DSF (06-1664)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN.
Application description
Property Zoning:
Application valuation:
Applicant:
06-00001664 -
_54155 AVENIDA MENDOZA
774-222-018-8 -000000-
DEMO - SINGLE FAMILY
COVE RESIDENTIAL
Architect or Eng
Ti&t °f 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
------------------------------------------------'--
LICENSED CONTRACTOR'S DECLARATION
1 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 Professionals Code, and my License is in full force and effect.
License Class: C36 LicenseNo.: 833977
Date: Contract
OWNER -BUILDER 9 CLARATION
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 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
h,y 7044, Business and Professions Code: The*Contractors' State License Law does not apply to an owner of
�n property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
( 1 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 Name: _
Lender's Address:
LQPERMIT
Owner:
HOMECOMMING FINANCIAL
9350 WAXIE WAY
SAN DIEGO, CA 92123
Contractor:
FODOREANU, ZOREL E.
73550 TWO MILE ROAD, #12
TWENTYNINE PALMS, CA 92277
(818)439-2942
Lic. No.: 833977
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/27/06
-----------------------------------------------
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 Policy Number EXEMPT
I certify that, in the performance 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 shil forthwith comply with those provisions.
1
lica
Date: ' App
WARNING: FAILURE TO SECURE WORKERS' COMPENSATA6N COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 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 county to enter upon the above-mentioned property for inspectio urposes. '
l e�
`Date: _4,6/ ignature (Applicant or Agent): .
Application Number . . . . 06-00001664
Permit
DEMO PERMIT
Additional desc .
.
Permit Fee . . .
. 45.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. 0
Expiration Date
10/24/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00
----------------------------------------------------------------------------
Special Notes and
Comments
REVISION TO RETURN
GARAGE TO ORIGINAL
CONDITION PRIOR TO
UNPERMITTED WORK.
Fee summary
-----------------
Charged Paid
--------------------
Credited
--------------------
Due
Permit Fee Total
45.00
.00
.00
45.00
Plan Check Total
.00
.00
.00
.00
Grand Total
45.00
.00
.00
45.00
Ix
C
LQPERMIT
B'° #
�. City of La Quints
Building & Safety Division
Box 1504, 78-495 Calle Tampico
U Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
�IIU
Project Address:'
Owner's Name: +I Q P 7®"t, f'AJ(3- 1-F7'Al N!CA
A. P. Number:
Address:
Legal Description:
City, ST, Zip: �(ro Ck 92-1 2
Contractor: DP—�A j 4
Telephone:
Address: 715VO /2
Project Description:
City, ST, ZiP: -92,2- `% 7
Telephone: 84 73q
State Lie. # : 77 City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING .
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy 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
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d 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
Total Permit Fees
QUINTA
APRET�[�0& 77 0 DEPARTMENT
C11"10 F _ QUEST LINE
FiN 77153
OMMING FINANCIAL
ContractorZ. FODOR.EANU
Permit Number1 06-1664
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 54155 AVENIDA MENDOZA
REVISION TO RETURN GARAGE TO ORIGINAL
CONDITION PRIOR TO UNPERMITTED WORK.
TYPE OF INSPECTION I DATE I INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING / WASTE
U/G ELECTRICAL/ GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
FRAMING (COMBINATION)
POI I(;H FI FC:TRIr. '
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT.
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND- BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER ALARMS / BARRIERS
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
ELECTRICAL
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED
� (�C�LT7oN �-F1L� it
ABOVE APPROVALS DO NOT INCLUDE RI HT TO
TURN ON UTILITIES OR OCCUPY BUILDING
� pp6
June 14, 2006
Jackie Misuraca
City of La Quinta / Code Compliance Dept.
P.O. Box 1504
La Quinta, California 92247
RE: 54155 Avenida Mendoza
Dear Ms. Misuraca,
Please be advised that Atlas REO Services (Go Homecomings Financial Network) has authorized
Charles Burks of Southwest Serving Group to perform all applicable tasks as it relates to restoring the
above referenced property back to code. I appreciate your continued cooperation in the matter. Please
do not hesitate to call with questions or concerns should they arise during this process.
Sincerely,
Rya Duncan
Ass t anager