08-1786 (RER)4 4
P.O. BOX 1504^� VOICE (760) 777-7012
. 1
78-495 CALLE TAMPICO ` J, I2 FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
{ Date: 10/29/08
Application Number: _ 81786 Owner:
0-0000
Property Address: 47930 VIA FIRENZE - CALAMARO, SVETLANA
APN: 643-130-065-11 -26152 47930 VIA FIRENZE -
" Application description: REMODEL'- RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL =---------------------------------
Application
----------------------------- --Application valuation: 1400
Contractor:
Applicant:n �Q_ Architect or Engineer: Owner
r C(T�Y�+ATDF
c�A QUry
INILQUINTA CEPTD .
• 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 - 1 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 farce and effect._ I have and will maintain a certificate of consent to self-insure for workers' compensation, as provided
License Class: License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
'issued. '
_Date Contractor: _ 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 Policy Number ,.
following reason ISec. 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 s I 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 becom , ubject to the work ' compens n 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 1 should be me s j to the workers' pens provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 00 the Labor Code, sna I fort w 1 wit t o pro ' ions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by q►dgVf.
-
any /plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: - '�Da e - `V of �f9pplica_ nt: -
' 1 1 I' as owner of the property, or my employees with wages as their sole compensation, will. do the work, and
,Z the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVE AGE 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 15100,0001. 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 contractorls) 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_) I am exempt under Sec. , B.&P.C. for thit rNason 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 - -
` Grp' performed under or following issuance of this permit.
Dater KO O o Owner--:' �_ 2. Any permit issued as a result of this application becomes Wulf 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 subje
r CONSTRUCT( LENDING AGENC permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency f r the performance of the I certify that I have read thyy' application and state that the a e inf ation is correct. I gree to comp) ith all -
work for which this permit is issued (Sec. 3097, Civ. C.1. f- , . • city and county ordinancs� and state laws relating to build' g c nst n, and her
au orize rep ent.tiv.s of this coin a ter Pon the above-mentioned propert or insp cti n oses.
Lender's Name: �� n -- mac. - -
i!
mature (Applicant-or-.Agent): L
Lender's Address: ,,.•-
LQPERMIT
Application Number 08-00001786
Permit BUILDING PERMIT .
Additional 'desc
.
Permit Fee. 33.00 Plan Check
Fee
21.45 /
Issue Date ... Valuation
. . .
. 1400
Expiration Date 4/27/09
Qty Unit Charge Per,
Extension '
BASE FEE
15.00
9.00 2.0000 HND BLDG 501-2;000
18.00
= Special NotesComments -
-
,
REPLACE
REPLACE (2) 5' X 6181 -WINDOWS WITH 4' 11"
X 618" SLIDING"DOORS USING EXISTING -
HEADERS ADD.EXT. LIGHTING PER JJ
October 29, 2008 3:35:35 PM pjuarez.
Other Fees ENERGY REVIEW FEE
2.15
Fee summary' Charged. Paid Credited
Due
Permit Fee Total 33.00 .00
.00
33.00
` -Plan Check`Total 2-1.45 .00
.00
21.45
-Other Fee Total_, 2.15 .00
.00
2.15
Grand Total' 56.60 00_
.00
56.60
LQPERMIT
• .
CERTIFICATE OF COMPLIANCE: _RESIDENTIAL (Page I of 4) . CF -IR
Project Titler � Date
4 7 -R3(5 V(4 rt2etiZC,..,
Project Address 3uilding Permit a
Documentation Auth" . Telephone 'Ian Check / Date
=ield Check / Date
Compliance MethPrescriptive) Climate Zone. Enforcement Agency Use Only
❑ Alternative Component Package Method: (check one) C D(Alternative)
Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -I R page 3)
For Package D Alternative see Appendix B Table 151-C Footnotes 7-14
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) V Average Ceiling Height: ft
Maximum Allowed West Facing Fenestration Products Per Table 1517B or 151-C ---- (5% X CFA) ft2
Maximum Allowed Total Fenestration Products Pe able 151-B or 151-C ---- (20% X CFA)
✓ ❑ Building Type: (check one or more) Single Family Multifamily Addition Alteration
(If adding fenestration fill out WS -4R, Fenestration Maximum Allowed Area.WorksheEt'and see Section 8.3.2
for Additions and 8.3.3 for Alterations.)
t Number of Stories: Numb _ nits:
Floor -Construction Type: Slab/Rais oo cle one or both)
Front Orientation: WhS?" No ouch / EasVf West / II Orientations (input front orie-.-station in degrees from True.
North and circle one).
✓ ❑ RADIANT BARRIER (required in climate zones 2,4,8-15) ,
OPAQUE SURFACES INCLUDING OPAQUE DOORS
Component,
Type (Wall;
Roof, Floor,
Slab Edge;
Doors).
Frame
Type..
(Wood
or Metal)
Cavity Continuous
Insulation Insulation
R -Value R -Value
Assembly U -
factor (for
wood, metal
frame and mass
assemblies
Joint
Appendix
IV
Reference
Roof Radiant
Barrier ..
Installed
Yes or No
t '
Location/Comments
(attic; garage,
typical, etc.
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 4.) CF -1R
VLA folzit0c)
Project Title Date
FENESTRATION PRODUCTS — U -FACTOR AND SHGC
✓ ❑- FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R -must be included for New Construction,
Additions and Alterations.
Fenestration
#/Type/Pos.
(Front, Left, Orien-
Rear, Right, tation, 'Area U -factor
k li ht) -N, S, E, W' ft') U -factor' Source SHG C°.
Exterior
Shading/Overhangs6' 1
'SHGC. ✓ box if WS -3R is
Sources included
t. .0
U)G. V -'64
❑
Lr
❑
8
❑ ,.
1) Skylights are.now included in West -facing fenestration area if the skylights are tilted to the west or tilted in any direction
when the pitch is less than 1:12..See § 151(03C and in Section 3.2.3 of the Residential Manual
2) Enter values in this column are'either NFRC Rated value or from Standards default Table 1 16A.
3)Indicate source either from NFRC orTable 1 16A,
4) Enter values in this column feot NFRC or from Standards Default Table 1168 or adjusted SHGC from WS -311.
5) Indicate source either from NFRC or Table 116B.
6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior. Shading devices.
.7) See Section 3.2.4 in the Residential Manual. "
HVAC SYSTEMS '
Heating Equipment Minimum Distribution
Type and Capacity Efficiency Type and Location Duct or Piping Thermostat Configuration
(furnace, heat pump, boiler, etc.) (AFUE or HSPF) (ducts, attic, etc.) R -Value T. le (split or package)
r UV -JI
Cooling Equipment.
Type and Capacity
(A/C, heat ptunp, eva ). cooliri)
Minimum
Efficiency Duct Location Duct Thermostat Configuration
'(SEER or -EER) (attic, etc.) R -Value Type (split or package)
8
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 G) have a business license
from the City or County. They are also required by law to put their license. number on A 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 Pork (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 empbyer 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 a_e 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 contractors are s.11owed to perform their
work personally or through their own employees, without a licensed contractor or subcontrzctor, 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 perfi)rming their own work.
personally.
Information about licensed contractors may be obtained by contacting the Contractors' Stat? License Board in your
_.,_communityor at 1020 N., Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder. verification form so.thaf,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 /
OWNER'S SIGNATU /DATE
PROPERTY ADDRESS '
ro
922s
PERMIT NUMBER(S)
r
svetiana 310 822 8446 p.l
wn v
City of La Quinta
Building GE Safety Division
Permit #
P.O. Box t SO4, 78-495 Calle 'Tampico
9tractaral CatU. Reviewed, ready for earr"dous Plan Check Ueposic
QW111a, CA 92257 - (760) 777-7012
Midito
ng Permit Application and Tracking Sheet
Project Address
Owner's Name:
A. P. Number.
/`!/�
Address: el
Legal Jlcsaiptidt,:
Flood plain plan Plans rentmnitkit Metbanical
Cantrutor:
%lcpboac:
MEEK M-
AddtGrs:
Project Mscripfiarr. ?-- l�F 9 o
City. ST, Zip.
/ / �)
.S X G $? 1✓v//��O�i4r� ev//"w
Telephone:
Grant Deed Plias picked up S.11J.L
State Lied : City Uc. A'.
m v
Arcb., Lngr.. Designer.
IN HOUSF-- '" Review, ready for eorreeflonsfissge Utreloper Impact Fee
Address
City, ST, Zip:
Tcleplsone:
Construction 73'PC -]Z:l Occupancy:
Statc Lit. N:
I project tvpe (circle one): Nav Add'n Aittx Repair Dano
Name of Contact Pason: C��d'V �i3-rr::J
S"
Sq. FL: t# Stories: $ Units.
Telephone k ofContactPerson: L& Q f.�;7 16116-11
tJ
Esdmaied Value of project:
fl
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Sabmitml RWd Rec+t i7tACICING tERlt¢[i FEES
Plan Sets Plan Cbcdc sultoitted Item
Amoaat
9tractaral CatU. Reviewed, ready for earr"dous Plan Check Ueposic
Trans Cato. Called Contact Person ]tan Cheek Balance
Estegf C;ks. Plans picked up Construction
Flood plain plan Plans rentmnitkit Metbanical
Gndiug plan 2" Review, ready for eorrettleraressue Electrical
Subeontaetor Inst Caltcd Conbct Person Plumbing
Grant Deed Plias picked up S.11J.L
ILOA. Approval Plans resubmitted Grading
IN HOUSF-- '" Review, ready for eorreeflonsfissge Utreloper Impact Fee
Planning Approval Called ContaelPenon A".P.
Pub. Wks. Appr Date of peraeN issue
School Fees
retal Permit Fess
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