13-1568 (RER)78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
A & M CONSTRUCTION
78070 CALLE CADIZ
LA QUINTA, CA 92253
T-iht 4 XP Qubtz
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
RER-13-1568
54711 EISENHOWER DR
774284041
HENDERSON / INSTALLATION OF NEW WINDOW IN 1ST FLOOR CMU WALL
$2,500.00
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 a Business and Professions Code,
and my License is in full force and effect.
License Class: B. C10 License No.: 746198 K
Date l45 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, 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 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.).
( I I am exempt under Sec. . B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 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:
Owner:
TERRY HENDERSON
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
54711 EISENHOWER DR
LA QUINTA, CA 92253
Contractor:
A & M CONSTRUCTI(
PO BOX 366
LA QUINTA, CA 9225
(760)564-4832
Llc. No.: 746198
Date: 6/11/2015
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'
compens , as provided for by Section 3700 of the Labor Code, for the performance
of the r r 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 polity 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, Y I should become subject to the
workers' compensation provisions of Section 37 0 of the Labor Code, I shall forthwith
comply with those provisions.
Datei(D Applicant:
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). IN 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 Building Official 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 sta aws rter upon elating to building
construction, and hereby authorize representatives of this ci o enthe above-
mentioned property for inspection purposes.
Date: I Signature (Applicant or Agent):
` C�
FINANCIAL .• l•
DESCRIPTION ACCOUNT QTY
AMOUNT
PAID PAID DATE
HOURLY PLAN CHECK - YES 101-0000-42600 3
$210.00
$0.00
PAID BY METHOD RECEIPT #
CHECK # CLTD BY
Total Paid for BLDG CITY STAFF - PER HOUR: $210.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
PAID
PAID DATE.
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forSTRONG MOTION INSTRUMENTATION SMI $0.50 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DOOR/WINDOW, NEW, FIRST 1
101-0000-42400
0
$60.91
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
'CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DOOR/WINDOW, NEW, FIRST 1 PC
101-0000-42600
.0
$59.46
$0.00
.PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $120.37 $0.00
TOTALS:00
Description: HENDERSON / INSTALLATION OF NEW WINDOW IN 1ST FLOOR CMU WALL
Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED
Applied: 12/5/2013
Approved: 6/10/2015 AOR
Parcel No: 774284041 Site Address: 54711 EISENHOWER DR LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: Lot: 12
Issued:
UNIT 28
EXTENSION GRANTED - PERMIT FEE CHANGED TO REFLECT
Lot Sq Ft: Building Sq Ft: Zoning:
Finaled:
Valuation: $2,500.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: No. Stories: No. Unites:
Details: INSTALLATION OF NEW TWO (2) FOOT BY THREE (3) FOOT WINDOW IN CMU WALL AT 1ST FLOOR ROOM. THIS PERMIT DOES NOT
INCLUDE REVIEW OR APPROVAL FOR BEDROOM EMERGENCY ESCAPE AND RESCUE OPENING. 2013 CALIFORNIA RESIDENTIAL CODE.
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES.`
EXTENSION GRANTED - PERMIT FEE CHANGED TO REFLECT
PLAN CHECK/PERMIT
UPDATED SCHEDULE AND REVISED ENGINEERED DETAILING
A) ORTEGA
6/9/2015
6/10/2015
APPROVED BASED ON ENGINEERS RECOMMENDATION AND
EXTENSION
NO CHANGE TO REFERENCED STANDARDS BETWEEN 2010
AND 2013 CALIFORNIA RESIDENTIAL CODE.
SITE VISIT
TOM HARTUNG
11/24/2014
11/24/2014
visited site to discuss window project with Terry Henderson
Called Terry Henderson to inform her that permit application
extended to 2/6/2015 and that plans were approved and
TELEPHONE CALL
TOM HARTUNG
11/24/2014
11/24/2014
ready to go. All the City needs is contractor info prior.to
issuance
CONDITIONS
Printed: Thursday, lune 11, 2015 2:20:01 PM 1 of 3
CRSYSTEMS
FINANCIAL
INFORMATION
CLTD
DESCRIPTION ACCOUNT QTY AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY
- BY
HOURLY PLAN CHECK - 101-0000-42600 3 $210.00
$0.00
YES
Total Paid for BLDG CITY STAFF - PER HOUR: $210.00 $0.00
BSAS SB1473 FEE
1 101-0000-20306
1 0
1 $1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
SMI -RESIDENTIAL
101-0000-20308
0
$0.50
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMt $0.50 $0.00
DOOR/WINDOW, NEW,
101-0000-42400
0
$60.91
$0.00
FIRST 1
DOOR/WINDOW, NEW,
101-0000-42600
0
$59.46
$0.00
FIRST 1 PC
Total Paid for WINDOW/SLIDING GLASS
$120.37 $0.00
DOOR/FENESTRATION:
TOTALSi. $331.87 06
INSPECTIONS
__. PARENT'PROJECI'S'-'
Printed: Thursday, June 11, 2015 2:20:01 PM 2 of 3 CRsysiEMs
_KEVIEWTYPE—'"REVIEWER—
-SENT'DATE'—DUE"DATE"`
DATE
—STATUS
"'""REMARKS'""`"'"
NOTE
REVISION 1: CONSTRUCTION MATERIAL CHANGE,
REVISED DETAIL PROVIDED AND REVIEWED
NON-STRUCTURAL -
REVISION 1: FRAME
AGAINST PREVIOUSLY APPROVED STRUCTURAL
AJ ORTEGA
6/9/2015
6/10/2015
6/10/2015
APPROVED
1 WK
MATERIAL
CALCULATIONS FOR CHANGE OF PROPOSED STEEL
'
FRAME TO WOOD WITH WOOD HEADER„ DESIGN
ACCEPTED PER ENGINEER RECOMMENDATIONS.
Printed: Thursday, lune 11, 2015 2:20:01 PM 3 of 3 CM
SYS7Eti1S
I
Bin #
Qty of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777 -7012 -
Building Permit Application and Tracking Sheet
mit #
Project Address:
-Owner's Name:
A. P. Number:
Address: 519(2&
Legal Description:
City, ST, Zip: adlym zg-3
Contractor:
Address:
Telephone: -
Project Description: AuleT,-
City, ST, Zip:
dim -Wjkj�— -M "ZM4
Telephone:
State Lie. #
City Lie.
Arch., Engr., Designer:
Address: E. Rob i9d A 4
City, ST, Zip: meo2 gr
Telephone:
q (4-4
State Lic. #: C. '7 Li
- 111
Construction Type: AWMr Occupancy:
Oter
Project type (circle one): New Add'n Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person:e
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted 12-141
ntem
Amount
Structural CaIcs.
Reviewed, ready for corrections filly
Plan Check Deposit
Truss Cales.
Called Contact Person Iz.jj
Plan Check Balance
Title 24 Calcs.
Plans picked up ---D�l `IOU (Cl
Construction
Flood plain plan
Plan's resubmitted"
Mechanical
Grading plan
.2"! Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted 04�, i2gk A,
Grading
IN HOUSE:-
Review, ready for correction!0/is ue
Developer Impact Fee
.Planning Approval
Called Contact Person, AN
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Schodi Fees
Total Permit Fee's
4Wt3 ---t -�
ro