11-0732 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: ` 11-00000732 l
Property Address: 79345 STONEGATE
APN: 772-040-015- - -
Application description: REMODEL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5000
Applicant:
T4wf 4', 4 a"
Architect or Engineer:
P /1-N-
------------- -------------------------------------
LICENSED
1-N-
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of erja that I a licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of he Busin s an rofessionals Code, and my License is in full force and effect.
Lice /(`lass: B License No.: 722990
Date: 1� ontractor:
OWNER -BUILDER DECLA ATION
I hereby affirm under penalty of perjury that I am exempt from the Contra or's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city o ounty that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuan also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisi ns 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 thai 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, 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
—V3
Owner:
RICHARDSON.ANDREA C BOONE
79345 STONEGATE
LA QUINTA, CA 92253
Contractor:
MURRAY CONSTRUCTION
1440 BEAUMONT AVE,
BEAUMONT, CA 92223
(909)645-5580
Lic. No.: 722990
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/14/11
-----------------------------------------------
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
1$4 issued.
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 STATE FUND Policy Number 23809-2010
I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any
person in any an so as to beco a subject to the workers' compensation laws of California,
and agree th t, if I sho Id becom s bject to the workers' compensationprovisions of Section
3`700 of the L r od I shall f with comply with those provisions.
✓Dat\ : I ^' \ icant: '
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIONCO RAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES P 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 sta that t above i ormation is correct. I agree to comply with all
city and county ordinances and state laws rel ing to bu' d cons uction, and hereby authorize representatives
of th�is�county to enter upon the ab ve-menti ed prop f ction purposes.
pdfe: 1 ( —' Si ure (Applicant or Agent):
Application Number . . . . . 11-00.000732
------ Structure Information NEW SLIDER AT FAMILY ROOM (ENGINEERED) -----
Other struct info •. . . . . CODE.EDITION
2010
Permit. . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 72.00 Plan Check Fee
46.80
Issue Date . . . .. Valuation
5000
Expiration Date 2/21/12
Qty Unit Charge Per
Extension
BASE FEE
45.00
3.00 9.0000 THOU BLDG 2,001-25,000
----------------------------------------------------------------------------
27.00
Permit . . . ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . . 16.50 Plan Check Fee
4.13
Issue Date Valuation . . .
. 0
Expiration Date 2/21/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00 .7500 PER ELEC DEVICE/FIXTURE IST 20
1.50
----------------------------------------------------------------------------
Special Notes and Comments
ADD SLIDING GLASS DOOR AT FAMILY ROOM
(ENGINEERED] THIS PERMIT DOES NOT
INCLUDE ALTERATION TO THE LATERAL FORCE
RESISTING COMPONENTS OF THE EXISTING
BUILDING. 2010 CALIFORNIA BUILDING
CODES.
August 25, 2011 5:26:01 PM AORTEGA
----'------------------------------------------------------------------------
Other Fees . . . . . . BLDG STDS ADMIN ..(SB1473)
1.00
ENERGY REVIEW FEE
4.68
STRONG MOTION (SMI) -.RES
.50
Fee summary Charged Paid Credited
Due
Permit Fee Total 88.50 .00 .00
88.50
Plan Check Total 50.93 .00 .00
50.93
Other Fee Total 6.18 .00 .00
.6.18
Grand Total 145.61 .00 .00
145.61
LQPERMIT
Bin
Qty of La Quinia
Building &, Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253- (760) 777-7012
Building Pe mit Application and Tracking Sheet
Perm'#
Project Address: Z S ?'pN,,�Ac-g'
Owner's Name:
A. P. Number: (��T/4
Address:
Legal Description:
City, ST, Zip:
Contractor: 12.1 Vt'✓ ZL u L S
Telephone:,:::�;<'::<i:••:<:':ki:<'•r:<;<>::<?~�#>� t
Address: b,i�y >K'N� �y�
Project Description: eLs L N
City, ST, Zip: JA 6 TA -)7)4 f . '1 2-2..
L P,1 -Q72_.
Telephone: Q--Z-7Z-40
State Lic. # : 3 o' City Lie. #.:
Arch., Engr., Designer:�H� f
Address:.
City., ST, Zip:
Telephone:. •`..,:.:, <>#>:::;:>rys<``
P p�'3y p-3��,$ >: .<v $ r <..........
State Lie. #: ; u .> ?;>?:•:>:<;
>:.:•;,;.:,.;:>;;;:;;;;;::<r;s
Name of Contact Person: 4�f fw L/ 45;
Construction Ty Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: (p -'3414 — j
Estimated Value of Project:
APPLICANT: DO NOT WRITE -BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
t
Im
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance,
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
S.M.I.
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correctionsrssue
VI
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
'l`�i�,'►A�1-1`6'4• Oft-
812,FrJZM - , Aqkkwwa
t7 Sa.L� L.ua3..ts6 �
Monarch Management':Group
t' A DIVISION OF THE MANAGEMENT TRUST
. iA
August 22, 2011 "!
ANDREA RICHARDSON
RE: Architectural Submittal for 79-345 STONEGATE ti
Account#: 595025
Dear Homeowner,
The Architectural Review Committee for THE ESTANCIAS has reviewed and APPROVED your architectural submittal for
the installation of glass slider per the plans submitted.
All construction must commence within 120 days of this approval letter, if construction has not been commenced
within the 120 days such approval shall be deemed withdrawn. Once construction is commenced, all work shall
be completed within 180 days of commencement.
ARC approval of plans shall not constitute a representation, warranty, or guarantee that such plans and specifications
comply with engineering design practices or zoning and building ordinances, or other governmental agency regulations or I
restrictions.. The ARC shall not be responsible for reviewing, nor shall its approval of any plans or design, be dee
amed
approved from the standpoint of structural safety or conformance with building or other codes. By approving such plans
'and specifications; neither the ARC, the Members thereof, the 'Association, any Member thereof, their Board of Directors,
any Members thereof, or the Declarant assumes any liability or responsibility therefore or for any defect in -the construction
or improvement from such plans or specifications. As provided in the CC&R's neither the ARC, the Association, the Board
of Directors or the Association or any Members thereof. not the Declarant or Developer shall be liable to any Member,
Owner, Occupant, or other person or entity for any damage, loss or prejudice suffered or claimed on account of (1) the
approval or disapproval of any plans, drawings, or specifications, whether or not defective, or (2) the construction or
performance of any work whether or not pursuant to the approved plans, drawings, or specifications..
Your patience and cooperation with the architectural review process is appreciated. If you have any questions, please
contact the association at (760) 776-5100.
•
Best regards,
THE ESTANCIAS "
AT RANCHO LA QUINTA HOMEOWNERS ASSOCIATION.
CC: Board of Directors .
Unit File
39755 Berkey Drive, Suite A, Palm Desert, CA 92211
i CONNECTING PEOPLEMTHE PROMISE pH: 760.776.5100 FAX 760.776.5111
wwuJ:managementtrust.com
a