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10-1155 (RER)r P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 10-0000_1155 Property Address' 48413 LEGACY DR APN: 658-130-011-10 -31379 - Application description: REMODEL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 3500 Applicant: A / 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 7000) of Division 3 of the Business and Professionals Code, an y License is in full force and effect. Licpiae Class: B Li nse N .: 942804 —ZXZ Date: it�Z (D/ ntractor. 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).: (_) 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, 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. , BAP.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 Owner: JACK GREENE 48-413 LEGACY LA QUINTA, CA DR 92 Contractor: KOMPLETE INC 79409 PASEO DEL LA QUINTA, CA 92 (760)625-6720 Lic. No.: 942804 VOICE (760) 777-7012 FAX (760) 777-70.11 INSPECTIONS (760) 777-7153 Date: 11/02/10 •---------------------------------------------— 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 GUARD INS Policy Number KOWC110176 _ 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 ject to th ,workers' compensation provisions of Section , 3700 of the Labor Code, I sha ith cc ply with those provisions. ate: 1 (�G to plicant: WARNING: FA URE TO SECURE WORKE S' 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 End 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 constructs , and hereby uthorize representatives of t ' county to enter upon the ove-mentioned property for inspe urposes. Date: i —t Sig ure (Applicant or Agent): Application Number . . . . . 10-00001155 Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 25.00 Plan Check Fee 16.25 Issue Date . . . . Valuation . . . . 928 Expiration Date 5/01/11 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 2.0000 ---------------------------- HND BLDG 501-2,000 -------------=---------------------------------- 10.00 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 1,5.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments EXPAND PATIO BY ADDING -58 L.F. 40" PATIO WALL, CITY STANDARD, ADD 1 •ELECTRICAL OUTLET & 1 HOSE BIB. 2007 CODES. ---------------------------------------------------------------------------- Other Fees BLDG STDS ADMIN (SB1473) 1.00 STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid Credited ------------------------------ Due , ---=----------------------- Permit. Fee Total 58.75 .00 .00 58.75 Plan Check Total 24.69 .00; .00 24.69 -other Fee Total 1.50 .00 .00 1.50 Grand Total 84.94 .00 .00 84.94 LQPERMIT r { Oct'16 10 10:14a Jack Greene 5050 36758869 - p.l ,LEGACY VILLAS'" ARCHITECTURAL REVIEW APPLICATION i Unit:. 232 Unit Address: 4e-413 Legacy Dr Date: 10/15/10 Name: Jack Greene Mailing Address: 3012 LAXEMEW Phone: r.AKF. OSWF..O- OR 4705 To the Architectural Review Committee: You are hereby advised that the following work is proposed and approval is requested. 1/11Ve 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 municipat/county building department approval, and I/We agree to obtain necessary munidpaUcounty building permit prior to commencement of any work. Failure to obtain the foregoing will result in withdrawal of approval. I/We acknomnrledge that approval by the ARC is not a guarantee of structural safety or engineering soundness. IANe agree not to alter existing drainage patterns on the lot without express approval of the ARC. WVe acknowledge that all approved changes in the original design will be at our expense; that any damage to or relocation of existing sprinkler systems, underground utilities, building, structure and exterior landscaping or other damage resulting from the construction of these permitted improvements shall be at my/our expense; and the maintenance of the permitted improvements shall be at our expense. Upon completion of the improvement, 1/we 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 Uwe 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 acoordance 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. Applidint (Please Pratt Your Name) (Signature) ftlft2nt (Please Prart Your Name) J(signawm) l Si '4 1 Oc.. 16 10 10:14a Jack Greene 5036758869 p.2 Architectural Review Application Page Two p Unit: 232 Proposed Start Date: Estimated time for completion:_ November 15, 2010 Description of Project (attach another sheet if necessary) Patin h—d"ion nl ac se— -=P of mark provided by Komnlete Znc w Upon the sale of your unit, disclosure of these modifications must be made to the Buyer. ----------------------------------------------------------7-------------- The above requested mod' tions have been reviewed by the Architectural Review Committee and have been: _ Approved Reiected Held oendina further infnrmnffnn f ember Date: lllo9la3I I ARC Member I I I t I t TEAf1111 KOis PLEaTE Job Description. i TO:. FROM: Mr. Greene KOMPLETE INC. 48413 Legacy Dr. Lic.#942804 La .Quinta, CA 92203 79409 Paseo Del Rey ! La Quinta, CA 92253 emil: Job description: PATIO EXPANSION. Up to 400 sq.f Demo all patio walls, 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, 274 sq.f. Sand finish. And footings. (city standard) Blockwall, 60 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 outlets. ' 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 �DI Elmo Kassin O� Komplete Inc. �O�D Owner/CEO � � Phone: 760 V .625.6720 O Fax: 760.645.6225 t , 1 C'�-O raA-kj Fat,�U . 25'-8' 17'-2"8'-6„ o NEW PATIO WALL (-0,0-oL- EXISTING PILASTER co - coo TO REMAIN r` EXISTING PATIO WALL ` TO BE DEMOLISHEDBO I c IIco EXISTING PILASTER TO REMAIN Existing open patio to remain 123 SQ.FT. Proposed open patio to enlarge 273 SQ.FT. CITY OF LA QUINTA BUILDING & SAFETY DEPT. TOTAL open patio 396 SQ.FT, APPROVED FOR CONSTRUCTION DAT 13 OkAl TEAM PmjeCt: Legacy dr. 48-413 KOMPL IE Wrk no. 0910 Drawn by. Madis KaruFW Date: 10/14/2010 Client: Mr. Greene O KOMPLETE INC. La Quinta, 92253 CA Drawing name: Drawingscale: teamkomplete@gmail.com Phone: (760) 625 6720 www.teamkomplete.com Fax: (760) 645 6225 Partial floor plan Page: NK Bin # 10 Project Address: A. P. Numbs City of ju QU0inta Building 8r Safety Dlvft P.O. Box 1504, 78-495 Caffe Tampko U QuInta, CA 92253 - (760) 777-7012 Building Permit APPlication and Tracking Sheet ® i--, Owner's Name.C1 re e• o, e— Address: CRY. ST, Plan Sets PERMIT FEES awl W Item Amount X% ready for corrections Pian Q Structural Glen.'' Plan Ckeek Balance [died up Ooustmctiou ' submitted Review Truss Glen. kw, ready for correctionvissue Electrical Lbntact Person Plumbing • � • { 3:tS.S%•' J:.tiL :za ;cii{S���Yr.:i�?,����+� S M,L ♦ � � 1 ' � 1 � ew,'ready for correetionvissue � I Flood plain plan A.I.P.P. permit Issue Plans r •In 2•! Ra Subeontaetor List c Total Permit Fees Called Grant Deed Plana I H.O.A. Approval Plain I IN HOUSE:- :uu.G'e .�.•: �21`aJ2i 1 1 1 I r r l' � Called Pub. Wks. Appr 1 \ • • ••1 11 .11.1 LIr.j Plan Sets PERMIT FEES leek submitted Item Amount X% ready for corrections Pian Q Structural Glen.'' Plan Ckeek Balance [died up Ooustmctiou ' submitted Review Truss Glen. kw, ready for correctionvissue Electrical Lbntact Person Plumbing Gikd Title 24 Caks. S M,L rsubmitted Grading ew,'ready for correetionvissue Platy P Flood plain plan A.I.P.P. permit Issue Plans r Grading plan 2•! Ra Subeontaetor List c Total Permit Fees Called Grant Deed Plana I H.O.A. Approval Plain I IN HOUSE:- Planning Approval Called Pub. Wks. Appr Date o School Fees IRAC4C.irlG PERMIT FEES leek submitted Item Amount X% ready for corrections Plan Check Deposit +ontact Person Plan Ckeek Balance [died up Ooustmctiou ' submitted Mechanical kw, ready for correctionvissue Electrical Lbntact Person Plumbing icked up S M,L rsubmitted Grading ew,'ready for correetionvissue Developer Impact Fee contact Person A.I.P.P. permit Issue c Total Permit Fees