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12-0983 (RER)I T4hf P.O: BOX 1504 _ VOICE12 78-495 CALLE TAMPICO FAXe11 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS53 _ BUILDING PERMIT Date: 10/17/12 Application Number: 12-00000983 r-71 Owner: Property Address:80110 VIA-"VALEROSA FLORES DAVID APN:' 777-230=011- - - 80110 VIA VALEROSA'. Application description: REMODEL - RESI_DENTIAL "' LA QUINTA, CA _92253 Property Zoning: LOW DENSITY,RESIDENTIAL y (562).712-3940 Application valuation: , 25000 4 Contractor: Applicant: • Architect or Engineer: - MURDOCK, KIRK JEFFREY -- 736 RUBY LANE ANAHIEM- CA 92807 r - ^/ (714)493-4212 +Lic. No.. 896440 r ----------------------------------------'------------------------------------------------ ------ . 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 underpenalty 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 , Lic se Class: B License No.: 896440 - - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date:iolIZContractor: L,1�� _ I have and will -r. 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 ti OWNER•BUILDER DECLARATION - •- - - - - ` 3 - -• --• - 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 fi - - following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a •permit for I certify that, in the performance of the work for which this permit is issued, I shall not employ any r construct, alter,'improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the V• person in any manner so as to become subject to the workers' compensation laws of California, - permit tofile'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 o the Business and Professions Code) or - 3700 of th 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 - % ,• • any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001'.: ate: 0I7 f.�. pplicanr. // - (_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and - ' 41 the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING:FAILURE TO SECURE 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 huilding 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 licensedcontractorsto 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, ( 1 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. 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 correct. I agree 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 construction, and hereby authorize representatives - 1. of his county to enter upo he above-mentioned property for inspection purposes. Lender's Name: - Date: [ I I�Z 'nature (Applicant or Agent):/(� L Lender's Address: _,Application Number 12-00000983_ ------ Structure Information FIRE DAMAGE NLY REPAIR ONLY- Other struct info ': other CODE EDITION 2010: Permit ELECT - ADD/ALT/REM Additional desc -y Permit Fee 26.00 Plan Check. -Fee' - Issue Date Valuation D Expiration Date 3/13%13: - Qty Unit Charge Per Extension BASE FEE: -15.00 1.00-- 11..0000 EA ELEC MISC •11.00 Permit .. . BUILDING PERMIT Additional desc . Permit Fee . . 252.00 Plan Check.Fee'.. 163.80 Issue Date Valuation . . . 25000 .. 'Expiration Date 3/13/13 _ Qty- Unit Charge Per. Extension. - BASE. FEE .. 45.00 - - 23.00 9•.0000 THOU BLDG•2,001-25,000'>'-. 207:00• Permit' MECHANICAL Additional desc PAYiriit' 'i�'ee : 19:50 Plan Check Fee 4.88 Issue Date Valuation 0 .- .Expiration Date 3/13/13 4; QtyUnit'-Charge. Per Extension BASE FEE '15.00 1.Q0- 4:5000 EA MECH VENT INST/ DUCT ALT .4.50 Permit PLUMBTNG Additional desc Permit Fee 25.50 Plan -Check -Fee 6.38, Issue, Date Valuation 0 Expiration 'Date 3/13/13 Qty 'Unit.'Charge Per Extension' BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT, 7.50 1.00 .. 3.0000 -EA PLB WATER INST/ALT/REP 3.00' P, plication,Number 12-00000983 ------- " Special -Notes and Comments - FIRE DAMAGE -REPAIR ONLY_ ,(ENGINEERED] ALL: - " -ELECTRICAL, MECHANICAL AND PLUMBING ' REPAIRS)SHALL BE CURRENT ;CODE STANDARDS ` WHETHER SHOWN TO. BE ON PLAN. --OR NOT. 2010 'CALIFORNIA BUILDING CODES.. ..September 14, 2012 9:04:37 AM AORTEGA -•----:--=--------- -=--------------------------- Other Fees" BLDG STDS..ADMIN ------- - - - -- (SB1473), - - --- -- - - -- 1:00` ENERGY" REVIEW FEE 16.38. STRONG MOTION (SMI) - RES„ -2.50' ,^ Fee summary ^° Charged, • Paid, Credited,:' "' Due " ----------- - - - - -- -- -- -, Permit Fee Total 323.00 00 00 323.00 - Pian Check"Total •181::56 00 00 181.56 Other Pee Total 19:88 00 .00. 19.88. Grand Total 524.44. .00. :00 524.44 e 'LQPERMIT '. r . , t .. '� e , • ' 1, _ �+' ` t POWELL AND ASSOCIATES DRAFTING; LLC 9980 IDIANA AVENUE, SUITE 3, RIVERSIDE, CALIFORNIA 92503 ' Y • " PHONE: (951)352-3588 EMAIL: powell_and_assoggyahooxom I PROJECT 80110 VIA VALEROSA, LA QUINTA, CA.' .• j I 'MADE BY EA_ DATE 8/23/12 ' JOB NO. ' REV. BY DATE iSHEET NO: 1 , OF DESIGNED PER 2010 CBC, AS ADOPTED.BY THE CITY OF LA,QUINTA, CA. "t ROOF LOADS x CONC. TILE ROOFING = 18 PSF 19/32' -'PLYWOOD = 3 PSF TRUSSES'@ 24" O.C. = 3 PSF .� ' INSULATION = 11 PSF ELEC:./ MECH. = 1 PSF CEILING. 3 PSF MISC. _ = 1 PSF DEAD LOAD = 30 PSF' No. C27:�56 ' LIVELOAD = 20 PSF (4/12 PITCH) Exp. Mar 31, 2C --------------- y ' TOTAL LOAD = 50 PSF ivic �P {�rFQF CAOFO�� .. a i ,. FOUNDATION l ASSUME ALLOWABLE SOIL BEARING PRESSURE EQUALS Ik6TSF; CONTRACTOR TO VERIFY. ' LATERAL SEISMIC: PER 2010 CBC & ASCE/SEI.7-5 GROUP I SITED ;x F WIND: 85 PSF EXPOSURE C, S PER ASCE/SEI 7-5 • SECTION 6.4 A CITY 'OF A OUINTA w ` BUILDING &'SAFETY DEPT. , APPROVED, FOR CONSTRUCTION., ,f j+ a` DATE BY , ~ •Or.. l J L k'. I � v � ' cy 5 j , .h.,. - ._. .. _. �.. _.. •.. _. :. ._----..._ �...� _.. _ .ri..._... :. ._.-- .. ..-+ _ _-..., ... _. _.. _, _. _ ,. .._ • -,... .._._ _._ ... �._..-ria- * _. .... _.-.-_ � , A . • t ' .l YOUNG TNGINE� RING SERVICES www.valuengr.com 71-780 San Jacinto Dr. Ste: E2, Rancho Krage, Ca. 92270 ph:. (760),834-8860 fax (760) 834-8861 {t Letter of Transmittal 1 To: City of La Quinta Today's Date: 9-10-12 78-495 Calle Tampico City Due Date: 9-7-12 La Quinta, CA 92253 Project Address: 80-110 Via Valerosa Attn: Kay Plan Check #: 12-983 Submittal• ❑ 4'h t ❑ 2nd. ❑ 5th .. 1 ❑ 3`d. ❑ Other: . We are forwarding.' ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup M i i Includes: Descriptions: _ Includes: # Of Descriptions: Copies: ® 1 Structural Plans ❑ Revised Struct. Plans ' ® 1 Structural Calculations ❑ Revised Struct. Calcs ❑ Truss Calcs ❑ Revised Truss w/Ltr. i ❑ Soils Report ❑ Revised Soils Report 17 Structural P/C Comments t ❑ Approved Structural Plans ❑ Redlined Structural Plans ❑ Approved Structural Calcs O Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report 1 ❑ .. Redlined Soils Reports, ❑ Other: 1 Comments: Structural content is approvable. t Stru2,tie iew Time =1.0 HRS This erial Sent for: EQ l \�t•• ❑ Your Files S ❑ Your Review t Checking t Other: ❑ t By: John W. Thompson Rancho Mirage Office : ® (760) 334-8860 Other . ❑ t. ® Per Your Request 7 ❑ Approval ❑ At the request of: Permit # X Project Address: d Via A. P. Number: Legal Description: Contractor: fi ; i- k Ma rQlo-, k Address: /-'U BD jC A-2/ -72 4 City. ST, Zip: Ono h e i',-4 c -,v Telephone: '71� _ 1 9 3 FArch., ic. # : $ �f � �d Engr., Designer: Address: Cit)" ST, Zip. Telephone: State Lic. #: City of La Quinta Building 6t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 922S3 (760) 777-7012 Building Permit Application and Tracking Sheet 'era a Aa Qu;,Ila CA wrier's Name: 1) a V d Flo r e f Address: �a/ero 5.2 �/ Cit}•, ST, Zip: h a Qu,'A-La, �A 9aa53 [ Oi 5-• Y Ile- 7'i On elephone: 5(p o2— 1/a Project Description: This ,'S ; ✓e 9at��a9 arra � fo a YeS,"a/ence /o�a�ed �� -fl e as e avec. City Lic, N: Construction Type: Occupancy: . Project type (circle one): New Add'n PERMIT FEES Item Plan Check Deposit Plan Check Balance Construction Mechanical Electrical PI'umbing SAI.I. Grading Developer Impact Fee A.I.P.P. Total Permit Fees Amount Name of Contact Person: A- f OIU� l/ A! Alter Repair Demo DO NOT WRITE BELOW THIS LINE �it�l p�iaTPs� Ammerrrd Telephone # of Contact Person: Gsj_ 3Sa —588 Sq. Ft.: # Stories: � Estimated Value of Project oZ l' DoO, o D # Units: PERMIT FEES Item Plan Check Deposit Plan Check Balance Construction Mechanical Electrical PI'umbing SAI.I. Grading Developer Impact Fee A.I.P.P. Total Permit Fees Amount APPLICANT: DO NOT WRITE BELOW THIS LINE Submittal Req'd Recd TRACKING Plan Sets 2 CJ Plan Check submitted l Structural Cates. ieady for corrections R!resubmitted Truss Calcs. tact Person Title 24 d up Flood plain plan plain plan mittedGrading plan ready for correctio Subcontactor List ssu act Person Grant Deed Plans picked up II.O.A. Approval. _ Plans resubmitted y IN HOCISE:- ''' Review, ready for corrections/issue Planning' Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees PERMIT FEES Item Plan Check Deposit Plan Check Balance Construction Mechanical Electrical PI'umbing SAI.I. Grading Developer Impact Fee A.I.P.P. Total Permit Fees Amount