11-1274 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
11-00001274
Property Address:
54175 AVENIDA HERRERA
APN:
774-213-019-8 -000000-
Application description:
REMODEL - RESIDENTIAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
40000
.4
u�l �tiGv
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
RADI ROBERT/WANT QIMIN
54305 EISENHOWER DRIVE.
LA QUINTA, CA 92253
Contractor:
Applicant: Architect or Engineer: KEMO' S CONSTRUCTION
PO BOX 1141
LA QUINTA, CA 92247
(76Q)485-6336
Lic. No.: 923123
LICENSED CONTRACTOR'S DECLARATION
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: B License No.: 923123
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
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_ 1 1, 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.).
( �) 1, 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 contractors) licensed
pursuant to the Contractors' State License Law.).
( 1 I am exempt under Sec. , B.&P.C. for this reason
ate:
I CONSTRlI�CT10N 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: pp
Lender's Address: K
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: .1/31/12
D �
FEB 15 2012
CITY OF LA QUINTA
FINANCE DEPT.
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 EXEMPT 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,
and agree that, if I should become subje s e workers' compensation provisions of Section
3700 of the Labor Code, I f rth ittrcomply with those provisions.
ZeI
Date: �� A2pplicant:
WARNING: FAILURE TO SECUREORKEROM
S' PENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO.CR -INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAINAGES.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 correc ree to comply with all
city and county ordinances and state laws relating to building construction, and h reby_authonze representatives
of this co my to ante%r upon the above-mentioned property for in '10 purp ge '
Date: K 24 gnature (Applicant or Agent): r
Application Number 11-00001274
------ Structure Information 176SF ADDITION W/REMODEL/VB/RES-3/CL-A -----
Other struct info
----------------------------------------------------------------------------
CODE EDITION 2010
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
349.50
Plan Check Fee
227.18
Issue Date . . . .
Valuation . . . .
40000
Expiration Date . .
7/29/12
Qty Unit Charge
Per
Extension
BASE
FEE
252.00
15.00 6.5000
-----------------=--------
THOU BLDG
------------
25,001-50,000
---------------------------
97.50
-----------
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
79.87
Plan Check Fee
19'.97
Issue Date
Valuation . . . .
0.
Expiration Date..
7/29/12
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
176.00• .0200
ELEC
GARAGE OR NON-RESIDENTIAL
3.52
20.00 .7500
PER ELEC
DEVICE/FIXTURE 1ST 20
15.00
103.00 .4500
----------------------------------------------------------------------------
EA ELEC
DEVICE/FIXTURE >20
46.35
Permit . . . MECHANICAL
Additional desc..
Permit Fee . .
81.50
Plan Check Fee
20.38
Issue Date . . . .
Valuation . . . .
0
Expiration Date
7/29/12
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
.1.00 4.5000
EA MECH
VENT INST/ DUCT ALT
4.50.
2.00 .9.0000
EA MECH
APPL REP/ALT/ADD
18.00
2.00 9.0000
EA MECH.B/C
<=3HP/100K BTU
18.00
1 3.00 6.5000
EA MECH
VENT -FAN
19.50
1.00 6.5000
-------------------------
EA MECH
--------------------------------------------------
EXHAUST HOOD
6.50
Permit . . .
PLUMBING
Additional desc .
Permit Fee
103.50
Plan Check Fee
25.88
Issue Date . . . .
Valuation . . . .
0
LQPERMIT
Application Number . . . . . 11-00001274
Permit . . . . . PLUMBING
Expiration Date . . 7/29/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
11.00 6:0000 EA PLB FIXTURE
66.00
2.00 6.0000.EA PLB ROOF DRAIN
12.00
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.0.0
--------7-------------------------------------------------------------------
Special Notes and Comments
176SF MECHANICAL ROOM/STORAGE ADDITION
WITH DECK AND REMODEL TO GARAGE,
WORKSHOP AND RESIDENCE/VB/RES-3/CLASS
A -FR [ENGINEERED] THIS PERMIT DOES NOT
INCLUDE ALTERATION TO THE EXISTING POOL
OR REPLACEMENT OF MISSING EQUIPMENT, NOR
DOES IT PERMIT THE WORKSHOP TO BE USED
FOR SLEEPING PURPOSES, OR THE EXISTING
UNPERMITTED FOUNDATION TO BE USED FOR
NEW CONSTRUCTION. PUBLIC WORKS APPROVED
LOT MERGER NUMBER: 2011-496 - RECORDED
12/16/2011 DOCUMENT NUMBER:
2011-0557074. CODE CASE NUMBER: 10-5433
[JM] 2010 CALIFORNIA BUILDING CODES.
January 31, 2012 3:50:47 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
2.00
ENERGY REVIEW FEE
22.72
STRONG MOTION (SMI) -.RES
4.00"
Fee summary Charged Paid , Credited
Due
Permit Fee Total 614.37
Plan Check Total 293..41
Other Fee Total 2.8.72
Grand Total 936.50
LQPERMIT
.00 .00 614.37
.00 .00 293.41
.00 .00 28.72
.00 .00 936.50
Bin #
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012 r
Building Permit Application and Tracking Sheet
Permit # n
Project Address: 5417
Owner's Name:
A. P. Number: zi�— oil
Address:
Legal Description:
Contractor: �'C �— � r
City, ST, Zip: ZA K a
Telephone;
Address: ��,—� j �, f (IV L(K.Project
Description:
City, ST, Zip: / ,,v i 1a-
I i
1Ts cc4cw
Telephone: J 6 iD - n:ro<::>
State Lic. # : " 2, City Lic. #;
{r4LW J ; - C If
Arch., Engr., Designer: RPzQI
_, C_ Y 2 LA
Address: #" 0
i �C b
City, ST, Zip: [A 22
J ,�,1 �Lt 17 �N C�
Telephone: ;:,
State Lic. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: I # Stories: 2 # Units:
Telephone # of Contact Person:
Estimated Value of Project. �r
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING PERMIT FEES
Plan Sets
3
�[�
Plan Check submitted I W Item Amount
Structural Calcs.
a
Reviewed, ready for corrections MAI d,Plan Check Deposit
Truss Calcs.
Called Contact Person
t Plan Check Balance
Title 24 Cales.
a
Plans picked up I
K I( Construction
Flood plain plan
Plans resubmitted
i
I Mechanical
Grading plan
god Review, ready for corrections/issue 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 corrections/'Lssue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
I-2-/15
i-2/1a /2/Jz 2-k",
1118 Tf&�5 44 c 112-6 4 '
Tw�p 4:WQ"
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
To: Greg Butler, Building & Safety Director
From: Les Johnson, Planning -Director
Permit #: 11-1274
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
To PD: January 13, 2012
Due Date: January 20, 2012
Status:
Building Plans Approval
(This is an approval to issue a Building Permit)
2nd
The Planning Department has reviewed the Building Plans for the following
project:
Description: Cove Remodel -- Balcony
Address or General Location:
Applicant Contact:
54-175 Avenida Herrera
The Planning Department finds that:
Robert Radi 310 383-4315
❑ ...these Building Plans do not require Planning Department approval.
...these Building Plans are approved by the Planning Department.
❑ ...these Building Plans require corrections. Please forward a copy of the
attached corrections to the applicant. When the corrections are made
please return them to the Planning Department for review.
Y
z
Les Johnon, Director -Planning 6ate
racelived
Ai t u
city Qi La Wito
Planning CrPclkteM