08-0315 (AR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
e08-00000315
Property Address:
79090 LADERA DR
APN:
604-271-017-86 -23913 -
Application description:
ADDITION - RESIDENTIAL
Property Zoning:
LOW-DENSITY RESIDENTIAL
Application valuation:
14643
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 License No.: 412506
Dated �OContractor:
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 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 thisreason '
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
Owner:
LONDOS ALEX C
79090 LADERA DRIVE
LA QUINTA, CA 92253
Contractor:,
AVILA CONSTRUCTION,
82567 AVENUE 48, #50
INDIO, CA 92201
(760)793-2728
Lic. No.: 412506
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/07/08
FD Lf"�!
MAR .l 0 2000.
FRED
PITY 0& L4 �44lIMT
A
PNANGE DOPY
-----------------------------------------------
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 become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwith comply with those provisions.
Date: -1C -4 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 construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for insppee�sctionn/ purposes.
Date: Signature (Applicant or Agent):
Application Number . . . 08-00000315
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
162.00
Plan Check Fee
105.30
Issue Date
Valuation . . . .
14643
Expiration Date
9/03/08
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
13.00 9.0000
----------------------------------------------------------------------------
THOU BLDG
2,001-25,000
117.00
Permit . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
•23.96
Plan Check Fee
5.99
Issue Date . . . .
Valuation
-- 0
Expiration Date
9/03/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
256.00 .0350
----------------------------------------------------------------------------
ELEC
NEW RES - 1 OR 2 FAMILY
8.96
Permit . . . . .
MECHANICAL
Additional desc .
Permit Fee . .' . .
33.00
Plan Check Fee
8.25
Issue Date
_ Valuation . . . .
0
Expiration Date ..
9/03/08
Qty Unit Charge
Per
Extension
_
BASE
FEE
15.00
1.00 9.0000
EA MECH
FURNACE <=100K
9.00
1.00 9.0000
-----------------------------------'
EA MECH
--------
B/C <=3HP/100K BTU
------- ---------------------------
9.00-
Permit
PLUMBING
Additional desc .
Permit Fee . . . .
18.00
Plan Check Fee
4.50
Issue Date
Valuation . . . .
,0
Expiration Date
9/03/08
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
256 SQ. FT. OFFICE ADDITION IN FRONT OF
HOUSE OFF FAMILY ROOM
_
11
LQPERN•IIT
LQPEI07IT y
Application Number
. . . . .
08-00000315
------------------------------------------------------
Other Fees . .
. . . . .
ENERGY REVIEW
---------------------
FEE
10.53
STRONG MOTION
(SMI) - RES
1.46
Fee summary
-----------------
Charged
----------
Paid
--------------------
Credited
----------
Due
Permit Fee Total
236.96
.00
.00
236..96
Plan Check Total
124.04
.00
.00
124.04
Other Fee Total
11.99
.00
.00
11.99
Grand Total
372.99
.06
.00
372.99
R
Bin #
City of La Q . uinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA- 92253 - (760) 777-7012
Building Permit'Application and Tracking Sheet
Permit # ((^^
rJ
g^ �1
Project Address:' D
Owner's Name:
A. P. Number:
Address: 7
Legal Description:
City, ST, Zip:.
Contractor:
Telephone:•
1
Address:
_91f—
Project Description:
City, ST, Zip:
q0l"-16
Telephone: 76b "72375R
t
State Lic. # :
City Lic. #:
Arch.; Engr., Designer:
FEB 10 2008 i U
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:.-�
)'rl/I I
Construction Type-upancy:
Project type (circle one): New Add'n Alter Repair Kew
Sq. Ft.:
#St ories:
#Units:
Telephone # of Contact -Person: ' 'l g3
of I?
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE .
#
Submittal
Req'd
Rec'd
TRACKING .
PERMIT FEES
Plan Sets
,3
Plan Check submitted
Item
Amount' r
Structural Cates.
Reviewed, ready f corrections
Plan Check Deposit
Truss Cates.
a
Called Contact PersonPlan
2]25Energy
Check Balance
Cates.
pQ
Plans picked up aj
Construction
Flood plain plan,
Plans resubmitted o9
Mechanical
Grading plan
2°" Review, readyor correctio , Z,
Electrical
Plumbing
Subcontactor List
Called Contact Person
Grant Deed
Plans. picked up +J.ce
`L
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3rdReview, ready for correctio srssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
.
A if
`
Total Permit Fees
42510'.8 � IAOS RSC .
z[zq f o $- R4#js RF c,
14 rM vow,
CERTIFICATE OF COMPLIANCE 4�JN�Fscyo
Desert Sands Unified School District
47950 Dune Palms Road ¢ BERMUDA DUNES O
Cn RANCHO MIRAGE (�
Date 3/10/08 La Quinta, CA 92253 ltJ INDIAN WELLS
No. 29954 (760) 771-8515 PALM DESERT
LA QUINTA y
'(1PIN0 yr]
O
Owner Alex Londos APN # 604-271-017-86
Address 79-090 Ladera Dr Jurisdiction La Quinta
City La Quinta Zip 92253 Permit #
Tract # No. of Units
Type Residential Addition
Lot # No. Street
Unit 1 79-090 Ladera Dr
Unit 2
Unit 3
Unit 4
Unit 5
Comments
S.F.
256 Unit 6
Unit 7
Unit.8
Unit 9
Unit 10
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 5
00 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 pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.00 X 256 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 -Fred Avila Check No.
Name on the check Telephone
Funding Exempt
BY Dr. Sharon P. McGehee
Superintendent
Fee collected /exemjted by Patri
Signature
1
r '
<; r Z
Barbuzza Payment Recd , ; $0.067
1 -Tt'• Ove4- r;der
NOTICE: Pursuant to Government Code SectiorjMO(d)(1), this will 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 without embossed seal
Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting