06-1806 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
06-000018'06
81874 COUPLES CT
764-060-010- - -
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
37.2875
Td4t 4 VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/07/06
Owner:
DAVID & NANCY DOWGIALO
P.O. BOX 1682,
DETACHED LA QUINTA, CA 9.2253
Architect or Engineer:
Lia. No.: OOR. SQUARE FOOT
LICENSED CONTRACTOR'S DECLARATION
I,hereby-affirm under. penalty of perjury that I am licensed under asefflbions of'Chapter 9 (commencing with
Section 7000)'of Division 3 of the Business and'Prof ne , and my License is In,full force and effect.
License.Class: B nseNo.: 710230
Da1141-1-4
te: Convector:
0 ER•BUILDER DECLARATION
I hereby affirm under penalty of perjury that. Lam exempt from the Contractor's State License Law'for'-the
following reason (Sec. 7031.6, Business and Professions Code: Any city or county that requires -e permit to
construct, alter, improve, demolish, or repair anystructure, prior to its Issuance; also requires the,applicant.for the
permit to file e'signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9'(oonimencing 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 Section7031.6 by
any applicant for a peimit.subjects the applicant to a clvil.penalty of.not more than five hundred:dollars (9600)::
(_ 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 doeathe worbhimself 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 thathe 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.).
I—) 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 performanceof the
work for which this permit is'issued (Sec. 3097, Civ:.C.)• '
Lender's Nerve: _
Lender's Address:
LQFEERMIT
D � D
Contractor: .
BOVENZI HOMES SE 15 ZOOS
P.O. ,BOX 1714
TRUCKEE, CA 9616,0 CITY OF LA QUINTA
(530)613-1173 FINANCE DEPT
Lia. No.: 710230
------------------
WORKER'S COMPENSATION DECLARATION
I Hereby affirm under penalty of perjury one of the following declarations:.
_ I have and will maintain a certificate otconsent to,seff-insure for workers' compensation, as provided
for'bySection 3700,ofthe Labor Code, for the peHormanceof 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 performanceof 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 ofthe work for w ' his perma,is Issued, Lshall not employ any
person in any manner. so as to become bje o.. workers' compensation laws.of California„
and agrae.that, if l should oma su the orkers' compensation; provisions of Section
3700 of the Labor C II w o y with those provisions.
Dater Applicant: _
WARNING: FAILURE SECURE WORKERS' CO PENSATION C VERA E;I NLAWFUL AND SHALL
G S.0
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO.ONE HUNDRED THOUSAND
DOLLARS (9100,000). 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 permitsubject,to the
conditions and restrictions set forth on this applicatlon.
1..
Each.person'upon whose behalfthis application is made,, each person atwhose 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 Le Quints, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
I. Any permit,issued as a result of this application becomes null and void if work Is not commence_ d
within 180 days from date of issuance of.such permit, or cessation of work for 1.80 days will subject
permit to cancellation.
I certify that I have read this applicati5t,o
state that the above, inf atiN- rrect. I agreeao comply with all
city and county ordinances and statelating to Iding, co , cti nd hereby authorize representatives
of this county to enter upon the abov, pact pu sea,
Date: !7:&& Signature (Appll
els. 7-I $-07
Application Number 0:6-00001806
Permit.
. ..
BUILDING PERMIT
Additional
desc .
Permit Fee
. . . .
15.95.00
Plan Check Fee ..
1036.75
Issue Date
Valuation . . . .
372875
Expiration
Date
3/06/07
Qty Unit. Charge
Per
Extension
BASE
FEE
639.50
273.00
-----------------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-5.00,000
955.50
Permit
. . .
ELEC-NEW RESIDENTIAL
Additional
desc .
Permit Fee
. . . .
196.86
Plan Check Fee
49.22
Issue Date
. .
Valuation
0
Expiration
Date
3/'06/07
Qty Unit Charge
Per
Extension.
BASE
FEE
15.00
4337.00
.0350
ELEC
NEW RES.- 1.OR 2 FAMILY
15.1..80
753.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
15.06
1.00
15.000'0
EA ELEC
TEMPORARY POWER POLE
15.00
Permit
GRADING PERMIT.
Additional
desc . .
Permit Fee
. . .
15.00
Plan Check Fee
.00
Issue Date
. . .
Valuation . . . .
0
Expiration
Date
3/06/07
Qty Unit Charge
Per
Extension
BASE
FEE
i5.60
Permit.
. . . MECHANICAL
Additional
desc . .
Permit Fee
. . . .
1.14..50
Plan Check Fee .
28.6.3
Issue Date-
Valuation
6
Expiration
Date
3/06/07
Qty Unit Charge
Per
Extension
BASE
FEE
15'.00
3.00
9.0000
EA MECH
FURNACE <=100K
27.00
3.00
9.00;0.0
EA MECH
B/C <=3HP/10.OK BTU
27.00
6.00
6.5000
EA MECH
VENT FAN
39.00
1.00
6.5000
EA MECH
EXHAUST HOOD
6.50
LQPERUff
Application Number . . . . . 06--00001806
Permit. . . .
PLUMBING
Additional desc . .
Permit Fee . . . .
204.75 Plan Check Fee
5.1.19
Issue Date . . .
Valuation . .
0
Expiration Date
3/06/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
22.00 6.0000
EA PLB FIXTURE
132.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
1.0.0 3.0000
EA PLB WATER INST/ALT/REP
3.00
1..00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
11..00 .7500
EA PLB GAS PIPE >=5.
8.25
1.00 15.0000
EA PLB GAS METER
15.00
------------------------------------------------------------
Special Notes and Comments
-
4,337 SQ FT SFD, THIS
PERMIT DOES.NOT
INCLUDE POOL SPA BLOCK WALLS OR
DRIVEWAY_ APPROACH.August 28., 2006
3:12:30 PM aortega
---------------------------------------------------------------------
---------
Other Fees . . .
. . . . ART IN PUBLIC PLACES -RES
432.18
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
103.68
DIF FIRE PROTECTION -RES
14'0.00
GRADING PLAN CHECK FEE
15.00
DIF LIBRARIES - RES
355.0.0
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
37.28
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary Charged Paid Credited
----------------- ---------- ---------- ----------- -
Due
--------
:Permit Fee Total
2126.11 .00 .00
2126.11
`Plan Check Total
1165.79 500.00 .00
665.79
Other Fee Total
4284.14 .00 :00
4284.14
Grand Total
7576.04 500.00 .00
7076.04
LQPERMIT
1 4 _._
4 o,6--dO6
PO. BOX" 1504 APPLICATION ONLY
Building 78-495 CALLE TAMPICO
Address Al 67 q C OVOLeS GT-. LA QUINTA, CALIFORNIA 92253
4 "Aicq Do%A/&, ALo
Address F,10
city
A- &_,., N 44.
r
22 q,*,7
BUILDING: TYPE CONST. OCC. GRP.,
A.P. Number-4�,,�,r�'�� d
Legal Descriptionyj"' ' e 1 %i 1 AST Z 6 019 3
�
Project Description s'
nuw vao
City
IG4 ( �
Zipel.
92.2_5 s347-03
State Lic.,, ity .01
& Classif. ?J02 -so Lica# &90� r
Arch., Eogc,
Designer 4ELCGr -
Address
paw
Tel
c,,,.i P1.
P. ��►1, 4 5 19 2Z6 Z ILio. # --
ill LICENSED CONTRACTOR'S DECLARATION
I herebyaffirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) ofDivision3 of the Business and Prafesslons Code, and my license is In full force and
effect
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5, Business and Professions Code- Any city or count which requires a
permif to consmict, alter, improve„da' olish;'or repairany structure, prior to its Issuance also
requires the epp9cant for such permiMo file a signed statemant that'he is licensed pursuant to
the provisions of the Contractor's License Lew, Chapter 9 (commencing with;Section 7000) of
Division 3 of the Business.and Professions Code, or that he 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do
thework, and the structure Is not intended or offered.for sale. (Sec. 70441, Business and Profes-
sions Code: The Contractor's License Law does not;apply to an owner of propertywho builds
ori ves thereon and who does such work himself o! ihroughWs"own am plo as, provided
that; suchimprovemenfs are not intended or offered fossa/e. If,' however, the building or im-
provement;is sold within one year of completion, the owner. -builder will have the burden of
proving that he did not build or Improve for the purpose of sale).
❑ I, as owner of the properly, em exclusively contractingg with licensed contractors to construct
ltle project. (Sec. 7044, Business and ProfasslonsCodei TheContractor's License Law does
notapply to an owner of property: who builds or Improves thereon; and, who contracts for such
pro/ects with a confrector(s) licensed pursuant to the Conhactor's'License Law.)
❑ I am exempt under Sec. B'. & P.C. for this reason
Date owner
WORKER'S COMPENSATION DECLARATION
1 hereby affirm that I' have a certificate of consent to self -insure, or a, certificate of Worker's
Compensation Insurance, or'a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
O Copy is filed with.the city. O'Certifled.copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'"COMPENSATION INSURANCE
(This section need not be completed ifthe permit IsJor one hundred dollars ($100) valuation
or less).
I certify that -in the performance of the work for which this permit Is issued, I shall not
emQloy any"personln any manner so,as to become subject to Workers' Compensation Laws of
Calrfornia-
Date Owner
NOTICE TO APPLICANT.• If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
compty with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work
for which this permit is Issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
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 city to enter the above-mentioned
property.for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
WHITE = BUILDING DEPARTMENT
Sq. Ft. (� �.
Size F
New ❑
No. 1 t No. Dw:
Stories Units
Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback froth Center Line
Rear Setback from Rear Prop. Line
Side Street Setback:from Center Line
Side Setback from Property Une
FINAL DATE INSPECTOR
Issued.by: Date Permit
Validated by:
Validation:
YELLOW =•APPLICANT PINK = FINANCE
=- I
Coachella Valley Unified School District
83-733 Avenue 55, Thermal, CA 92274
(760) 398-5909 — Fax (760) 398-1224
Project Name: MIM Dowgialo
This Box For District Use Only
DEVELOPER FEES PAID
AREA:
AMOUNT
LEVEL ONE AMOUNT:
LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
COMWIND. AMOUNT:
DATE:
RECErrrI .
CHECK #:
INITIALS:
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Date: 05/10/06
Owner's Name: M/M Dowgialo Phone No. (
Project Address: 81874 Couples CT.,.La Quinta, CA
Project Description: 1 Single Family Dwelling
APN: 764-060-010 Tract #:
Type of Development: Residential XX
Commercial
Lot #'s:
Industrial
Total Square Feet of Building Area: 4,337 sq. Ft.
Certification of Applicant/Owners: The person signing certifies'that the above info on is correct and makes .this statement under
penalty of perjury and further represents that he/she is authorized to sign on be owner/developer.
Dated: 05/10/06 Signature:
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF''THE FOLLOWING: (CIRCLE ONE)
Education Code Gov. Code Project Agreement Existing Not Subject to Fee
17620 65995 Approval Prior to 1/1/87 Requirement
Number of Sq.Ft. 4,337 sq. ft.
Amount per Sq.Ft. $ 2.63
Amount Collected $ 11,40631
Building Permit.Application Completed: Yes/No
By: Carey M. Carlson, Asst. Supt., Business Services
Certificate issued by: Leticia C. Torres, Facilities Analyst Signature
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1,1997, requires that this District provide (1) a written notice to the
project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these
Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of,the Government code and other applicable law, this Notice shall serve to
advise you that the 90 -day protest period in regard to such Fees or the validity thereot; commences with the payment of the fees or performance of any other
requirements as described in section 66020 of the Governmentcode. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this
time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof This Certificate of
Compliance is valid for thirty (30) days from the date of issuance. Extension will be:grauted only for good cause, as determined by the School District, and up
to three (3) such extensions may be granted. At such time as this Certificate expires, if a building -permit has not been issued for the project that is the subject
of this Certificate, the,owner will be reimbursed all fees that were paid to obtain this Certificate oCompliance..
LT:c/mvdocs/dev,fees/certificate of compliance Form IablesTO USE.doc 1/16/03 T
Jun 29 06 09344a PPM 760-325-9300 p.4
THE VX LACE 4W THE PALMS
HOMED I�1 �NERS ASSOCIA 77ON
CIO Maoae%ized Property Manvemenr Company
June 29. 2006
DAVID & NANCY DOWGIALO
P.O. BOX 1682
LA QUINTA, CA. 92253
cc: NIR. MARK BOVENZI
56.078 PALMS DRIVE
LA QUINTA CA. 92253
Dear Mr. & Mrs. Dowgialo & Mr. Bovenzi:
The Architectural Committee and Board of Directors of the The Village a The Palms
Homeowners Association has reviewed all of the plans you submitted for the
construction of your home in The Village C The Palms. After a complete review by the
Committee, The Board of Directors and the consulting architect, the plans have been
deemed approved as presented, as all criteria have been met.
Please feet free to contact the undersigned for any questions you may have. The Board
appreciates your patience during this process and wishes you well in the construction of
your new home.
For THE VILLAGE 1`iM THE PALMS HOMEOWNERS ASSOCIATION
BOARD OF DIRECTORS
Since
Micha W. Livingston CCAM, AMS
Community Manager
Personalized Property Management Company
cc: Bowd of Wecws
FOR.
68-950 Adelina Road
Cathedral City, Ca. 92234
(760) 325-9500 fax (760) 325-9300
■ ■
JC1
ENGINEERING
STRUCTURAL OBSERVATION
REPORT
Date of Inspection: January 11, 2007
Project: Dow Residence Job Contact: Mark Bovenzi
Address: 81874 Couples Court 530-613-1173
Airport Blvd between Madison & Monroe
Palms Country Club
La Quinta California
Observed Structural. Elements & Their Connections
OK/ NG
1.
Hold downs
OK
2.
,Anchor Bolts
OK
3.
Shear Walls
OIC
4.
Diaphragm
OK
5.
Shear wall - Diaphragm
OK
6.
Other
Observed Deficiencies Location or Portion of Bldg.
—]
No Observed deficiencies
❑ Structural Observer must review corrected deficiencies for compliance prior to the city inspection
❑ Structural Deficiencies are of a minor nature & May be reviewed by city bldg inspector for
compliance
STAMP & SIGNATURE
OF ENGINEER
Inspected by: Michael Christensen
N FESSIp
��p
Project Manager, JCI 1 ,
t2
MA
h` V
60019
* ExIL
Reviewed by:
Date: 1— I Z' OF C . #-00
Structural Observation does not waiver the requirements for special inspections and agency building inspections.
All work must comply with the approved plans and applicable state & local codes.
8076 West Sahara, Suite B, Las Vegas, Nevada 89117 Phone: 702.313.9393 Fax: 702.313:9394
1194 West South Jordan Parkway, Suite A, South Jordan, 1jteh'84095 Phone 801,253.3640 Fax 801,.253.4249
1-01
Certificate of Occupancyi
4
0FT9 Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 81-874 COUPLES COURT
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 06-1806
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
Owner of Building:.DAVID DOWGIALO. Address: P.O. BOX 1682
City; ST, ZIP: LA QUINTA, CA 92253
By: DAVID GATICA
–7—.,s, Date: JULY 18, 2007
Building Official
POST IN A CONSPICUOUS PLACE