12-0022 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: `=-1-2--0-0 0 0-0-2-
2
Property Address:9752"0 VIA SIN CUIDADO
APN: 772-370-017- - -
Application description: REMODEL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5000
Tit!t- . 44'0"
Architect or Engineer:
0It>
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury th am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the u s a d Professionals Code, and my License'is in full force and effect.
License, Class: B I. License No.: 541336
Date yentractor:
OWNER -BU ER DECLARATION
I hereby affirm under penalty of perjury that 1 a exempt om the Contractor's State License Law for the:
following reason (Sec. 7031.5, Business and Prole s 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.).
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:
YAKIMOVICH,
79520 VIA S
LA QUINTA,,
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153.'
Contractor:.
SAWYER'CONSTR TI
78525 AVENUE 41
BERMUDA DUNES, CA
(760)200-0893
Lic. No.: 541336
92203-1131
Date: 1/09/12
-----------------------7-----------------------
WORKER'S COMPENSATION DECLARATION
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 STATE FUND Policy Number 19480952011
I certify that; in the performance of the work for which this permit is issued, I shall not employ any
person in any manner os ecome subject to the workers' compensation laws of California,
and agree that, if I h I b o e subject to the workers' compensation provisions of Section
X0 of the Labo C d I p y hose provisions.
'p cant:
WARNING: FAILURE TO SECURE WORKERS' C MPENSATI N COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENAL ES AND. Cl IL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE C T OF PENSATION, DAMAGES AS PROVIDED FOR IN °
SECTION 3706 OF THE LABOR CODE, INTEREST, TTORNEY'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 ab ve'nformation is correct. I agree to comply with all
city and county ordinances and state laws relating b d' ruction, and hereby authorize representatives
of thi cc ty enter upon the above-mentioned rop r i e n
D ' I' Sig ure (Applicant or Agent • '
Application•Number . . . 12-00000022
------ Structure Information ENTRY .REMODEL W/ARCHITECTURAL
FEATURE -----
Other struct".info .. CODE EDITION
2010
Permit .' BUILDING PERMIT -.
Additional desc
Permit Fee 72.00 Plan Check Fee
46.80
Issue Date Valuation
5000
Expiration'Date". 7/07/12.
Qty Unit Charge Per
Extension
BASE FEE
45.00
" 3-00 9.0000 THOU BLDG 2,001-25,000
27.00
Permit ELECT - ADD/ALT/REM
Additional desc .
Permit Fee20.25 Plan Check Fee
5.06
Issue Date . . . : Valuation . .
0
Expiration Date 7/07/12
Qty Unit Charge.. Per
Extension
BASE FEE
15.00'
7.00 .750.0 PER ELEC DEVICE/FIXTURE 1ST 20
5.25
Special. Notes and Comments
REMODEL•AT ENTRY DOOR AND ARCHITECTURAL .
FEATURE AT COURTYARD [ENGINEERED] THIS
PERMIT DOES NOT INCLUDE MECHANICAL OR
PLUMBING ALTERATIONS OR ADDITION TO THE
BUILDING CONDITIONED SQUARE FOOTAGE.
2010 CALIFORNIA BUILDING CODES.
January.9, 2012'3:37:39"PM AORTEGA
-----------------_--------------.----------------------------------
Other Fees _. . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW.FEE
4.68
STRONG MOTION (SMI).- RES
.50
Fee-summary Charged Paid Credited
Due
Permit Fee .Total 92.25 .00 .00
92.25
Plan Check Total 51.86 -'00 .00
51.86
Other Fee Total 6.18 .•00 .00,
6.18
Grand Total 150.29 .'00 .00
150.29 -
f
Bin # > :
.
City of La Quinta. :
Building & Safety•DivLslon . . ;.:. - ..•,
P.O. Box. 1504,78-49S Calle Tampico .
La Quints, CA 92253 - (760).777-7012
Building. Permit Application and Tracking Sheet
Permit* - '
Project Address: �� 9ZD Vi o f n u td kb
Owner's Name:
..�tq.SZo
A. P. Number:
Address: V1 a
Legal Description:
City, Zip:, L�l.. Q ULc. 2 Z5j
Contractor. (/J l
,.. M. 1. s.
TeIep,}rone: ;f?? '^. >, ��3>+ .
Project Description:
Address: ?552�S / \VeL1-1-4I
City, ST, Zip: S (ft MiA 22
Telephone'
} ;::�:: ,' r'v `,•
City Lie. #:
State Lie. # :
Arch., Eng., Designer
Address: GJ
J7
I
City, ST, Zip:
Telephone: '
State Lie. #: ix�;, <.99..�'•,`{...ti,;'�,;` ).max Y9•:�
�''`"" ` v x,':%•- "
-f•`�=� ;., :, ��'�b
Name of Contact Person:
Construction Type: Occupancy:
jPMect circle one): New Add'n
n'Pe � )' Repair Demo
Sq. Ft:
#Stories: f # Units:
Telephone # of Contact Person: f Z(�Q .
Estimated Value of Project: v
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd Recd TRACMG PERMIT FEES
Plan Sets
Plan Check submitted
Item . Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
J
Title 24 Calm
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
20° Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
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. Aper
Date of permit issue
School Fees
Total Permit Fees
n:Doyle Properties. To: Ron Sawyer(17602000878) 18:02 01104112GMT-05 Pg 01-01
j
%W,
Architectural Application Decision
,
r
' March 31, 2011
_Ernest & Yvonne Yakimovich
1251 Oceanwood Lane
Victoria, BC V8Y0A4
RE: Architectural Application.
Y, Lot `27 — 79-520 Via Sin Cuidado
Dear. Homeowners:
The Palmilla Maintenance Corporation Archltectural Committee has APPROVED
the architectural application to enlarge the pathway and minimize current wall
- structure to resemble a chimney stack style as per the renderings and application -
submitted, with the following provisions:
t
Green paint must'be from approved paint palette and approved supplier
If any replanting is done, plants must be from approved Palmilla plant
palette
• The Stack Stone Chimney must look like original stonework
We thank you for your patience in this process and providing all the required
documentation and applications. If you have any questions, please give me a call
at (760) 776-5100 ext. 351.
f
Sincerely, r
On Behalf of the Architectural Committee
Palmilla Maintenance Corporation
r ,
Jamie Hansen, CCAM
5 Association Manager
CC: Unit File '
Property Address, Palmilla
The Monarch Group
P.O.Box 13710 Palm Desen, CA 92255-3710
Tcicphore: 760.776.5100 / Pax` i6U:77(i.51 I I
Email: Jami:.hanswgmonarchgrr.com