The URL can be used to link to this page

BRES2017-0194LICENSED 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.: 748605 e'Contractor''M—to hi i lXWdyn 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 alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_J 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 Name: Lender's WORKER'S COMPENSATDN DECLARATION I hereby affirm under penalty of perjury one ofkhe 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 perfornance 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: 1889409 I certify that in the performance of tie work for which this permit is issued, I shall not employ any person in any manner so 2s to become subject to the workers' compensation laws of California, and agree tha., if I should become subject to the workers' compensation provisions of Section 3:00 of the Labor Code, I shall forthwith comply with those provisions. Date: �ti��R'� I Applicant: �� p��.ClJieh 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 ($100,00C). 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 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 th a workbeing 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 isuance 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 county ordinances and state laws -relating to building construction, and hereby authorize representatves of this city to enter upon the above-mentioned property for inspection purpcses. 1.Signature (App licanYc r Agen`VX Twit VOICE (760) 777-7125 784495 CALLS 7AMPJCO FAX (760) 777-7011 LA gUINTA, CALIFORNIA 92253' DESIGN &DEVELOPMENT DEPARTMENT.INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/18/2017 Permit Type/Subtype: BUILDING RESIDENTIAL/ADDITION Owner: Application Number: BRES2017-0194 CAROL BLUM Property Address: 55173 RIVIERA 55173 RIVIERA w APN: 775153014 LA QUINTA, CA 92253 Application Description: BLUM / 307 SF ADDITION ¢ w Property Zoning: oFzlc:)wN Application Valuation: $20,000.00 00 :59! r1 w Applicant: Contractor: d o MIGUEL TAFOYA LANG CONSTRUCTION CD v Z_ 77530 ENFIELD LN BLDG I SUTE 101 80590 CAMINO SAN GREGO 110 PALM DESERT, CA 92211 INDIO, CA 92203 1� o v (760)702-7744 ------------------------------------ -------------------------------------------------------- Llc' No.: 748605 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.: 748605 e'Contractor''M—to hi i lXWdyn 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 alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_J 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 Name: Lender's WORKER'S COMPENSATDN DECLARATION I hereby affirm under penalty of perjury one ofkhe 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 perfornance 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: 1889409 I certify that in the performance of tie work for which this permit is issued, I shall not employ any person in any manner so 2s to become subject to the workers' compensation laws of California, and agree tha., if I should become subject to the workers' compensation provisions of Section 3:00 of the Labor Code, I shall forthwith comply with those provisions. Date: �ti��R'� I Applicant: �� p��.ClJieh 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 ($100,00C). 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 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 th a workbeing 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 isuance 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 county ordinances and state laws -relating to building construction, and hereby authorize representatves of this city to enter upon the above-mentioned property for inspection purpcses. 1.Signature (App licanYc r Agen`VX %n Date: 10/18/2017 Application Number: BRES2017-0194 Owner: PropertV'Address ""^�5173'RIVIERA CAROL BLUM APN: 775153014 55173 RIVIERA Application Description: BLUM / 307 SF ADDITION LA QUINTA, CA 9253 Property Zoning: Application Valuation: $20,000.00 Applicant: Contractor: MIGUELTAFOYA LANG CONSTRUC—ION 77530 ENFIELD LN BLDG I SUTE 101 80590 CAMINO ShN GREGORIO PALM DESERT, CA 92211 INDIO, CA 92203 (760)702-7744 --------------------------------------------------------------------------------------------- Llc. No.: 748605 Detail: 307 SQ FT ADDITION. 2016 CALIFORINA BUILDING CODES. FINANCIAL INFORMATION ' DESCRIPTION ACCOUNT QTY -AMOUNT ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 0 $67.10 -DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $18.72 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, FIRST 100 SF 101-0000-42400 0 $131.07 DESCRIPTION ACCOUNT IQTY AMOUNT ADDITION, FIRST 100 SF PC 101-0000-42600 0 $184.13 Total Paid for ADDIITION: $401.02 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 $156.04 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST•1,00051', PC 101-0000-42600 0 $51.49 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $207.53 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT 101-0000-42402 0 $76.00 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT PC 101-0000-42600 0 $76.00 Total Paid for MECHANICAL: $152.00 DESCRIPTION ACCOUNT QTY AMOUNT PATIO COVER, DESIGNED 101-0000-42404 0 $139.84 DESCRIPTION ACCOUNT QTY AMOUNT PATIO COVER, DESIGNED PC 101-0000-42600 0 $176.32 Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $316.16 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $63.35 DESCRIPTION ACCOUNT CfTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $63.35 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.67 Total Paid for PLUMBING FEES: $152.04 DESCRIPTION ACCOUNT QTY . AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $2.60 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $2.60 DESCRIPTION ACCOUNT QTY AMOUNT iNOLOGY ENHANCEMENT I i" r 11 I Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: $1,23 Bin # -its City of La Quinta Building u Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �p Project Address: Owner's Name: A. P. Number: Address: -1 Legal Description: City, ST, Zip: VF N! &— 2 Contractor: Telephone: Address: Project Description: City, ST, Zip: Telephone: < ,;: ---- State Lic. # : City Lie. #; Arch., Engr., Designer: Address D , City, ST, Zip: Telephone: 1 State Lic- #: ;:ism`��:•'.'•:S:St:=:-::-::-::;`: �, ::•s':`•�.;•:';'��> s<;;;,,•.,,;<_:_; ; :;;;;? Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Deo m Name of Contact Person: V1./- ' Sq. Ft.: # Stories: # Units: Telephone # of Contact Pers � •p . �� 2�� Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd 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"a Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd 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 Fees Total Permit Fees CERTIFICATE OF COMPLIANCE e%F1Ep 8 O. Desert Sands Unified School District 40 ' 47950 Dune Palms Road "'aADUUFS� 1 ":'.'1AN WELLS y Date: 10/6/2017 La Quinta, CA 92253 �,'�x�r�:��y No.:17-00755-1 (760)771-8515 4 i+10 y Owner: Dr. Mort & Carol Blum Email: Address: 55173 Riviera Jurisdiction: La Quinta City: La Quinta Tract #: Type: Senior Residential Addition < 500 sq ft Lot # Street No. Street Name Sq. Feet APN Permit No. 55173 Riveria 374 775-153-014 Comments: 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: Senior Residential Addition < 500 sq ft This certifies that school facility Tess imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.00 X 374 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 - Hugh Gaspar Check No.: Bank Name/Recipient of Certificate Telephone: Funding: Residential By Scott L. Bailey Superintendent Fee Collected/ ExemzM; Certificate Fees Due: $0.00 Original Payment(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 will serve to dpfify you 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. PGA WEST. RESIDENTIAL ASSOCIATION, INC. AMENDED LETTER JULY 19, 2017 lo 09/y Page I of 3 / i �p �2D 1- " 01 q`� The letter below, sent to you on July 17, 2017, is amended to include the following additional requirements. Due to your former contractor, Edward Lopez, Ca ricorn Drywall and Construction, advising the Association that he is no longer your contractor; therefore, the contractor information previously provided by him is irrelevant. Consequently, please provide your new contractor's name, license number, signed `Construction Regulations' form (enclosed); further, please provide the `Insurance Requirements' (enclosed) to the new Contractor so that his insurer(s) may provide the Association with required Certificates of Insurance. July 17, 2017 Dr. & Mrs. Morton Blum Re: 55-173 Rivie — New Bedroom Addition with Relate4Interior Modification. New Entry Gate and Front Cou and Modifications and New Windows and Sliding Glass Doors Dear Dr. & Mrs. Blum, The Architectural Committee has reviewed your Architectural Variance submittal of architectural, structural drawings and specifications for the proposed Additions and Renovations as shown on Sheets - Al, A2, A3, A4, A5, A6 & A7 dated June 2017; prepared by Miguel Tafoya. The Committee has accepted the proposed Architectural Variance as referenced above, and reected the proposed Painted Steel Tubing Lattice additions. The Committee's suggestion is to provide a built up beam facade of stucco to match the Fairway finish on the outside edges of the cover to blend with the Fairway use of built up columns and pop out detailing. The design to be an 18-inch to 24-inch face and 12-inch depth framed and stucco beam. The steel tubing can still be used for the lattice inside the built up perimeter beams. The project, as noted, is in accordance with the Architectural Guidelines Association's CC&R's and Maintenance & Indemnity �l greenrent. The o'ect is subiect tQ the following comments and/or re uirements: NOTE- No wark is approved to startpending the completion of the Architectural Variance Re uirements and completing the reconstruction responsibilities. This review does not include anti landscape. hardsC21le or pool modifications. 54-320 Southern Hills, La Quinta, CA 92253 / Tel: 760-771-1234 / Fax: 760-771-5125 Page 2 of 3 1. A copy of Ci[y_of La Quinta building_deeartment permit -for the project is to be submitted, before the Committee will Rrovide a Notice to Proceed. 2, The homeowner and contractor are to meet with the Architectural Committee Chairperson, Landscave/Irriization Manager. Bill Bobbitt. and the Maintenance/Lighting Manager, William Aceves—prior to the start of any work. 3. The relocation and/or modification of the existing utilities. electrical, irrigation and drainage is to be the responsibility of the homeowner and done to the building industry standards based on this site and the building codes. 4. The HOA is not responsible for any part of this room addition demolition, irrigation and plant removal, re-routing of drainage pipes, finish grading, and verification of easements or setbacks. 5. The new sliding glass doors and windows are to be Styleline brand with white color frames to match the existing installation. 6. The glass is to be a color to match the existing. Losv E, or better, glass is to be used The glass cannot be mirrored glass nor have grids. 7. The installation to be complete with all damaged stucco and waterproofing repaired, new stucco finish to match existing finish and texture and all damaged finishes repainted with vista Weathermaster Paint. All exterior paint is Vista brand paint. The stucco color is Sheepskin. All work is to be done to the satisfaction of the HOA. 8. If any changes are made to increase the opening size of windows/sliding glass doors, the installation and application requires a City of La Quinta building permit and inspection card submitted to the HOA prior to starting the demolition work. 9. The owner assumes 100% responsibility for the installation and all future repairs, maintenance and waterproofing issues of all new exterior penetrations, including windows and doors. 10. The Homeowner and their consultants are responsible for proper roofing and drains a at all new and new to existing tie ins. The roof will be inspected prior to construction and „prior to a `Notice 0 omaletion' to note responsibility to repair the existing roofing system in the work area and access area. 11. The contractor to provide rnatLhing roof tiles in color and style. Any ne►v roof areas visible from the common areas and golf course to use existing tiles if the new tiles do not match 12. The contractor to repair and/or replace any damaged irrigation, landscape, hardscape, lights or street surface to the satisfaction of the HOA. 13. The contractor is not allowed to stockpile any material, equipment or construction debris in the street. All debris must be cleaned up daily. The trash dumpster is to be no larger than a 3-yard weekly serviced unit, or all debris removed daily. 14. The street gutters cannot be used for concrete wash out and the contractor is responsible for keeping the gutter clear and free of debris. 15. The HOA is not responsible for verifying property lines, easements and existing utility services. 16. The homeowner and contractor are to assure the Association that the necessary precautions are in place and that construction activity is supervised in the street. No inconvenience of ad'acent homeowners and other residents is acceptable. 17. Contractor to observe all Association rules and regulations. All contractor vehicles to park on one side of the street only. This will be enforced to avoid any complaints and hazardous conditions. 18. The homeowner and the contractor to schedule a meeting with the landscape/irrigation manager and the maintenance/lighting manager [ior to submitting a `Notice of Cb►�ipletion ' form. I9. Upon completion of the project, the homeowner is required to provide a signed copy of the city inspection card and the Contractor Certi ,cation letter (enclosed). Page 3 of 3 20. Mainten_mice and In lemnily Agreement to be signed at the beginning and reviewed at the conclusion of the project. Same shall delineate all applicable work, which current and future owners shall be compelled to solely maintain and/or replace as needed and the document shall be recorded with the County of Riverside and runs with the land. 21. This project should be completed within three months of the date of this letter. We reserve the right to make a final inspection of this change to make sure that it matches the original request. An approval is based only on the aesthetics of your proposed plan and should not be taken as any certification as to the construction worthiness or structural integrity of the proposed change. We appreciate your cooperation in submitting this request for approval. If I may be of further assistance, please contact me at the HOA office, (760) 771-1234, Extension 15. Cordially, Ke : cGal Lard CLAM PCAM Operations Manager For the Architectural Committee KM/bvf Enc. 1 cc: Architectural Committee To: YOUNG ENGINEERING •: • + Desert,i 92211 Letter of Transmittal City of La Quinta Today's Date: 10-5-177 78-495 Calle Tampico City Due Date: 10-6-17 La Quinta, CA 92253 Project Address: 55173 Riviera Attn: MARY Plan Check #: BRES2017-0194 Submittal: Ell 1st ❑ 4th El 2nd ❑ 5th El 3'd ❑ Other: We are forwarding: El By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: Descriptions: Includes: # Of Descriptions: Copies: ❑ Structural Plans ❑ Revised Struct. Plans ❑ Structural Calculations ❑ Revised Struct. Calcs 1 Truss Calcs ❑ Revised Truss Calcs ❑ Soils Report - Update ❑ Revised Soils Report El Structural P/C Responses Approved Structural Plans 1 / Comments 1 1 Redlined Structural Plans O 1 Approved Structural Calcs 1 Redlined Structural Calcs O 1 Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other: Comments: Structural content is approvable. Transit Per Diem= Admin Time = 0.25 hrs. Structural Engineer/Principal Review Time = 0.0 hrs. Plan Review Engineer Time = 0.75 hrs. This Material Sent for: ❑ Your Files Per Your Request ❑ Your Review ❑ Approval ❑ Checking ❑ At the request of: Other: ❑ By: Joe Venuti Office: ❑ (760) 772-5107 Other: ❑ LQPC@VALUENGR.COM