14-0224 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
14-0-0.0.0.0224
Property Address:
79990 FRESA
APN:
772-240-021- - -
Application description:
REMODEL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
7000
Applicant: Architect or Engineer:
ONTkALT0,(t_-. K)A-
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT -
Owner:
JONES ALICE
79990 FRESA
LA QUINTA,
WALTER
CA 92253
Contractor:
HANSON REMODEL INC,
40550 POSADA COURT
PALM DESERT, CA 9226
(760)895-8186
Lic. No.: 966853
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/31/14
-------------------------------------------------------------------------------------------------
LICENSED 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 Co nd 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 ' nse No.: 966 53
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
�W-_?;_,/C.n1racto,_
issued.
l_Date:' --
_ 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
OWNER -BUILDER DECLARATION
insurance carrier 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 EXEMPT - Policy Number EXEMPT
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 th ers' compensation laws of California,
permit to file a signed statement that he o� she is licensed pursuant to the provisions of the Contractor's State
and agre�,o hould become ject tot r ers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
�37 of ode,Ishorthwtywiththosethat
he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 byany
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
..-.Date:Applca
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
-„y
the Structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING: FAILURE TO SEC E 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.).
APPLICANT ACKNOWLEDGEMENT
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1.. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this, application,
(_) I am exempt under Sec. , B.&P.C. for this reason
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.
Date: Owner:
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
CONSTRUCTION LENDING AGENCY
permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
I certify that I have read this application and state that the above information is correc agree to comply with all
-atives
work for which this permit is issued (Sec. 3097, Civ. C.).
city and county ordinances and state laws relating to building constrvetion, and y authorize repres
Lender's Name:
of this count to eo up h'the aabove=mentioned property f spection ses.
--�
Dated Signa ture�(kpplicant-or-Agent)•
Lender's Address:
i
LQPERMIT
Application Number . . . . 14-00000224
Permit REMODEL 2013
Additional desc .
Permit Fee . . . . 70.07 Plan Check Fee
00
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 9/24/14
Qty Unit Charge Per
Extension
1.00 48.6200 LS MISC REMODEL, 1ST 100 SF
48.62
1.00 21.4500 EA MISC REMODEL, ADDL 500 SF
21.45
-------------------------------------------------------=--------------------
Special Notes and Comments
REMOVE TWO COLUMNS FROM EXISTING PATIO.
March 28, 2014 8:54:48 AM jjohnson.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
HOURLY PLAN CHECK .
297.50
PLAN CHECK, REMODEL
150.15
STRONG MOTION (SMI) - RES
- .70
Fee summary Charged Paid Credited
---------------------------
Due
------------------------------
Permit Fee Total 70.07 .00 .00
70.07
Plan Check Total .00 .00 .00
.00
Other Fee Total 449.35 .00 .00
449.35
Grand Total 519.42' .00 .00
519.42
LQPERMIT
Bin #
City of La Quinta
Building 8i: Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
lit 0, a►4401
Project Address:
Owner'.s Name: d `
A. P. Number:
Address: f�
Legal Description:
City, ST, Zip: GA goi v —I-) x/22 S 3
Contractor: �l1 �
Telephone:
}?4:•i:
Address:
Project Description:
City, ST, Zip:�67_7/_
^-P� 7U) Gro(—V w N el.
Telehone:
P his �/�6
:,.,.,:..: :::....::::::::
::,.
U�
State Lic. # : �/�j 3
City Lie. #.
Arch.Eng,. esigner:
Address: o CJ G L
City., ST, Zip:
Telephone: ,R�/� /
s'<>' ':` »><>: .>?'<-">>; »>> »> »> <
nom::>?>.<.>::
.......................................................
Construction Type: Occupancy:
State Lic. #: �� � ��j
Project type (circle one): New Add'n Alter Repair Dem •
Name of Contact Person: �� —Sq.
Ft.: OGYj
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: <7wo
APPLICANT: DO NOT WRITE BELOW THIS'LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount '
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up A,"ogj S,. I'2
Construction
Flood plain plan
Plans resubmitted I
Mechanical
Grading plan
2" Review, ready for correction/issue Z�
Electrical
Subcontactor List
Called Contact Person 2
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Pians resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees