13-1206 (BLCK) IIIIIII VIII III VIII IIII 04T4ht 4 •
t P.O. BOX 1504 IE � 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: 9/24/13
Application Number: 13-00001206 Owner:
Property Address: 49452 AVILA DR MAHAFFIE JOHN
APN: 646-270-021- - - 49452 AVILA
Application description: WALL/FENCE LA QUINTA, CA 92253 n a
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1000 24 X013
Contractor:
Appl" nt: Architect or En ineer: JIANNONI DEVELOPMENT NAGEM OV�NTA
BRAID COURT
BERM C�'(Y Q C pEpT.
BERMUDA DUNES, CA 9220 pINAN
(760)902-444 1
Lic. No. : 979611
---------------- ---------- -- ------------------------ --- - -------- ------- --- -------------------- ---
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 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 'cense No.: 979611 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
l issued.
Date: 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
'ER-BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perj y that m exempt from the Contractor's State License Law for the Carrier EXEMPT Policy Number EXEMPT
following reason(Sec.7031.5,Business d 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 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 to the 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 shal orthwith cc pW 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($500).: Date: 1� Applicant: dr
(_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 ISec.7044,Business and Professions Code: The WARNING: FAILURE TO SECURE RKERS' MPENSATION 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 C INAL PE LTIES 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 AD TION 70 E COST OF 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 THE LABOR CODE,INTEREST,AND 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 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,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 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,
(_1 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 and employees 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 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 for which this permit is issued(Sec.3097,Civ.C.). city and county ordinances and state laws relating to building construction,and hereby authorize representatives
of this county to enter upon the above-mentioned property for ins ction purposes.
Lender's Name: r-
Date:'7 p� Signature(Applicant or Agent):
Lender's Address:
LQPERMIT
Application Number . . . . . 13-00001206
Permit . . . WALL/FENCE PERMIT 2013
Additional desc . .
Permit Fee . . . . 47.19 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 1000
Expiration Date . . 3/23/14
Qty Unit Charge Per Extension
1.00 47.1900 LS MISC WALL, FIRST 100 LF 47.19
----------------------------------------------------------------------------
Special Notes and Comments
BLOCK WALL 10 LN FT X 6 FT HT EAST SIDE
OF HOUSE PER ORCO STANDARDS 2010 CODES
APPROVED PER J.J. & S.T.SUBMITTED
13-1204 REMODEL.
----------------------------------------------------------------------------
Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00
PLAN CHECK, WALLS 60.06
Fee summary Charged Paid Credited Due .
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 47.19 .00 .00 47.19
Plan Check Total .00 .00 .00 .00
Other Fee Total 61.06 .00 .00 61.06
Grand Total 108.25 .00 .00 108.25
LQPERMIT
Bin# City of La Quinta
Building&r Safety Division
Permit.# P.O. Box 1504, 78-495 Calle Tampico .
\ La Quinta,CSA 92253-(760) 777-7012
?j 1 Building Permit Application and Tracking Sheet
Project Address: ^ L/�1 i Owner's Name: Q�
A.P.Number: Address:
Legal Description: City,ST,Zip: /4-
Contractor:
It 1�
Contractor: 1 Telephone: f <€a?? ` '� ...::;:;.;::,;,.:.
Address: L3-2`45 J�v3q t Project Description: 1 F , - V
City,ST,Zip: /'� C y 5'a A0 3 — B e c o cS
Telephone: W11
State Lic.#: /7 CityLic.#t
Arch.,Engr.,Designer.
Address:
11 er ,.
City.,ST,Zip: T ' v Ij—'t�O
Telephone: ;;>:>; Construction Type: Occupancy:
i•ii�.iWn�✓Y{pj�:jj;N�"jiv i•:� iiit}.;::
State Lic.#• z :>.:<- .;:c::.....::•::::.:c.,.:. .r..
<:: :;:::: � ;::::>h . .....??; Project type(circle one): New Add'n Alter Repair Demo
...........::.......................................
Name of Contact Person: Sq.Ft.: #Stories: #Units:
Telephone#of Contact Person:
p Q (' Estimated Value of Project: 0(70' v
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd 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 2°"Review,ready for corrections/issue Electrical
Subcontactor List Called Contact Person Plumbing
Grant Deed Plans picked up S.M.I.
H.O.A.Approval Plans resubmitted Grading
IN HOUSE:- '"`Review,ready for correctionsrssue Developer Impact Fee
+annine roval ailed_Gontact:R=nn moi.
Pub.Wks.Appr Date of permit issue
School Fees
Total Permit Fees
CITY, OF LA QUINTA-SUB-CONTRACTOR LIST
JOB ADDRESS PERMIT NUMBER OWNER BUILDER.
This form shall be posted on the job with the Building Inspection Card at all times in a consl2icuous place. Only persons appearing on this list or their employees are authorized to wor
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidanc,
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
Trade
. ...:... .:.: .
/Class�ficatio :::; :::;::;::<<;:::;:_ ,.. -Bus e5s License:;:::
n Contractor ::. .....State..Contracto .s License:: ::: :;.: Workers Co ensation:�nsu�aiice
City �► ...
r mp
Company Name Classification License Number Exp. Date Carrier Name Policy Number Exp. Date License Number Exp. Date
(e.g.A, B, C-8) (xxxxxx) (xx/xx/xx) (e.g. State Fund, CalComp) (Format Varies) (xx/xxlxx) (xxxx) (xx/xx/xx)
EARTHWORK (C-12)
CONCRETE(C-8) :>
FRAMING
STRUCT:STEEL. C-51) �t—
MASONRY (C•29) \l U LL l c, .31 7a 3
PLUMBING IC-36j
LATH; PLASTER(C=35) '
DRYWALL(C-9)
HVAC.(C-20)`
ELECTRICAL.(C=10)'
ROOFING
'SHEET.METAL(C43) `.
FLOORING (C`.':151:.:::;:;`-,...:;:
GLAZING (CI-!.7j:.:% .....:.;:.
INSULATION (C-2)
SEWAGE DISP (0-42)'
PAINTING (C-33)
CERAMIC TILE(C-54)
CABINETS (C-6)
FENCING (C-13)
LANDSCAPING (C=27)..
POOL (C-53)
IIIIIIIIIIIIIIIIIIIIII��I 05 CERTIFICATE OF COMPLIANCE Jas
IE Desert Sands Unified School District
47950 Dune Palms Road Q BERMUDA DUNES
V) RANCHO MIRAGE b
Date 12/2/13 La Quinta, CA 92253 N INDIAN WELLS �.
PALM
No. 31896 (760) 771-8515 �� LA QUINTAT
INOIO yeti .
0
Owner John Mahaffie APN# 770-01-046
Address 49-452 Avila Dr Jurisdiction La Quinta
City La Quinta Zip 92253 Permit#
Tract# No. of Units 1
Type Residential Addition
Lot# No. Street S.F. Lot# No. Street S.F.
Unit 1 49452 Avila Dr 34 Unit 6
Unit 2 Unit 7 RECEIVED
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10 DEC:,O 3 2013
Comments CITY OF LA QUINTA
COMMUNITY DEVELOP��p�T
At the present time,the Desert Sands Unified School District does not collect fees on garages/carports,covered patios/walkways,residential ac7ditibns under
500 square feet,detached accessory structures(spaces that do not contain facilities for living,sleeping,cooking,eating or sanitation)or replacement mobile
homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
Residential Addition 500 Sq Feet or Less
EXEMPT
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.00 X 34 S.F. or $0.00 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By Exempt- Joe Jiannoni Check No.
Bank Name/Recipient of Certificate Telephone 760-902-4441
Funding Exempt
By Dr. Gary Rutherford
Superintendent
Fee collected/exem d by M Ivrey Payment Recd Is0.00 1
Over/Under
Signature
NOTICE:Pursu nt to Government CodeLon 66020(d)(1 ,t Is will serve to notify you that the 90-day approval period in which you may protest the fees
or other payment identified above will berun from the a on which the building or installation permit for this project is issued,or from the date on
which those amounts are paid to the District(s)or to another public entity authorized to collect them on the District('s)behalf,whichever is earlier.
NOTICE: This Document NOT VALID without embossed seal
Embossed Original-Building Department Applicant Copy-Applicant/Receipt Copy-Accounting
LA LA
UINTA
IIIIIIIIIIIIIIIIIIIIIl 06 VIA,CHI EC�TURAL/LANDSCAPE HOMEOWNERS
EARIANCE REQUESTTON
DATE:
NAME: (c S v740n McAA f l(,�e
VILLA LA QUINTA ADDRESS: 1?E09VFD
MAILING ADDRESS:
VILLA LA QUINTA PHONE: OTHER PHONE: DEC Q 3 2013
MODIFICATION(s)REQUESTED: CITY OF
SCt E QLTCOMMU6�Z NITY DONEN
T
Architectural/Landscape Review Committee approval is requested for the proposed modifications listed above prior
to any work commencing. Applicable drawings are attached and delineate the type of material and specifications.
All work will be performed by licensed,insured contractors or by the homeowner doing their own work on their
property,as an owner. It is fully understood that the applicant is responsible for obtaining any and all permits
associated with the improvements. All costs will be the applicant's responsibility including,but not limited
to,irrigation lines,electrical,future water source and plant material.At the Board's discretion a deposit and/or
management processing fee may be required. Final approval of any and all landscaping modifications must be
approved by the Association before project can be closed. It is further agreed that future maintenance of the
approved modifications and common areas,as may be required as a result of said modifications will be at the
expense of the applicant and their successors in interest. The applicant agrees to hold harmless the Association from
any damages resulting from the approved modifications.
APPLICANT'S SIGNATURE:
Please submit to: VILLA LA QUINTA HOMEOWNERS ASSOCIATION
c/o Monarch Management LLC
PO Box 13710 gr
Palm Desert,CA 92255
760.776.5100 Fax: 760.776.5111
Request:
[4APPROVED [ ] DENIED
COMMENTS:
DATE: ( L
SIGNATURES: \G
Architectural/Landscape Committee
Architectural/Landscape Committee Architectural/Landscape Committee
IF COLOR IS INVOLVED PLEASE INCLUDE PAINT
CHIPS
vw
OPP
j -
N���,
YY 1 �w1 1
�� ow?