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BRES2017-019178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ty, 4 4 Q" DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/6/2017 Permit Type/Subtype: BUILDING RESIDENTIAL/ADDITION Owner: Application Number: BRES20i7-0191 MIKE AND DIVA DARGIS Property Address: 78179 HACIENDA LA QUINTA 78179 HACIENDA LA QUINTA APN: 646280014 LA QUINTA, CA 92253 Application Description: DARGIS / 88SF ADDITION TO MASTER BEDROOM Property Zoning: g Application Valuation: $26,000.00 cc F4� as o Applicant: Contractor: UJ aGEMETTE CONSTRUCTION INC GEMETTE COrli STRUCTION w74300 HIGHWAY 111 74300 HIGHWAY 111 EPALM DESERT, CA 92260 PALM DESERT, CA 92260 r ZE (760)346-3245 Llc. No.: 280103 -------------------------------------------'-----------•- ------------------------------------- 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.: 280103 / Dat'- tey l C' — 6 1�t7actor:.. �O`'� 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 0 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.). (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 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: 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' com ens on, as provided for by Section 3'00 of the Labor Code, for the performance of for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Se n 3700 of the Labor Code, for the pe'-ormance of the work for which this permit is i ued. My workers' compensation insurance carrier and policy number are: Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9037738 _ I certify that in the performance �:)f 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 agreeethat, if I should become subject to the workers' compensation provisions of Sectirn 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: l©� �� `'7 App nf: WARNING: FAILURE TO SECURE WORKERS' ZOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10C,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED }OR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT 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 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 cancella-ion. I certify that I have read this application an -8 state that the above information is correct. I agree to comply with all city and county o-dinances and state I s rel g to building construction, and hereby authorize representatives of this cit to nt r on the above- mentioned property for inspection purposes. Dater©�(��� _Sure'(AppljcaniorAgent): a y: Date: 10/6/2017 Application Number: , BRES2017-0191 Owner: 'Property Address: 78179 HACIENDALA QUINTA MIKE AND DmA DARGIS APN: 646280014 78179 HACIEN DA LA QUINTA Application. Description: DARGIS / 88SF ADDITION TO MASTER BEDROOM LA QUINTA, C.a 92253 Property Zoning: Application Valuation: $26,000.00 Applicant: Contractor: GEMETTE CONSTRUCTION INC GEMETTE CONSTRUCTION INC 74300 HIGHWAY 111 74300 HIGHV%AY 111 PALM DESERT, CA 92260 PALM DESERT, CA 92260 (760)346-3245 Llc. No.: 280103 Detail: 88SF ADDITION TO MASTER BEDROOM [ENGINEERED] THIS PERMIT DOES NOT INCLUDE REMODEL TO THE EXISTING DWELLING AREA. 2016 ,CALIFORNIA BUILDING CODE. AMOUNT k, FINANCIAL DESCRIPTION INFORMATION ACCOUNT QTY ADDITION, FIRST 100 SF 101-0000-42400 0 $131.07 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, FIRST 100 SF PC 101-0000-42600 0 $184.13 Total Paid for ADDITION: $315.20 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 1 $156.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 0.5 $78.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - ESGIL PLANS EXAMINER 101-0000-42600 1.5 $135.00 Total Paid for BLDG CITY STAFF - PER HOUR: $369.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $2.00 Total Paid for BUILDING STANDARDS ADMINISTRAT'ON BSA: $2.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,OOOSF 101-0000-42403 0 $156.04 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,OOOSF, PC 101-0000-42600 0 $51.49 Total Paid for ELECTRICAL - NEW CONSTFUCTION: $207.53 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0' $25.33 Total Paid for MECHANICAL: $63.33 DESCRIPTION ACCOUNT . QTY AMOUNT' SMI - RESIDENTIAL 101-0000-20308 0 $3.38 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $3.38 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 • ,. G .-- - . M .. k - B`" # City of la Quinta Bui/ding 8r Safety Division 78-.495 Calle Tampico La Quinta, CA 92253.- (760) 777-7012 Building Permit Application and Tracking Sheet Permit # =Pro ect Address: '� 8 / ��, `4 U` Ojwner's Name: D R Gly' A. P. Number: `Address: 7 ( `f /KI&t"04 Legal Description: City, ST, Zip: 44 `C U -V -`Con 'tractor: z � �Z O �.. 1`� C Tel - e hone: ddress: 7 3 D 0 i. Proj:ect-Descriptio- C ty, ST, Zip: 6p ROO - pp / r f al Tele hone: e. o G ZS�tate Lic. # : 760 Oj City Lic. #; BArch., Engr., Designer f qp [&:r d ress: 53 60 -OR1 cvoo 19 �L City, ST, Zip: PA6fn �r Telephone: 6 0 b 8� »>: _ >s:>.:::>::>::>: ::!:� Construction Type: Occupancy: ! State Lic. #: Pro' ect a (circle rcl one): New Add t type n Alter Repair Demo J Fi ) r Name of Contact Person: U�G� `�{�� E � Sq�Ft: Sg # Stories: T# Units: `Telephone # of Contact Person: -7Gp . _ 5680 8 l C =Estimated Value of Project: ZG oc'o. G 4 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for correctionsrssue Electrical Subcontactor List Called Contact Person Plumbing GrantDeed Plans picked up S.M.I. 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 FeesDEC Total PermiLkees CITY OF LA PLANNING DEPARTMENT' EPARTMENT CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road Date: 10/5/2017 La Quinta, CA 922.53 No.: 17-00754-1 (760)771-8515 Owner: Mike and Dina Dargis Address: 78179 Hacienda City: La Quinta, CA Type: Residential Addition < 500 sq ft Lot # Street No. Street Name 78179 Hacienda Comments: Sq. Feet 88 R &I Ems C E IVSD OCT s -ion CiFY OF LA QUINTA COMMUNITY DEVELOPMENT O'40IE0 S 2y % N'BERMUDAOUNES r RAN NO MIRAGE• C hd ALM DESERT y COACH ELLA� LAOUINTA- Q INDIO y� Email: Jurisdiction: La Quinta Tract #: APN 646-280-014. Permit No. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, 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 fess imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.00 X 88 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 the proposed project may now be issued. Fees Paid By: Exempt\George Jamatte Bank Name/Recipient of Certificate a By Scott L. Bailey Superintendent Fee Collected/ Exempted by: Virgilio Garcia Check No.: Telephone: 760-774-1058 Funding: Exempt Certificate Fees Due: $0.00 �Original Paymerit(s) Rec'd: $0.00 New Payment Rec'd: $0.00 Over/Under: $0.00 NOTICE: Pursuant to Government Code Section 66020(d)(1), this willserv�otif\Nou that the 90 -day approval period in which you may protest the fees or 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 to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL. raa�s��T-o�a� VILLA LA QUINTA HOMEOWNERS ASSOCIATION ARCHITECTURALILANDSCAPE VARIANCE REOUEST Please allow up to 45 days for a reply from the ARC DATE: NAME: VILLA LA QUINTA ADDRESS: A.f MAILING ADDRESS: ���ti I V� �' t� VILLA LA QUINTA PHONEOTHER PHONE:«- MODIFICATION(s) ArchitecturattLandscape Review Committee approval is requested for the proposed modifications listed above prior to any work commencing. Applicable drawings are attached and delineate the type of material and specifications. All work will be performed by licensed, insured contractors or by the homeowner doing their own work on their property as an owner. It is fully understood that the applicant is responsible for obtaining any and all permits associated with the improvements. All costs will be the applicant's responsibility including, but not limited to, irrigation lines, electrical, future water source and plant material. At the Board's discretion a deposit and/or management processing fee may be required. Final approval of any and all landscaping modifications must be approved by the Association before project can be closed. It is further agreed that future maintenance of the approved modifications and common areas, as may be required as a result of said modifications will be at the expense of the a plicant and their successors in. interest. The applicant agrees to hold harmless the Association from any damages resulting from the appro odifica APPLICANT'S SIGNATURE: Please submit to: VILLA LA QUINTA HOMEO"EF c/o Avail Property Management, Inc. 51350 Desert Club Drive, Suite 4 La Quinta, CA 92253 760-771-9546 Fax: 760-771-1655 service@availhoa.com Request: [X] APPROVED j ] DENIED \CIATION RECEIVED AUG 31 2017 CITY OF LA QUINTA COMMUNITY DEVELOPMENT COMMENTS: Your request has been approved by the architectural committee via -email as submitted. City Permits are required prior to commencing any work. Please ensure your vendor follows the rules of the association. Vewaka De&ja& SIGNATURES: DATE: 5/1/17 Arch itectural/Landscape Committee Architectural/Landscape Committee ArchitecturaVLandscape Committee IF COLOR IS INVOLVED PLEASE INCLUDE PAINT CHIPS Koh