11-0524 (DSF)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: 5 / 2 0'/ 11
Application Number: 11-00000524 Owner:
Property Address: 80065 VISTA GRANDE FAHNESTOCK LORI
APN: 649-143-001-16 -3505 - - 80065 VISTA GRANDE
Application description: DEMO - SINGLE 'FAMILY LA "QUINTA, CA 92253-
'Property Zoning: LOW DENSITY RESIDENTIAL D
Application valuation: 5000 Q
Contractor. f }��4
Applicant: Architect or Engineer: SC CONSTRUCTION & PR P RT)MAY, Y, ` O ZU 1
641 MALTBY BLVD jJ
BIG BEAR.CITY,,CA 2314 Cl
M� lbE� u)� (909) 936'0381
Lic. No.: 961220
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 declarations: -
Section 7000) of Division S of the Business and Professi ,Bsde; a d mom- ' ense 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 Licen 20 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is _
issued.
Date: ontractor: - - — I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor -
l� _ - Code, for the performance of the work for which this permit is issued. My workers' compensation
CLA TION • insurance carrier and policy number are: ..
I hereby affirm under peva .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 - _.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 aeemcjsubject to thew kers' compensation laws of California,
permit to file a signed statement that he or she is licensedpursuantto the provisions of the Contractor's State _ - and, agree that, i become- ject to the cer compensation provisions of. Section -
_ License Law (Chapter 9 (commencing with Section 7000) of Division 3-of the Business and Professions Code) or - 37 -abort Code, I shall fort ns. .
thatheor she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by -
any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).:, Date: Applicant: -
(_ 1 l,. 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 WARN G: FAILURE TO SECURE WORKERS' 0 NSATION C R EIS UNLAWFUL' AND SHALL
Contractors' State License Law does not apply to an owner, of property who builds or improves thereon, SUBJEC N EMPLOYER TO CRIMINAL PEN IES A TO ONE.HUNDRED THOUSAND
and who does the. work himself or herself through his or her own employees, provided that the DOLLARS ( 00). IN ADDITION TO THE COST 0 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 T D 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, 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, BusinessandProfessions 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,
( ) "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 Ouinta, its officers, agents andemployees 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.
I hereby affirm under penalty of perjury that there is aconstruction lending agency for the performance of. the I certify that I have read this application and state informatip with all;
work for which this permit is issued (Sec.. 3097, Civ. C.). city and county ordinances and state law ,ng to building_ nstru on d hereb orize repre atives '
of this county to enter upon the above-m tinned pro urposes.
Lender's Name. ' / -
_ at Si re (Applicant or A 1: -
Lender's Address:
LQPERMIT .
Application Number• . . . . 11"-00000524
------- Structure Information DEMO 147SF'UNPERMITTED STORAGE
ROOM -----
Other. struct"info . . . NUMBER OF UNITS
1.00
_ Permit . . . . ... DEMO PERMIT
Additional desc .
Fee 45.00 Plan Check Fee '.
..00
_Permit
Issue Date: . . . 1. Valuation
5000
Expiration Date 11/16/11 `•
Qty Unit Charge Per
Extension
BASE FEE
45.00
Special Notes and Comments
DEMO 147SF UNPERMITTED STORAGE ROOM
"
(UNCONDITIONED/.UNINHABITABLE SPACE) -
POOL BARRIER REQUIRED PER-CALIFORNIA
'BUILDING CODE AND THE CITY OF LA 'QUINTA
MUNICIPAL CODE PRIOR TO FINAL
' INSPECTION. THIS'PERMIT.DOES:NOT INCLUDE
ALTERATIONS TO THE EXISTING STRUCTURE,
OR MECHANICAL,`ELECTRICAL OR PLUMBING
INSTALLATIONS.
May 20,'2011 12:49:04 PM AORTEGA
Fee summary Charged Paid-. Credited
Due. ,
Permit Fee Total 45.00 .00 00
4500
Plan Check Total .00 .00 .00
.,00
Grand Total 45.00 .00 00
45.00
' LQPERMIT
PARTIAL PROPERTY LINE SURVEY
LOT 16 -OF TRACT 3505 AS RECORDED IN BOOK 57 PAGES 7 AND 8 INCLUSIVE
OF MAPS, IN THE OFFICE OF THE RIVERSIDE COUNTY RECORDER
A.649,P.N, —143-004
OSET L&TAG STAMPED LS 4337
IN TOP OF CURB ON P/L PROD
OSET WAG STAMPED LS 4337
IN CONC DECK ADJ. TO ENCLOSURE
2.97' FROM THE W/LY F.O.W.
5.00'
2.97' �Oel
2.03' CURB
O 5.00'
graphic scale. PROP LINE Eo 1G G
0 10 20 40
DETAIL
0
SEE DETAIL
, �31� p �Nv
La 15
R=20.001
L=31.17'
D=89*18'13'-
rr 16
0
ro CD
SEE DETAIL
A
se
DETAIL
PREPARED AT THE REQUEST OF LORI FAHNESrOCK PREPARED BY: WADE D. WEAVER, PLS 4337
VISTA GRANDE 5074 1/2 SHEARKAVE.
.LA QUINTA, CA 92354 LOS ANGELES, CA 90041
Vt PHONE; 626-695-7789 Exp. 6-30-2010
FAX; 323-256-2207 No. 4337
E—MAIL; ww4337@aol.com I A Y.
Bin #
Qty of LQ Qu►nta .
Building & Safety Division
P.O. Box 1504; 78-495 Calle Tampico
La Quinta; CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
M�
°``''�
Project Address: So.
Owner's Name:.
A. P. Number:
Address:a(12r v
Legal. Description:
Contractor: 5L
City, ST, Zip:I
Telephon .:r.f�.:�4;,w::�„v�::.h�::,.,,>:,::::<•s
ij'Y,.Si4:'^i:•i:ri^� '1:4:o:`G.�,}i: S:+{\}.•
Address:man
City, ST, Zip:
Project Description:
Telephone:
”�»v,c?>�<Jr:;#:iz<:;.:;:.:WJ::ci:....•.Y.
State Lic. # : City Lic. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
State Lic. #:
....ifs:'}�9��.. is>?�a•c..y:.v �:iii:'i.;s. :. :..v::...
u•, •«:.:w: �,. w..;<::
.r:�wz.,�,�.a�•:,:<.;.�.>,�.:<;:�>;z,:':r•
..:til
.... <•JO>:';Yrf;';s•^: w
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:Sq.
Ft.:
#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs..
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance .
Title 24 Cales.
Plans picked uP
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
21" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
LI Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
''d Review, ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
5. /'