14-944 (SFD)i
P.O. BOX 1504
Building 78-495 CALLE TAMPICO
Address - LA QUINTA, CALIFORNIA 92253
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Lic. #
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Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm th 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.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
(Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct,
alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for
such permit to file a signed statement that he is licensed pursuant to the provisions of the Contrac-
tor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code, or that he 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 Profes-
sions Code: The Contractor's License Law does not appy to an owner of property who builds or
improves thereon and who does such work himself or through his own employees, provided that
such 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 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 Contractor's License Law does not apply
to an owner of property who builds or improves thereon, and who contracts for such projects with
a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's
Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit is for one hundred dollars ($100) valuation
or less).
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 Workers' Compensation laws of California.
Date Owner
NOTICE TO APPLICANT If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lenders Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this appli ation and state that the above information is correct.
I agree to comply with all city d c unty ordinances and state laws relating to building
construction, and hereby author esentatives of this city to enter the above-mentioned
property for inspection purpos
Signature of appli t DateA(:751 /
Mailing Address
City, State, Zip 1!:P
WHITE = BUILDING DEPARTMENT
/Y-9yy
APPLICATION ONLY
BUILDING: TYPE CONST. 19 OCC. GRP. 8-L
A.P. Number 4-Y 6 0
Legal Description ter 3c) q.;Y? i 3a/2Yp
Project Description5�1�,9 1�-eSCGC EL(C[�
Sq. Ft. No. No. Dw. 1
Size S Stories Units
NevJQ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
3
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
CONTACT INFORMATION
NAME:
PHONE:
ZONE: BY:
Minimum Setback Distances:
Front Setback fr Fi?Pro..
Rear Setback fr eaeSide Street Set roSide Setback fr o
FINAL DATE —
Issued by:
Validated by: —
Validation:
YELLOW = APPLICANT
PINK = FINANCE
Date
12/19/14
No.
31664
Owner
Miller
Address
49020 Avenida Fernando
City
La Quinta Zip 92253
Tract #
Type
Residential Addition
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
APN #
Jurisdiction
Permit #
No. of Units
SS �FIEvsO
Q BERMUDA DUNES r
V) RANCHO MIRAGE d
INDIAN WELLS
�. PALM DESERT
DTyI O���
646-160-023
La Quinta
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 49020 Avenida Fernando 1301 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
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:
This certifies that school facility fees imposed pursuant to
in the amount of $3.36 X 1,301 S.F. or $4,371.36 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By O/C Merilly Lynch - Miller Check No. 932300633
Bank Name/Recipient of Certificate Telephone
Funding Residential
BY Dr. Gary Rutherford .
Superintendent ; ';� l r •,
Fee collected /exempted by Patrici Barbuzza Payment Recd
$4,371.36 ' Over/Under
Signature *
NOTICE: Pursuant to Government Code Section 66d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees
or other payment identified above will begin to run frbm 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: This Document NOT VALID without embossed seal
Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting
Tdy
COMMUNITY DEVELOPMENT DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA-, CALIFORNIA 92253
(760) 777-7012 FAX (760) 777-7011
CERTIFICATION OF BUILDING AREA .
STREET.ADDRESS OF JOB: 49-020 AVENIDA FERNANDO
APN: 646-160-023
DESCRIPTION OF, WORK: NEW SFD, DEMO REBUILD
SQUARE FOOTAGE: OLD SF. 2854, NEW SF. 4155 DIF. 1301 SQ. FT.
OWNER'S NAME: MILLER
For questions regarding this letter, please call:
City of La Quinta Permit Center
(760) 777-7012
Coachella Valley Unified School District
83-733 Avenue 55
P O Box 847
Thermal, CA 92274
(760) 398-5909
Desert Sands Unified School District
47-950 Dune Palms Road
La Quinta, I CA 92253
(760) 771-8515
CITY OF LA QUINTA
BUILDING &,SAFETY DEPT.
/APPROVED
FOR CONSTR CTION
DATE 'IZ'�tQ BY
Please note: This letter verifies conditioned square footage. Please call
your School District to verify school fees, requirement for cashier's check
or money order and -hours of operation.
January 13, 2015
moi•
To Whom It May Concern:
u
Please be advised of an address change for the following structure. The structure formerly
addressed as 49020 Avenida Fernando, APN: 646-160-023, Lot 30 at the La Quinta Golf Estates
2 subdivision, was demolished under building permit DS.F-14-143. The construction of a new
residence for which building permit BRES2014-1152 will be issued, will now be addressed as 78-
002 San Timoteo Street.
Please note this change and contact me directly at (760) 777-7023 if you have further
questions.
Sincerely,
.'Burt Hanada
Community Development Department
Building. Official
78-495 Calle Tampico I La Quinta I California 92253 1 760-777-7125 1 www.La-Quinta.org
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La Quinta Golf Estates
Community Association
Architectural Committee
P.O. Box 553
La Quinta, CA 92247
(760) 564-0136
jimandiqynew@verizon.net
July 17, 2015
Mr. Michael S. Dobrensky:
Desert Habitats General Contractors
75-161 Sego Ln., F=1 +
Palm Desert, CA 92211
Dear Mr. Dobrensky:
The Architectural Committee for the La Quinta Golf Estates Community Association has
reviewed the elevation plans that you submitted for the revision of plans previously
approved for the construction of the Miller home at 49-020 Avenida Fernando and we
have approved the revision.
In our telephone conversation on Wednesday we discussed the fact that all three elevation
scales are the same and that the Avenida Fernando scale was mislabeled.
Please remember that the approval is for these plans only and if you make changes to
your plans they will have to be resubmitted for approval.
Yours truly,
Jimmie D. Woods
Chairman, -Architectural Committee
La Quinta Golf Estates
Community Association
Architectural Committee
P.O. Box 553
La Quinta, CA 92247
(760)564-0136
jimandjaynew _,verizon.net
t
August 8, 2014
Mr. Antonio Santamaria
74818 Velle Way, Suite 3
Palm Desert, CA 92260
Dear Mr. Santamaria:
The Architectural Committee for the La Quinta Golf Estates Community Association has
reviewed the plans that you submitted for the construction of the ,Miller home at 49020
Fernando Avenue and we have approved them.
Please remember that the approval is for these plans only and if you make changes to
your plans they will have to be resubmitted for approval
Yours truly,
J mmie.D. Woods
Chairman. Architectural Committee
RECEIVED1.
OCT 24 2014
CITY O� LA QUINTA
COMMUNITY DEVELOPMENT
YOUNG
ENGINEERING a
oa "� r • ' e
Letter of,Transmiftal
- To: -City of La Quinta Today's Date:.*, 2-5-15
78-495 Calle Tampico - City Due Date:
-1-28-15
La Quinta; CA 92253- Project Address: 49-020 Avenida Fernando
Attn: _- Kay Plan Check #:
•.
BRES 2014-1.152AOL
Submittal•❑ 151.
VED
OREVO
El 2nd
55th .. _ r
O 3rd
❑, (EE&" - 5 2015
" We are forwarding. ® By Messenger ❑` By Mail (FI�jjINTA
❑' Your Pickup~
-
COMM���"ROPMENT
Includes: # Of Descriptions: Includes:
• # Of ,Descriptions:
Copies:
Copies: -
Structural Plans~
® 1 Revised Structural Plans
®. 2 Structural Calculations"
® 1 Revised Struct'Calcs
2 Truss Ca.Iculations Floor
2 Revised Truss
.. _ and Roof
,.
❑ Soils'Report,
❑ Revised Soils Report
" Structural Comment List/
�. • 2
❑ s � ` -'Approved Structural Plans
Responses
2 Redlined Structural Plans
❑ Approved .Structural Calcs
❑ Redlined Structural Calcs
❑ Approved Truss'Calcs
"".:. Redlined Truss Calcs
❑ Approved Soils Report
❑ Redlined Soils Reports
Other: Revised Structural
®.. t
Plan Sheets -
Comments: Structural content is approvable. Please note, revisions were requested by the plan checker
following 4th resubmittal. Revisions have been made to.the structural plans and truss calculations. Revised
structural plan sheets have been inserted to this copy and additional sheets has been provided for the .City's ,
copy. Also, two new sets of truss calculations have been
provided. '
If you have any questions, please:call:
Time= 4 HR
This Material Semt for:: .
❑ Your Files
®. Per Your Request-
_ ❑ Your Review :
❑ • " Approval
❑ Checking ,..
At the request of:
Other: ❑.
By.. Kathryn Samuels
Palm'DesertOffice : ®= _ (760),772-5107
-Other • -
" -