13-0776 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00000776
Property Address:
50665 SPYGLASS HILL DR
APN:
770-320-001-1 -25389 -
Application description:
REMODEL - RESIDENTIAL
Property Zoning: '
MEDIUM DENSITY RES
Application valuation:
15000
Applicant:
Architect or Engineer:
• f 4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
THEODORE TODOROFF
50-665 SPYGLASS HILL DR
LA QUINTA, CA 92253
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: B icense No.: 925464
Date: q 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).:
(_ 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 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 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: 8/29/13
Contractor:
V5;i;11
PACIFIC PALMS CONSTRUCTIO
51460 CALLE ILOILO
LA QUINTA, CA 92253
(760)275-3873 CITY OF LA QUINTA
Lic. No.: 925464 FINANCE DEPT.
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:
CarrierE C'MPT Policy Number EXEMPT
y 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
37700 of the Labor Code, I s II hwith 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'($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 the above information is correct. I agree to comply with all
city and county ordinances and state. laws relating to building cons io and hereby authorize representatives
of this county to enter upon the above-mentioned property for i c o urposes.
Date: ' J ` I Signature (Applicant or Agent):
LQPERMIT
,.r
Application Number . . . 13-00000776
Permit. . . . REMODEL 2013
Additional desc
_
Permit Fee 50.77 Plan Check Fee
.00
Issue Date Valuation . . .
. 0
Expiration Date 2/25/14
Qty'-, Unit Charge -Per
Extension
1.00 48.6200 LS- MISC REMODEL, 1ST 100 SF
48.62
.10 21.4500 EA MISC REMODEL, ADDL 500.SF
2.15
Permit MECHANICAL 2013
Additional desc .
Permit Fee 11.92 Plan Check Fee
.00
Issue Date Valuation . . .
. 01
Expiration Date 2/25/14
Qty Unit Charge Per
Extension
1.00 11.9200 EA MECH APPL REP/ALT
11.92
Permit ELECTRICAL 2013
- Additional desc
Permit Fee . . . . 23.•83 Plan Check Fee :.
.00
Issue Date . . Valuation
0
Ekpiration Date 2/25/14
Qty Unit. Charge Per
Extension
1.00 23.8300 LS ELEC DEVICES, FIRST 20
23.83
---------------------------------------------------------- -----------------
Special Notes and Comments
146 SQ. FT. ADDITION TO KITCHEN UNDER
EXISTING ROOF OVERHANG. PER 2010 CALIF.
BUILDING CODES.
August 9, 2013 3:02:01 PM JJOHNSON.
-------------------_-------------------------
Other Fees . . . ... . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, ELECTRICAL
23.83
PLAN CHECK, REMODEL"
134.71
PLAN CHECK, MECHANICAL
4.77
STRONG MOTION (SMI) - RES
"1.50.
-Fee summary Charged Paid Credited
Due
----------------- ---------- -- --- -----
- Permit Fee Total' 86.52 .00 •.00
86.52
Plan Check. Total .00 .00 .00
.00
Other Fee Total 165.81 1.00 .00
165.81
LQPERMIT
Application Number . . 13-00000776 ,
r ;jp
Bin #
Qty of La Quinia
Building 8r 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:11
Owner's Name:
A. P. Number:
Address: 50(0(01S
Legal Description:
City, ST, zip: Lq Q0 j.,� CAq,2 -Z tS 3
Contractor:
elcphone:ZGC)--777-4D45
MM,
Address: 51460 co-lict- Xl-ot C>
Project Description:
City, ST, Zip: Oot'�-Tc� <f-� I Z25 S
144,0 15f,
Telephone: 7460-Z -t-5 - 387 5
V-1 +10
State Lie. # : q2 t5�+ City Lie. #.-.
Arch., Engr., Designer:
de -
qPr.
Address:
City., ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person: S-1-SC)Pj
—FEstimated
Construction Type: Occupancy:
Project type (circle one): New Alter Repair Demo
Sq. Ft.: i4 -(,o # Stories: f # Units:
Telephone # of Contact Person: -7(oC) - 2-7,5 - 3,2 7 ----
Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check sub5Wd---,
Item
Amount'
Structural CaIcs.
Review y for corrections
Plan Check Deposit
Truss CaIcs.
Called Conta`cct���
Plan Check Balance
Tide 24 Cates.
3ns
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
21' Review, ready for correct io
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
I
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P
Pub. Wks. Appr
Date of permit issue
,School Fees
Total Permit Fees
:K NO bjgac—, 0:0 5 �6�
P(A�b OOC- '
1711-r
�Iqf Nis o��
r. C-- -Q U 65 --
Date
8/30/13
No.
31797
Owner
Theodore Todoroff
Address
50665 Spyglass Hill Dr
City
La Quinta • Zip
Tract #
Type
Residential Addition
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
.47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
Lot # No. Street
Unit 1 50665 Spyglass Hill Dr
Unit 2
Unit 3
Unit 4
Unit 5
•
Comments
S.F.
146 Unit 6
Unit 7
Unit 8
Unit 9
Unit 10
qC_�Ft�sc�o
•� o.
Q BERMUDA DUNES r
RANCHO MIRAGE b
INDIAN WELLS
PALM DESERT
LA QUINTA �y `
PINDIO S�
o Y
APN # 770-320-001
Jurisdiction La Quinta
Permit #
No. of Units 1
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:
C
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 146 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 - Micah Nelson Check No.
Bank Name/Recipient of Certificate Telephone 760-275-3873
Funding Exempt
By 'Dr. Gary Rutherford
Superintendent
Fee collected
Signature
i rr
Payment RecdG�$0.00 FL.-
NOTICE:
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will s e 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
j
-•F"kM Panasonic FAX SYSTEM
RECORDING REQIJFSTED BY
AND WIMN RECORDED MAIL TO:
Theodore Todoroff
PHONE.NO. : 7146351561 +2
929 N Anaheim Blvd Ste E
Anaheim Ca 92805
Jul. 22 2013 08:47AM P1
DOC # 2012-0393530
08/17/2012 12:20P Feae:18,00
Page t of 2 4oc T Tax Paid
Recorded in Official Records
County of Riverside
Larry U. Uard
Assessor, County Clerk 8 Recorder
111111111111111111111111111.111111111111111111
S R L U I PAGE I SIZE DA MISCLONG RFD COPY
M A I L j 465 426 PCOR NCOR SMF NCHG t_xnM
r/1010 7� 7: 20 CTY UNI
A.P.N.: 770-320-002 TRA #: 02a-62.1 Order N ole – —__ sc W. dz ri
GRANT DEED&
4
:., ; • ,1;. Ul��£RS7GNIID GRANTOR s D �'' .. , .. •, R; -;:;.: : •;�,, .::..r Ecq
:
, ECLARL(s)..THAT•DOCTJiVJ1�1d�':A�Y."I�CA]VSt�''T>�.iS:• (:'()UN'FY�` • • 6� :.:< ,.;:;. �-%'::. cs,?.. r. �
.. ... •. .�. ,.,. ... IA::1... �,. ..
L•.1t ^>l,co , ,,, izt on filIl valve of propcny conveyed, or, '•'v'; ; it ra;.<'•
r: j'ctitvpukd on full value I= value of liens or encumbrances itmain ng ai•Eirrtc of sale,
lut rncorporatnd area: ( ] City of La Ouinta , and
FORA VALUABL)r CONSEI)ERATION, Receipt of which is hereby acknowledged,
Mauna E. Low and Lawrence J. Low, Wife and 11mbatid as' Joint Tenants
hereby GRANT(S) to Theodore Todoroff, trustee of The Theodoe Todorof f 2000 Revocable
Living Trust
the following described property in the City of ha Quinta,; County of�Riverside State of California;
1See Exhibit "A" attached hereto and made a Mart hereof. '
41
Mauna IF Low ertce J. Low
Document Date: July 3, 2012
STATH OF CALIFORNIA
.COUNTY•OF SanDie�Q__ )
On JUL 2 2:2012
"' heforG me,
wrsetssr ,. :i. 11NSC E1
. a notary public in:• and : :.,
for, said.smtt; erson2U a eared Al 40 g /�_ _ _ -• :e,:-,' ,:, ;.
"• .P Y pP ld hL:.:iRii�,:._Ldi✓•it�wlt+�% .'f� . G9.6,/
_ ,
• tttia bitsu of sahsfacta cvitlence ro be the person(sa, wli<1,se narna-Si Ware;su�iscn'tie8,!0 'ire. witliii►• instrun�enc Lttd �ek�to -
ry WlecTged' to ineprthai 'helshe
to:m"e'on:
ithey'
executed the sante in hWAwwtheir authorized capacily(ies). and that by hi&dwWthe r signature(s) on the instrument the Person(S), or the eatity'Upon behalf of
which the person(s) acted, exec and the instrument:
I certify under PENALTY OF PMUURY under the taws of the State of California that the foregoing paragraph is tate and correct,
W*NF.SS my hand and official seal
'. . • ' ', ~"�- Mgm
alnlllslrhp,� (seal) .: .. . " -•;
:. = .Cotiaai�irtt► e►' 19010M ;
. .. . Itopryr ptds8e - Ct1!fliainla
' ' Sitt`btepti COOIflly
two" Conlin:; Ju! .9.7+318
Mail Tax SYatt writs to: SAMB'AS;;ABOVE or Address Noted Below
FROM : Panasonic FAX SYSTEM
PARCEL 1:
PHONE NO. : 7146351561 +2
EXHIBIT "A"
Jul. 22 2013 08:48AM P2
ORDER NO.OR1254656
LOT 1 OF TRACT 25389.3, IN THE CITY OF LA QUINTA, AS SHOWN BY MAP ON FILE IN BOOK 276
PAGES 25 THROUGH 29, INCLUSIVE, OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA;
EXCEPT
ALL OIL, GAS, MINERALS AND OTHER HYDROCARBONS, BELOW A DEPTH
A NON-EXCLUSIVE RIGHT AND EASEMENT, IN PERPETUITY, ON, OVER, UNDER, ACROSS AN
THROUGH THOSE PORTIONS OF THE LAND UP(jN:WHICH ARE HEREAFTER ACTUALLY
'CONSTRUCTED STREETS, ROADS, DRIVEW#YS;PATHS, AND PARKING AREAS FOR (A)
PEDESTRIAN AND VEHICULAR (INCLUDING "T'HOUT LIMITATION, GOLF CARTS) INGRESS,
EGRESS AND RIGHTS OF ACCESS, AND (B)' CONSTRUCTION, INSTALLATION, REPAIR,
.MAINTENANCE AND REMOVAL OF UTILITIES;•DRAINAGE, IRRIGATION, COMMUNICATION, GOLF
COURSE IMPROVEMENTS AND RELATED FACILfTIES AS EVIDENCED AND DISCLOSED IN
;
'DOCUMENT RECORDED DECEMBER 271989-A$:.INSTRUMENT NO. 453100 OF OFFICIAL RECORDS
OF RIVERSIDE COUNTY, CALIFORNIA.
"*'END OFaEGAL• ;pESCRIPTION***
' r i1. 1<��yr. .i1•�1
...�. �.............. �.. .N r......:..u�..��. .... �.... ....:... �..;�.�n..rf i....�....... w... r.�.....�.:.�.. v. ... .. ... .. ..��.... ... ..�
rOana m
en♦ i ` h i
LA QUINTA FAIRWAYS HOMEOWNER'S ASSOCIATION,,
February 4,2013
• • Theodore Todoroff ,'•,' ^ 4
Theodore Todoroff 2000. Revocable Living Trust' 4 „
929 N. Anaheim Blvd:, Ste. E
Anaheim, CA 92805r t - . ;
Regarding: •50665 Spyglass Hill Drive, La Quinta, CA 92253
__.- I ' • `_- 4. _- -t _---�_ -. .• .- �. _... - ;,,,,__.-„ ...ice-�-_._.�_ __ _� .- �-.._.. ti _ •__^ ;
. Dear Theodore Todoroff,
The Architectural. Committee at La Quinta Fairways has approved your ARC request. ;
y for conversion of the covered patio into 'a room addition: << ,
Please be advised.that your contiactor must be licensed and tnaintain proper workers
compensation insurance and other types of insurance necessary to fully protect'the z
'owner,•other residents; and,the association. Prior to start'of construction, -please send
' us your contractor's' information.
Please advise your coritractor that the common areas are not:to be used for storage 'f
any equipment'or materials. Any debris from construction in the street must swept up
Y. and then, the'area washed down each day by the contractor. The contractor'may not ;.°
-post signage at the property. Any damage done to the common 'area "is your r .
responsibility' to repair.
It is the homeowner's res onsibilit`v to;ensur`e all permits required b_• the Ci of La
Quinta are`obtairie&' f
Sincerely,'' _ - • • �f _� • ; ,r ; •,
' 'Nancy Holt
Avail Property Management _
r I 51350 Desert Club Dr.,'Suite 4, La'Quinta, CA •922531 ,
'' 'Tel: (760) 771-9546 Fax: (760) 771-1655'• 4 - ,