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BRES2019-026378-495 CALLE TAMPICO D 4�ilJ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING RESIDENTIAL/ADDITION Application Number: BRES2019-0263 Property Address: 81265 GOLF VIEW DR APN: 762390028 Application Description: LOUDERBACK / 36SF ADDITION TO KITCHEN/DINING AREA Property Zoning: �� n Application Valuation: $12,000.00 D Applicant: RICARDO AGUILAR OCT 2 4 2019 31475 CALLE HELENE D THOUSAND PALMS, CA 92276 CITY OF LA QUINTA DESIGN & DEVELOPMENT DEPARTMENT 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 usiness and Professions Code, and my License is in full force and effect. License Class: _ LicenseNo.:9179 Date: 1 Q -Z4•2a 11 % Contractor: OWNER -BUILDER DEC ATION I hereby affirm under penalty of perjury that I am ex pt from the Contractor's State License Law for the following reason (Sec. 7031.5, Bu ness and P 'rofessions 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 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 Da 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/24/2019 Owner: Spridgeon Kenneth A / Louderback Car... 81265 GOLF VIEW DRIVE LA QUINTA, CA 92253 Contractor: CADD WORKS INC 31475 CALLE HELENE THOUSAND PALMS, CA 92276 (760)272-5183 Llc. No.: 917955 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 thew or which this permit is issued. le 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 +e64ed. My workers' compensation insurance carrier and policy number are: Carrier: LIBERTY MUTUAL INSURANCE COMPANY_ _ Policy Number: XW560257502 _ 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 3 of the Labor Code, I shall forthwith comply with those provisions, Date: .2 A WARNING: FAILURE TO SECURE WORKERS' COMPS SATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL MNALTIES 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 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 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 stat laws relating to building construction, and hereby authorize representatives of thisenter upon the above - mentioned property for inspection purposes. Lender's Address: I Date: Signature (Applicant or DESCRIPTION ACCOUNT CITY AMOUNT ADDITION, FIRST 100 SF 101-0000-42400 0 $134.48 DESCRIPTION ACCOUNT CITY AMOUNT ADDITION, FIRST 100 SF PC 101-0000-42600 0 $188.92 Total Paid for ADDITION 2018: $323.40 DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42600 ($59.94) DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($62.50) DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 0.5 $80.50 DESCRIPTION ACCOUNT CITY AMOUNT HOURLY CHARGE - INTERWEST PLANS EXAMINER 101-0000-42600 1 $59.94 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - INTERWEST PLANS EXAMINER 101-0000-42600 1.5 $150.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - INTERWEST PLANS EXAMINER 101-0000-42600 0 $40.06 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - INTERWEST STRUCTURAL PLAN REVIEW 101-0000-42600 0.5 $62.50 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - INTERWEST STRUCTURAL PLAN REVIEW 101-0000-42600 1 $125.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - INTERWEST STRUCTURAL PLAN REVIEW 101-0000-42600 1 $125.00 Total Paid for BLDG CITY STAFF - PER HOUR: $520.56 DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42600 ($1.00) DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $0.00 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 EE 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $26.68 Total Paid for ELECTRICAL: $53.36 DESCRIPTION ACCOUNT QTY AMOUNT PLAN CHECK DEPOSIT - ADDITION/REMODEL 101-0000-42600 1 $125.00 Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $21.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $21.00 DESCRIPTION ACCOUNT CITY 101-0000-42600 DESCRIPTION ACCOUNT CITY SMI - RESIDENTIAL 101-0000-20308 0 Total Paid for STRONG MOTION INSTRUMENTATION SMI: DESCRIPTION ACCOUNT CITY TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 Total Paid for TECHNOLOGY ENHANCEMENT FEE: AMOUNT ($1.56) AMOUNT $1.56 $0.00 AMOUNT $5.00 $5.00 t(V QW�ft(V CAHFOKNI A Project Address: S CUJ r)(, PERMIT # PLAN LOCATION: Project Description: �pp IT[ oPA P.. APN #: Z 3 o 0'2 (N tQ & ROd Applicant Name: fit` cAf mo ,A cam, tuml— Address: p3I (�pLLIC HELeNE City, ST, Zip: o 0SNHCs paVvlS CA T2Z16 Telephone: (76o Email: �4Jfl11�y�S }�0'rV\ ,I L , CoM Project Valuation $ Z, do 0 Contractor Name: IND New SFD Construction: Address: Conditioned Space SF City, St, Zip Garage SF Telephone: Patio/Porch SF Email: Fire Sprinklers SF State Lic: City Bus Lic: Architect/Engineer Name: YAtJE2 PH rotk) Construction Occupancy: Address: ( 0I SgWTJAC-;o r_* , Grading: City, St, Zip i✓c-KJCa CA 922`3I Telephone: 0(oo) sS (o ro/m Bedrooms: Stories: # Units: Email: WfAN67P ALOMA01-0SC,F-DO State Lic: City Bus Lic: Property Owner's Name: (A ROL,, LoUW&M GAt New Commercial / Tenant Improvements: Address: $ j26S GOLE Ur'--P(, Total Building SF City, ST, Zip L)> iNTr 9Zz 3 Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Required Received I Plan Sets Structural Calcs Truss Calcs Title 24 Calcs CVWD Fire Flow Letter Soils Report Grading Plan (PM10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval ` Fire approval i City Business License 1 Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 Project Name: Owner's Name: Project Address: PGA West This Box For District Use OnlyOt DF.VF.T .tIPFR FFF.0 P A TTl AREA: AMOUNT LEVELONEAMOUMI': LEVBLTWOAMOUNT: MITIGA'I'II AMOUNT. COMMAND. AMOUNT: DATE: RECEIPT: CHECK B: INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Kenneth Spridgeon & Carol Louderback 81-265 Golf View Dr., LaQuinta Project Description: Addition to Existing Dwelling APN: 762-390-028 Tract #: Type of Development: Residential XX Commercial Total Square Feet of Building Area: 36 stl. ft. _ Date: Octo er 24, 2019 Phone No. 760,292-5183 ++ rr ,, t� Lot #'s: W cV $ I— n ial v Certification of Applicant/Owners: The person signing certifies that the above information is correct and penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: October 24, 2019 Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code 17620 65995 Number of Sq.Ft. 36 Amount per Sq.Ft. $0.00 Amount Collected $0.00 Project Approval Building Permit Application Completed: Yes/No By: Larry Moen, Director Facilities Dev. & Planning Agreement Existing Prior to 1/1/87 Note: Pursuant to AB 181 any room ad sq. ft. or less are exempt from de, homes being relocated within the jurisdiction are exempt from dev Certificate issued by: Laurie Howard, Admin. Specialist Signature: fkUoU , this statement under SATISFIED IN Not Subject to Fee Requirement > or enclosures of 500 r fees. Any mobile school district's fees. 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 p vide (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 fe m 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 si t 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 Sch of District, and up to three (3) such extensions may be granted. Building Permit Number: BRES2019-0263 Project Description: small rm addition Exempt: p (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan Plan Submittal Date Job Site Address Owner's Name Number, Street, or PO Box City, State, Postal Code Owner's Phone Number Owner's E-Mail Address Project Manager's Project Manager's Phone N Project Manager's E-mail A Builder / Contractor Number, Street or PO Box City, State, Postal Code 9/5/2019 81265 Golf View Dr Carol Louderback 81265 Golf View Dr La Quinta, CA. 92253 Ricardo Aguilar 760-272-5183 :�llriWDrkS,�r�tl�7lirrril,cx)n CADDworks 31475 Calle Helene Thousand Palms, CA. 92276 Project Square Footage I Approx.36sf s City Approval By Renado Gouldlock-DEC/Burrtec Waste Date of City Approval 09 14 5: bg Materials To Be Discarded: Product Tons Trash 0.20 Not recyclable Product Tons Asphalt 0.00 Recyclable Masonry (broken) 0.00 Brick/Block 0.00 Recyclable Plaster 0.04 Cardboard 0.01 Recyclable Scrap Metal 0.00 Commingled 0.00 Recyclable Tile (floor) 0.00 Concrete 0.25 Recyclable Tile (roof) 0.00 Drywall 0.02 Recyclable Wood 0.07 Donated / Reuse* 0,00 Reoyclable Landscape Debris 0.00 "Describe Items Totals: Re c cle Trash Projected Diversion: 0.41 0.2 66.10% 0 w w U w C I 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 hereby 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 landfilling. 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 owner(s) 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 responsibility 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 2bi,monly reports. �ffsell,18uling, all refuse material from this protect site must be taken to an approved recycler or transfer Ownee?TowftperIProject Manager I Superintendant Dal O1 C N t11 t_ U O i Construction Debris Management Plan Summary of Requirements As of January 1, 2017, The Green Building Standards Code (CALGreen) requires that the construction of most new structures in the State of California comply with sections 4.408 and 5.408 of the code in accordance with Assembly Bill 939 requiring that no more than 35% of jobsite waste be disposed of as trash at local land fill sites and transfer stations. Exceptions may be made for certain projects under certain conditions. The City of La Quinta is committed to the highest level of environmental respect, to conserving our precious natural resources and setting an example to provide for a better world for generations to come. Recycling helps keep reusable resources out of landfills and will also reduce disposal costs. IMPORTANT: Burrtec Waste & Recycling Services is the City's franchise hauler. If you choose to self -haul any recyclables or trash, you must provide copies of all weight tickets and/or receipts from the transfer station, landfill, or recycler as the job progresses. Clean-up companies and other haulers are not permitted to haul waste or recyclables from the City of La Quinta. Self -haul weight tickets should be submitted to: Renado Gouldlock, District Environmental Coordinator - rgouldlock@burrtecdesert.com, or faxed to (760) 340-0417, or mailed to: 41575 Eclectic Street, Palm Desert, CA. 92260.