13-0690 (RER)f
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00000690
Property Address: 49789 COACHELLA DR
APN: 646-240-010- - -
Application description: REMODEL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 40000
Applicant: Architect or Engi1
NC.440
T4hf
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I'hereby affirm under penalty of perjury that I i icensed121.,
er rovisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business d ofes Code, and my License is in full force and effect.
License Class: B cense No.: 431792
Date:DCQntractor:
OWNER -BUILDER DECLARATION
hereby affirm under penalty of per' ry that 1 am exempt -from the Contractor's State License Law for the
following reason (Sec. 7031.5, Bus Hess 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 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).:
(_ 1 1, 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.).
1 _ 1 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 contractsfor the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I am exempt under Sec. , BAP.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 Name: _
Lender's Address:
LQPERMIT
Owner:
DECKERT JAMES
1232 W 61ST TER
KANSAS CITY, MO 64113
Contractor:
TR CONSTRUCTION
77224 CALLE POTRERO
LA QUINTA, CA 92253
(760)831-1863
Lic. No.: 431792
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/12/13
-----------------------------------------------
WORKER'S 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 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 policy number are:
Carrier EXEMPT olicy Number EXEMPT
I certify that, inthe performanc f the work for which this permit is issued, I shall not employ any
person in any manner so a b ome subject to the workers' compensation laws of California,
and agree that, if I should c s bj ct to the workers' compensation provisions of Section
3700 of the Labor Code fo h 34th comply with those provisions.
�te: // %% 1Z X13 Applicant:
WARNING: FAILURE TO SECURE ORKERS' 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 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 to cancellation.
I certify that I have read this application and state that the above infor ati n i correct. I.agree to comply with all
city and county ordinances and state laws relatingt wilding r tion a�i hereby authorize representatives
of this county to enter upon the above-mentioned prop in tion (F oses.
Date,.7-J2 ?O/lignature (Applicant or Agent):
41
9
LQPERMIT
Application Number . . . . . 13-00000690
Permit
ELECTRICAL 2013
Additional desc . .
Permit Fee . . . .
23.83 Plan Check Fee
.00
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
1/08/14
Qty Unit Charge
Per
Extension
1.00 23.8300
--------------7-------------------------------------------------------------
LS ELEC DEVICES, FIRST 20
23.83
Permit
MECHANICAL 2013
Additional 'desc .
Permit Fee . . . .
11.92 Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date .
1/08/14
Qty Unit Charge
Per
Extension
1.00 11.9200
----------------------------------------------------------------------------
EA MECH APPL REP/ALT
11.92
`. Permit. . .
PLUMBING 2013
Additional desc . .
Permit Fee . . . .
11.92 Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration.Date
1/08/14
'
Qty Unit Charge
Per
Extension
1.00 11.9200
----------------------------------------------------------------------------
EA PLBG WATER INST/ALT/REP
11.92
Permit
REMODEL 2013
Additional desc .
Permit Fee . . . .
21.45 Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
1/08/14
Qty Unit Charge
Per
Extension
1.00 21.4500
EA MISC REMODEL, ADDL 500 SF
21.45
----------------------------------------------------------------------------
Special Notes and Comments
DEMO IN CONJUNCTION WITH
KIT. REMODEL
AND CHANGE OUT WINDOWS.
PER 2010 CALIF
BILDING CODES.
July 12, 2013 1:29:14
PM jjohnson.
-----------------------------------------------
Other Fees . . . . .
-----------------------------
. . . . PLAN CHECK, ELECTRICAL
23.83
PLAN CHECK, REMODEL
17.16
i�
Application Number
. . .
13-00000690
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
PLAN CHECK,
MECHANICAL
4.77
PLAN CHECK,
PLUMBING
11.92
STRONG MOTION (SMI) - RES
4.00
Fee summary
Charged
Paid
Credited
Due
------------------
Permit Fee Total
----------
69.12
----------
.00
--------------------
.00
69.12
Plan Check Total
.00
.00
.00
.00
Other Fee Total
61.68
.00
.00
61.6'8
Grand Total
130.80
.00
.00
130.80
r
LQPERMIT
Bln.1/
l/
1.� Of Ld Quintci
Bulfdfig 8t Safety Maori
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application' and Tracking Sheet
Permit #
G�
project Address: /�
Owner's Name:. Jim �.
A. P. Number.
Address:
Legal Description:
City, ST, Zip. Z 3
Contractor. '�"� Ili
Telephone: No -12&-17W
Address: "7722-dM1 O
Project Description: �,r, 0 Mo1)aI—
City, ST, Zip: LA UI ZZ6
-7' 61641-, • ,
Telephone:
state Lic. # : 3i7�2� City Lit V, d j tj j clel6e�
Arch, Engr., Designer.�/�v/oct A�!#
Address:
City, ST, Zip:
Telephone: Construction Type:. Occupancy:
State Lic. #: Project type (circle one): New Add'n Alter Repair Demo.
Name of Contact Person: R1 t6q� i 6MF-aA- Sq. Ft: # Swries: #Unit;
Telephone # of Contact Person: Ab 9 1 V02 Estimated Value of Project: Ho coo , a 0
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
Reed
TRACKNG PERMIT FEES
Plan Sets
Plan Check submittedItem Amount
Structural Calls.
Revlewed, ready for corrections 'l Plan Check Deposit. .
Truss Cala.
Called Contact Person Plan Check Balance.
Title 24 Calci.
Plans picked up Construction
Flood plain plan
Plans resubmitted echardw
Grading plan
V Review, ready for correctio e ? (2 Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
?tans picked up ML
L
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE;-
Review; ready for correctionVIssae Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Ysr'
Total Permit Fees
Pfmt Quite
I`.12 More wiring. More doing:
SALES ASSOCIATE: ERIC
Home Depot Store # 6630
79900 HIGHWAY 1 i 1
LA QUINTA, CA 92253
7603478722
Page l of 3
CUSTOMER:
HERRERA, TRINIDAD
77224 CALLE POTRERO
LA QUINTA, CA 92253-
3707
(760) 831-1863
DATE: 05/22/2013
Thank you for shopping The Home Depotl We value your business!
ITEM FRAME SIZE LOCATION PRODUCT CODE DESCRIPTION UNIT PRICE QTY TOTAL PRICE
0001 Andersen Windows and Patio Doors $1,789.77 1 $1,789.77
Composite COMPOSITE: T7 1/2". JOINING KIT, TERRATONE 45 $141.45
RO SIZe =4 0" W X 3' 8" H Unit DEGREE MULL WHITEI 0000000
Size = 4' 1 3/4" W x 3' 7 1/2" H
COMPOSITE: LABOR, APPLY MULL 10000000 $94.82
COMPOSITE: T7 1/2", CASING, IS 45 DEGREE MULL
$25.17
POST 2 IN WHITE (2)10000000
COMPOSITE: C4S0/A4H0/P40SD, EXT JAMB, WHITE 4
$21.29
9116 WALL PR P11(1)1354648
COMPOSITE: ROUGH OPENING 4' 0" X TV, WHITE -
$364.80
PAINTED HEAD AND SEAT BOARD, 45 DEGREE BAY,
PROJECTION 14.875, 4 9/16" WALL, SETI 0000000
COMPOSITE: ROUGH OPENING 4'0"X T15%
$149.82
PLATFORM, 45 DEGREE, 3 WIDE, PROJECTION
14.875, 4 9/16" WALL, SET10000000
COMPOSITE: 1501N, CASING, TERRATONE AUXILIARY
$35.34
W/SCREWS RIA; APPLIEDI (1)1454108
COMPOSITE: 9FTPAIR, CABLE SUPPORT, SYSTEMI (1)
$28.88
1355020
• Composite Unit - Casement 45 Degree Angle Bay
Part Number: 0000000
• Mulling Location: Distributor
• Mull Priority: Vertical
• Bay Option Type: Standard Bay -Projection
Head and Seat Board Color/Species: White -Painted
Head and Seat Board: 45 Degree, 4 9/16" Wall
` Projection: 14.875
• Platform Board: Top and Bottom Platforms
Top Auxiliary Casing: Top Auxiliary Casing
Casing Application Location: Top Auxiliary Casing Applied to Unit
• Unit Code/Item Size: 45 -PSC 1'6" x 3'6" -PSC 1'6" x 3' 6" -PSC 1'6' x 3 6" -Bay
• Operation/Handing: L -S -R
Sub Unit 1 PSC 1'6"x T6', Unit, TerratonelWhite - Factory Painted, $299.98
RO Size =1' 61/2" W x 3' 6112" H L Handing, High Performance Low -E4 Glass
Unit Size =1' 6" W x 3' 6" H PSC 1'6"x 3'6", Insect Screen, White $21.89
Hardware Pack, PSC, Andersen Classic Series - White $5.17
1361536
• 400 Series, PSC Single Units
! • Unit Code/Item Size: PSC 1'6" x T6" (Custom)
Operation/Handing. L
• Frame Option: Nailing Flange
httn-//ventinrarni.q-homedet)ot.com/usp/PiintQuote jspx 5/22J2023
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Exterior Color: Terratone
Interior Color: White - Factory Painted
Glass Type: High Performance Low -E4 Glass
Insect Screens: White
Hardware, Andersen Classic Series - White
Page 2 of 3
• Zone.- None
• U -Factor: 0.29, SHGC: 0.32
• -------------------------------------------------------------------------------------------------------------------
Sub Unit 2 PSC 1'6"x 3'6', Unit, TeratoneMhite - Factory Painted, $274.12
RO Size =1' 6 112" W x 3' 6 112" H S Handing, High Performance Low -E4 Glass
Unit Size =1'6"Wx3'6"H
• 400 Series, PSC Single Units
• Unit Code/Item Size: PSC 1'6" x 36" (Custom)
• Operation/Handing: S
• Frame Option: Nailing Flange
• Exterior Color: Terratone
• Interior Color: White - Factory Painted
• Glass Type: High Performance Low -E4 Glass
• Zone.- None
• U -Factor: 0.29, SHGC: 0.32
- -------------------------------------
Sub Unit 3 PSC V6' x TV, Unit, Terratone/White - Factory Painted, $299.98
RO Size = 1' 61/2" W x 3' 61/2" H R Handing, High Performance Low -E4 Glass
Unit Size = 1'6" W x 3' 6" H PSC 1'6"x 3.6", Insect Screen, White $21.89
Hardware Pack, PSC, Andersen Classic Series - White $5.17
1361536
• 400 Series, PSC Single Units
Unit Code/Item Size: PSC 1'6" x 3'6" (Custom)
Operation/Handing: R
• Frame Option: Nailing Flange
• Exterior Color: Terratone
• Interior Color- White - Factory Painted
i • Glass Type: High Performance LoW-E4 Glass
• Insect Screens- White
• Hardware: Andersen Classic Series - White
' -------------------------------------------------------------- ----------------- -------- —----- ------------------------
• Zone: None
• U -Factor: 0.29, SHGC: 0.32
• ------------------------------------------------------------------------------------------------------------------------------
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