05-1013 (RER)Box 1504
95 CALLE TAMPICO
�UINTA, CALIFORNIA. 9,2253
BUILDING PERMIT
nber . . .
rivpCi Uy .r•1UU.LC3s
APN:
Application description
Property Zoning .. .
Application valuation .
BUILDING & SAFETY.DEPARTMENT
. (760).777-7012
FAX (760.) 777-7011
INSPECTION REQUESTS (760) 777-715.3
. 05-000010.13 Date 3/23/05
. 78198 HACIENDA .LA QUINTA
646-280-0'06- - -
REMODEL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
228910
Owner
Contracaor
CORLEY JOAN PEARSON
DANROY CORP
12,694 LA CRESTA DR
928 VELLA ROAD
,ATHERTON
CA 94,02'7 PALM SPRINGS CA
92264
(760) 320-2128
WCC: HRH INS
WC: 17954:91.04
07/01/05
CSLR: 58114.9
11,/30/05
CCC: B -C9 -C15 -C33
------ Structure 'Information.
REMODEL AND REPAIR WATER DAMAGE
-----
Construction Type . .
TYPE V - NONRATED,
Occupancy Type .. .
. . . DWELL`G/LODGING/LONG,<=10
Flood.Zone. . . .
. . . NON -.AO FLOOD ZONE
Other struct•info . .
. CODE EDITION 2001
CBC
Permit . . . . . .
BUILDING PERMIT'
Additional desc .
Permit. Fee . . .
2.34_40 Plan. Check Fee .
152. 1.0
Issue Date
Valuation . . . .
22,890
Qty Unit Charge:
Per
Extension
BASE FEE
4.5.00
21.00 9 : Q 0.0.0
THOU ,BLDG 2., 0 01-,2:5 , 0 0'0
189.00
Permit . . . .. . .
ELECT - ADD/ALT,/REM;
Additional desc ._ .
Permit_ Fee
2:7-.75 Plan Check_ Fee
6.94
Issue Date . . . .
Valuation
0
Qty Unit Charge.
Per
Extension
BASE .FEE
15.0'0
17.0.0. .7500
PER ELEC'D.EVICE/FIXTURE 1ST 20
12.75
------------ -------------------.---------
Permit . . . . .. .
--.-------------_t-------.-------------
MECHANICAL
Additional desc
Permit Fee .. ..
24.0;0 Plan Check Fee
6.00
Issue: Date . . .
Valuation . . . .
0
Qty Unit Charge`, Per Extension
BASE :FEE' 15 0'0
P.O. Box 1504 •� VOICE (760) 777-7012
78-495, CALLE TAMPICO FAX (760) 777-1011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 05-1013 Date:
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
0!v Tle"a Cro,
Architect or Engineer's Address:
A/A
Lip. No.
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
1 hereby afFrnunder penalty of perjury that,I am licensed under provisions of Chapter 9 (commencing with'Section 7000) of Division 3 of the.Businessand Professionals
rLicen and myt ense-i_ s in f=11.fg�ce` de
icense Class � C� G � C License No.
• _ A
- Z3-aS
6WNER43UILDER DECLARATION.
I hereby afrm under penalty of -perjury that I am exempt from the Contractors' 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,anystructure, prior to its issuance,•;also requires'ihe applicantfor the permit to file a signed
statamenRt.tharhe or sheis licensed,pursuant•to the rovisions!of the ContractorsState License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) orthathe or she,is exempt therefrom and the, basis for the alleged exemption. Anyviolation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more thamfive hundred,dollars ($500).):
U 1„as owner of -the ,property,;or my employees; Wth wages as their sole compensation;.wiil'do the work, and the structure,is notintended'or.offered for sale (Sec. 7044,
Business and Professions Coder The Contractors' State' Licenselaw, does not apply to an owner property.who builds or Improves thereon, and who does,” work,
himself or herself or through his ocher own employees, provided'that the improvements are not intended 'or offered forsale. If, however, the building or improvement is.
sold within one year of completion, the owner -builder will have the burden of proving thatioe orshe'did noiibuild or improve for the purpose of sale.).
U, I, as ownerof the property, am exclusively: contracting with licensed contractors to construL44he project (Sec. 7044, Businessand 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:).
U 'I am,exempt under:Sec. , BA P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
1�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;forwhich this permit is issued.
11have-and will maintain:workers' compensation insurance, as required by Section 3700'of;the Labor Code,,forthe performance of the�work for which this permit is
Mar
T [ �j y` plc 'compensation insurance carrier d�pJiGy,Qu ar q
M w - (�('� 1(�
Policy Number
_,I certify that; in the performance of the work for which this permit is issued I shall n temploy any person in any manner so as to become subject;to the workers'
compensation laws,of, California, and agree that, if I should become: subject.to the workers' compensation provisions of Section 3700 of the Labor Code,, l shall
fortMyith comply with those,prWsions. `
oars 3 0' Z6'40-< Applican r
WARNING: FAILURETO SECURE WORKERS' COMPENSA, ION COVERAGE IS UNLAWFUL,-AND'SHALL SUBJECT AN EMPLOYERTO CRIMINAL PENALTIES AND
CIVIL FI .NES ;UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE,COST OF COMPENSATION, DAMAGES AS PROVIDED FOR„IN
SECTION'3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S.FEES:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency,for the performance of the work for which1his pernibis.issued (Sec. 3097; Civ. C:).
Lender's Name
Lenders Address
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is herebymade to'the Director of Building and Safety for a perrnii subjectto'the conditions andrestricfions sefdorth on this application.
1. Each person upon..whose behalf this application is made; each.person,at whose request and,for whose,benefifwork: 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; wOuinta; its
officers; agents and employees foranyactpr omissionselated to the work being performed undevor following issuance of this permit:
2. Anypernit issued as a resultof this application becomes null and void if.work Is not commenced within 180 days from date of issuance ofsuch permit; or
cessation of work for 180 days will subject permit to cancellation.
l,certify: that I have read thiis:-application and state that the above, information is roro��rect. I agree to comply withal[ city.and county, ordinances and state laws relating to.building
construction, and hereby, authorize representatives of this county to enter upgon 56 above -mention propertyfo ' spection purposes.
ate 'V Signature (Applicant or Agent):
Page
2
Application Number . . . . . 0,5=000.01013 Date
3/2.3/05
Qty Unit Charge Per.
:Extension
1.00 9.0000 'EA �MECH APPL REP/ALT/ADD
9.00
Permit'. . . . . PLUMBING
Additional desc .
Permit Fee 27.0'0 Plan Check Fee .
6.75
Issue Date .. Valuation
0
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 6.0000 EA PLB FIXTURE
.6.00
1.0!0 3.O�0,00 EA PLB WATER INS.T/ALT/REP
3.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
Special Notes and Comments
repair eater damage and remodel master
bathroom. 3/.2.2/05 9:35:25.AM jjohnson
Other Fees . . . . . . . ENERGY REVIEW FEE
15.21
STRONG MOTION (SMI) - RES.
'2:.28
Fee summary Charged Paid
Permit Fee Total 312.7.5 .00
Plan Check Total 171.7.9 .00
Other Fee Total 17.49 .0,0
GrandTotal 502.03 .00
Credited Due
.00
-312.75
.00
171.79
.0'0
17.49
.00
502.03
a. 4
CONTRACTON March 9, 2005
Daniel's Disaste�i�a�tib�d �•�'"�.,
CA Lic #,58114 &niton is-NOT?ERW=
Atta. Roy EadsrQH�;O following we.H0lWq%
928 Vella Road ` `'r
Palm Springs, CA,;92 yYeies-j17a Ir. r)-
(760) .320-2128 Ofc -V, Mettin-luttler lak,
(760),275-8079 C61' rNideWs Dar ffA
F LA QUINTA
r. = • & SAFETY DEPT.
�a� PRovPROJECT: Wi0endence DayAPPROVED
Jay ,& Joan Corle� R(WFOR CONST CTION j
78-198 Hacienda', La ft aft
La Quinta, CA �244h8Al ljng D DMEY.12LOS B.
(707) 2152-6466 C dAfffn Day �
WORK DESCRIPTION:
1) Repair water damage to interior of structure as a result of broken supply line in
Bedroom I Bathroom lavatory. Water damage affected the Bedrooms 1,2,3, and partial
Master Bedroom, Master Bath, Master Walk-in Closet, Bedroom Halls,, Entry Hall, Den,
Den. Bath, and partial Living Room. Repairs to include: "AN ADEQUA
1- Replace drywall walls in affected areas as indica) #Mft O �D DEBRIS CONTAINER
2- Replace blown in insulation in open walls PHASES OF CONSTRU OB S� DURING ALL
3- Replace wood baseboard in affected areas EN►PT1ED A5 NECES CTION AND MUST BE.
4- Repair mist. electrical for safety MAY CAUSE 9ARY. FAILURE TQ DO SO
5- Replace carpet in Bedrooms, Den, & Living R"PED AT TH CITY F HA THE CONTAIN
6- Painting of walls & ceilings CONMCMR E D�PENSE OF THE OWNE4(
7- Restoration of hard flooring
8- Replace MBath & Ha11 Bath. cabinets
9- Replace MBath & Hall Bath & Wet Bar ceramic tile countertops
10- Repair Wet. Bar cabinets
11- Misc, restoration as needed
2) Remodel the Master Bath area to incorporate the small bathroom of Bedroom 1
into the Master Bath and mist. electrical changes:
Framing.& Plumbing changes:
1- Frame new 6'8" opening in common wall of Master Bath to Bedroom 1 small
CONST['RUC'ITWt� both baths into one larger Master Bath.
October 1st- Adt'don sm ath toilet & sink
Monday Frida , free-standing tub &relocate to Hall Bath tub area
��:
Saturday: "BWM 6 sower into full-size ceramic tile master shower
Sunday: 11a ove wall in edroom l niche to enlace space and allow for
C,avernment Code q�OfV M E OF
�4�fil➢bhch �I�wer: �YILL BE CHARGED IF $30
'N' ay 1 §r - September 30th PLANS THE
1403 ay - Friday: 6:00 a.m. to 7: AND JOB
S, °'^v: s.00 a.m. to 5:00 '. THE SITE FORS NOT ON
S4nday:_ None P INSPECTION, A SCHEDULED
COvei nn4mgg?dmoudayss None NO VflONSj
Electrical. changes:
6. MBA- Remove fluorescent fixtures in soffit over vanity, drywall the diffuser
panel opening & add (2) recessed 6" fixtures in place of the fluorescent tubes.
7. MBA - Add (3) recessed 6" fixtures in ceiling w/ 3 -way switching for
.additional light.
8. GBDRM 1— on far wall - Add (2) new 4-pl-ex outlets, run TV cable, run Phone.
On wall by Hall door add (1) outlet.
9. GBDRM 1— Relocate outlet in closet to outside of closet
10. GBDRM 1— Relocate, 1/i hot switch to new accessible wall common to bath
11. MBA —Install Vapor Proof recessed halogen light, in Master Shower
12. MBA.— Relocate exhaust fan to center according to new shower,
13 MBA — GFI outlets surrounding; vanity & new outlet near window
14. MBA — Relocate vanity soffit switch into room & 3-wayl @ each entrance
15. MBA — Abandon existing ceiling exhaust fan near old shower
16. MBA — Add wall heater in small bath wall opposite the shower — new circuit
17. BDRM 2 — Relocate switch closer to entrance, relocate outlet away from door,
add (1) outlet on headboard wall common to Bdrm 1 and relocate existing
outlet to allow for outlets on each side of headboard. Add TV cable on wall
common to Hall Bathroom
18. HALL TO BDRM 2,3 - Relocate light switch to abandon buried wire under
door casing and add 3 -way at each end of Hall
19.. 'MBEDROOM Remove shelving at each. side of headboard and relocate
wiring for existing (4) recessed fixtures & (2) wall mount lamps within the
wall & repair drywall as necessary.
20. SMOKE DETECTORS: Add battery- powered smoke detectors to each
bedroom and each hall outside of bedrooms as CODE UPGRADE.
Roy Eads,"el's Disaster Restoration
(7,ITY OF lA QUI NTA
E-jiiLDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
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Bin #
City Of LQ Quinta ------ --
Building 8i Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
Building Permit Application, and Tracking Sheet
Permit #
c?13
Project Address: 7 S - / 7 8. IIA-CiEIV44 LA- Qr j MA
Owner's Name: C0R4-F_Y 11A Y JOA N
A: P. Number:
Address: q2 tflx /G kwc# R p
Legal Descrion:
City, ST;,Zip: A(A- CA
Contactor DAg if ,s DIS�F_R Rio AkT ON
Address: C12B V 6LL.LA ROAD
p
<--.,•:>.:;. • �.,:.;.:,v ',
Project Description:
City, ST, Zip: PA -L- MSle W-(% CA 172- (o I%
Za. W*U-5 -F FLGOoeiN(5 " SM COV64-
Telephone::,?&0_NMI*
x,
L.
State Lic.,# :
Arch., Engr., Designer:
*0s7e)4 8--/W /�eo,Q6b/2iP- I
Address:
&V -A41 40M lArrO M a a0VM t&1 TSI
City., ST,. Zip:
=C72/G It— PLUM& AJ6 C9AN6ES — SM
Telephone:
v:;:' Construction Type: &av Fje4K'C Occupancy
Project type (circle one): New Add'n ' to ep ' Demo
State Lics#:
Name of Contact,Person: ROY EAj S C 6 fj M EL ST
-Sq. Ft.:
# Stories:
# Units:
Telephone,# of Contact: Person:
Estimated Value ofProject: 1 ��
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd.
Recd
TRACKING
PERMIT FEES
Plan Sets
3 9 pf
an Cbeek submitted
Item
Amount
Structural Cala.
Reviewed, ready for eorrectious
Pian Check Deposit
Truss Calls.
Called ContactTerson
Plan Check Balance
Title 24 Cala.
Plans,pickeftp
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
V Review, ready for correctio ss e
Q j I
Electrical
Subcontactor.LiA
Called Contact'Person
Plumbing
Granf Deed
Plans picked up
S.M:L
ILO.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for correctionarssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School'Fees
ta 1 Permit;Fees
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