08-0560 (RER)P.O.-BOX 1504 VOICE (760)777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
----- Date: 8/26/08
Application Number -x_08--0000.05.60 Owner:
Property Address: 53127 VIA SAVONA MARL & ALAN TWEED
APN: •772-410-999-33 -298943- 53127 VIA SAVONA
Application description: REMODEL RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL (760) 000-7116
Application valuation: 10000
Contractor: Q
Applicant: Architect or Engineer: MONARCH HOMES DES D '
.73290 EL PASEO, 44
PALM DESERT, CA 2 0 .AUG 2 6 2003
(760)568-3905 IJ t)
PIP Lic..No- - 457228 C17yOF,
FINgNCE UINTA
DEPT
f LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed un rovisions of Chapter 9 (commencing with f hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Profes ' als de, 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
License Class: B' cense No.: 457228 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
_y issued.
ate: 05 6 "n ontract 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 at I am exempt from the Contractor's State License Law for the Carrier STATE FLTND Policy Number 3015506-08 -
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 becomssubjeFt 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, if I should become jec[ V the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 370p of the Labo o e, I shall rthwi 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 • p W
., any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:te: Ap
(_) 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: 1.11-14TO SECURE'WO S' 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 CRIMIN 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 -
I _) 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. - t
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 underSec. , 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 workfor 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.[he performance of the. I certify that I have read this application and state that the above inform do is co ect. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). - city and co y ordinances and state laws relating to building constr ion, and ereby authorize representatives
of this .nty to enter upon the above-mentioned pro or in ection pu oses.
Lender's Name: - ��_O"�
at, ignature (Applicant or Age
Lender's Address:
LQPERI%11T .
Application Number . . . . 08-00000560
------ Structure Information EXISTING RESIDENCE 4540 SF
-----
Other struct info CODE EDITION .2007
# BEDROOMS
.00
Permit . . . BUILDING PERMIT
Additional desc<.
Permit Fee- 117.00 Plan Check Fee
76.05
Issue Date Valuation . . .
. 10000
Expiration Date
Qty Unit Charge Per
Extension
BASE FEE
45.00
8.00 9.0000 THOU BLDG 2,001-25`1000
72.00
Permit . ., ELECT - ADD/ALT/REM
Additional desc .
Permit Fee 21:00 Plan Check Fee
5.25
Issue Date . . . . Valaation .
. 0
Expiration Date 2/22/09 _
Qty Unit Charge Per
Extension
BASE FEE
15 00
8.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20`
6.00
- ----------------------------------------------
Special Notes and Comments
-ALTERATION TO EXISTING RESIDENCE - 3
PAIRS FRENCH DOORS REVISED TO 23FT-WIDE
SLIDING DOOR OPENING AT REAR ELEVATION,
INTERIOR REMODEL OF WALL BETWEEN KITCHEN
AND LIVING ROOM. BUILDING AND ELECTRICAL
PERMITS. 2007 CODES.
- - -------------------------------
Other Fees . . . ENERGY REVIEW FEE
7.61
HOURLY PLAN CHECK
450.00
STRONG MOTION (SMI) - 'RES
1.00
Fee summary Charged Paid Credited"
Due
Permit Fee Total 138.00 .00 .00
138.00
Plan Check Total- 81.30 .00 00
81.30.
Other Fee Total 45.8.61 .00 .00
458.61
Grand Total 677.91 -.00 '. .00
677.91
LQPERMIT -
- -
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Bin #City
"
of La QQuinta
Building u Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
`✓
Project Address:' 3-a) Z 7(f `� .. a U 0 Nth
Owner's Name:ACL M tit
A. P. Number:
Address: 5-3 a 1/1
Legal Description: [gip
Contractor:�
City, ST, Zip: L, � 3
� '" M
Telephone: % 6 d' � — // 6 .
Address:
Project Description:
City, ST, Zip:
.L,
�,
73 r0.100YY� —� Cre44' ar- o Y' 4,relo—
Telephone: '� _�'�� .,:7
= �ti
State Lie. # : City Lie. #:
Arc ., Engr Designer:
/¢e kc e- .'3 Pehe.% 0100 10-0 �a-►b01 rMm
IAJ 'LA 'X 1 J1.4:,. Gla.rl doers,
Address:.7/yD
t
dd
City, ST, Zip: C006 r-OLde 14
Telephone: l F _ 6- zs- .
Construction Type: Occupancy:
State Lie. #: 4f 57,2f (o
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: 4IQ h
Sq. Ft.: ? Q
#Stories:. Z
#Units:
Telephone # of Contact -Person: 7;Q -,S6 y — /%64
SQ
Estimated value of Project: AF /4 D d a
YQ—�3$-&PPLICANT: DO NOT WRITE BELOW THIS LINE .
#
Submittal
Req'd
Recd
TRACKING
PERMrr FEES
Plan Sets
Plan Check submitted3
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
f JP
Plan Check Deposit
Truss Calcs.
Called Contact Person
/ fµ
Plan Check Balance
Energy Calcs.
Plans picked up
q7�(p
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan
2"' Review, ready for corrections/issue
rp �C
Electrical
Subcontactor List
Called 'Contact Person
(p b
Plumbing
Grant Deed
Plans.pickedup
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'rd Review, ready for correction issue
i
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. App
Date of permit issue
School Fees
Total Permit Fees
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