10-1412 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: X10-0
00 01412 =-, -3
Property Address: "52840
LATROBE LN
APN:
770-340-029- - -
Application description:
REMODEL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
31000
Applicant:
c&ty/ 4 4 Q"
Architect or Engineer:
PIA-
Owner:
'A
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
KALLIS DEBRA
52840 LATROBE LN
LA QUINTA, CA 92253
Contractor:
STOKER CONSTRUCTION, I
56471 TWENTYNINE PALMS
YUCCA VALLEY, CA 92284
(760)365-8691
Lic. No.: 435033
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/07/11
OF
-------------------------------------------------------------------------------------------------
UCENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
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 workers' compensation, as provided
License Class: B C9 C53 License No.: 435033
for by Section 3700 of the Labor Code, for the performance ofthe work for which this permit is
issued.
Date: ✓ / Lors'tractor: 1,
I have and will maintain workers' compensation insurance,, as requiSed. by Section 3700 of the Labor.
Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION
insurance barrier and policy number are: -
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier STATE FUND Policy Number 1948089-11
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, I shall forthwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
0��
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001•:
nt: c M G
Date: i //�TO
(_ 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
WARNING: FAIL URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale: If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. '
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 am exempt under Sec. , BAP.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:
LQPERMIT
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 ordinances and state laws relating to building construction, and hereby authorize representatives
of this cou ty to ter upon the above-mentioned property for ' spection purposes.
i
Date: % �gnature (Applicant or Agent):
. _ u
Application Number . . . . . 10-00001412
------ Structure Information FIRE REPAIR AT GARAGE MECHANICAL ROOM -----
Other struct info . . . . . CODE EDITION 2007/2008
------------------L---------------------------------------------------------
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . . . 291.00
Plan Check Fee
189.15
Issue Date . . . .
Valuation . . .
. 31000
Expiration Date 7/06/11
Qty Unit Charge Per.
Extension
BASE FEE
252.00
6.00 6.5000 THOU BLDG 25,001-50,000
-----------------------------------------------------------------------------
39.00
'Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . . 24.00
Plan Check Fee
6.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date 7/06/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 1 9.0000 EA MECH APPL
----------------------------------------------------------------------------
REP/ALT/ADD
9.00
Permit PLUMBING
Additional desc".
'
' Permit Fee . . . . 22.50
Plan Check Fee
5.63
Issue Date
Valuation . . .
. 0
Expiration Date 7/06/11
Qty Unit Charge Pe'r
Extension
BASE FEE
15.00
1.00 7.5000 EA PLB WATER
HEATER/VENT
7.50
Special Notes and Comments
FIRE REPAIR AT GARAGE MECHANICAL ROOM
-
FRAMING, MECHANICAL EQUIPMENT AND. -WATER
HEATING DEVICE TO BE REPLACED PER
PREVIOUSLY APPROVED PLAN. 2007/2008
CALIFORNIA BUILDING CODES.
January 6, 2011 4:56:12 PM AORTEGA
-------------------_--------------------------------------------------------
Other Fees . . . . . . BLDG STDS ADMIN (SB1473)
2.00
Fee summary Charged Paid
Credited
Due
LQPERMIT
Fi
Application Number. . . . . . 10-00001412
Permit Fee Total
337.50
.00
.00
337.50
Plan Check Total
200.78
.00
.00
200.78
Other Fee Total
2.00
.00
:00
2.00
Grand Total
540.28
.00
.00
540.28
P
LQPERMIT
P.
Bin #
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of LaQ
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OgAtA6 V (bolo S� Building 8C Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit APPlication and Tracking Sheet
Pennit #
Project Address:
T �
Owner's Name: l
A. P. Number. '7 O -- 3 QZ
Address: II
Legal Description:
2 �S
City, ST, Zip:
CA
Telephone: (�
Contractor: 1
Address: 2-4 Z Pz l vu- L
City, ST, Zip: V (Y—CA
Project Description:
Telephone: ?&0
State Lic. # : (3 4 3 -,—z'c� City Lie. C
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person: i S�Q4-
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. FL:
# Stories:
# Units:
Telephone # of Contact Person: G0 • ZSO Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACIMG
PERMIT FEES
Plan Sets
Plan Chale submitted
Item Amount
b
Reviewed, ready for corrections
Plan Check Deposit 'rte
Truss Cala.
Called Contact Person
Plan Chale Balance '�—
Tide 24 Cala.
Plans picked up
Construction IrJ
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'! Review, ready for correctioneuisue
Electrical
Subeootactor Uat
Called Contact Person
Plumbing
S.M.L
mpact Fee �
...—
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
[N HOUSE:-
3" Review, ready for correcdoaMnue
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
t"d
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School Fen
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Location of fire damage
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con roc or o verify t ere la,
no structural damage. 1
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Solid core 20
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COMBUSTION AIR CALCULATIONS - Mach. 5
- per CMG TdOle 1-A. COlumn II, 0
REQUIRED:
126,000 Input BTU's per each Central Furnace
15,000 Input BTU's per each Water Heater
201,000_5TU's Total / 4000 = 50.25 Sq. In. x 2 = F
100.5 Sq. In. of Required Free Ventilation Area
PROVIDE: 7'
Minimum (2) Vents with corrosion- resistant screen with 1/4"
mesh per Door with at Least 100 Sq. In. each for a
Total of 200 Sq. In. of Free Ventilation per Door
400 Sq. In. Total.
to • ►�2
S1.41}o Ixnogt
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/all to be 5/8
attached 16" OC
,-----------
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I� C � T 9 910M AIR CALCVLATICIV
GMG Taol-A 641" II; $9
REOUIRM
126POO Input sma par aQ6h canCral I
13,000 Input Div& per ®&Uh yurw rte
321,000 BTU's Total / 4006 s 61.13 S
163.3 sq. In. of RaquiraA Fres vont ial
PROVIDE.
Mrnimum (2) Vants tglt?i dorra3i3B
oslom- r2
mash par Door with (M Loast 100 &P, I
Total of 200 Sq. in. of Frag VOOM MIaglar
400 Oq; In. Total.
Kalis Residence
52840 Latrobe
La Quinta, Ca. 92253
Fire Damage Repairs
Scope of Work
1. Remove and replace damaged drywall. 5/8" Type X
2. Remove and replace 2 damaged FAU units w/14 seer
minimum.
3. Remove and replace damaged water heater. (match
existing)
4. Remove and replace damaged doors. (Door AX to be
fire rated)
I