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10-0263 (AR)P.O: BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number. 10-00000263 Property Address: 53200 AVENIDA CARRANZA APN: 774-051-010-15 -000000- Application description: ADDITION - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 3466 Applicant: i1 "`&t!t 4 4 a" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: �p !Ail LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 709611 of Di ision 3 of the Business and Professionals Code, and my License is in full force and effect. Licens ss: B / License No.: 34 697 6a:� �r7 tractor: F // 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 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 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.). 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 contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1 _ 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: WESTLOR HOLDINGS LTD 52465 AVENIDA VALLEJO LA QUINTA, CA 92253 Contractor: EAGLE CONSTRUCTION 31855 DATE PALM DR, CATHEDRAL CITY, CA (760)285-4959 Lic. No.: 347697 #3-500 92234 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/12/10 t P:6. '} 2010 t0 i ("iA�! 1- 61TY OF LIQ CAI( -41A 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. $1 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 STATE FUND Policy Number 238-0002307 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 worker mpensation laws of California, and agree that, if I s become subject to the workers' ompensation provisions of Section 3700 of theJ.abor ode, I shall forthwith comply with ose 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 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 have read this application and state tha a above information is correct. I agr to�omply with all city and c ty ordinances and state laws relating building construction, dhd hereby aut nze representatives of thi u ty t4 enter upon the above•mentione r5ey&.for,ction purposes, ,(A �--.— at / Y 'nature (Applicant or en 4;. LQPERMIT Application Number . . I. . . 10-00000263 Structure Information Construction Type . . . . . TYPE V, UNPROTECTED Occupancy Type . . . . . DWELLG/LODGING/LONG <=10 Other struct info . . . . . CODE•EDITION 2007/08 EENRGY # BEDROOMS .00 GARAGE SQ .FTG . 00, PATIO SQ FTG .00 1ST FLOOR SQUARE FOOTAGE 30.00 ---------------------------------------------------------------------------- 2ND FLOOR SQUARE FOOTAGE .00 Permit . . . BUILDING PERMIT INV FEE Additional desc . . Permit Fee . . . 126.00 Plan Check Fee 40.95 Issue Date Valuation . . . . 3466 Expiration Date 10/23/10 Qty- Unit Charge Per Extension BASE FEE 90.00 2.00 18.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 36.00 Permit . . . ELECT = ADD/ALT/REM INV FEE Additional desc . Permit Fee . . . . 35.10 Plan Check Fee 4.39 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/23/10 Qty Unit Charge Per Extension BASE FEE 30.00 30.00 .0700 ELEC NEW RES - 1 OR 2 FAMILY 2.10 2.00 1.5000 ------------------------------------------------=--------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 3.00 Permit . . . Additional desc . . Permit Fee . . . . Issue Date . . Expiration Date . . MECHANICAL INV FEE 39.00 10/23/10 Plan'Check Fee . . 4.88 Valuation . . . . 0 Qty Unit Charge -Per Extension BASE FEE 30.00 1.00 9.0000 EA MECH VENT INST/ DUCT ALT 9.00 ---------------------------------------------------------------------------- Special Notes and Comments 30 SF MUD ROOM ADDITION UNDER EXISTING ROOF AT ENTRY. 70 LIN FT BLK WALL 0 rm- LQPERMIT Application Number . . . . . 10-00000263 --------------------------------------- Notes and I Comments ADDITION TO EXIST. RET WALL PER ENGINEERED PLANS. 2007 CBC/ 2008 ENERGY. CODE CASE 10-1366- ADDITION WORK PERFORMED W/OUT A PERMIT. INVESTIGATIVE FEES ASSESSED PER CBC 108.4. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 4.10 STRONG MOTION (SMI) - RES .50 Fee summary ------------------ Charged Paid Credited ---------------------------------------- Due Permit Fee Total 200.10 .00 .00 200.10 Plan Check Total 50.22 .00 .00 50.22 Other Fee Total 5.60 .00 .00 5.60 Grand Total 255.92 .00 .00 255.92 rm- LQPERMIT Bin # City Of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # A Project Address: 5 3.- Z--C VU- -Age AA1 z4 Owner's Name: Vla i A. P. Number: Address: V e: C cl I'A City, ST, Zip: (14 GL t i� -Legal Description: Contractor: Telephone: Address: Project Description: City, ST, Zip: t�—t �5—� Lk C LA M, Telephone; el Z�- (Z,� State Lic. # City Lie. Arch., Engr., Designer: Address: (et fd• 0, X (-I. City, ST, Zip: Telephone: State Lic. Name of Contact Person: U L L e-) Construction Type: 1/1 Occupancy: IL_ Project type (circle one): Now Add' Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: \J Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Reqld Reeld TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount' Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan — 2*! Review, ready for rrectio sue Electrical Subcontactor List Called Contact Pers n ,Plumbing Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 34 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 FCC$ Total Permit Fees o 4t I I c ;+ /44&z4lp� Azzz Ms 4AJ-e 71-780 San Jacinto Dr. Ste. E2, Rancho Mirage, Ca. 92270 ph. (760) 834-8860 fax (760) 834-8861 To: City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253 Attn: Phillip We are forwarding: Includes: # Of Copies: ® 1 ® 1 Submittal: Letter of Transmittal Today's Date: 4-20-10 City Due Date 4-19-10 Project Address: 53-200 Ave. Carranza Plan Check #: 10-263 ❑ 15t ❑ 4th ® 2nd ❑ 5th ❑ 3`d ❑ Other: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Descriptions: Structural Plans Struct. Calcs Truss Calculations Soils Report Structural Comment List Redlined Structural Plans Redlined Structural Calcs Redlined Truss Calcs Redlined Soils Reports Includes: # Of Descriptions: Copies: ® 1 Revised Structural Plans ® 1 Revised Struct. Calcs ❑ Revised Truss Calcs ❑ Revised Soils Report ❑ Approved Structural Plans ❑ Approved Structural Calcs ❑ Approved Truss Calcs ❑ Approved Soils Report ❑ Other: Comments: Structural content is approvable, please mark the 2nd copy of the details with the Correct epoxy specification as noted on sheet S3.2 This Material Sent for: ❑ Your Files ❑ Your Review ❑ Checking Other: ❑ By: John W. Thompson Rancho Mirage Office: ® (760) 834-8860 Other: ❑ ® Per Your Request ❑ Approval ❑ At the request of: CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 4 o 47950 Dune Palms Road Q BERMUDADUNE S 0 rA RANCHO MIRAGE b Date 4/15/10 La Quinta, CA 92253 INDIAN WELLS PALM DESERT ,y No. 30659 (760) 771-8515 �N I QUINT INO10 L Owner Westlor Holdings LTD APN # 774-051-010 Address 52465 Avenida Vallejo Jurisdiction La Quinta City La Quinta Zip 92253 Permit # Tract # No. of Units 1 Type Residential Addition Lot # No. Street S.F. Unit 1 53200 Avenida Carranza 30 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments Lot # No. Street S.F. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions 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 This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 66996 Et Seq. in the amount of $0.00 X 30 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 - Vladi Vaglos Check No. Name on the check Telephone 760- Exempt BY Dr. Sharon P. McGehee Superintendent Fee collected /exempthd by Shat0�cGilh/f�y Payment Recd �% / / n �// //�� OvedUn deer Signature NOTICE: Pursuant to Government Code Section 66020(d)(1 this wi serve to notify you that the 90-day approval period in which you may protest the fees or other payment identified above will begin to run from the dat 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 # Qty of La Qu►nta 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 #403 Project Address: ✓ 3 �� i%� �/ ZQ A. P. Number: Owner's Name: Address: -2 ' L?C e C Legal Description: Contractor: City, ST, Zip: Lci Gu4'tA+J2Z S3 ° >:z>s.>::::::r,:>::>s :: z::>:>';;>;••:;<..:.. Telephone: • k�haY�%? �.��::�:.��?.owtiti<�;° Address: Project Description: 1 City, ST, Zip: �61�.STV�L� aVP TOY,- Telephone:y { .. r{•,:: �l7 UC lk► a�� C4' ifi 5�1 Vl a State Lic. # : City Lic. #-- Arch., Engr„ Designer: l�Q.`.lci�l WAC �G( I VVIIQ.U� • nUA&d t1- Address:ed LAk City,, ST, Zip: • YVI.I� �� <��ir�tir�: Telephone: >"'>.".mss; �k>s•: ion Type: ct r:,`�: >:�� :•'•'r•.>�^r:: Constru Occupancy: Li{:tv''lt^ri <:.."4.. LAY Lv State Lic. #: iv F fiL:SR{•.{V,{;ri.{\S. " °A"`''"V �''�".�a project type (circle one): New Add' Alter Repair Demo Name of Contact Person: b p . �: I �(r mC . Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: lU1WJT Estimated Value of project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets a Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person" �'. Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'! Review, ready for rrcctio ue Electrical Subcontactor List Called Contact Pers n Plumbing Grant Deed Pians picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`' Review, ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. ApprDate of permit issue School Fees c B S r Total Permit Fees S UtA By: John W. Thompson Rancho Mirage Office : ® (760) 834-8860 Other: ❑ YOUNENGINEERING SER VI C S w v I r.com 71:=780 San ;Jacinto Dr. Ste. E2; Rancho Mirage, Ca. 92270 ph. (760) 834-8860 fax (760) 834-8861 Letter of Transmittal To: City of La Quinta Today's Date: 4-20-10 78-495 Calle Tampico City Due Date 4-19-10 La Quinta, CA 92253 Project Address: 53-200 Ave. Carranza Attn: Phillip Plan Check #: 10-263 Submittal: ❑ 1st ❑ 4th ® 2nd ❑ 5th ❑ 3`d ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: # Of Descriptions: Includes: # Of Descriptions: Copies: Copies: ❑ Structural Plans ® 1 Revised Structural Plans ❑ Struct. Calcs ® 1 Revised Struct. Calcs ❑ Truss Calculations ❑ Revised Truss Calcs ❑ Soils Report ❑ Revised Soils Report ® 1 Structural Comment List ❑ Approved Structural Plans ® 1 Redlined Structural Plans ❑ Approved Structural Calcs ❑ Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other: Comments: Structural content is approvable, please mark the 2nd copy of the details with the Correct epoxy specification as noted on sheet S3.2 This Material Sent for: ❑ Your Files ® Per Your Request ❑ Your Review ❑ Approval ❑ Checking ❑ At the request of: Other: ❑ By: John W. Thompson Rancho Mirage Office : ® (760) 834-8860 Other: ❑ CERTIFICATE OF COMPLIANCE , Desert Sands Unified School District �4i'Q 47950 Dune Palms Road Q BERMUDA DUNES r � RANCHO MIRAGE ID Date 4/15/10 _ La Quinta, CA 92253 N INDIAN WELLS PALM DESERT y No. 30659 (760) 771-8515 LAO IO �QINa y� a Owner Westlor Holdings LTD APN # 774-051-010 Address 52465 Avenida Vallejo 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 53200 Avenida Carranza 30 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions 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 30 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 - Vladi Vaglos Check No. Name on the check Telephone Funding Exempt BY Dr. Sharon P. McGehee Superintendent Fee collected /exempt,Ad by Sh Signature a.r. ' 1 Payment Recd -Over/Undet - NOTICE: Pursuant to Government Code Section 66020(d)(1 this wi serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the dat 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