BRES2017-0116-3 +` Q�i
78-495 CALLE TAMPICO . D � . VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/27/2017
Application Number:
BRES2017-0116
Owner:
Property Address:
51697 EL DORADO DR
TONY CZEBO–AR
APN:.
777350007
1030 N CENTER PKWY STE I—
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Application Description:
CZEBOTAR RESIDENCE / WINDOWS
121:
KENNEWICK, WA 92253
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Property Zoning:
¢
Application Valuation:
$35,000.00
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Applicant:
CARLOS SANCHEZ
Contractor:
ELITE RENOVATIONS
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C
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45175 PANORAMA DR STE
E
150 LINCOLN DOWNS I11
PALM DESERT, CA 92211
RANCHO MIFAGE, CA 92270
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(760)831-71}3
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Llc. No.: 867502
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------------------------------------CEI--
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 Professions Code, and
my License is in full force and effect.
License Class: B License No.: 867902 /
Date--- "V \-I Contractor: �✓/
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 d
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).:
( 11, 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 11, 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 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 Add
WORKER'S COMPEIISATION DECLARATION
I hereby affirm under penalty of perjury ore of the following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section :700 of the Labor Code, for the performance
o e ork for which this permit is issued -
I have and will maintain workers' compensation insurance, as required by
S 1 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 COMPENSATION INSURANCE FUND Policy Number: 9138008
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 sub' to the
workers' compensation provisions of Section 3700 o the L r C , s I fo ith
comply with those provisions.
Dat Applicant-
-
ant -
WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($107,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDEC FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACYN O W LEDG EM ENT
IMPORTANT: Application is hereby made o the Building Official for a permit subject to
the conditions and restrictions set forth or this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is per�ormed under or pursuant to any permit issued
as a result of this application , the owner, .end 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 a; -)plication 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 acity and county ordinances and state laws relating to b ' i g
construction, and herebyauthorize representatives of this cit toe ter a ov
mentioned property for inspection purposes.
Date — U / ^Signature (Appliont or -Age
Date: 7/27/2017
Application Number: BRES2017-0116.
Owner:
Property Address: 51697 EL DORADO DR
TONY CZEBOTAR
APN: 777350007
1030 N CENTER PKWY STE 215
Application Description: CZEBOTAR RESIDENCE / WINDOWS
KENNEWICK, WA 92253
Property Zoning:
Application Valuation: $35,000.00
Applicant:
Contractor:
CARLOS SANCHEZ
ELITE RENOVATIONS
45175 PANORAMA DR STE E
150 LINCOLN DOWNS
PALM DESERT, CA 92211
RANCHO MIRAGE, CA 92270
(760)831-7173
--------------------------------------------------------------------------------------------
Llc. No.: 867902
Detail: WINDOW CHANGEOUT - REPLACE EXISTING. WINDOWS / DOOR WITH 2-6070,1-4070
WINDOWS AND 1-20090 SLIDER. UFACTOR = 0.32 SHGC =
0.25 PER 2016 ENERGY. NEW OPENINGS. PER 2016 CALIFORNIA BUILDING CODE.ENGINEER:
NICOLO AUS GUZMAN c76675
DESCRIPTION ACCOUNT QTY AMOUNT
HOURLY CHARGE - YES ADMINISTRATIVE STAFF 101-0000-42600 0.25 $10.00
DESCRIPTION ACCOUNT QTY AMOUNT
HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 1 $95.00
Total Paid for BLDG CITY STAFF - PER HOUR: $105.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 i
0
$2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308 !
0
$4.55
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $4.55
DESCRIPTION
ACCOUNT
QTY
AMOUNT
STUCCO APPLICATION, FIRST 500 SF
101-0000-42404
0
$25.84
DESCRIPTION
ACCOUNT
QTY
AMOUNT
STUCCO APPLICATION, FIRST 500 SF PC
101-0000-42600
0
$77.52
Total Paid for STUCCO APPLICATION: $103.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7
101-0000-42400
0
$63.84
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC
101-0000-42600
0
$62.32
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $126.16
Bin #
City of La Q uin to
Ol 1(10 Building U Safety Division
- 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:
Owner's Name:
A. P. Number:
Address: A C-
Legal Description:
City, ST, Zip:
Contractor: t C 1'r-- e-k�-,N&j Tr )G 3
Telephone: y
Address:
Project Description:
City, ST, Zip:
Telephone:
P
s
: •. ..>:
/�A..:=>->:-;:::
State Lic. # - �p -7 0 Z
City Lie. #c
Arch., Engr, Designee.,. CA,�� S6!WC- EZ
Address:' -4 S- 1 /
City, ST, Zip: L
Telephone: 76 Z, Z- I
< >. ---- ,-- .,-,-- :'; ;;
Construction Type: Occupancy:
Pr ject type (circleone): New Add'n(Alier� Repair Demo
State Lic.
Name of Contact Person: ��� ��Z
Sq. Ft.: 3 ��
# Stories: ( # Units:
Telephone # of Contact Person: 762- Z ?-
Estimated Value of Project: _LL0 d 0
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"a Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
li.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,
ILI
Total Permit Fees
Building Permit Number. --jrf-
Project Description: SFR
Exempt: iA
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
Plan Submittal Date 1 8/3/2017
Job Site Address
Owner's Name
Number, Street, or PO Box
City, State, Postal Code
Owner's Phone Number
Owner's E-Mail Address
Projed Manager's
Project Managers Phone N
Project Managers E-mail A
51897 El Dorado Ln
Julie Zaboter
51697 Ell Dorado Dr
La Quints, CA. 92253
N/A
Earl Boiko
760-831 7173
earibolkobAgmall.com
Builder / contractor Elite Renovations
Number, Street or PO Box1 150 Lincoln Downs
City, State. Postal code I Rancho Mirage, CA. 92270
RE EIVED
AUG 1 1 2017
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
Project Square Footage I Approx. 200 Squarefeet
City Approval By Renado Gouldlock-DECfuntec Wasfe r
4da
Date of City Approval Q1118/03/m
Materials To Be Discarded:
Product
Trash
Asphalt
Brick/Block
Cardboard
Commingled
Concrete
Drywall
Donated / Reuse'
*Describe Items
Tons
0.21 Not recyclable
0.00 Recyclable
0.00 Recyclable
0.00 Recyclable
0.00 Recyclable
0,00 Recyclable
0,16 Recyclable
0.00 Recyclable
Product
Masonry (broken)
Plaster
Scrap Metal
Tile (floor)
The (roof)
Wood
Landscape Debris
Tons
'Totals: Recycle Trash Projected Diversion:
0.4 1 0.2 SB.I]a°/o
Recyclable)
I understand it is the property owner's responsibility to submit copies of weight tickets or receipts to the Dtstrlct
Environmental Coordinator as these hauls occur. I hereby certify that completion, Implementation and adherence of the
Debris Management Plan (DMP) for the above named project shall guarantee that at least 65% of the Jobsits waste is
diverted from Iandfilflng. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining
materials generated from the first day of the project through the completion of the project In accordance with this plan. This
DMP is issued in the name of the property owner(s) and shall remain their property throughout the construction and/or
demolition project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP is still
issued in the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the
DMP are adhered to. The property owners) and general contractor shall be kept Informed of the diversion progress through
bl-monthly repo_ rts. if self hauIIng,..aw" material ❑m this project site must be taken to an approved re/cycler or transfer
r
Owner per / dt Weffagar / S upkffntendant Date
Mountain View Country Club Homeowners' Association
c/o Albert Management, Inc.
PO Box 12920, Palm Desert, CA 92255-2920
760.346.9000
760.346.9997
May 23, 2017
Tony Czebotar
1030 N Center Pkwy Ste 215
Kennwick, WA 99336
RE: Property located at: 51697 El Dorado Drive, La Quinta, CA 92253
Account # 10140058G
Architectural Approval for: Exterior House Painting/Window and Door Replacement
Dear Homeowner(s):
Please consider this written confirmation that the architectural committee has approved your application for Exterior
House Painting in Glamour White, Replacing of Back Windows (as submitted) and Replacing of the Sliding Glass Door
with Retractable Sliding Doors (as submitted). Meese_note_ approved color is Glamour White and not Glacier White as
submitted.
The CC&Rs provide the Architectural Committee with the duty and responsibility to review all applications requesting
additions, alterations, improvements, or modifications to the exterior of his/her residence, residential lot, and/or the
common area and to ensure that the architectural applications comply with the Architectural Application Guidelines and
Procedures and comply with the Association's Governing Documents and are consistent with the overall conformity and
harmony of the original design and the aesthetic beauty our community,
We thank you for your cooperation in following the architectural procedures. Please contact our office upon completion
of this project so that the final completion may be signed off by the Architectural Committee and if applicable, any
refundable deposit returned.
Should you have arry questions pleas-e-reach out to your point of contact, Jodi ParrnL-tt, CCAM at 760.34-6.9000'-or by
email at jodi.pannell@albertmgt,com.
Sincerely,
On behalf of the Architectural Committee
Mountain View Country Club Homeowners' Association
Association Manager
Jodi Pannell, CCAM
cc: Architectural Committee
RECEIVED
AUG 1 1 2017
CITY Or L.A QUINTA
COMMUNITY DEVELOPMENT