10-1154 (RER)P.O. BOX 150.4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 922;
. O
Application Number: 10-0000 _ v
Property. Address: 77760 TIdt� D
APN:658- 0=0 1-T$
Application description: REMO EL R4 DE
Property Zoning: LOW ITY S
Application valuation: V %
Applicant:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
GREGORY VERALRUD
- 77-760 TRADITION DRIVE
LA QUINTA; CA 92253
or Engineer:
Contractor:
KOMPLETE INC
79409 PASEO DEL REY
LA QUINTA; CA 92253
(760)625-6720 .
Lic. No.: 942804
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/02/10
LQPERMIT
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
-----------
WORKER'S COMPENSATION DECLARATION '
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury•one of the following declarations: .
Section 7000) of Division 3 of the Business andProfe 'ovals Code, and my License is in full force and effect.
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B Lice No.: 942804
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
//Date: I Z .� ntractor:.�
AAACode,
issued.
1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
for the performance of the work for which this permit is issued. My workers' compensation
' OWNER -B ILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier GUARD INS Policy Number KOWC110176
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county.that requires a permit to
_ I certify that, in the performance of the work for which'this permit is issued, I shall not employ. any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subjec the workers' ompensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the bor Code, I shall forth ply wi ose provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
Z /nt
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
Date: pplicant:
(_ 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
WARNING: FAILURE TO SECURE W ER ' CO PENSAT N COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property.who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND C VIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000)• IN ADDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I
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.).
APPLICANT ACKNOWLEDGEMENT
(_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
` property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
i . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).-
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
' (_) I am exempt under Sec. , BAP.C. for this reason
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.
_
Date: Owner:
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
CONSTRUCTION LENDING AGENCY
permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
- (Sec.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
citya county ordinances and state laws relating to building constru n, and hereby authorize representatives
work for which this permit is issued 3097, Civ. C.).
of is county to enter upon a above-mentioned property for ins purposes. -
Lender's Name:
_/O '
Date: nature (Applicant or Agent):
Lerider's Address:
LQPERMIT
Application Number 10-00001154
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . 17.00 Plan Check Fee
11.05
Issue Date Valuation
528
Expiration Date 5/01/11
Qty Unit Charge Per'
Extension
BASE FEE
15.00
1.00 2.0000 HND BLDG 501-2,000
------------------------------------------------
2.00
Permit ELECT - ADD/ALT/REM
Additional desc .
Permit Fee. 15.75 Plan Check Fee
3.94
Issue Date Valuation . . .
. 0
Expiration Date 5/01/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
----------------------------------------------------------------------------
.75
Permit . . . PLUMBING
Additional desc .
Permit Fee . 18.00 Plan Check Fee
4.50
Issue Date Valuation
. 0
Expiration Date 5/01/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 3.0000 EA PLB.GAS PIPE 1-4 OUTLETS
3.00
Special Notes and Comments
EXPAND PATIO BY ADDING 33 L.F. 4011 BLOCK
WALL, 1 ELECTRICAL OUTLET & 1 HOSE''BIB.
2007 CODES.
-----------------_-_-------------------------------------
Other Fees . . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY. REVIEW FEE
1.11
Fee summary Charged' Paid Credited
Due
----------------- ---------- ----------
Permit Fee Total. 50.75 .00 .00
50.75
Plan Check Total 19.49 .00 .00
19.49 '
Other'Fee Total 2.11 .00 .00
2.11
Grand Total 72.35 .00 .00
72.35
- LQPERMIT
.. .
Unit:
Unit Address:
Name:
Mailing Address:
LEGACY V I LLAS�
ARCHITECTURAL REVIEW APPLICATION
275
77760 Tradition Date: 9/7/10
Gregory E. Veralrud, Trustee
975 Oak, #625 Phone: 541-345-3333
Eugene, OR 97401
To the Architectural Review Committee:
You are hereby advised that the following work is proposed and approval is requested. I/We
acknowledge that written approval from the Architectural Review Committee must be received
before any building or construction can commence. UWe also acknowledge that this approval
does not constitute municipal/county building department approval,. and 1/We agree to obtain
necessary municipal/county building'permit prior to commencement of any work. Failure to
obtain the foregoing will result in withdrawal of approval.
VWe acknowledge that approval by the ARC is not a guarantee of structural safety or engineering
soundness. l/We agree not to alter existing drainage pattems. on the lot,wlthout express approval
of the ARC. UWe acknowledge that all approved changes in the original design will beat our
expense; that any damage to or relocation of existing sprinkler systems, underground utilities,
budding, structure and exterior landscaping or other damage resulting from the construction
of these permitted improvements shall beat my/our expense; and the maintenance of the
permitted improvements shall be at our expense.
Upon completion of the improvement, Uwe agree to immediately notify the ARC and authorize
them to enter onto the property to inspect the improvement Failure to notify the ARC of
completion or refusal to allow inspection shall result in withdrawal of the ARC approval. Any time
during the process 1 we agree to comply with any request to enter onto the property, or for
additional information for purposes of determining if the improvement is being constructed in
accordance with the approval plan and in compliance with the covenants and guidelines. Refusal
by me/us shall result in withdrawal of approval.
Failure to start or complete the improvement within the time specified on the application shall
result in withdrawal of approval unless an extension is requested and approved in writing.
Gregory E..Verairud, Trustee,
Applicant (Please Print Your Name) re)
Applicant (Please Print Your Name) (Signature) .
Architectural Review Application
Page Two
Unit: 275
Proposed Start Date: 10/15/10 Estimated time for completion: One week
Description of Project: (attach another sheet if necessary)
-Ratio expansion— Pat ' io'iS currently 23 t ' add'
An additio 21.2 sq. ft., for a total o .2 sq. ft.
See attached to -scale sion am. Expansion will
require demolition of th isti ackwall (north. wall)
of the'patio to a w .for expansion of the crete pad
northward. mason wall identical in size, st le
colo o the existing wall will enclose both the old and
(contin d o attached., sheet)
Upon the sale of your unit, disclosure of these modifications must be made to the Buyer.
The above requested modifications have been reviewed by the Architectural Review Committee
and have been:
Approved _ Rejected _Held pending further information
Comments:
-C2 Date:A)
ARC Member
O
(continued)
expanded spa do not irrtend:.to exte in s out for a built-in barbeque.
Approximately nine exis ' ougainvilleas will need to be moved/replanted
and an irrigation line•jus side t c patio wall will need to be re-routed. See
attached diag
� rdauertl
Elmo Kassin
Komplete In
Owner/CEO
Phone: 760.625.672
Fax: 760.645.6225.
Job Description.
TO: FROM:
Gregory E. Veralrud
KOMPLETE INC.
77760 Tradition Dr.
Lic.#942804
La Quinta, .CA 92203
79409 Paseo Del Rey
541.345.3333
emil:- veralrud@msn: com
La Quinta, CA 92253
Job description: PATIO EXPANSION. Up to 250 sq.f
Demo 1 patio wall, Save plants.
Take wall and debris to dumpster.
Relocate sprinklers, wires etc.
Dig for footings and slab. Haul extra dirt away..
Install rebar, set forms. .
Pour concrete slab, 124 sq.f. Sand finish. And footings. (city standard)
Blockwall, 335 lin.f.long and 40"high. With rebar in -it. Filled with concrete. .
Stucco, paint. Finish wall has to match existing.
Add few weep holes for water to run away.
Add electrical outlet.
Add water hose bibb.
Contractor will provide all City licensing & permits to the HOA
manager before commencement of work.
Contractor will also provide Certificate of insurance to
the HOA naming HOA as additionally insured before commencement of work.
10/15/2010
� rdauertl
Elmo Kassin
Komplete In
Owner/CEO
Phone: 760.625.672
Fax: 760.645.6225.
17'-3"
NEW PATIO WALL
EXISTING PILASTER
TO REMAIN
EXISTING PATIO WALL
TO BE DEMOLISHED .
~ EXISTING PATIO WALL
17
EXISTING PILASTER
TO REMAIN
Existing open patio to remain 118 SQ.FT.
Proposed open patio to enlarge 131 SQ.FT. '
i
TOTAL open patio 249 SCIST.
CITY OF LA OUII\ITA .
BUILDING & SAFETY DEPT.
APPROVE®
FOR CONSTRUCTION
DATE Il —e2 - /O By
-f=r o
fro
Project: 77 760, Tradition Drive, Lain
TEAM
KOMPLE Wrk no. 09-10 Drawn by: AMadis Kwu O Q
\ Date: 10/14/2010 Client: Gregory E. Veralrud
KOMPLETE INC: La Quinta, 92253 CA Drawing name: Drawing scale:
teamkomplete@gma0.com, Phone: (160) 625 6720
www.teamkornoete.com Fax: (760) 645 6225 Partial floor plan Page #: 1/1
Bin #__--
Pf #, 115 4
Projeex Address: � -� -76o
76o T
A. P. Number
ty of La Qurnta
BWkUng 8t Safety Mi tots
P.O. Box 1 SO4, 78-495 Calle Tampko
-La Qulnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
e,� ctto 6� Owner's Noma C V e-4rc> - ( sr L. _.oe
Address: `j-1 "1 60.
City. ST. zip: CA 4i zz S-3
Telephone: i - 4 _ 33 3 3
i'rojccx Description: ° o
Sty iia #:
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Contractor.
Req,d
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Address:
tdy for corrections
Plan Sets
City. ST, Zip:
A Person
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Structural Gilles
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Reviewed, re
Atcby EW.. Designer:
Thos Ca1ea.
xdy for eorreetiouAnue'
Ad*=:
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up
Telephone:
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Grading. .
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Name ofContad Person:
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Let Person
Tdephonp # of Contact person: -? 6
ty of La Qurnta
BWkUng 8t Safety Mi tots
P.O. Box 1 SO4, 78-495 Calle Tampko
-La Qulnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
e,� ctto 6� Owner's Noma C V e-4rc> - ( sr L. _.oe
Address: `j-1 "1 60.
City. ST. zip: CA 4i zz S-3
Telephone: i - 4 _ 33 3 3
i'rojccx Description: ° o
Sty iia #:
N
Submittal
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Plan Sets
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Structural Gilles
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xdy for eorreetiouAnue'
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Plumbing
up
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S.114.1.
Flood plain plan
Grading. .
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Grading plan
Let Person
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It Issue
.Subeontaetor I.Ict
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Plain resabr
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Planning Approval
Called Coat
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Date of perp
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PERMIT FEES
tbmitted
Item Amount
tdy for corrections
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ap
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Total Permit Fees