13-0325 (RER)`P.O. BOX 1504 �^� . VOICE (760) 777-7012
78-495 CALLE TAMPICOFAX, (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT �� _�'r INSPECTIONS (760)'777-7153
BUILDING* PERMIT Z
Date: 3/20/13
Appliati
con Number: 13
: 00000325, Owner:_;,
�_ - - - J
Property Address80741 VIA SAVONA HALEY, SONYA & RANDAL
APN: 777-130-004- - - •80741 VIA SAVONA
Application description: REMODEL - RESIDENTIAL LA QUINTA, CA '92253
Property Zoning: LOW DENSITY RESIDENTIAL (4'05)659-3612 p
Application valuation: 3500' D
Contractor: MAR y 0 2013
Applicant: Architect or Engineer. DE -CHRISTOPHER, INC
42575 MELANIE PL,.STE'C .
PALM DESERT; , CA 92211` CITY OF LA QUIWA
(760)•346-3838 FINANCE 00M
Lic. No.: 428701
LICENSED CONTRA R' DECLARATION WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury that I am licensed unde isions ofLChapter 9 (commencing with - Ihereby affirm under penalty of perjury one of the following' declarations: - -
Section 7000) of Division 3 o the Business o es nals Code,.an y license is in full force and effect. - _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
nse Cla s: B License No.: 28701 for by Section 3700 of the Labor Code, for the performance of the work,for which this permit is
'issued.
DateContra-cttfl. 4_ 1 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 workerscompensation
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 - _ (,certify that,•inthe 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 t _ rkers' 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 -becomes ' ct to the ers' compensation. provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of.Division 3 of the Business and Professions Code) or 3700 of],he Labpr ode, I sh Ifo ith co . ply wit se proyisions. -
that he or sheds 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 ($500).: ate: 2� /3 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 TOSECUR ORKE 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 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 ISec� 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 man 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—) 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 tocancellation.
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 aboveinformation i correc . 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 buildjn uc io and authorize representatives -
-- - - of is cou ty t enteru n the above-mentioned pro y for ins ecti .purpos s.
Lender's Name:. - ' - -
.Date: - >7 Signature (Applicant or Agent): t -
Lender's Address: - -
LQPERMIT
Application Number y. 13-00000325
Permit BUILDING PERMIT
Additional `desc
Permit:Fee 63.00. Plan Check Fee
40.95
Issue .Date Valuation
-3500 "
Expiration Date; . '. 9/16/13
Qty ..Unit Charge Per
Extension
BASE. FEE
4.5.00
- 2;.00 9'::0000 THOU BLDG 2,001-25,000
18.OD
Permit .. `: -ELECT - ADD/ALT/REM
Additional desc .
Permit. Fee 15.75 Plan Check Fee
3:94
Issue Date . . Valuation
01.:
Expiration.Date .9/16/13..
Qty Unit,. Charge Per
Extension '
BASE FEE
15.00..
1.0:.0 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
;.75
Permit PLUMBING
Additional'desc
` Permit Fee- 18.00 Plan ° Check Fee
4.'50
Issue Date Valuation .
. 0
Expiration Date 9/16/13
Qty Unit Charge Per
Extension
BASE FEE
15.00. ,
1.00 3,0000 EA- PLB GAS PIPE 1-4 OUTLETS
3.00
- ------------------------------------.----------------
Special Notes.and Comments
REMODEL TO EXISTING.FIREPLACE AREA.
PROVIDE NEW FMI.G42H FIREPLACE W/ -GLASS
DOORS. HEARTH SHALL BE,PER ICC REPORT
#2542..`ADD RECEPTACLE FOR TV ABOVE
FIREPLACE. 2010 CODES.
- Other Fees ENERGY REVIEW FEE
4.10
Fee summary Charged Paid Credited
Due
Permit Fee Total, 96:75.,. 00 .00
96.75
Plan Check Total "49.39 00'00
49.39
Other Fee -Total 4.10 .00 00
4.10
Grand Total. 150.24 .00 .00
150_.24:
LQPERMIT
., ._.
RECEIVED...
Bin. #
�
C!oy Of'. Quints MAR 08 2013.
Building a Safety Division
P.O. Box 1504,78-495 Calle Tampico CITY OF LAUI
14.Quinta, CA 92253 -:(760) 777-7012 U IN DEVELOP ENT
Building Permit -Application and Tracking S%eW
Permit #
Project Address: so %
L%F A S ti A L 19
Owner's Name:. S A
A P. Number.7 7.13o o O
Address: O? q 1 V i -% S Y b -N 'A
Legal Description:
City, ST, Zap. L,4 ,, /6 �� 3
Contractor. (t—lkw t v "AR)c
Telephone:
Address: 42.175 a
Project Description:
City, ST, Zip: to l wl • 1(i,$ CA9a� I (
L 0't C'+ i b�/ / `rid � El OQ ,
Telephon `10 3uC -M 3 fj
State Lie. # : O I City Lic. 0 613 3 -
Arch. Engr., Designer. it/ A
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: �> "d- i- kD�
Construction Type:. Oaxipancy:
Project type (circle one): New Add'n ter Repair Demo
q. Ft : O O S Stories:
+Estimated
#Units:
Telephone # of Contact Person. 7 {� D 70 — / 1 pp
�.. Z O Z
Value of Project:. S O O
APPLICANT: DO NOT WRITE BELOW THIS LINE
M SubmittalReq'd Recd TRAC MG PERMITFEES
Plan Sets Plan Check submittedItem Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit. .
Truss Cates.
Called Contact Person Plan Check Balance
Title 24 Calcs.
Plans picked up Construction
Flood plain plan
Pians resubmitted Mechanical
Grading plan
2`! Review, ready for correcti ensue ZO Electrical
Subcoatector List
Called Contact PersonPlumbi
3 ZO ug OT 1J
Grant Deed
Plans picked up SM.I
H.O.A. Approval
Plans 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 Feu
Total Permit Fees !on. z
M
SCOPE OF WORK
- REMOVE EXISTING FIRE PLACE.
- ADD NEW FIRE PLACE AS SHOWN.
- RE-ROUTE EXISTING GAS LINE TO NEW FIREPLACE
LOCATION.
RELOCATE EXISTING TV. AND ELECTRICAL OUTLET
TO BE ABOVE NEW FIREPLACE.
70 1 i
mm^rzw?.
70 X12 52—
AND ELECTRICAL OUTLET
ABOVE FIRE PLACE. HEIGHTTBD. WALL LEGEND
EX -4— -
ISTING
CRAMI TILE PREFABRICATED <<
CERAMIC TILE • D
T REMAIN =--TO,REMAIN-1STONE SURROUND &a12 114' STONE MANTEL TO BE SELECTED
EXISTING 2x WALL TO REMAIN
Cc3j co
- -ng NEW 2x WALL N
U c�
ExPlan New Plan
z M0
y
SCALE: 1/4"=T -Y'
SCALE: 1/4"=1'-0" Zw
a
S2 W LL
.0 p i 12 -r-
CONSTRUCTION
- �' a
I CONST UCTION OBJ
0w U00
October Ist - April 30 Z a C1
Monday -a a
Friday: 7:00 a.m. to 5:30 p.m. 0 *= co �
- Frida a
£:00 a.m. to 5:00 P.M.z CO
CLOSE EXISTING NICHE Saturday: ; as m
PREFABRICATED None
OPENING WITH NEW 2x WALL & Sonday: ode TTo9idays: None m v o
STONE SURROUND & a ti
5/8" GYP. BOARD FINISH government C a► oAkw�
- STONE MANTEL TO BE SELECTED '�" • -
iay tst -September 30th wow m c
i�irmoday -Friday: 6:00 a.ra, to 7:00 p.m. a,,�
�ur IL
furdav: 5:00 a.m. to 5:00 P -m- °' (
....None
Code Ttoiidays: None U
REMOVE EXISTING1271/4'-------`---- -
FIREPLACE +VERIFY
i � {
M Construction is NOT PERF'!! 7 fl
o on the following Code Holidays:
New Yc is Day,
/ FlR LACE
Dr Martin Luther King Jr. Day
CM
President's Day 7 �
Memorial Day
;.
In Independence Day� �
1z' 4'' 1z' Labor Day
C !
Veteran's Day CY
0
6 6 COi Thanksgiving Day
_ t
Existing New, STONE Christmas Da
A RE -INSPECTION FEE DE 3 y
Elevation �0 E
WILL BE CHARGED IF THE AIPPROVED AN AD EOUATELY SIZED DEBRIS CONTAINER
PLANS AND JOB CARD ARE NOT ON IS REOUtRED ON THE JOB SITE DURING ALL
SCALE: 1/4 -1-o SCALE: 1/4"=T-9' TIE SITE FOR A SCHEDULEDS OF CONSTRUCTION AND MUST BE a sss
INSPECTION. PHASE
t
EMPTIED AS NECESSARY FAILURE TO DO SO
NO EXCEPTIONS! MAY CAUSETHE CITY TO HAVE THE CONTAINER 00
DUMPED AT THE EXPENSE OF THE OWNER/
ROWSIOLMS
CONTRACTOR.,, 1
mn
• 1 aye
CITY OFLA QCJIN?'A
�p
BUILDING &
SAFETY DEPT.
APPROVED
POR CONSTRUCTION
Fireplace
BY�
'' ,.O.,
SCALE 1 g, = vz,
DRAWING BY : ra
DATE : 02/19/13AT �r
e
W.D.
I
APN:
777130004
Address:
80741 VIA SAVONA , LA QUINTA CA, 92253
Owner Name:
HALEY,RANDAL D & SONYA L
Owner Address:
101 SW 27TH ST E1 , EL RENO OK, 73036
Owner Phone:
Building SF:
3047
Acres (Assessor):
0.21
Acres (Calculated):
0.21
Lot Front:
Lot Depth:
Legal Description:
.21 ACRES IN LOT 104 MB 327/056 TR 29894-2
Land SF (Assessor):
9148.0
Land SF (Calculated):
9148.0
Land Use:
: SFR
Year Built:
2003
Assessed Value:
$922,000
TBM Page:
_
Sales Deed Cat:
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