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05-0691 (RER)FEB 2 ujBUILDING &,S-AFEty DEPARTMENT C1 (760),,777-70121,. TOFT Fit 95) LL PICC (760) 777-7011 LA QUINTA, CALIFORNIA: 92253. INSPECTION REQUESTS (-760) 777-7153 BUILDING PERMIT .-Application Number 05�-00000_6'91---- Date 2/28/05 Property Address . . . . . 49381 VISTA MIRASOL APN: 649 -640 -022 - Application description "-REMODEL 7- RESIDENTIAL Property Zoning . . . . . .... LOW DENSITY RESIDENTIAL Application valuation 15000 Owner Contractor - - - - - - - - - - - - - - - - - - - - - - - - MARCUS & FRANCINE,COHN. MARCUS ------7 ------------- ------=-----1-----------.- EDWARDSCONSTRUCTION,,BOB ..49-381.VISTA MIRASOL .51455 :DESERT. CLUB DRIVE LA QUINTA. CA 92253 LA QUINTA' CA 9225.3 WCC.: VIRGINIA .SURETY : . WC00500027012 0-1/01/06 CSLj3: 684857 03/31/06 CCC:... B ---- structure. Information INT BATHROOM.'REMODEL­* Construction Type . . . .- TYPE V NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=iO Flood Zone . . . . . . . NON -AO FLOOD ZONE Other struct info CODE EDITION... 2001 CBC - ------------------------------ ------------------------------- Permit BUILDING ------ PERMIT ------ Additional dqSc Permit Fee 162.0,0 ,,Plan Check Fee.-: 105.30 ..Issue Date Valuation 15000 Qty Unit Charge Per Extension BASE FEE 45-00 11.00 9.0000 THOU BLDG 2,001-25,000- 117.00 -7 - - --- --- - - - - - - - - - - - --- - - - --- - - - - - - Permit .. . . . . . . ELECT - - - - - - - - - - - 7 - - -7 - - - - --- - - --- - - - - - 7 - - --ADD/ALT/REM - - - - - - - - - - -- Additional desc Permit Fee .26.70' Plan Check Fee 6.68 Issue Date Valuat-ion . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 26.:00 .4'500 EA ELEC'DEVICE/FIXTUFE' >20', 11.70 ---------- --------------------------------------------------------- Permit MECHANICAL Additional desc. Permit Fee 24.00, Plan.Check Fee-'. 6.00 .-Issue Date . . . . Valuation 0 Qty Unit Charge Per Extensi'o'n BASE FEE 15.00 -; P.O. Box 1504 • �� VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: I Date: 2•Z 8112_5�' I' t• App Ican . (f�� Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm unde enaIty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Lice is in full force and effect. J n Licensse� C assn ,`c 1 LLigiggnse No. � d –i. d s. :DAte rl /� uJ r nntraMnr /% h �Ul l'Ou OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or.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 ($500).): U 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within 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.). U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , B.& P.C. for this reason Date WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintai workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued M orke ompensation insurance carrier nd icy numb rare: Carrier 4 Policy Number �� �1")L70(Z— I c rtify that, in the perforipance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall f rtxhwith comply with Thos pro 'sions. Dat 6J -Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of pedury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, 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. 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 permit cellation. 1 certify that I have read this application and state that the ab vein ormation is rect. I gree to comply with all ci and county ordinances and state laws relating to building constructi , and hereby authorize representatives of this co my a er up a Toned property, for' spection purposes. Date GS Signature (Applicant'or Agent): b Page 2 " Application..Number.,. ^05-00000691 Date -2/28/05 Qty Unit Charge Per Extension" 1.00: 91.0000 EA MECH APPL REP/ALT/ADD" 9.00". . Permit . . . PLUMBING." Additional des.c Permit Fee 48.00 Plan Check -'Fee 12.00 Issue Date Valuation 0 Qty Unit Charge Per Extension + BASE FEE 15..00 5:00 6.00"00 EA. PLB FIXTURE 30.00 1.0.0, 3.0000 EA PLB WATER INST/ALT/REP 3.00 Special.Notes-and"Comments INTERIOR.REMODEL MASTER_ BEDROOM..2/28/05 12:11:5.2 PM j J ohnson Other Fees . . . ..." ENERGY REVIEW FEE 10:53 STRONG MOTION .(SMI) -. RES. 1.50 Fee'"summary Charged Paid Credited Due ----------------- ---------- Permit"Fee Total" ---------- 260.70 .00 -------.00. ---------- 260.70 Plan Check Total 129.98 ..00 .00 129.98 Other Fee Total 12.03 .00 .00 12.03. Grand Total 402.71 ..00 00 402.71 Total Permit, Fees I Bin # City Of La Quinta. Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico !a Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ' Project Address: . ( A. P. Number: Y Owner's Name: m SGC (20 i's, Address: X " City. ST, Zip: >< U� � Telephone : Z Project Description: x t9 S d Legal Description:'" Contractor. �( Address: Gj t C.{ tl City. ST, Zip: Y Telephone: x l :# State Lie. # : X, CJ c7� Citv Lie. ti 1 Arch.. Engr.. Designer: Address: City. ST. Zip: Construction stru ctt ' on Type: O cc an \.. uPc Telephone: h one: Stateto Li e. #• . Project ect tPe (circle rcl e one): New Add'n Alter Repair Demo Name of Contact Person: x Sq. Ft.: �, # Stories: # Units: Estimated Value of Project: X Telephone # of Contact Person: `7M — ?2472., 0Z44 APPLICANT: DO NOT WRITE BELOW THIS LINE , # Submittal Plan Sets Req'd Recd TRACKING Plan Check submitted 47 . PERMIT FEES, Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Plan Check Balance Truss Calcs. Called Contact Person Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing s.nl.l. Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading Developer Impact Fee IN HOUSE:- Review, ready for corrections/issue Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees Total Permit, Fees I Cb'P O'F �I-CE \. ! ' 1 L.. •.a' � 0.A L.* rl r•.`JJ..•F..r t.nl.+w.hi�w_��.� 41 r � r+�f 1 �11,. • 1 1 ��I �1� ., " t �,Y rte.. � 6... • 1 i •. • ' I t moi} �• + , l 1 Rigs �Co------------ \ ` 4 • t 1 ��`7'`r•rt;:_yu � ' � � i'q±g".if' . �� mVyn�0) t •"y," � r .. +� r •° �11Y4 717lVlnl 1 r . o I.l le • r }` f?.'�� .._ SOW"• � .. . " dlaal%ui ACHtJtOAYRW � l ' •. fir' ,.f j s liras , eraoa aw►roo y l AAAYff1UO3 " i •" �Gomm.; • 1. ° 1 - •,a 1'f It +i , 1 , ••7'. �•. ITY.017 LA QUINT/ UILDING &SAFETY DEP' 96 WAG • APPROVED: Q ' ' FORCONS CTIO :)R RAY 4V GIRAFFE 2^ V� 'n `lti N*11' MIR R O ROSIN BACK' D RAY I 6� 4A . CALEB S I DOO 2X6 �r WITH "' BENCH D 1 GIRAFFE _ g•5 ��� Sv�►T`H 15 5 CV DA '1 I- i i; • _ ..... z..--- _ I - PHONE \ f_._.._....-- ' \ WET BAR I ELECTRIC .......... h--� r REVISED j f='\_•\� �l i 1/25/05 '--=s /CABLE Y_ ;I 26'3 _— _ (�\.____ _. --- WALLy"�(...o,...----;�: WEST /S� —iJ•. II a j) / 12 CABLE PHONE I jLINENS yCYNP I , �\ i I ROSIN JERC YL USALEM - III�LLLllllllg 3'2'� - • ' MIRROR ON _ �" It � I� � BACK OF DOOR MEDICINE CABLE, I CHEST I w� \ 2 DOOR. co 52X60 WITH BENCH ---- GIRAFFE i ROSIN TB 9 5 i - - ROCK i.J - - - DISPLAY SHELVES.. 1 WITH LIGHTS i.I.. .... ....... _.._.............. _.................... RN5 ............... .. E' CABLE %'H 1 l THREE MACCIAS _ ,. J 6'1 ([j \ _ - ^ ---� E SHELVS(CW) �I SMEIVES (C W) t J CAFE QOOR P S C. ; I . j - SWING OUT � '-^." � it 1- i _ • _ __ � i I . . IN SA ��__ i E QTY; €RT. I�i BUIL`® & F LL i i '' , :; NRO 00 STR I 5111 �I CABINETS. . BY (CV,/)[ SHELVES I I TWO ' I PH NE ...� CABLES PHONE ;�( � I�EL 10"H "HRIC - ELECTRIC - - ._.___......_.. --p �T L -- -------- - Ct . ............ p 1 ... . ...... .......... -77-7 - ----- - V-1 L------------ . ......... ...... — ----- ol ........ . . --------- . . ..... . ... .................... ------ - ._._...._._._ `�.. /?7 2 —tic �` ._ _ �� ice. S_ .� —..._ _ .. - ---- ------------ NOTE: ALL 'OR EQUAL" SUBSTI SHALL BE 5UBMITTE 10 B LDA PRIOR TO IN5TALLAION NOTE: ALL CON5TRU TI. -T . THE 2001 CALIFORNtA AND MECHANICAL CO ESE� CALIFORNIA ELECTR CA� . ....... --- . . ........ . ........... BUILDING & CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPR VED FOR CONSTCTION DA B Construction is NOT PERMITTED on the following Code Holidays: New Year's Day Dr. Martin Luther King Jr. Day President's Day Memorial Day Independence Day Labor Day Veteran's Day Thanksgiving Day Christmas Day CONSTRUCTION HOURS October lst - April 30 Monday - Friday: 7:00 a.m. to 5:30 pm. Saturday: 8:00 a.m. to 5:00 pm. Sunday: None Government Code Holidays: None May 1st - September 30th Alor.Iiy - Friday: 6:00 a.m. to 7:00 p.m. S-!!.Jvy: 8:00 a.m. to 5:00 p.m. None rer.iF Holidays: None :11A? �3 ":1 rd..';Ufl -TFI. A +ION.1 URI Y OR W "AN ADEQUATELY SIZED DEBRIS CONTAINER IS REQUIRED ON THE JOB SITE DURING ALL PHASES OF CONSTRUCTION AND MUST BE EMPTIED AS NECESSARY. FAILURE TO DO SO MAY CAUSE THE CITY TO HAVE THE CONTAINER DUMPED AT THE EXPENSE OF THE OWNER/ CONTRACTOR." A RE -INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND 10B CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS! ATION :CENSED BER IS