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12-0545 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00000545 Property Address: 55539 FIRESTONE APN: 775-151-003- - - Application description: ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 15000 Applicant: 4.a�•+r•� T d -it 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: aA. P ° JUL 05 2012 CITY OF LA QUINTA FIN4NCE DEPT. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perj 4sa ic n6r provisions of Chapter 9 (commencing with Section 7 01 of Division 3 of the!,ro essi as Code, an my License is in full force and effect. License 1 B icenseNo. 684857 l Date: Contractor: 34 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 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. , 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: MR & MRS GORDICA 55539 FIRESTONE LA QUINTA, CA 92253 Contractor: EDWARDS CONSTRUCTION INC, BOB 51455 DESERT CLUB DRIVE LA QUINTA, CA 92253 (760)777-8202 Lic. No.: 684857 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/03/12 -------------------i--------------------------- 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 GRANITE STATE Policy Number WC1914223 _ I certify that, in the perfor ce of tl% rk f ich this permit is issued, I shall not employ any .in any manner so a to be a subje t the workers'compe sation laws of•California, ��ersoon greethat, if I sh uld eco e s b e workers' compensaonprovisions of Section ofthe Labor Co , I shat Orth th co ly with those provis•Cate: (� l 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 Ouinta, 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 applicatio ecomes null and void if work is not commenced within 180 days from date of issuance o�/4ov per h, atio '� f work for 180 days will subject permit to cancellation. 1 certify that I have read this application and state th ab inf atio orrect. I agree to comply with all city and ou y ordinances and state laws relatin�r. tst ion, an hereby authorize represen • 'vas of this c o 1///trroo/f �anter upon the above-mentioned party f p ion pur Date � Signature (Applicant or Agent Application Number . . . . . 12-00000545 ------ Structure Information 51SF ADDITION AND REMODEL/VB/RES-3/CL-A ----- Other struct info .. . . . . CODE EDITION 2010 FLOOD ZONE NO ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 51.00 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 162.00 Plan Check Fee 105.30 Issue Date . . . . Valuation . . . . 15000 Expiration Date 12/30/12 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 16.79 Plan Check Fee 4.20 Issue Date Valuation . . . . 0 Expiration Date 12/30/12 Qty Unit Charge Per Extension BASE FEE 15.00 51..00 .0350 ----------------7----------------------------------------------------------- ELEC NEW RES - 1 OR 2 FAMILY 1.79 Permit . . . MECHANICAL Additional desc Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 12/30/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 1.00 6.5000•EA ---------------------------------------------------------------------------- MECH EXHAUST HOOD 6.50 Permit . . . PLUMBING Additional desc . . Permit Fee . . . 39.00 Issue Date . . . . Expiration Date . 12/30/12 Qty Unit Charge Per LQPERMIT Plan Check Fee . . Valuation . . . . 9.75 0 Extension LQPERMIT Application Number . . . . . 12-00000545 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension BASE FEE 15.00 3.00 6.0000 EA PLB FIXTURE 18.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ----------------------------------------------------------------------------- Special Notes and Comments 51SF PATIO ENCLOSURE WITH REMODEL TO EXISTING KITCHEN/VB/RES-3/CLASS A -FR [ENGINEERED] THIS PERMIT DOES NOT INCLUDE ADDITIONAL COVERED ROOF AREA. 2010 CALIFORNIA BUILDING CODES. July 3, 2012 4:54:24 PM AORTEGA ------------------------------------------------------------------------=--- Other Fees . . . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 10.53 STRONG MOTION (SMI) - RES 1.50 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 243.79 .00 .00 243.79 Plan Check Total 125.75 .00 .00 . 125.75 Other Fee Total 13.03 .00 .00 13.03 Grand Total 382.57 .00 .00 382.57 71-7.80 San Jacinto Dr. Ste. E2; Rancho Mira9e, Ca: 92,270 ph. (760) 83478860 fax (760) 834-8861 Letter of Transmittal To: City of La Quinta Today's Date: 6-28-12 78-495 Calle Tampico City Due Date: 6-28-12 La Quinta, CA 92253 Project Address: 55-539 Firestone Attn: Kay Plan Check #: ❑ 12-545 ® 1 - Revised Plans Submittal: ® 1St ❑ 4th Revised Struct. Calcs ❑ 2nd ❑ 5th ❑ ❑ 3`d ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: # Of Descriptions: Includes: # Of Descriptions: Copies: Copies: ❑ Structural Plans ® 1 - Revised Plans ❑ Structural Calculations ® 1 Revised Struct. Calcs ❑ Truss Calcs w/Stamp ❑ Revised Truss w/Ltr. ❑ Soils Report Update ❑ Revised Soils Report ® 1 Structural P/C Comments ❑ Approved Structural Plans ® 1 Redlined Structural Plans ❑ Approved Structural Calcs ® 1 Redlined Structural Calcs ❑ y Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other:,. rte^•.: • . Comments: Structural content is approvable; please see the red post it pages where the fou dation detail callout was corrected as well as a rebar size correction on plan sheet S-2 and page 25 of the cal ujations', le!ap make the correction on the 2". set of,[flans and calculations. (Spoke with E.O.R. on 6/28/12) ••-: iSon` iii: D Structural Plan Review Time:=1:25.Hrs. This Material. Sent."for: ❑ ' Your Files ® Per Your Request ❑ > Your Review ❑ Approval ❑ Checking' ❑ At the request of: Other: ❑ By: John W. Thompson Rancho Mirage Office: ® (760) 834-8860 Other: ❑ Date 7/5/12 No. 31322 CERTIFICATE OF COMPLIANCE 4�J���scyo Desert Sands Unified School District 47950 Dune Palms Road Q BERMUDA DUNES O Cn RANCHO MIRAGE La Quetta, CA 92253 �,,INDIAN WELLS OESERT (760) 771-8515 �v PALMLA QUINTA ,, � �QINDIO y� Owner Mr & Mrs Gordica APN # 646-181-006 Address 55-539 Firestone Jurisdiction La Quinta City La Quinta Zip Permit # Tract # No. of Units 1 Type Residential Addition Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 55539 Firestone 51 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, 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: 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 51 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 - Bob Edwards Check No. Name on the check Telephone Funding Exempt By Dr. Sharon P. McGehee Superintendent Fee collected /exem�thd by S Signature Payment Recd Over/Urjdei NOTICE: Pursuant to Government Code Section 66020(d)(1), his will sf rve 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 dat6qn wh' h 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 Or - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting FROM FAX N0. . Mae PGA WEST' RESIDENTIAL ASSOCIATION, INC. Junc 21, 2012 Mr. & Mrs: William Gordica 135 Eagle Ridge I)rive SW Calgary, Alberta Canada, T2V-2V6 Jun. 27 2012 03:00PM P1 ,I Page 1 of'-) �✓ Z 55-539 Firestone - Architecrara? Variance- Casita & Enclosure of Covered Patio Dear Mr. & Mrs. Gordica, The Architectural Committee has reviewed your Architectural Variance submittal of preliminary plans for a casita addition and the enclosure of the golf course side covered patio, i.e. the kitchen expansion. The following proposed casita drawings: Sheets 1, 2. & 3 dated February 12, 2012, and the revised east elevation dated June 1, 2012 prepared by Robert A. Pitchford were provided. Also provided were the proposed kitchen expansion drawings: Sheets 1 & 2, date February 16, 2012. The proposed casita addition and kitchen expansion are acceptable conceptually in accordance with the Architectural Guidelines, Association's CC&R's, and Maintenance and Indemnily Agreement . The following conditions and/or requirements are pertinent: 1- Final plans must be submitted for review. 2. Submit a copy of the City of La Quints building department permit and the city stamped pians prior to starting any work. 3. The. homeowner and contractor are to meet with the Landscapefirrigation Manager, Bill Bobbitt, and the Maintenance/Lighting Manager, William Aceves, prior to the start of any work- It is the remonsibility of the homeowner. to Iocate and maintain the operation of -the existing irrigation and.lighting systems: 4. The 11nA is Dot responsible for verifying property lines, easements and existing utility services. S. The relocation and/or modification of the existing utilities, electrical, krigatiob and drainage is to be the responsibility of the homeowner and done to the building industry standards based on this site and the building codes. 6. The contractor to repair and/or replace any damaged irrigation, landscape, hardscape, lights or street surface to the satisfaction of the HOA. 7. Contractor to observe all Association rules and regulations. All contractor vehicles to park on one side of the street only, S. The contractor may not stockpile any material, equipment or construction debris in the street. All debris must be cleaned up daily. 54-320 Southern Hills, La Quinta, California 92253-5665, Telephone 760-771-1234 FAX 760-771-5125 FROM FAX N0. Jun. 27 2012 03:00PM P2 Page 2 of 2 9. The street gutters cannot be u:;cd for concrete wash out and the contractor is responsible for keeping the gutter clear and free of debris. 10. All site drainage is to be properly engineered and installed to prevent any flooding. 11. The roof the color and style is to match -the existing. All stucco, trim and finish details to match existing. 12. The homeowner and the contractor to schedule a meeting with the landscape and irrigation manager and the maintenance manager prior to submitting a Notice of Completion. 13. Upon completion of the project the homeowner is required to pro'%ride a signed copy of the city inspection card and the Conrractor Cert2ica iOn•letter.(enclosed)- . 14. A Maintenance and .Inde »rntty Agreemeizt shall be signed prior to the start of work and reviewed at the completion of the project. Same shall delineate all applicable work, which current and future owners shall he compelled to solely maintain and/or replace as needed and the document shall be recorded with the County of Riverside and runs with the land. We reserve the right to make a final inspection of this change to make sure that it matches the original request. An approval is based only on the aesthetics of your proposed plan and should not be taken as any certification as to the construction worthiness or structural integrity of the proposed change. We appreciate your cooperation in submitting this request for approval. If I may be of further assistance, please contact me at the HOA office, (760) 771-1234,, Extension 15. Cordially, Kelly Mc alliard Operations Manager :. ....... ..� � .. .: � ...:.:..., _-. rte.. ... .. ... �: -� �.:,.. •• •:: �a::'�•=�:�or tie: Ar��t�'•Co�rnettee•. ........... ....... Enc. 1 cc: Architectural Committee Bin.# Cllr �f L Quinta Buiiog. 8c Safety Division P.O. Box 1504, •78-495 Calle Tampico 12.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Trackirg Sheet Permit # (� Y` Project Address: �S"� 3 T il?,lLS Grt,l� . Owner's Name:. i' �2 A P. Number %C� (�i"U� ��j(o•�. Address: Legal Descriptio i Contractor. City, ST, Zip: Telephone Project Description: Address: Sl S ' v City. ST, Zip. li(; Telephone: a gityxi, #; State Lic. N: Arch., Engr., Designer. G Address: �� Z Ge.✓ u (5 -- .City, City, ST, Zip: Telephone: '?� t7 3 State Lic. #: A Construction Type: " Occupancy: Project type (circle one): New Add.'a Alter Repair Demo Sq. Ft : # S 'es: # Univ: Name of Contact Person:/ Telephone # of Contact Person- . Esdmatcd Value of Project cc)& APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd'Rec'd TRACENG PERMIT FEES Plan Sets ` Plan Check submitted 5l 5 Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance. Title 24 Cates. Plana picked up s Construction . Flood plata plan Plans resubmitted.'. Mechanical Grading plan Z`' Review, ready for correc ' issue Electrical Subcoutactor List Called Contact Person Plumbing Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review; ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees $115 3,3A,°'s�` OZA" `J j.2#f 12 Q S�3ol 2 .� �� , IPhP4111111A �� :f.teRw� Fd4N�S 6