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12-1442 (AR)P.Q:=BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: .12-00001442 Property Address: 78046 CALLE NORTE APN: 770-0127016- - - Application description: ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 30000 Applicant: Tihf 4,4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: CONNELL, EARL /EVELYN 78046 CALLE NORTE LA QUINTA, CA 92253 (760)564-1899 Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B LicenseNo.: 599361 Date: q—Iy, % I Contractor OWNER -BUILDER DECLARATION 1 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 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/19/13 Contractor: GENERATIONS WEST CONSTRUCTION 77734 COUNTRY CLUB DR, ST D a PALM DESERT, CA 92211 � (760) 345-9898 I11 LiC. No.: 599361 J11' APR i 0 2013 WORKER'S COMPENSATION ZDEC EPT A 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. NORGUARD INS Policy Number CRWC462117 � 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 shall forthwith comply with those provisions. Date: Applicant: 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 0100,0001.. 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 inspection purposes. Date: —tf' 3 Signature (Applicant or Agent): A�_11 �� -- Application Number . . 12-00001442 ------ Structure Information EXIST 2045 SF SFD ----- Other struct info . . . . . CODE EDITION 2010 # BEDROOMS .00 FLOOD ZONE no PATIO SQ FTG 165.00 ----------------------------------------------=------•----------------------- 1ST FLOOR SQUARE FOOTAGE 165.00 Permit . . . BUILDING PERMIT Additional desc-. Permit Fee . . . 284.50 Plan Check Fee 184.93 Issue Date . . . . Valuation . . 30000 Expiration Date 10/16/13 Qty Unit Charge Per Extension BASE FEE 252.00 5.00 6.5000 ----------------------------------------------------------------------.------ THOU BLDG 25,001-50,000 32.50 Permit . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 42.53 P1an.Check Fee 10.63 Issue Date . . . . Valuation 0 Expiration Date 10/16/13 Qty Unit Charge Per Extension BASE FEE 15.00 165.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY_ 5.78 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 15.00 .4500 ------------------------------------------------------------•---------------- EA ELEC DEVICE/FIXTURE >20 6.75 Permit . . . MECHANICAL Additional desc . Permit Fee 35.00 Plan Check Fee 8.75 Issue Date . . . . Valuation 0 Expiration Date 10/16/13 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 4.5000 EA MECH VENT INST/ DUCT ALT 13.50 1.00 6.5000 ------------------------------------- EA MECH EXHAUST HOOD ---------------------------------------- 6.50 Permit .'. . . PLUMBING Additional desc . Permit Fee . . . . 21.00 Plan Check Fee 5.25 LQPERMIT LQPERMIT f Application Number . . . . . 12-00001442 Permit . . . . . . PLUMBING Issue Date Valuation 0 Expiration Date 10/16/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA- PLB GAS PIPE 1 -4 -OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments REMODEL OF EXISTING KITCHEN AND DEMO OF 165 SF TRELLIS TO NEW SUNROOM. 2010 CODES. ARCHITECT: PAUL ANVAR C31650 -------------------------- ------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 ENERGY REVIEW FEE 18.49 HOURLY PLAN CHECK 315.00 STRONG MOTION (SMI) - RES 3.00 Fee summary Charged Paid Credited ----- - - - - ------ - - - - ---- Due -- - - - - - - -- - - - - - - - - - - - - - ------ - - - - - Permit Fee Total 383:03 .00 .00 383.03 Plan Check Total 209.56 .00 .00 209.56 Other Fee Total 338.49 .00 .00 338.49 Grand. Total 931.08 .00 .00 931.08 LQPERMIT r 1 I 1 7 Bin.# ✓ Permit # a w Project Address: ? Qty. of La QUintd BuIlding 8t Safety Divlslon P.O. Box 1504,78-495 Calle Tampico 14.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet c e Owner's Name:. L A P. Number. -7-706 JZL11 10—C) Address: �' $ Legal Description: � *11i I �O G �Z oR 0 City, ST, Zip: LA Ob i ZZr57 Contractor: G( E a' S W Telephone: 7 Ron aty Address: _ 7 3 SvCt R Project V_C_Y►n VUe City, ST, Zip: eL T 2 Z `Description: 1�J'�`e✓� OO -`P�`� �j 1O�'' Telephone: �3�-SaC ~ rte` f ?\�. .n� ME City Li #:. �� l State Lic. 4: �. G Arch., Engr., Designer. t�V Address: 5 . cVv eiv--- ob 1 v4.�T City., ST, Zip: VAf_J MV 457 Ck I _IEEE� Telephone: IA ;47 - State Lic. #: l (psd Name of Contact Person: -Vc Z_7 „_ ,w . ;, V , Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units. C Telephone # of Contact Person: 92)_=M_l Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Rcq'd Recd TRACKING PERMIT FEES Plan Sets Plan Check sabmitte ( V Item Amount Structural Cates. Reviewed, ready corrections Plan Chcck Deposit. . Truss Calcs. Called Contact Pers Plan Check Balance. Title 24 Cates. a Pians picked up A-- Construction Flood pima plea Plans resubmitted Mechanical Grading plan 2a° Review, ready;01.1rrection issue 2 Electrical Subeontactor List Called Contact Person �y► Plumbing 0 ' Grant Deed�L Plans picked up H.O.A. Approval Plans resubmitted Grading IM HOUSE:- 7i° Review, ready for correetlo suc 1 Developer Impact Fee Planning Approval. Called Contact Person ( AdB.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees . S?�Z R ow", co �� S �� 'G CBa+�. . �1r 5"1'i2. Rr, L 15T-) IIb Comments BERMUDA DUNES r rn RANCHO MIRAGE d INDIAN WELLS PALM DESERT y LA OUINTA �%IN0 y� O 770-012-016 La Quinta 1 Street S.F. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, 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 in the amount of $0.00 X 165 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 Evelyn Sproul Check No. 0.00 Bank Name/Recipient of Certificate Telephone 760-564-1899 Funding Residential By Dr. Gary Rutherford Superintendent Fee collected /exempted by Es p - Lara Payment Recd ' .Over/Under , Signature NOTICE: Pursuant to Government Code Section, 66020(d)(1), this will 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 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 without embossed seal Embossed Original - Building. Department Applicant Copy - Applicant/Receipt Copy - Accounting CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road Date 3/21/13, La Quinta, CA 92253 No. 31579 (760) 771-8515 Owner Earl & Evelyn Connell Trust APN # Address 78-046 Calle Norte Jurisdiction City La Quinta Zip 92253 Permit # Tract # No. of Units Type Single Family Residence Lot # No. Street S.F. Lot # No. Unit 1 78046 Calle Norte 165 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments BERMUDA DUNES r rn RANCHO MIRAGE d INDIAN WELLS PALM DESERT y LA OUINTA �%IN0 y� O 770-012-016 La Quinta 1 Street S.F. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, 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 in the amount of $0.00 X 165 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 Evelyn Sproul Check No. 0.00 Bank Name/Recipient of Certificate Telephone 760-564-1899 Funding Residential By Dr. Gary Rutherford Superintendent Fee collected /exempted by Es p - Lara Payment Recd ' .Over/Under , Signature NOTICE: Pursuant to Government Code Section, 66020(d)(1), this will 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 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 without embossed seal Embossed Original - Building. Department Applicant Copy - Applicant/Receipt Copy - Accounting VILLA VISTA HOA ARCHITECTURAL APPROVAL AND LIABILITY DISCLAIMER My attached proposed improvements and\or construction will not result in any cost to the Villa Vista HOA. There- are 2 copies of a drawing of the project, one for the HOA and one to be returned when approved by the Architectural committee. All maintenance shall be the sole responsibility of myself, my heirs or assigns. I will indemnify the Villa Vista HOA, its officers, Board members, agents and contracts, against liability for any cost, damage, lost, injury or death from this project. Approval by the committee does not waive the necessity to obtain any required City or County permits. I will inform subsequent buyers of their responsibility related to the maintenance, upkeep and liability with regard to the aforementioned. If the proposed project is visible from an adjacent neighbor property, their signature shall be obtained. I will make sure the work is completed in a good workman like manner, within 45 days of commencement and that the workers at the end of the project leave all areas they have impacted in a clean and orderly manner. 1 have attached a description or drawing that describes the type of improvement and materials to be used. The approval requires a minimum of two Architectural Committee signatures. REQUEST - ( If more space is needed, attach additional sheet describing request) # �l Date tJ' �c7 c�N cry Architectural Committee Approval .Date 1 2 - (- -7--01'2— Architect •al Cmmittee Appri Date 11 f Z A Board of ^ irectors Approval Date 12-2-2012 Printed 6A (Z6 Name: Printed Name: Printed Address 7 0 22 Oft 4f- A)lkl C - r 4/l/07 4/1/07