07-2452 (AR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Appljcatjon,Number:
07-00002452
Property Address:
76915 AVENIDA FERNANDO
APN:
658 -240 -028 -
Application description:
ADDITION - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
400000
Applicant:
n hG&&'
VY"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I 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: 13 License No.: 862034
Dal te:%2-1/�a7 Contractor_
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).:
(_) 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 _ 1 1, 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 Law3.
(_ 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.I.
Lender's Name:
Lender's Address:
LQPERMIT
w,�
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/15/07
.Owner:
DOTZLER RESIDENCE
76915 AVENIDA FERNANDO
LA QUINTA, CA 9225
p fr �.
1,
Contractor:0Ei. 1- 2007 F- -
POWERS CONSTRUCTION -^
42191 SANDY BAY ROAD CITYOFLAQUINTA
BERMUDA DUNES, CA 2203 FE19lk�i�:6�"..�P
(760)772-5207
Lic. No.: 86203.4
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 beco'ect to the workers' compensation provisions of Section
3700 of the La ] all rthwit comply with those provisions. .
Date:(' 'L Applicant `
WARNING: FAILURE TO SECURE WORKERS' COMPENS ERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). 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 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�he.ve orrect. I agree to comply with all
city and county ordinances and state laws relatinion, and he by authorize representatives
of this county to enter upon the above -mention prn purpose
+�–r--
Da jJ�`—Signature (Applicant or Agent
Application Number . . . . . 07-00002452
Structure Information 2,834SF REMOD W/88SF ADDITION/V-NR/RES-3-----
Other struct info . .
. . . CODE EDITION
2001/2005
## BEDROOMS
3.00
FLOOD ZONE
NO
GARAGE SQ FTG
.00
PATIO SQ FTG
.00
1ST FLOOR SQUARE FOOTAGE
.00
----------------------------------------------------------------------------
2ND FLOOR SQUARE FOOTAGE
.00
Permit . . . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
1689.50 Plan Check Fee
1098.18
Issue Date . . . .
Valuation . .
. . 400000
Expiration Date
5/13/08
Qty Unit Charge
Per
Extension
-
BASE FEE
639.50
300.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
1050.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc..
Permit Fee . . . .
87.15 Plan Check Fee
21.79
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
5/13/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
20.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
15.00
127.00 .4500
----------------------------------------------------------------------------
EA ELEC DEVICE/FIXTURE >20
57.15
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
19.50 Plan Check Fee
4.88
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
5/13/08-
/13/08Qty
QtyUnit Charge
Per
Extension
BASE FEE
15.00
1.00 4.5000
----------------------------------------------------------------------------
EA MECH VENT INST/ DUCT ALT
4.50
Permit . . .
PLUMBING
Additional desc .
Permit Fee
27.00 Plan Check Fee
6.75
LQPERMIT
Application Number . . . . . 07-00002452
Permit . . . . . . PLUMBING
Issue Date . . . . Valuation
. . . .
0
Expiration Date 5/13/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 6.0000 EA PLB FIXTURE
6".00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000 EA PLB FIXTURE DRAIN/VENT
REP/ALT
3.00.,
----------------------------------------------------------------------------
Special Notes and Comments
88SF ADDITION TO EXISTING 2,834SF HOUSE
V-NR/RES-3/EXISTING ROOF (ENGINEERED]
THIS PERMIT DOES.NOT INCLUDE FIREPIT,
BBQ, OR POOL AND SPA. 2001 CBC, CPC,
CMC, 2004 CEC, 2005 ENERGY. November 15,
2007 3:43:13 PM AORTEGA FOR JJOHNSON
-------------------------------------------------------
Other Fees . . . . . . . . . ENERGY REVIEW FEE
--------
-------------
109.82
STRONG MOTION (SMI)
- RES
40.00
Fee summary Charged Paid Credited
-----------
Due
-------------------------------------
Permit Fee Total 1823.15 .00
----------
.00
1823.15
Plan Check Total 1131.60 .00
.00
1131..60
Other Fee Total 149.82 .00
.00
149.82
Grand Total 3104.57 .00
.00
3104.57
LQPERMIT
Application Zn'ry—(BPN200IO01)
SWwAMPUBLIC SECTOR
NavtUne
Bonds
Contractor escrow
Fees
Global balance du(
inspection his - tory;
miscellaneous info
EE Names
Permits
E2 Plan tracking
Receipts
Square footage cal
Structure s
Property Information
Address: 76915 Avsmzo« psRwxmoo
Lx OuzwTx' cx 92253
Location ID: 131e4
Owner name: NxvRATIL JAMES c
xPm: 658'240'028' '
xunmoto ID:
Zoning: m' Low nEwszTvnsszusmTzxL
Contractor Information
CL Contractor Name: pmvsPs cowsTnumIow
Contractor Number: 88'08011434
Typo: osmsPxL comTmxCTon
Status: xcTzvE
Contractor Requirements Doc Number
App|icatimn|nfwnnallon
Application dosc: 2.838sF mEMouw/mesF xoo/v'
xpplicotino status: PERMIT zssuEo
Status Date: 12/20/2007
Application type' xnozTznm ' PsszoswTzxL
Application date: .8/31/e007
Valuation: 480888
Outstanding Inspections
VF000
000
000
00
'0001
ST
[0-9-0
000
NO1 TOT
fROUGH MECHANICAL
[0-661--'-
[— ST
2 2772007
DA
Application
Inquiry- (BPN200I001)
:SiJ�l6AAD PUBLIC SECTOR
tNavd-inn
Application 07-00002"
Q Bonds
property Information
" Application Information
Q Contractor escrow
Address: 76915 AVENIDA FERNANDO
Application desc: 2,838SF REMOD W/88SF ADD/V-
Fees
LA QUINTA, CA 92253
W
j
Application status: PERMIT ISSUED
Global balance clus
Location ID: 13164
Status Date: 12/20/2007
,
Inspection history
Owner name: NAVRATIL JAMES C
(
Application type: ADDITION - RESIDENTIAL
�Miscelianeous info
:
APN: - 658-240-028
j,
Application date: 8/31/2007
-� Names
Alternate ID:
Valuation 400000
- ®Permits
Zoning: RL LOW DENSITY RESIDENTIAL;
9'
; �Mi.�1.5— r9211,' TIM
Plan tracking-
Receipts
Contractor Information
Outstanding Inspections
n.
Square footage cal
Structures
4 Contractor Name: POWERS CONSTRUCTION
Insp Schedule
Confirmatio
,!
i 1 Valuation calculati
fi
Contractor Number: 08-00011434
Type ID Date
yp
Number
Type: GENERAL CONTRACTOR
j,
Status: ACTIVE
(
Q OKAY TO WRAP
Contractor Requirements Doc Number
;
Q ROUGH ELECTRICA
------------------------------ ----------
''
Q ROUGH MECHANICA
_._ .... _...._.. _.. .... ..... .....'
SF ADDITION TO EXISTING.2,8345F
Y
CEC, 2005 ENE
-............. .... ... __................. _--—.._....._-- ...... ..............
._....
6 Punt I'.BPNT '112 Q07 3:43:13 PM AORTEGA.FOR JJOHNSON 11/15/2007 Y i Y
Cancel`..
Exit
' Refresh
Landlnquiry
Documents
Bin #2`�
f ✓�1-�
City of La Quinta .
Building U Safety. Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760)'777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: '—
Owner's Name: ,�
A. P. Number:
Address: �G —
Legal Description:
City, ST, Zip: iN
Contractor:
Telephone:
Address: / '—
Project Description:
City, ST, Zip:
� M
Telephone: 77
' tME I
State Lic. # :
City. Lic. #:
erJ4 Fe
Arch., Engr., Designer: p
L
'f
Address:
City, ST, Zip:
Telephone: p
State Lic. #:
Name of Contact -Person:
Construction Type: Occupancy:
Project type (circle one): New 60d'n Alter Repair Demo
Sq. Ft.: #Stories: # Units:
Telephone #Aof Contact Person: _
Estimated Value of.Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE \
#
Submittal
Req'd
Recd
TRACKING. PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready f r corrections
1 Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balahce
�i
Energy Calcs.
Plans picked up
`Z� Construction
Flood plain plan
Plans resubmitted <.<
0 Mechanical
Grading plan
2nd Review, readyfo corrections/is a
/� Electrical
SubcontactorList
Called Contact Per so
r o� .Plumbing
Ilk
Grant Deed t
r
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
5 A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
df*(7-) 'yef� 9/%107
�.
1107'. Nls kTt -
!9 6ro- *M&D
10?k-*f
' W7�oruf-
CERTIFICATE OF COMPLIANCE ��Sj��,
Desert Sands Unified School District zo�,c1TUU�yo
47950- Dune Palms Road Q BERMUDA DUNES
rn RANCHO MIRAGE d
Date. 11/16/07 La: Quints, CA.92253 INDIAN WELLS
�a, PALM DESEFrr
LAQUINTA y
No. 29785 (760)-771--8515 vtf�QINDIO
0
Owner Mr.B Mrs Dotzler. APN_#_. 658-240-028
Address 76915 Avenida Fernando Jurisdiction La Quinta
City_ La-Quinta. Zip_ Permit #-
Tract # Study_Arga.
Type Residential Addition No. of Units 1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 76915 Avenida Fernando
Unit 2
Unit 3
Unit -4
Unit 5
Comments
88 Unit 6
Unit 7
Unit 8
Unit.9.
Unit 10
At the present time, the Desert Sands Unified School District does not collect -fees on-garages/carports, covered patios/walkways; residential additions under 5
OQ square.feet,. detached accessory.. structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. 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.p tmijant.to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.00 X 88 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 - Pat Powers Check No.
Name on the check Telephone
Funding Exempt
By Dr. Doris Wilson
Superintendent
Fee collected /exemp S n C ilvrey Payment Recd
Over/Ukd6?
Signature
\.r
NOTICE: Pursuant to Government Code Section 66020 1 , I serve to notify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above Will begin to run from the date 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 if Duplicated
Embossed Original - Building DepartmenUApplicant Copy - Applicant/Receipt Copy - Accounting
CITY OF LA QUINTA
PLAN CHECK CORRECTION LIST
Jurasky & Associates, Inc.
Interior Design' & Planning
687 North Palm Canyon Drive:
Palm Springs, CA ,92262
(760) 325=1090
PLAN CHECK NO. 07-2452
ADDRESS 76-915 Avenida Fernando
SCOPE OF WORK SFR AdditiorvRemodel
September 12, 2007
FIRST CHECKNINAL
(Structural)
OCCUPANCY R-3
TYPE -OF -CONST. V -N
The submitted plans and specifications have been reviewed by the VCA CODE GROUP. In our
professional opinion the plans are in substantial conformance with the building codes and regulations
adopted by the CITY OF LA QUINTA_ and the State of California Amendment.
APPROVAL FOR A BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO OBTAINING
APPROVALS/CLEARANCES FROM ALL APPLICABLE CITY DEPARTMENTS, AGENCIES, AND
ASSOCIATIONS.
Plans checked by: Perry stopoulos, PE
VCA CODE GROUP
2200 W. Orangewood Avenue, Suite 155
Orange, CA 92868
(714) 363-4700 VCA File No. LQ -20248
1
_ n CITY OF LA QUINTA SUB -CONTRACTOR, LIST
'JOB ADDRESS Z6'q/S �Nt1� ll�,v_i,4e(ran PERMIT NUMBER OWNER �1 _c�..T� BUILDE
This form shall be costed on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or th
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 s