BRES2017-003278-495 CALLE TAMPICO Ct V
LA'QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
11311.111MG PER,IVIIT
Application Number: BRES2017-0032
Property Address: 79500 CITRUS MAR 2 3 2017
APN: 776140017
Application Description: DE LA CRUZ RESIDENCE / GAR'A E ADD'T
Property Zoning: CITY OF LA QUINTA
Application Valuation: $25,000.00 DESIGN AND DEVELOPMENT DEPARTMENT
Applicant:
GALLAUDET CONSTRUCTION
54-065 AVENIDA DIAZ
LA QUINTA, CA 92253
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B License No.: 919430
Date: 2 -. '� ..RContra 1,o :
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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
Contractor's 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 theIg
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 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.).
(_) 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.).
(_J I am exempt under Sec. . B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS. (760) 777-7153
Date: 3/23/2017
Owner:
GINA & JOE DE LA =RUZ
79500 CITRUS
LA QUINTA, CA 9253
Contractor:
GALLAUDET CONST RUCTION
54-065 AVENIDA C3AZ
LA QUINTA, CA 92253
(760)413-7552
Llc. No.: 919430
. WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of tie 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 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 insurance carrier and polity number are:
Carrier: EXEMPT Policy Number: _
I certify that in the performance of th. work for which this permit is issued, I
shall not employ any person in any manner so a__ 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 forthwith
comply with those provisions.
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 ($100,0001, IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this applicarion 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 is!uance of such permit, or cessation of
work for 180 days will subject permit to cancella-ion.
I certify that I have read this application and stat2 that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purpo!es.
166.1 /z Signature (Applicant or Agent):
Date: 3/23/2017
Application Number: BRES2017-0032 Owner:
Property Address: 79500 CITRUS GINA & JOE DE LA CRUZ
APN: 776140017 79500 CITRUS
Application Description: DE LA CRUZ RESIDENCE / GARAGE ADD'T LA QUINTA, CA 92153
Property Zoning:
Application Valuation: $25,000.00
I
Applicant: Contractor:
GALLAUDET CONSTRUCTION GALLAUDET CONSTRUCTION
54-065 AVENIDA DIAZ 54-065 AVENIDA DIAZ
LA QUINTA, CA 92253 LA QUINTA, CA 92'53
(760)413-7552
LIc. No.: 919430
---------------------------------------------------------------------------------------------
Detail: 42 S.F. ADDITION AT SOUTHWEST OF GARAGE TO ACCOMMODATE AN ADDITIONAL GOLF CART SPACE WITHIN TH = GARAGE. NO ADDITIONAL
CONDITIONED SPACE IS CREATED. ADD RECEPTACLE AT CEILING FOR GARAGE DOOR OPENER. THIS PERMIT DOES NOT INCLUDE ALTERATION OF THE
PLUMBING OR MECHANICAL SYSTEMS. 2016 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT
QTY AMOUNT
ADDITION, FIRST 100 SF
101-0000-42400
0 $127.68
DESCRIPTION
ACCOUNT
'QTY AMOUNT
ADDITION, FIRST 100 SF PC
101-0000-42600
0 $179.36
Total Paid for ADDI—ION: $307.04
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - YES ADMINISTRATIVE STAFF
101-0000-42600
0.25
$10.00
DESCRIPTION
ACCOUNT
41TY
AMOUNT
HOURLY CHARGE -YES STRUCTURAL PLAN REVIEW ENGINEER
101-0000-42600
1
$95.00
Total Paid for BLDG CITY STAFF - PER HOUR: $105.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$25.33
Total Paid for ELECTRKAL: $50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$3.25
Total Paid for STRONG MOTION INSTRUMENTATION 5M1: $3.25
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
.0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
a;t, L
Permitv
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Projec t Address: '"TE; -
arty of 1a QUillta
Building &r Safety Division
78-495 Calle Tampico
La Qulnta, CA 92253 - (760) 777-701,2
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Building Permit Application and Tracking Sheet
Owner's Name: ie, ®v
A. P. Number:
Address:
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Legal Description:
City, ST, Zip: "L
Contractor: of L Lrtiv
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P h o e.
Address: _
ProjectDescription:
City_ ST, Zip: LA, out
Telephone:
one:
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State Lie. # : 9 y' City Lie.
Arch., Engr., Designer: ,
Address:
City, ST, Zip:
Telephone:
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Occupancy: Type:
State Lie.
Pro•ecttYP Demo'
type ne • New Add'n AlterRepair
Name of Contact Person: rr�
Sq. Ft.: 3C
# Stories:
# Units:
Telephone # of Contact Person: -7W
1 —7 S']; -Z--
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposat
Truss Calcs.
Called Contact Person
Plan Check Balan:e.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II-O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. APPr
Date of permit issue
SC11061 Fces,
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Total I'cr lit Fees
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Your Review
❑ Approval
Letter of Transmittal
❑
To: ,City of La Quints Today's "Date: 3-15-17
'
78-495 Calle Tampico City Due Date: 3-17-17
Other:,[]
La Quinta,,CA 92253 Project Address: 79500 Citrus
�'Attn: MARY. Plan Check#: BRES2017-0032
• Submittal: • ❑ 15c 0 4th
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orwarding r ❑ By Messenger ❑ By Mail (Fed Ex or UPS)
Weare forwarding:
❑ Your Pickup,
Includes: • fG 3 Descriptions: Includes: # Of
Descril:tions: ,, '
F Copies:
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❑ Structural Plans' ❑
Revised Struct. Plans
Structural -Calculations ❑
Revised Struct. Calcs
❑ Truss Calcs ❑
Revised Truss Calcs
❑ . Soils Report - Update *'❑ ,,;
Revised Soils Report
❑ Structural P/C Responses O
Approved Structural Plans"
- / Comments 1
❑ Redlined Structural Plans O 1
Approv-d Structural.Calcs
❑ ` Redlined Structural Calcs ❑
Approved Truss Calcs
❑ Redlined Truss Calcs ❑ "
Approv-3d Soils Report
` 0 Redlined Soils Reports ❑
Other:
- .Comments: Structural content is approvable:
Transit Per Diem=, ,
Admin Time = 0.25 hrs.`
Structural Engineer/Principal Review Time 0.0 hrs.
,
Plan Review Engineer. Time = 1.0 - hrs.
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This
Material Sent
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❑.
Your Files
0 Per Your Request
r❑
Your Review
❑ Approval
`
❑
Checking -
❑ At the request of:
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Other:,[]
By.
Joe Venuti
' Office :.EJ_
(760) 772=5107
Other: 0'
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