTERIOR REMODEL OF KITCHEN CABINETRY
AND THE RELOCATION OF SINK, ADD SHOWER
TO CLOSET ACROSS FROM POWDER ROOM,
j INSTALL WET BAR SINK AT CASITA, 32LF
SCREEN WALL AND GAS STUB FOR FUTURE
APPROVED BBQ. THIS PERMIT DOES NOT
. INCLUDE OUTDOOR ELECTRICAL, REVISION TO
- - —KITCHEN -OR -BATHROOM -LIGHTING -OR ---
STRUCTURAL ALTERATIONS. 2007 CALIFORNIA
BTTILDING/2008 ENERGY CODES.
-.. -•� July 29, 2010 5:01:59 PM AORTEGA
-.. -------------------------------- -.-------------------------------------------
-:1 Other."SFees . . . . . BLDG STDS ADMIN
(SB1473)
2.00
_..; �. ENERGY REVIEW
FEE
.18.49
CFee summary Charged Paid
Credited
Due
----------------------------------------------
Permit Fee Total 357.75 .00
----------
.00
357.75
Plan Check.Total 198.99. .00
.00
198.99 .-
Other Fee Total 20.49 .00
.00
20.49.
Grand Total 577.23 .00
.00
577.23
LQPERMIT
Bin #
Qty of LQ QUinta
Building Si' Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
10.5
Project Address: Lr �! c4r� �h
Owner's Name:L—
A. P. Number:
Address: . B GW /t -
Legal Description:
City, ST, Zip: G tech„L 6,4-
Contractor: l (.dam 5 r /I �ttiCi xs �trt1 - •
•�.Qj"'�'�:�'�`•`
'.'�''"""
Address: 77 -&,-?p (((
jectDescription: ons
City, ST, Zip: a &A
Telephone:
'fi. rr:.
MORE-%
Nl•1! (� %a tot. d6
State Lic. # : 10C47-9City Lic. #:
�•
Arch., Engr., Designer:�•!.Q
Address:
o' Ls d
City., ST, Zip:
�' �i4 Tb'ir� `� �T• fo tlJ
Telephone:
State Lic. #:
;\ , " ";:.s Co tru on ype: Occupancy:
}s`} Y Project type (circle one): New Add'n Alter Repair Demo
�;.• s ,., ,• fic;H;�
Name of Contact Person:
Sq. Ft.:#Stories:
# Units:
Telephone # of Contact Person: .
Estimated Value of Project: , O pVV-
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG 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.
Title 24 Calcs.
Plans picked up
Construction ”
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for correctionsHssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
'
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for correction ue '?
Developer Impact Fee
Planning Approval
':
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
°-20 to A.
TW iZ
q"g,411,
ill-�r�o V/6�
6,A 7A-
41 r
wgvt-
CONSTRUCTION HOURS
October 1st - April 30
Monday - Friday: 7:00 a.m. to 5:30 p.m.
Saturday: 8:00 a.m. to 5:00 p.m.
Sunday: None
Government Code Holidays: None
Monday - Friday: 6:00 a.m. to 7:00 p.m.
Saturday: 8:00 a.m. to 5:00 p.m.
Sunday: None
Government Code .Holidays: None
A RE -INSPECT
WILL BE CHARGI
PLANS AND JOB
THE SITE FOI
mCTION.
NOM
"AN ADEQUATELY
IS REQUIRED ON
PHASES OF CON,
V FEE
IF THE Al
ARD ARE
A SCH
$30
ON
:D DEBRIS ONTAINER
JOB SITED JRING ALL
ICTION AN MUST BE
EMPTIED AS NECESSARY. FAILURE TO DO SO
TATO HAVE THE tONTAINER
DUMPn AT THE EXPENSE OF THE OWNER/
nn�irTAD N
7 C
Con"ttion is NOT PERMITTED
on tare following Code Holidays:
am
10• Q"CX
CITY OF LA OUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE O 8Y
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New Yeaes Day
Dr. Martin Luther IGngJr. Day
President's Day
Memorial Day
Independence Day
Labor Day
Veteran's Day
Thanksgiving Day
Christmas Day
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81-405, Golf View Drive
LaQuinta Ca.
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BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
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