13-0081 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00000081
Property Address:, 48747 VISTA PALOMINO
APN: 649-540-017- - -
Application description: REMODEL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2000.0
e
/ I
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
HAY BILL R & KAY
48747 VISTA PALOMINO
LA QUINTA, CA 92253
(760)774-7660
VOICE (760) 777-7012
FAX (760) 777-7011
�••/ INSPECTIONS (760) 777-7153
Date: 5/02/13
Contractor,
Applicant: Architect or Enginee D _ Owner
or JUN � � 2013 sem- t� t R��
CPiY OF LA QUINTA
FINANCE DEPT
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 larations:
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 consen to self -insure for workers' compensation, as provided
License Class: License No.: for by Section 3700 of the Labor Code, fo the performance of the work for which this permit is
issued.
Date: Contractor. I hav and will main4cpensarkers' compensa on insurance, as required by Section 3700 of the Labor
Cof r the pee of the work r which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION a carriercy number ar1 hereby affirm underpenalty of perjury that I am exempt from the Contractor's State License Law for the CarrierPolicy umberfollowing reason(Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to I certify that, in theance of the for which this permit is issued, I shall notemploy any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any maas to bject 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, ibe me 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 /y 3 of the LabI all omply with those provisions.that 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 Applicant:
1_ 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: FAILURE TO SECURER COMP SATION 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 o n 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, howe 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 bur en f proving that he or she did not build or
improve for the purpose of sale.). APPLICANT ACKNOWLEDGEM T .
( 1 I, as owner of the property; am exclusively co4ct
d contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Saf for a permit subject to the -
7044, Business and Professions Code: ThLicense Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon, athe projects with a contractorlsl licensed 1. Each person upon whose behalf this application is)defen
each rs- n at whose request and for
pursuant o the Contractors' State License whose benefit work is performed under or pursuany per it i sued as a result of this application,
( 1 I exempt nder Sec' B.&P.C. fthe owner, and the applicant, each agrees to, andefen ind mnify and hold harmless the City
of La Quinta, its officers,agents and employees fact o o ssion related to the work being
performed under or following issuance of this perDate: Owner: - 2. Any permit issued as a result of this application bevoid if work is not commenced
within 180 days from date of issuance of such por work for 180 days will subject
CONSTRUCTION LENDING AGENCY permit to cancellation.
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certifythat I have read this application and state that the abor do r gree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building on, reby authorize representatives
of�tplS�coun t terupon the above-mentioned property forn pu
Lender's Name: //�
$oateP Signature (Applicant or Agent):
Lender's Address: - -
15
LQPERMIT
Application Number . : . 13-00000081
------ Structure Information 118SF GARAGE EXTENSION [ENGINEERED] -----
Other struct info . . CODE EDITION 2010
-----------------------------------------------------------------------------
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee 207.00 Plan Check Fee
134_55
Issue -Date . . Valuation
20000
Expiration Date 10/29/13
Qty Unit Charge Per
Extension
- BASE FEE
45.00
18.00 9.0000 THOU BLDG�2,001-25,000
_
162.00
" Permit ELECT - ADD/ALT/REM
Additional desc .
Permit Fee 17.36. Plan Check Fee'.
4.34
Issue Date . . . . Valuation . . . .
0
Expiration Date-: 10/29/13
Qty 'Unit Charge Per
Extension ,
BASE FEE
15.00
118.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL
2.36
Special Notes and Comments
118SF ADDITION. TO EXISTING THREE -CAR
GARAGE [ENGINEERED] THIS PERMITDOES NOT
_.
INCLUDE CONDITIONED/HABITABLE SQUARE
` FOOTAGE. SEE PLANNING MEMO FOR
-- CONDITIONS •OF, APPROVAL.L 2010 'CALIFORNIA
BUILDING CODES.
May 2,, 2013 8:12:03 AM AORTEGA
---------- --------------------------------------------------
Other Fees . . . . . . BLDG STDS ADMIN (SB1473)
1.00
STRONG MOTION (SMI) - RES
2.00
Fee summary-, Charged Paid Credited
Due
Permit Fee Total 224.36 :00- .00
224.36
Plan Check Total 138.89 .00 .00
138.89
• Other Fee Total 3.0.0 .00 .00..
3.00
Grand Total 366.25 .00 .00
366.25
LQPERMIT
#
SabnAtal
Plan xfs
Wd
Recd
701,Pian
TRACMG PB[t14IIi' FBFS
Ch�
eck s ibmltted- ' Them - Amount
calm
City of La Qu19Maa
Reviewed, ready for corrections Plan Chcl9cDeposit, -
Bddlw 8t Safety Division'
JAN 2 4 .2013
Permit #
P.O. Box 1504,:78-49S Ute Tampico
Called Contact Person �j Pian Check Balance
4.Quinta, CA 92253 -:(760) 7774012
Buiiding P rrnit'.Applicaiion and Trackin
PMject,e\&=: '!4 TI10AL)MIA10.
I.A.P.Nmben
Owner's Name:.K
F1009 plain plan
.100 • .l�� • 0
Add= '7 �g 1A
JA
No
Legal Description 5
7 0
City, ST, Zap: 0.0
Z`! Review, ready for oorrectio Electrical
Contractor. �'
�•
Telephone: ' % 60
Address: '¢VL420
IMP PmjectDescsiption:
Gram Deed
City, ST ZiE:: 4
D
Telep,
hone: 7 • % 4
H.G.A. Approval
State Lic. # :
City Lic, #;
Arcb., Bngr. Designer
a
Address: ' i5
Pla ening Approval.
City, ST, ZO•
Called contact Person ,p, •
Telephone •5 a
Construcdon Type.
aacy:
State Lic #_
Project type (circle one): NewdJn
Alter Repair Demo
Name of C4ntat;t Person:
e Stories:
# Unit -
Telephone I of Contact Person:
Esdinated Value of Project:
j
APPLICANT! nn IUAT Wnrm nci neer v:ae r rue
#
SabnAtal
Plan xfs
Wd
Recd
701,Pian
TRACMG PB[t14IIi' FBFS
Ch�
eck s ibmltted- ' Them - Amount
calm
Reviewed, ready for corrections Plan Chcl9cDeposit, -
Tram Cities.
Called Contact Person �j Pian Check Balance
Md 24 C&I*L
Plans picked up
g Constructlov
F1009 plain plan
Plans resubmitted .. Meeha ac d
Gra ling plea
Z`! Review, ready for oorrectio Electrical
Sait_oatactor list
Called Contact Person Pivatbing
Gram Deed
pians pteked up S.M,L
H.G.A. Approval
Pians resubmitted GradingXv
W HOUSE-..
''`Review; ready for corrcctions/issae Devdoper Impact F
Pla ening Approval.
Called contact Person ,p, •
Puts. Wks. Appr •
Date of permit issue
School Fees
Total Permit Rees
315 7*3 ^ TO VLAPWOX --y 3112-14710i - - 5I2 �ot3. JJSlstn-I I
• Q6.+�lAf 'Eb KAT W ewe- ���