BRES2017-02081A
78-495 CALLE TAMP.ICO
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: BUILDING RESIDENTIAL/ADDITION
Application Number:
BRES2017-0208
Property Address:
56205 RIVIERA
APN:
762021022
Application Description:
GOTTLIEB / ADDITION 224 SF
Property Zoning:
Application Valuation:
$15,000.00
Applicant:
GABRIEL RIOS
49901 CINNABAR
LA QUINTA, CA 92253
VOICE (760) 777-7125
FAX (760) 7774011
INSPEC"ONS (760) 7774153
ANICE GOTTLIEB:
6205 RIVIERA
2
20,17 QUINTA, CA 92253
OCT „
Lc�,-NoF LAQuiNTA
COMMUNIT(DEVELOPMENTDEPARTMENT
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 Cla : B C 7 License No.: 684 7
aiDate: ,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 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
Date: 10/23/2017
Contractor:
BOB EDWARDS CONSTRUCTION INCORPORATED
51-455 DESERT CLUB DRIVE
LA QUINTA, CA 92253
(760)777-8202
Llc. No.: 684857•
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one o� the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 370C 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 fofwhich this permit
is issued. My workers' compensation insurancR carrier and policy number are:
Carrier: ACE AMERICAN INSURANCE COMPAN` Polity Number: RWCC64339667
I certify that in the performance of -he 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 Section 3700 o th b Code, I shall forthwith
comply ;'th hose rovisions.
JC_ ) ; i� plicant:
JC_
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 ($100,009). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOF IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.-
APPLICANT
EES:
APPLICANT AC(NOV%fLEDGEMENT .
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on thi_ application.
1. Each person upon whose behalf this appli.:ation 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 appliotion becomes null and void if work is
not commenced within 180 days from date of ssuance of such permit, or cessation of
work for 180 days will subject permit to cancel ation.
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 tobuilding
construction, and hereby authorize representatives of this city to n r upon the
above-mentipned ploperty for inspection purposes.
tItse: 23 �7 Sig r ApplicantorAgent):
of
Date: 10/23/2017
Application Number:
BRES2017-0208 _
Owner:
Property Address: °
Sb -M RIVIERA
JANICE G017LIEB
APN:
762021022
56205 RIVIERA
Application Description:
GOTTLIEB / ADDITION 224 SF.
LA QUINTA, CA 9253
Property Zoning:
Application Valuation:
$15,000.00
Applicant:
Contractor:
GABRIEL BIOS
BOB EDWARDS CONSTRUCTION INCORPORATED
49901 CINNABAR
51-455 DESERT CLUB DRIVE
LA QUINTA, CA 92253
LA QUINTA, CA 92253
(760)777-8202
----------------------------
-----------------------------------------
Llc. No.: 684857
------------------------
Detail: 224 SQ. FT- GOLF CART ADDITION; PER 2016 CRC CODES
F
-,DESCRIPTION
ACCOUNT
CITY
AMOUNT
ADDITION, EA ADDITIONAL 500 SF
101-0000-42400
0
$67.10
DESCRIPTION
ACCOUNT
1QTY
- 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.
QTY
AMOUNT
ADDITION, FIRST 100 SF PC
101-0000-42600
0
$184.13
e Total Paid for ADDITION: $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 1,000SF; PC
• 101-0000-42600
0
$51.49
Total Paid for ELECTRICAL - NEW CONSTRUCT ION: $207.53
' DESCRIPTION
ACCOUNT
-QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$1.95
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.95
DESCRIPTION ACCOUNT QTY AMOUNT
TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
L
1
Bin#
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
� ^� La Quinta, CA 92253 - (760) 777-7012 ' •
(J Building Permit Application and Tracking Sheet
Permit#
'L1 o (
Project Address:A
U 5, M
-
Owner's Name: "
6444 6sk
A.P. Number .�
Address: �(
b
Legal Description:
City, ST, Zip:
Contractor:.
Telephone:
Address:S
b
City, ST, Zip:
Project Description: '
Telephone:
State Lic. #:
City Lic #:
Arch, Engr., Designer:
Address:
City, ST, Zip:
�.
Telephone: I �� ^.
M�N7777
Construction Type:
Occupancy:
State Lic. #:
New
dd'n
Alter
Repair
Demo
Name of Contact:
SgFt: 27,[+'
#Stories
# Units:
Telephone of Contact: �a v
Estimated Value of Project:
`� h
4J ''-
A
PLICANT: 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
2nd Rev, Ready for corrections /
Electrical:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up.
S.M.I.
HOA Approval
Plans Resubmitted
Grading
1N -HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees
May 5, 2017
`]mice Gottlieb
56-205 Riviera
La Quinta, CA 92253
Reference: 56-205 Riviera, La Quinta, CA
Architectural Change Request - Golf Cart Garage, driveway, garage door and
entryway.
Dear Harvey Goldman:
The Architectural Committee met on April 13, 2017 and reviewed and approved your architectural
plans with the following conditions being met.
• Need to have the new garage door(s) sample and color specs or need to know if you will .
be not then will the new garage door be the samQ
as the main garage door.
• Need to know if you will have a new entry gate and new wall, if.so we need an elevation
plan and image of new gate.
• LandscaRe an needs mitt-,, showing new planter and turf areas including
1A1pL pr
• New golf cart garage must have the same stucco finish and color of the home.
• Minimum 15' setback and pillarsmust not ao nas the blork_wall, pillar to match existing
pillars.
• New concrete to�at_cl�P�����g r�inr anti texture
• An Agreement and Covenant Running with the Land will be required for these
improvements being made, the homeowner will be responsible for the concrete driveway,
garage doors, new entry way, new wall areas and roof of the home structure where the
improvement is being added.
• All other PGA WEST II Residential Association Architectural Rules & Regulations dated
5/20/2013 pertain to this project.
Review by the Committee is on/v_ for genera/ conformance with the -Architectural
Ru/es. It is the responsibility of the owner to fu//v understand and conform to the
Architectural Ru/es criteria whether or not a// deFciencies are noted during review. It
is also the owner's fu// responsibility to fie/d verify a// existing conditions The
Committee's decision with regard to proiect design will be final. Please refer to the
Architectural Ru/es for a// required submittals.
Please ^^ to uis Umana �unShine Landsrane at 760/346-3999 ndloni PPtPrsOn,,,theS�neral
Manage, prior to any irrigation modifications associated with I this change. Damage to
Gottlieb
PGA WEST II Res Association
Architectural Committee 4.13.17
2
landscaping, i.e. shrubs, trees, flowers and turf is the responsibility of the contractor. The
original landscaping must be brought back to its original condition when the project is completed.
Your contractor must schedule a meeting with Bob Pantanella, Director of Community Services
prior to commencing any work to review the Rules of the Master Association and Rules relating to
Res II regarding construction activity. Mr. Pantanella's phone number is 760/564-1032:
Approvals given by the Architectural Committee are good for only six months from the date
on the approval letter. If construction has not commenced within six months after the project
approval date, a new application must be submitted.
Upon completion of your project, please complete and return The Notice of Completion of
Architectural Change.
For additional information or questions, the Board has directed that you contact Loni Peterson
CCAM, CMCA, AMS, PCAM, General Manager, at 760-346-1116, Ext. 147
Sincerely,
PGA WEST II Residential Association
Loni Peterson CCAM, CMCA, AMS, PCAM General Manager for
Architectural Committee
Cc: unit
Bob Edwards Construction
Peters & Freedman