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BRES2017-013178-495 CALLE TAMPICO D �i4�ll�Cl/ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2017-0131 Property Address: 56054 BALTUSROL APN: . 775360014 Application bescription: LUPINACCI / 172SQFT ADDITION Property Zoning: Application Valuation: $10,000.00 Applicant: PEREZ, JUAN PO BOX 1868 .LA QUINTA, CA 92253 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.: 900828 Deter Contract OWNER -BUILDER DE RATION I hereby affirm under penalty of perjury that I a 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, 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.). (_) 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 Lender's Ad VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/1/2017 Owner: VINCENT LUPINACCI 56054 BALTUSROL LA QUINTA, CA 92253 Contractor: LEGACY CONSTRUCTORS INC 78365 HWY _.11 #396 LA QUINTA, CA 92253 (760)880-3445 Llc. No.: 900E28 WORKER'S COMPEMSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certi-icate of consent to self -insure for workers' coml tion, as provided for by Section 3700 of the Labor Code, for the performance of th rk for which this permit is issued) have and will maintain workers' compensation insurance, as required by Se in 3700 of the Labor Code, for the performance of the work for which this permit is iss d. My workers' compensation inswance carrier and policy number are: Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9213354 _ I certify that in the performanc-e 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 SectOn 3700 of the Labor Code, I shall forthwith comply with those provisions. la2� Date: Applicant?"r WARNING: FAILURE TO SECURE WORKERS' COMP NSATION 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 ACKAOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 :he City of La Quinta, its officers, agents, and employees for any act or omission related b 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 caro ellation. I certify that I have read this application anc state that the above information is correct. I agree to comply with all city and county o-dinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Dat L ` L Signature (Applicant or Agent : 4 Date: 8/1/2017 Application Number: BRES2017.0131 Owner: Property Address: 56054 BALTUSROL VINCENT LUP' NACCI APN: 775360014 56054 BALTU5ROL Application Description: LUPINACCI / 172SQFT ADDITION LA QUINTA, CA 92253 Property Zoning: Application Valuation: $10,000.00 Applicant: Contractor: PEREZ, JUAN LEGACY CONSTRUCTORS INC PO BOX 1868 78365 HWY 111 #1396 LA QUINTA, CA 92253 LA QUINTA, CA 92253 (760)880-3435 --------------------------------------------------------------------------------'------------- Llc. No.: 900B28 Detail: AD151TION 172SF AND RENOVATION AT MASTER BEDROOM AND SITTING ROOM. 2016 CALIFORNIA BUILDIKPG CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 0 $65.36 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $18.24 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, FIRST 100 SF 101-0000-42400 0 $127.68 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, FIRST 100 SF PC 101-0000-42600 0 $179.36 Total Paid for ADDITION: $390.64 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473'FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $152.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,'000SF, PC 101-0000-42600 0 $50.16 Total Paid for ELECTRICAL - NEW CONISTRUCTION: $202.16 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT 101-0000-42402 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT PC 101-0000-42600 0 $38.00 Total Paid for MECHANICAL: $76.00 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $1.30 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.30 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00. Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: 1 Bin # City of La Quin to Building K Safety Division Permit -78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: S 7/�"�(%j ��� Owncr's Name: V ��� 1 C,, A. P. Number: -7S—, s60, aL Address: Legal Description: City, ST, Zip: &LA -4T/0 CA— - l 5S Contractor: r Tele hone: :<_'`_> Address: �r�g- w #3� Project Description: City, ST, Zip: Telephone: .r P ::::;,:,.-_- :• :.:-: :y`: YN State Lic. City Lie. W.- Arch., Engr csign Address: r0. City, ST, Zip: LiQ Q[ r"3 Telephone: {Q[C� ,. ��]� � ',� ;��-�>•� �=A�,,t State Lic. #: Q. Name of Contact Person: C' 7 ��y�� Construction Type: Occupancy: Project type circle one New dd'n Alter Repair Demo Sq. Ft.: (70' # Stories: # Units: Telephone it of Contact Person: �7• & m Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Place Clieck Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction ' Flood plain plan Plans resubmitted Mechanical Grading plan 2-d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Gran( Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'rd Revicw, 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, 1 Total Permit Fees JUN 19 2017- A CITY Or- LA QUI.NTA COMMUNITY DEVELOPMENT Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 Project Name: PGA West Owner's Name: Vincent Lupinacci Project Address: 56-054 Baltusrol, This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT- LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/MD AMOUNT: DATE: RECEIPT: CHECK #: INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Description: Addition to existing single family APN: 775-360-014 Tract #: Type of Development: Residential xx Commercial Total Square Feet of Building Area: 191 sq. ft. Date: August 1, 2017 Phone No. Lot #Is: Industrial Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: August 1 2017 Signature: " / *********************************************************************** SCHOOL DISTRICT'S REQUIREMENTS FOR THE OVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Note: Number of Sq.Ft. 191 Pursuant to AB 181 any room additions or enclosures of 500 sq. ft. or less are exempt from developer fees. Any mobile Amount per Sq.Ft. $0.00 homes being relocated within the same school district's Amount Collected $0.00 jurisdiction are exempt from developer fees. Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Certificate issued by: Laurie Howard, Secretary Signature: 6LXJ- NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90-day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90-day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. V`,'Iccrccrtiilc_Itc of cf n, I imit u;-Ihoxl (107 11/2010 PGA WESToo FAIRWAYS ASSOCIATION Notice of Architectural Review June 6, 2017 Vincent & Norwood Lupinacci 56054 Baltusrol La Quinta, CA 92253 Re: Architectural Application — 56054 Baltusrol (Eagle Bend SBA) Dear Mr. & Mrs. Lupinacci: The Architectural Review Committee has reviewed your application to enclose a portion of the rear covered patio at your residence. I am pleased to inform you that the Committee has approved your application as submitted with the condition that you submit final stamped plans prior to commencing improvements. If any changes are made by the City you will need to submit a summary of changes to the Architectural Review Committee prior to cominencement. Please note that the Architectural Guidelines state the following: Section 7.7, (a) Stockpiling of Materials. Materials delivered to or generated by work on a particular Lot should be neatly stockpiled on such Lot and shall be incorporated into the work of Improvements or discarded/removed within a reasonable time. Where possible, such materials shall be screened from view of the public and neighboring properties. Section 7.8, Disposal of Debris. Any debris generated from a job site must be removed from the site. No material may be placed in or near the street, Common Area, neighboring Lots or any other portion of the property covered by the Declaration and Supplemental Declarations. If a portable restroom is needed, notify the Association as the location for the restroom will need to be determined by the Manager. Portable restrooms must be tan in color. Golf Course Property Access -- Approval of architectural change plans by the Architectural Committee does not include any right of access by Owner's contractor or subcontractor through golf course property. To request permission to access Owner's Lot through golf course property the Owner must contact golf course management at PGA WEST at 760-895-8064 regarding a temporary access license. Access without written permission could be deemed criminal trespass. Enclosed is an Exhibit C — the Compliance Review Request form. Please complete this form after the work is completed and return it by mail or fax to the address below so the completed project can be inspected. RECEIVED J U N 19 2 01? The Management Trust — Desert Division 39755 Berkey Drive, Suite A. Palm Desert, CA 92211 C TY OF LA Ql1INTA Phone: (760) 776-5100 Fax: (760) 776-5111 COM1MUNI T Y DEVELOPMENT %1N �••.c�ciwestiair%vatis.c m r, If you have any questions, please contact Kari Martin at 760-895-6345 or by email at Kari.Nlartiit rt Nlana eitienttrust.com. Sincerely, For the Architectural Committee PGA WEST Fai ways Association Cassie Gertz, AIVI, CA I General Manager The Management Tru — DesertDivision cc: Lot File Architectural Committee Building Permit Number: Project Description: Patio Enclosure remodel Exempt: I] (Materials may contain hazardous wastes and are not subject to recyciing provisions) Construction Debris Management Plan Plan SubmEttal Date 1 7/13/2017 Job site Owner's N Number, Street, or PO city, state, Postal C Owner's Phone Nun Owner's E-Mall Add Project Manager's Project Manager's Phone N Project -Managers E-mailA 56054 Baltusrol Vince Lupinaccl 56054. Baltusrol is Quints, CA. 92253 c/o N/A . Randy Bills 760-880-3445 rcblggacy0Yshoa.com BuiWerl Contractorl Legacy Construction Inc. Num1w,8bsetorPOBoxJ 44697 Warner Tr CRY, Stabs, Postal Code I Indian Wells, CA. 92210 Project squareFactagal Approx.190 square feet City Approval By Ranado Gouldlock-DECIBuntec Waste . Date of City Approval �*� �.[-r1 To Be Discarded: Product Trash Asphalt BrIckiBlock Cardboard Commingled Concrete Drywall Donated / Rettse* *Descrlbe Items Torts 0.90 Not recyciable 0.11 0.00 Totals: Recycle Trash 1.71 0.9 Product Masonry (broken) Plaster Soap Metal Tile (floor) Tile (roof) Wood Landscape Debris Tons 0.00 Recyclable 0.22 Recyclable 0.00 Recyclable 0.02 Recyclable 0.03 Recyclable 0.30 Recyclable 0.00 Recyclable Projected Diversion: 65.12°l0 1 understand It Is the property owner's responsibility to submit copies of weight tickets or receipts to the District Environmental Coordinator as these hauls occur. I herby 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 Jobsite waste Is diverted from Iandfllling. 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 owners) 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 tesponslbiUty for ensuring that the provisions of the DMP are adhered to. The property, owner(s) and general contractor shall be kept informed of the diversion progress through "anthly reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer Owner / Developer / Project Manager / Superintendent Date