05-4754 (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: 10/21/05
t• Application Number: auC-05=00:004.75:4-. "'-'� Owner:.
,Property Address: 49540 AVENIDA VISTA BONITA RODGER CASPER
APN: 773-350:008-8 144.96 = 49540 AVENIDA VISTA BONITA
Application description: REMODEL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL O Q (619) 442-8105
Aoplitatlon vaivatjun: 38000 0 t
C\2 Contractor:
Applicant: Architect or Engineer: �� M L P CONSTRUCTION
C' 879'CORNISH DRIVE
y 5i SAN ,DIEGO, CA 92107
(619)990-6343'
Lic. No.: 795203
f----------------- ---- ----- ----------- - -- ------------------------- - - -----------------
-LICENSED
---- ---- --
.LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION
1 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 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
• License Class: B Li o.:, 795203 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ,
issued.
Da /Q ��� -- Contractor. - 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
/,0e.-empt
R -BUILDER DECLARATION insurance carrier and policy number.are:
1 hereby affirm under penalty of perjury that I from the. Contractor's State License Law for the - Carrier'EXEMPT 03/31/06olicy Number EXEMPT
following reason (Sec. 7031 .5, Business and oessons 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 become subject 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 subject tothe workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall fo h 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 (5500).: r Date: O'1h25___ Applicant
1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and ~ - Y r'
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 -
imnrovP,ments are n9l 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 broving twat na or sne old IKA UUIIU u1
improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT r.
1 1 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.
property who builds or improves thereon, and who contracts for the projects with a contractorls) 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 Quinta, its officers,'agents and employees for any act or omission related to the work beings _
performed under or following issuance of this permit.
y 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 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 forwhich this permit is issued (Sec. 3097, Civ. C.). - city and county ordinances and state laws relating to building construction,'and hereby authorize representatives
- I of this county to enter upon the above-mentioned property for inspection
Lender's Name: ,,. _
Date:'',y �1''jC Signature -(Applicant or Agent):
Lender's Address: s - -
LQPERMIT
Application Number . . . . . 05-00004754
Permit . . . . . . BUILDING PERMIT -
Additional desc .
Permit Fee. 336.50 Plan Check Fee
218.73
Issue Date Valuation
38000 -
Expiration Date 4/19/06
Qty Unit Charge Per
Extension
BASE FEE
252.00
13.00 6.5000 THOU BLDG 25,001-50.,000
84.50,
Permit ELECT -.ADD/ALT/REM
Additional desc .
Permit-Fee . . . . 16.50 Plan Check Fee
4.13
Issue Date . . .'. Valuation . . .
. 0
- Expiration Date 4/19/06
Qty Unit Charge Per.
Extension
BASE FEE
15.00
2.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
1.50
-----
Special Notes and Comments
- ----------
REPLACE EXTERIOR DOORS/TEMPERED
- GLASS/U-FACTOR MIN.65 WITH SHGC .44..
TWO NEW ELECT OUTLETS. OTHER WORK NOT
REQUIRING PERMIT: NEW
TILE/CABINETS/WINDOW
COVERINGS/CARPET/GENERAL CLEAN UP.
Other Fees ENERGY REVIEW FEE
21.87
Fee summary Charged Paid Credited
Due
Permit Fee Total 353.00 .00 .00
353.00
Plan Check Total 222.86 .00 .00
222.86
Other Fee Total 21.87 .00 .00
-21.87
Grand Total 597.73 .00 .00
597.73
LQPERMTT - ..
knqf f-23 Pies
Bin #
City of La Quinta
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 #
Project Address' 192-0 Ale —VL
Owner's Name: C,
A. P. Number: qc'JM '7Z5 �3 S-0 00P
Address: 411�Jo 'Alig, 1/112f4 60 ti i �
Legal Description: q9C-
a-?
City, ST, Zip: q QI'dLY4,
Contractor:0 ki
ML, 10 0-0 'e4.4rue-17,
Tele hone: p
Address: Oorni'ski Q -r i'u kEf-
Project Description:
City, ST, Zip: & rl Did' -Ila.
Telephone:/W—�904,3
. 0-7-
J-Lqif -e-rl 0 Y- doo,rs Ne W
K&6,kllCy�) QY1d 64fA
State Lic. # 7 2E.2C) 3 City Lic. #: 100 g A
Arch., Engr., Designer:
01outo r Lo- rw Y -,q
Address:
City, ST, Zip:
Telephone:
N M
Construction Type: 6ee) e-rC4 Occupancy: I
State Lic. #:
Project type (circle one): New Add'n AlterP7 7Rc ai Demo
Name of Contact Person:
Sq. Ft.:
# St6ri
Units:
Telephone # of Contact Person: --TEstimated
'Value of Project: A^A
APPLICANT: DO NOT WRITE BELOW THIS LINE'.
N
Submittal
Req'd
Ree'd
TRACKING.
PERMIT FEES
Plan Sets
7—
Plan Check submitted
Item
Amount
Structural CaIcs.
Reviewed, ready for corrections
Plan Che -.:k Deposit
Truss Calcs.
Called Contact Person
Plan Che --k Balance
Energy CaIcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"' Review, ready for correctio*ns/issui
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A.Approval
Plans resubmitted
Grading
IN HOUSE:-
Jrd 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 Fees
LJTotal
Permit Fees
the following described property in. the City of La Quinta, County of RIVERSIDE State of California;
Lot 8 of Tract 14396-2; as shown by map on file in' Book 123, Page(s) 45 through 48, Inclusive of Maps, Riverside
County.Records, and as amended by Certificate of Correction recorded May 6, 1983 as Instrument no. 88374 of of7icial
records
773-'
3j�• o o g
Brooke P. Koehler, Trustee of the
Brooke P. Mahlstedt Trust dated March ,
23, 1998 /
13
Brooke P. Koehler, Trustee
Document Date: April 9, 2004
STATE OF CALIF RNIA )SS '
COUNTS. -OF v
Do �"; ;. before me,
personally appeared
pe �+oaere (or proved to me on the basis of satisfactory evidence) m be3he t$Ue w �' subscribed to the within instrument
and eel wledgod.tn nts that y executed the same in Awl erRlteir atttho ' t ) snd t y th�di-4Zsa on the instrtunent
d�tV2_ or the entity upo1. f of nvhich the person(s) acted, executed. the instrument.
WITNESS my hand and official seat.
Signature l )...�1:_1AJC i�
This area for official notarial seal.
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Maii Tax Statements to; SAME AS ABOVE or Address Noted Be?ow
TO 39Vd r a3dSVO 33I-1VLTZT-Zbb-6 :9 TO:TO SOOZ/6T/OT
FROM :Santa Rosa Cove
'FAX NO.
:760-564.8418
Apr: 29 2005 03:39PM
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Approx. 2286 Sq._ Ft.
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H.O_A Dues include -
Gate Guard, Common '-j
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JELIEN® Introduction ;
WINDOWS & DOORS Pozzie Custom Collection
PERFORMANCE.
' IMPACT RESISTANT GLASS.
The Pozzi Custom Collection from JELD-WEN offers a line of products with Impact Resistant Safety Glass that will meet Florida and ASTM large
missile impact requirements. Impact Resistant Safety Glass is constructed with a durable, bonded interlayer to resist penetration by debris and
remain in place and intact throughout a wind storm helping to preserve the integrity of the building envelope. When installed in accordance
with the supplied instructions, the windows or patio doors will meet the requirements of the Florida Building Code 20C°1, including High Velocity
Hurricane Zone (HVHZ) and other wind6orne debris regions as identified by local building codes.
This limited product. offering is available in the following producttypes:
Product
Dade County NOA4 2003
Expiration Date
DP Rating
6-0 8-0 Clad Out -Swing Patio Door w/ HL' 5 -Point
03-0224.06
2/11/2007
+60/-62
5'-0 8-0 Clad Out Swing Patio Door w/_HL, 5 Pomf 7 ; w, r x
�' 03-0224 06
3-0 8-0 Clad Out -Swing Patio Door w/ HU 5 -Point
Y 03-0224.06
2/112007
+60/-02
26 8-0 Clad Out'Swing Patro',Door v"L; 5 Point k
'� '02/112007.,
~
h° _
8-0 8-0 Clad WGPD w/Multi Point
03-0219.03
2/192009
+50/-50
6-0 8-0 Clad WGPD w/Multi Foint � r'� " , ;" {,
A:.
f� *,0M219;03-' ;'
52/192009
m6
+60/ 60 "
0t.'v..
.*ox�.aa•i....rMq-'J:..b: My l.a... .. ,.S S.'.� .....-. .r ...., ..d, w
keo.4.... ':r-..
�03-0219.03w
9i.6cit ..., .A.. ,:.rY•..
5-0 8-0 Clad WGPD w/Multi Point
2/192009
+60/-00
60 X_120 "'Cl Direct Set Window° 1/4 H 5 G_LdSS r z, r `�
:03-0210 06•1
1/262006 h
N
c2262006
48" X 96" Clad Direct Set Window 1/4" GLASS (includes radius)
03-0210.06
+65/-05
48 X 60 Clad D r c Set 1Nmdow 1/4": -LASS (ihcclludes radi6s)-.
r 03-0210.06:
} 226✓2006' n
75
s^j
36" X 60" Clad Direct Set Window 3/16" GLASS (includes radius)
03-0210.06
2262006
,'�+75/ �„
+75/-75
CC3072 2 Clad Casement w/ ROTO 65'yiS£ + r; r r4 y„
*4` 03-0213-13 �y;
9/1020064
'"rte+60/ 60 rH a:
CC3272 Clad Casement w/ ROTO 65
03-0213.13 _r y
9/102006
; ^ +65/-70
CC3660 Clad Casement w/ R0T0 65 y �T " `�` H , `' s "A
�"t;3
)x '{"r:03-0213 13 - 4
` 7 9/102006r
-00' * a
,;.e:iy.F..�...snY., w.,. ..hr..: �... .. �...r:vY _.a, r -.i t.is .. r.0 .r .. ax G ♦.':"
CC3248 Clad Casement w/ ROTO 65
.` d 4.' ...r ¢e..,..H.Ji..
03-0213.13
:6 "'• ._ }4 —
9/102006
. _i Ta rt: >•.5n,., a _. .'E...:.
+65/-70
CC3242 Clad Casement w/ ROTO 65 ; ' '� z
y"03-021313^
102006
a.
...... s ; s� f
+65/ 65 t _
CCS3072 Clad Radius Top
03-0213.13
9/102006
+65/-70
CCS3072-2,CIadRadiusTop:;,
�'
�,4�r:z ".
JELD-WEN does not imply that this tape of glass will meet all local building codes. Please contact your build ng code officials for more
information. The listed products are tested to 2001 Florida Building Code Test Protocols for High Velocity Hurricane Zones, TAS 201, 202; & 203.
Please contact your local dealer for information on multiple units.
Page xvi JELD-WEN reserves the right to change specifications without notice. List Price January 2005
�, r
u
Introduction JELBrWEN,
Pozzi@ Custom Collection WINDOWS & DOORS
PERFORMANCEDATA
PRIMED DOORS
Product
NFRC Certified
Structural
Ratings*
Glazing
U -Factor
SHGC
Air
DP
Primed In -Swing Door
IG Clear
0.44
0.46
rIG'LowE d
?z 034k',n
.+:v
IG Low -E argon
0.31
0.25
-0.17
20
Primed In -Swing French Door
IG Clear a� a'
.044 >•
Ji' 046 t' i `�,
'�
Y
IG Low -E
0.34
0.25
Primed Out -Swing Door
IG Clear
0.45
0.47
u1Glow E r'.. � . ,�
s...w.-o.h�l�..
;ani' � 0 34 5��i'+r
Yr•% 0 26�'� � ^y
�w
�r,�Rr r � �,9:
�'.c.�-. a.Y_s,:.�..Y..r..a,
�'ix, "" F
.a.c.,.,..F..•,7.•.w
IG Low -E argon
.t...� .bi!'.h..
0.32
.X:.aY�-+.:<'X'«.d.,.trri
0.26
•?
0.26
k,.dt"�`t.s'''a.H �:..�r-.�..:r.
30
Primed Out -Swing French Door
•�c....Msd.%.a_.. .��
'�.,,..:_'�.au.
3ai..:�Kxe04a w``.'�G�x.S.
;�.F.;a�`�rw7 �•�...-e.-��,.k
IG Low -E
:iivair.::.Ea.
0.34
0.26
..e.�r��. fi.iu 3.:,�nw(
i
tGL11,
owEar on r r_
9, ,
�r032 " r".
f ;i
U 26 e
n •,i�
}' 005 �r.�:.
Primed Narrow Gliding Patio Door
IG Clear
0.46
0.59
tlGLowE y4"� YFy"Y��+k'033�r
t
��.F�.•...r._ril�.:...a
�
�'.� �4..:.s..
ski
IG Low -E argon
0.29
...-L,..a...:..y'.�,..,
0.32
w.it
0.16
.'t y.. �.{.. �:
30
Primed Wide Gliding Patio DoorIGyClearxf�
0447':�.0
050
IG Low -E
0.33
0.27
IG'Low E argon R ,4 rrx-
7W 0 30
Primed In -Swing Patio Door Transom
IG Clear
0.44
0.46
rIGLow_Ey�µ�,'.._„`r��'.,
034"' �
�'*,'•"0`25`�`�'��
��K�:��� �'
-t-"'�1`��i"1""5'T,k;�:
SIG Low -E argon
0.31
0.25
�yNA`
NA
Primed Out -Swing Patio Door Transom
,IGClear a4 w. `� s
'.•w ...,.. .#...
x`^_044 -;?� t
s,,... �a
Y_0221'
,..,:.
IG Low -E
�a,xv E
0.35
.w
0.25
k
Low E ar on" :.>a
too 33s'r xrag
ower
-,air s .-, :5
Y r k
*For optional DP Ratings, please contact your factory representative.
The performance table and its values repesent only those glazing options listed. A complete list of optional performance values including optional glazing, optional grills and other
contributing factors, can be obtained by -contacting your JELD-WEN representative.
List Price April 200 4Iev. 2 JELD-WEN reserves the right to change specifications without notice. Page xv