13-0758 (SOTB)P.O. BOX 1504 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 13-00000758
Property Address: 81407 GOLDEN POPPY WY
APN: 764-280-999-111 -300236-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 6000
Applicant:
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 Profession ode, and my License is in full force and effect.
License Class: B se No.: 906650
Date: �/9-.XL 63ntractor:
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 _ 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 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 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:
ARIONDO
81407 GOLDEN POPPY WAY
LA QUINTA, CA 92253
Contractor: D
ALL VALLEY CONSTRUC 1
39813 CLEMENTS WAY
MURRIETA, CA 92563
(760)774-5786
Lic. No.: 906650
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/19/13
AUG .l 9 2013
CIN OF LA QU,- NTA
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:
Carrier E T Policy Number EXEMPT
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 toa workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwi om I 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 1$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 her authorize representatives
of this countyto enter upon the above-mentioned property for ' sp���
Date:/2 S3ignature (Applicant or Agent):
Application Number . . . . . 13-00000758
Permit . . . BUILDING 2013
Additional desc . .
Permit Fee . . . . 204.49 Plan Check Fee
.00
Issue Date . . . . Valuation . . . .
6000
Expiration Date . . 2/15/14
Qty Unit Charge Per
Extension
BASE FEE
101.53
4.00 25.7400 THOU BLDG $2,001-$10,000
----------------------------------------------------------------------------
102.96
Permit . . . PLUMBING 2013
Additional desc . .
Permit Fee . . . . 11.92 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 2/15/14
Qty Unit Charge Per
Extension
1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS
11.92
----------------------------------------------------------------------------
Special Notes and Comments
SUPERIOR FIREPLACE ADDITION IN GREAT
ROOM. PER INSTALLATION INSTRUCTION FOR
SUPERIOR REQUIREMENT AND 2010 CALIF
BUILING CODES.
August 13, 2013 9:29:54 AM JJOHNSON.
----------------------------------------------------------------------------
Other Fees . . . . . . . HOURLY PLAN CHECK
4.9.00
PLAN CHECK, REMODEL
214.50
PLAN CHECK, PLUMBING
23.83
STRONG MOTION (SMI) - RES
.60
Fee summary Charged Paid Credited
Due
---------------------------------------------------------
Permit Fee Total 216.41 .00 .00
216.41
Plan Check Total .00 .00 .00
.00
Other Fee Total 287.93 .00 .00
287.93
Grand Total 504.34 .00 .00
504.34
LQPERMIT
Bin #
City of La Quinta
Building & Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking 85OUNITVY
Project Address: J/ J"'O 66LIXtJ r—V)T� Owner's Name: A P, /0 p 1) C)
JUN 1 3 2013
CITy OF S_A QUIN
DEVELO ME
A. P. Number:
Address: q/ �01, &-,01- PeAj
Legal Description:
City, ST, Zip: AA Qolwl-r4
Contractor:A /- L V1 L i- 6'y
6ov 5-rfbucl) &-i-1
telephone:
Address: CL.,6^ &v,,e L(
Project Description: F196)96,066
1"ZOLL
City, ST, Zip: IKUe(fit 6to
CA,
/Z001K
Telephone: 7G 0- 77 9 -!5796
State Lic. # 1706-657 0 City Lie. /0 7-76b
Arch., Engr., Designer: 54AerIA60 Lo fc*Z,
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: I rn
Rl
11"M
. . . . . . . . . . .
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: - 61
Estimated Value of Proje,-4%& .060o'e.
00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Ree'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted-
Item
Amount
Structural Coics.
Reviewed, ready for corrections M3
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Tide 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
21' Review, ready for corrcctio 6-r—e
Electrical
Subcontactor List
Called Contact Person 1134�0
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
M ROUSE:-
Review, ready for correctionstissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
NT
Trilogy
August 15, 2013
Angelo Ariondo
Gigi Ariondo
112 Sawtelle Court
Simi Valley, CA 93065
Property: 81407 Golden Poppy Way
Account: 015000064392
Dear Angelo Ariondo:
CONDITIONAL APPROVAL
We are pleased to inform you that your plans for installation of a fireplace and vent, received on
08/14/2013, have been approved by the Design Review Committee with the following conditions: 7, 8,
16, 19 and 23. The vent must be painted to match other vents on the roof (see attached copy).
This approval does not constitute consent by the Association for the applicant to encroach, trespass,
or build on any property other than that of the applicant. This approval is related solely to the items
reserved for approval by the CC&R's in accordance with the Design Review Guidelines. The approval
does not extend to the quality of work done by your architect, or contractor, or to any structural
engineering, soils engineering, or site grading and drainage design. You are urged to obtain the services
of a state licensed professional for consultation as needed.
The Design Review Committee is composed of volunteers. As such, it does not review applications to
ensure compliance with building codes, or other local or state laws. Please be advised that this
approval does not relieve you from obtaining any necessary building permits from the governmental
agencies involved to ensure compliance with these codes. Any violations of these ordinances will be
your responsibility to correct. Thank you for your patience in this matter and for complying with the
Association's policies and standards.
ain ely, �
Fo t e &S -I 7/Review Committee
VnCCAMRECEIVE
Barry Stere CMCA, AMS
Gelneral nager
AUG 19 2013
Enclosures
CITY OF LA QUINTA
cc: Board of Directors
COMMUNITY DEVELOPMENT
Design Review Committee
Trilogy at La Quinta Maintenance Assoc.
Professionally Managed by Action Property Management, Inc.
60-750 Trilogy Parkway, LaQuinta, CA 92253-7717
Phone: 760-777-6059 Fax: (760) 564-2474 "
www.actionlife.com