BDEM2018-000578-495 CALLE TAMPICO D� VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/11/2018
Permit Type/Subtype:
DEMOLITION/SINGLE FAMILY
Owner:
Application Number:
BDEM2018-0005
TOVMASYAN, VARDUHI
Property Address:
51050 CALLE OBISPO
51050 CALLE OBISPO
APN:
770142001
LA QUINTA, CA 92253
Application Description:
TOVMASYAN - DEMO UNPERMITTED PATIO COVER REAR YARD
�"�
LU
Property Zoning:
(F,,,■,�.,J
Application Valuation:
a.
q
w
f-
Applicant:
Contractor:
o
N
LI
� Li
VALDEZ, EUGENE
OWNER BUILDER
�"
125 E. 0 STREET
r�-I
2 G
COLTON, CA 92324
L�
to
Lu
�
r.3 p
Llc. No.
-------------------------------------------------------------------
Lu
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
(commencing with Section 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: _ License No.:
Date: 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
s Mects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(W, 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.).
&_Vf, as owner ofthe 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: q = u " ! ■ O7perjury
CONENDING AGENCY
I hereby affirm under penalty ofhere is a construct! lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. Q.
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'
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 performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier:_ Policy Number: _
It L-2L- 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 subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: r Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I NLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL IL
ES 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 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
:ommenced within 180 days from date of issuance of such permit, or cessation of work
For 180 days will subject permit to cancellation.
certify that I have read this application and state that the above information is correct.
agree to comply with all city and county ordinances and state laws relating to building
:onstruction, and hereby authorize representatives of this city to enter upon the above-
nentioned property for inspection purposes.
)atel—& a Signature (Applicant or Agent):
Dad: 9/11/2018
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
VALDEZ,EUGENE
125 E. 0 STREET
COLTON, CA 92324
BDEM2018-0005
51050 CALLE OBISPO
770142001
TOVMASYAN - DEMO UNPERMITTED PATIO COVER REAR YARD
Owner:
TOVMASYAN, VARDUHI
51050 CALLE OBISPO
LA QUINTA, CA 92253
Contractor:
OWNER BUILDER
LIc. No.:
Detail: DEMO UNPERMITED PATIO COVER AT REAR YARD ONLY. THIS PERMIT DOES NOT INCLUDE ANY OTHER WORK OR STRUCTURE TO BE
DEMOLISHED.
DESCRIPTION
DEMOLITION, FULL
DESCRIPTION
DEMOLITION, FULL PC
DESCRIPTION
RECORDS MANAGEMENT FEE
DESCRIPTION
TECHNOLOGY ENHANCEMENT FEE
ACCOUNT QTY
AMOUNT
101-0000-42404 0
$26.53
ACCOUNT CITY
AMOUNT
101-0000-42600 0
$93.62
Total Paid for DEMOLITION:
$120.15
ACCOUNT QTY
AMOUNT
101-0000-42416 0
$10.00
Total Paid for RECORDS MANAGEMENT FEE:
$10.00
ACCOUNT CITY
AMOUNT
502-0000-43611 0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
Project Address.
APN #: ✓+
F
ame:
City, ST, Zip:
Telephone:
Email:
Contractor Name:
Address:
City, St, Zip Co L
Telephone: q-d) j
Entail: Vlo'r IGLI� LGP ��n
State Lic: FG%j City Bus Lie:
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lie: .City Bus Lie:
Property Owner's Name.: VAQ0 i
Address:' 1 146 ) CALCI- Q
City, ST, Zip LA Q-Lm:7-A
Telephone:
Email: VAR,—rWO
PERMIT 14 QU
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
flo!,Z-T7!0'ru uF P&��
Valuation of Project $ 5 0
7 New SFD Construction:
Conditioned Space SF
GgSF
r
Z� Garage
Patio/Porch SF
Fire Sprinklers SF
C3. (�iN►
Construction Type: Occupancy:
Grading:
Bedrooms: Stories: # Units:
r New Commercial / Tenant Improvements:
Total Building SF
ZC, Construction Type: Occupancy:
A V
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
Building Permit Ntmnber. ` 05
Project Description: FPa�UO2emo
�F
Exempt: 121
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
Plan Submittal Date` 9/6/2018
Job Site
owners Name)
Number, Street, or PO Box
City, State, Postal Code
Owners Phone Number
Owners E-Mail Address
Project Managers Name
Project Managers Phone Number
Project Managers E-mail Address
Builder / Contractor
Number, Street or PO Box
City, State, Postal Code
Project Square Footage
City Approval By
Date of city Approval
51050 Calle Obispo
Judith Abbruzzese
51050 Calle Obispo
La Quinta, CA. 92253
760-851-3887
Gene Valdez
909-208-3397
valdexdevel-ocmenl& too.com
Valdez Development
6483 Harrow St
Eastvale, CA. 91752
Approx. 100 sq ft
r
I
Renado Gouldlock-❑ECIBurrtec Waste
aterials To Be Discarded:
Product
Trash
Asphalt
Brick/Block
Cardboard
Commingled
Concrete
Drywall
Donated / Reuse"
Tons
0.45 Nol recyclable
0.00 Recyclable
0.00 Recyclabls
0.00 Recyclable
0.00 Recyclable
0.10 Recyclable
0.00 Recyclable
0.00 Recyctable
Product
Masonry (broken)
Plaster
Scrap Metal
Tile (floor)
Tile (roof)
Wood
Landscape Debris
Tons
0.
Q�Recyclable
0.75 rtecyclable
0.00 Recyclabie
"Describe Items -
Totals: Rec c e Trash Projected Diversion:
0.9 0.5 85.38°k
I understand it is the property owner's re spon s lb 11 ity to submit copies of weight tickets or receipts to the District
Environmental Coo rdlnator as these hauls occur. I hereby certify that completion, implementation and adherence of the
Debris Management Plan (oMP) for the above named project shall guarantee that at least 65% of the jobsile waste i5
diverted from landfilling. The remaining mate r!at will be'acycied 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 p thro
ughout n ac the construct'+ i andfnrThis
DMP is issued in the name of the properly owner(s) and shall remain their property
demolition project. A contractor serving as agent of the owner may obtain a DMs b9it t for ensuringhe Own
i that the tp o�ision�s of the
issued in the name of the property owner{5) and the owner retains legal t lt be k y
blMP are - onthlydreports `ifs If hauling, arty llwefuse rnate r al from tInisrprojecl satebm st bte taken to ad a n appravedpecyc ereor transfer
Date
Owner! Developer 1 Project Manager erintendant
AUM)RCLATION LEITER
Date: 09103f2018
CITY OF LA QuINTA
BUILDING AND SAFETY
78495 CalleTamp1cot
La Quinta, CA 92253
LETTER OF AVTNORI yVarduhi
M fOvmas an (OwnerlApplicant
Please be advised that
T (Individual
name or company name) authorizes6a' behalf in all matters
(permit type) permit name oflar company narne3 to act as an agent onmy (Our)
related to obtaining a
our Agent is designated and responsible for the following:
;a Denver our payment for fees and deposits ONLY.
Provide payment of fees and deposits ONLY.
QIIherPIILLItEfiMN11tiANJ) ANY HE: UL1HLUPFV-LLI'
shall remain responsible for all permit
I(we) further understand and agree that sits, additional charges and �lof work.
conditions, perns
md it application
provisions,
on prodceesssing t permit issuance and inspection
resulting from Pe
mut app
(Sig natural
(Print)
Customer Name: VARDUHITOVMASYAN
Full Company Address: 51050 CALLS OBISPO , LA QUINTA CA gp253
Email Address: VARTWORK@SBCGLOBAL.NET
Phone Number: e1e-638-77e8
Fax Number:
thul4rtya�eA fmt Wk-J-2U 17
rwr=o -r°
S�-aoPG of - vvi�, - p?r—t ��o -c a 6C DCMoL— 5r/Eb
I r Ur LA QUINTA
BUILDING DIVISION
REVIEWED FOFJ
CODE
COMPLIANCE
i•CITy.,
CL
m
0
l0
O