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07-1615 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: 07-00001615 78119 LAGO LA QUINTA DR 646-200-016- - - REMODEL - RESIDENTIAL LOW DENSITY RESIDENTIAL 10000 Architect or Engineer: BUILDING & SAFETY DEPARTMENT' BUILDING PERMIT 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, and my License is in full force and effect. License Class: B License No.: 743377 ate: 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 ISec. 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 0500).: (_) 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 fie 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.). (_ I 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: NICOLAIDES DAVID A 7.8-119 LAGO LA QUINTA DRIVE LA QUINTA, CA 92253 Contractor: PERRI CONSTR A PARTNERS 72263 DESERT DRIVE RANCHO MIRAGE, CA 92270 (760)340-5888 Lic. No.: 743377 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/08/07 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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. 11,1 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 229-0024699 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 700 of the L 6C shadforth ith co ly wit hose provisions. � ap' Ate plicant: j[�/ ,Q 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 co y ordinances and state laws relating to building construction, and hereby authorize representatives of this u ty t enter upon t above-mentioned prop y r inspection purpose . ate: gnat�pplicant or Agentl: f Application Number . . . . . 07-00001615 Structure Information 65SF ADDITION/V-NR/RES-3 Other struct info . . ---------------------------------------------------------------------------- . . . CODE EDITION 2001/2005 Permit . . . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 117.00 Plan Check Fee 76.05 Issue Date . . . . Valuation . . . . 10000 Expiration Date 12/05/07 Qty Unit Charge Per Extension BASE FEE 45.00 8.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 72.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee 17.28 Plan Check Fee 4.32 Issue.Date . . . . Valuation 0 Expiration Date 12/0.5/07 Qty Unit Charge Per Extension BASE FEE 15.00 65.00 .0350 ---------------------------------------------------------------------------- ELEC NEW RES - 1 OR 2 FAMILY 2.28 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/05/07 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 VENT FAN 6.50 Permit . . PLUMBING Additional desc . Permit Fee . . . . 48.00 Plan Check Fee 12.00 Issue Date . . . . Valuation . . . . 0• Expiration Date 12/05/07 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 6.0000 EA PLB FIXTURE 30.00 LQPERMIT Application Number . . . . . 07-00001615 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 -----------------------------------------------'----------------------------- Special Notes and Comments 65SF ADDITION/V-NR/RES-3 [CONVENTIONAL] *FIELD INSPECTION FOR REMOVED WALL REQ.* 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENER. June 7, 2007 3:.23:08 PM AORTEGA -----------------------------------------------------=---------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 7.61 Fee summary Charged Paid Credited ------------------------------ ---------- Due ----------------- Permit Fee Total 208.28 .00 .00 208.28 Plan Check Total 98.87 .00 .00 98.87 Other Fee Total 7.61 .00 .00 7.61 Grand Total 314.76 .00 .00 314.76 h . LQPERIIIIT Bin # City of La Quinta'. Building at Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 BuildingPermit . Application and Tracking'Sheet Permit # Project Address: $ -Itl �(� Owner's Name: ` ICO 1 O d -e A. P. Number: b46- i1�0 4 Address: O • f I � ' _O ` E? Legal Description: Contractor: C u City, ST, Zip: CA 22� Telephoned ( -:., Address: 2'z 3 De ec.-� '1 v — City, ST, Zip: � I 2� /� Project Description: Qe - h( k Telephone:, b ' J J, " .. � ,, :,!F71 State Lie. # 4 3 City Lie. #: 2 Arch., Engr., Designer: W o 1 11 Address: • City, ST, Zip:XV Telephone: - hof'• ,��<� State Lie. #: ' of Contact Person�019C4Prt ! Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo --7Name Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: , Ic cm., GO APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIMG PERMIT FEES Plan Sets Plan Check submitted /�l Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cales. 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 Grant Deed Plans picked up S.M.I. ` H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'n° Review, ready for correctionsrssue '' Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees r� Total Permit Fees friar 44*L44_-. Date 6/8/07 No. 29501 Owner Helen Nicolaides CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 APN # 4��FIEDSc�o Q 6ERMUDA DUNES 0"I RANCHO MIRAGE INDIAN WELLS PALM DESERT ,y ,�, LAQUINTA PINDIO O 646-200-016 Address 78-119 Lago La Quinta Drive Jurisdiction La Quinta City La Quinta Zip 92253 Permit # Tract # Study Area Type Residential Addition No. of Units Lot # No. Street S.F. Unit 1 78119 Lago La Quinta Dr 65 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments 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 65 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 -Elizabeth Perri Check No. Name on the check Telephone Funding Exempt By Dr. Doris Wilson Superintendent a.n W Fee collected /exe ed by Patrl 'a Barbuzza Payment Recd ;,,1 .Over1Uhd1er Signature . ri NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 9D -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 if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting VLbERT RESORT MGMT PAGE 01 May 16, 2007 Helen Nicolaides 78-119 Lago Drive La Quinta, CA 92253 Re: Architectural Modification Request 78-119 Lago Drive Dear Ms Nicolaides: This letter is to confirm that the Architectural Committee has reviewed and approved your request to enclose the covered patio, at the above mentioned address, as submitted. The maintenance of the improvement will become your responsibility as homeowner, and Will, run with the land in the event of a change of ownership. Thank you for your cooperation during the review process. If you have any questions please call me at (760) 346-1161. Znna ce ly �� c✓ C�—iv Gorton Community Association Manager For the Architectural Committee Lago La Quinta Homeowners Association Cc: Board of Directors Perri Construction (fax 776-5888) File , P.O. Boz 4772 • Palm Desert, CA 92261-4772 73-550 Alessandro • Palm Desert, Califomia • 760.346.1161 • FAX 760.346.9gle EMRil:drrn@drminternet.com • , wwwdrmintarnet.com - "AN ADEQUATELY SIZED DEBRIS CONTAINER IS REQUIRED ON THE JOB SITE DURING ALL PHASES OF CONSTRUCTION AND MUST BE EMPTIED AS NECESSARY. FAILURE TO DO SO MAY CAUSE THE CITY TO HAVE THE CONTAINER DUMPED AT THE EXPENSE OF THE OWNER/ CONTRACTOR.° Construction is NOT PERMITTFD on the following Code Holidays: New Year's Day Dr. Martin Luther KingJr. Day President's Day Memorial Day Independence Day Labor Day Veteran's Day Thanksgiving Day Christmas Day W CONSTRUCTION HOURS October 1st - April 30 Monday - Friday: 7:00 a.m. to 5:30 p.m. ,s Saturday: 8:00 am. to 5:00 p.m. v Sunday: None Government Code Holidays: None erg May 1st - September 30th Monday - Friday: 6:00 a.m. to 7:00 p.m. Saturday: 8:00 a.m. to 5:00 P.M. Sunday: None Government Code Holidays: None W A RE -INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS! CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DA 6 18- (19 LAW 914ve office ?xw 1 O.UO5 ren d N v� w C'� A RE -INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS! CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DA 6 18- (19 LAW 914ve office ?xw 1 O.UO5 car 3 t7*m* to 2:cqb-ml, -.!I:ZPS2 DO, f,I- il--�IXU12 DJA r -,a --2cg DSA r,muLpl, Ord CC "s 444.0 Io A. NA QED x++3 tX CILk OL ry OPGVU.kf .1) .L:l .O:l .. TYN CITY OF LA QUINT/ BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION OATE._______BY Orad PGJGAOD Tub/Shower 60"Lx30"W '3'S } h'lid) uoil!pp y pasodoad b wooig4eg 00 wooapaq aalseW CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE BY A8 ava NouonHISNOO aoj ld3a AL VlNinc Existing I 7 joice � va NompnHISNOO a0-4 03AOHddd '.Ld3a A L3:]VS V ON101ln8 VlNlno vfl -qO Ailo Foundation Plan - 1/8' STUCCO 2'X4• STUD 16. O.C, 2'1(A' P.T.D.F. R-13 INSULATION ' 1/2' DRYWALL. SCREEN 5/8'. ANCHOR BOLTS 2. 6' O.C. MAX AND WITHIN 12. OF �Q� CORNERS (2 MIN.) �FINISSM GRADE 4' ��;�_t„r�'�� ; ::• SAND NATURAL w GRADE • �• 12, 04 BARS TOP 6 BOTTOM MIN, EXT. F❑❑TING DET. A . MN CII A�N v O V� rbK of 34M 9*6- �• -CALL. %R. �,1.15A9C•n oty Floor Plan Flfl0 W U 0,>> 5<OF CO Mr. Cl) ILL 0 0z�� Um a 0 Insulation walls R-13 celing R-38 Proposed Addition I_ s 4'/6' HDR Qa w Z0®o UJ l= c� >> ga®U Co LL 0 OZMcc �0<0 Um Q 0 Electrical Plan Flouresent Lighting (non screw bulbs) O O o i shelf bench i closet \ — � I O0 �- GFI GFI Flouresent Lighting (non screw bulbs) CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE BY