08-0612 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253
Application Number: 08-00000612
Property Address: 51446 AVENIDA HERRERA
APN: 773-085-010-15 -000000-
Application description: REMODEL - RESIDENT•IAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 200
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/14/08
Owner:
PACHUCA ROSELIO
51446 AVENIDA HERRERA
LA QUINTA, CA 92253
Other struct info . . . . . 'C
Contractor: Ad,
Owner
DITION U2 07
14 ;.2098
C�Aou..._ 7
7I
--------------------------------------------------------------------------------=--
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATI
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I 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 work
License Class: License No.: , for by Section 3700 of the Labor Code, for the performance of the
Date: 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
y pplicant 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 ) I am exempt under Sec. , B.&P.C. for this reason
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:
LQPFER,\11T
ON
�.r--.--
ers' compensation, as provided
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 - - - - - - - - - - - - ----- - - -- -- Policy Number
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 become subject to the workers' compensation provisions of Section
3700 of the labor Code,
/l1/shall forthwith comp♦ '[h those provisio
atv e: *,��Xpplic.nt:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). W 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 1 have read this application and state that the above information is correct. 1 agree to comply with all
city and unty ordinances an state laws relating to building construction, and hereby authorize representatives
oft iuVntVen[er upoeabove-mentioned property forectionp r�iose
ate: nature (Applicant or Agent):
I,QrrR,,nT
Application Number
. . . . . 08=00000612
Permit . . . .
. BUILDING PERMIT
Additional desc .
Permit Fee . . .
. 15.00 Plan Check
Fee
9.75
Issue Date . . .
. Valuation
200
Expiration Date
10/11/08
Qty Unit Charge
Per
Extension .
BASE FEE
15.00
---------------------------------------------------------------
Special Notes and
Comments
--------------
REPLACE WINDOW FOR
ONE SIZE SMALLER, PER
APPROVED PLAN. JJ/4-14-08.
--------------------------7-------------------------------------------------
Other Fees - . .
. . . . . - ENERGY REVIEW FEE
.98
Fee summary
-----------------
Charged Paid Credited
---------- ---------- ---------- ----------
Due
Permit Fee Total
15.00 .00
.00
15.00-
5.00Plan
Check Total
Plan-Check
9.75 .00
.00
.9.75
Other Fee Total
.98 .00
.00
.98
Grand Total
25.73 .00
.00
25.73 .
Bin # ", -.
City, Of La QUInta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA -92253 - (760) 777-7012
:" Building Permit Application and Tracking Sheet
Permit #
M�
Project'Address:=
AV ". �P yz y p
Owner's Name: o a G e
A. P. Number:
Address:
Legal Description:
City, ST, Zip:. A b CR 2 S
Contractor:
Address:
Telephone.
Project Description: (tJ�,Udow
City, ST, Zip:
s C..:
Telephone:
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State Lic. # :
City Lic.
o
Arch., Engr., Desigger:
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/ 69 dSC W' Me WO d ~ hX, (� /
Address:
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City, ST, Zip:
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Telephone:
State Lie. #:
Name of Contact Person:
--j-Estimated
Construction Type: Occupancy:
P cY=
Project type (circle one): New Add'n Alte Repair emo
Sq. FL: C? # Stories:. # Units: "yam;
Telephone # of Contact -Person:
Value.of Project: QQ -=-
APPLICANT:. DO NOT WRITE BELOW THIS LINE ".
#
Submittal
Req'd
Recd
TRACING
PERMIT FEES
Plan Sets
Plan Check submitted
Item •
Amount
Structural Calcs.
Reviewed; ready for corrections
Pian Check Deposit
Truss Calcs.
Called Contact Person
Pian Check Balance
Energy Cales.
Plans picked up
Construction '
Floodplain plan ,.
Plans resubmitted
Mechanical
Grading. plan'
21' Review, ready for corrections/issue
Electrical
Subcontactor.List
Called Contact Person
Plumbing
Grant'Deed
Pfans,picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`' Review, ready for correctionsYissue
Developer Impact Fee
Planning Approval
Called Contact Person
A:I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
-
Total Permit Fees
FENESTRATION =MAXIMUM ALLOWED AREA WORKSHEET WS -4R
.�/- �(o CZE • �- �� - 08
Project Title Date
FENESTRATION PRODUCTS - NEW CONSTRUCTION- NEW BUILDINGS
Use this. table for new building construction to account for total building % of fenestration.
A
B
C
D
E
F
G
#/Type/Pos.
(Front, Left,
Rear, Right,
Skylight)
Orientation
Total
Fenestration,
West Facing
Area ft2
Total Fenestration
for N; S, E
Orientations Area
ft2
CFA
(ft)
Total Percent of
West Facing
Fenestration
C/E x 100%
Total % of
Fenestration
Including West
(D/E) x 100%+ F
Proposed
Installed
Orientation
North
Total Net
Fenestration
(ft2)
C-E+G
Total % of
i 2
Fenestration '
H / A
Max of 20%
E t
North
South
West
East
West
South
South
Totals
Total
East
1) If west facing area exceeds 5% of CFA in climate zones 2, 4, and 7-15, the performance approach must be used.
2) If total percent of fenestration exceeds 20% including West facing orientations then performance approach must be used. West
facing area includes skylights tilted to the west or tilted in any direction when the pitch is less than 1:12 for Package D only.
FENESTRATION PRODUCTS - NEW CONSTRUCTION- ADDITIONS
✓ ❑Less than 100 ft2, ❑ Less than or Equal to 1000 ft2, ❑ Greater 1000 ft2
A B C
D E
F
G
H
#/Type/Pos.
(Front, Left, Orientation' Addition's
Rear, Right, 'N, S, E, W' CFA 1,2
Skylighq
Addition's Fenestration
New Area Removed to
Fenestration make way for
Area(ft) Addition ft2
Total Area
2
FenestrationFenestration
r (D + E)
Total % of
West Facing
F/C x100%
Total % of
Fenestration
F/C x100%
.. N North i
O t
3
Removed
Area
(ft2)
Proposed
Installed
Orientation
South.
Total Net
Fenestration
(ft2)
C-E+G
Total % of
i 2
Fenestration '
H / A
Max of 20%
E t
North
West
South
South
South
Total
East
1) Additions that add less than 50ft2 of fenestration area are exempt from the maximum total area limits. See Table 8-2 in RM.
2) If the addition has a floor area equal to or less than 1,000 ft2, the maximum allowed fenestration % may be increased to by the
amount of glazing removed in the wall that separates the addition from the existing house. See Table 8-2 in RM.
3) If the addition has a floor area greater than to 1,000 ft, must meet Package D requirements. See Table 8-2 in RM.
4) West facing area includes skylights tilted to the west or tilted in any direction when the pitch is less than 1:12 for Package D.
FENESTRATION PRODUCTS: ' ALTERATIONS
Use this table for alterations to an existing building where fenestrations products (windows) are being removed and/or added.
A
B
C
D
E
F
G
H
I
CFA
Existing
Orientation
Existing
Area
(ft2)
Removed
Orientation
Removed
Area
(ft2)
Proposed
Installed
Orientation
Proposed
Installed
New Area
ft2
Total Net
Fenestration
(ft2)
C-E+G
Total % of
i 2
Fenestration '
H / A
Max of 20%
North
North
North
South
South
South
East
West
West
Wes
Total
Total.
Total
1) When 50 ft2 or more of fenestration area is added to an existing building, then the fenestration must meet the requirements of
Package D. The area requirement for the total fenestration area for the whole building, including the added fenestration, must not
exceed 20% otherwise the Performance Approach must be used. Note: The 5% west facing limit is exempt. See Section 8.3.3 in
the RM for further details.
Residential Compliance Forms March 2005
TELEPHONE (760) 777-7012 FAX (760) 777-7011
OWNER/BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be
aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the State and Federal Government as an employer and you are subject
to several obligations include State and Federal income tax withholding, federal social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Administration). For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contracts are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777-7012
FAX: (760 777 7011
ER'S SIG ATURE/DATE
5/- aAe-
PROPERTY ADDRESS
08 - 6/a
PERMIT NUMBER(S)