BRES2015-027581328 Amundson Ave
BRES2015-0275
. i
IIIIIIIIIIIIIIIIIIIIIIIII 40 i
IE f
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BRES2015-0275
4 e(P QuiAs
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address:
81328 AMUNDSEN AVE
APN:
767690018
Application Description:
MC CLURE HOMES LLC / (1) GAS LINE (3) OUTLETS AT BACK PATIO
Property Zoning:
Application Valuation:
$10,000.00
Applicant:
DISCOVERY BUILDERS CALIFORNIA
14605 N 73RD STREET
SCOTTSDALE, AZ 85260
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.: 915336 ,n-
Date: ZZ Contractor: CP7
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 ) 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 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 Na
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/22/2015
Owner:
MCCLURE HOMES LLC
6415 MUIRLANDS DR ] y
LA JOLLA, CA 92037 1
a
b
Q ? N
z
e3 g g
Contractor:
DISCOVERY BUILDERS CALIFORNIA J i<
14605 N 73RD STREET v z
SCOTTSDALE, AZ 85260 a
r
U
(480)624-5200
Llc. No.: 915336
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
ofTtk,,I, or which this permit is issued.
have and will maintain workers' compensation insurance, as required by
Seof the Labor Code, for the performance of the work for which this permit
is workers' compensation insurance carrier and policy number are:
Carrier: _ Policy Number: _
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: ' (S Applicant:
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 ($100,000). 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 state laws relating to building
construction, and hereby authorize representatives of this toenteup n the above-
mentioned roperty for inspection purposes.
Date: Z '> Signature (Applicant or Agen
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY 'AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306 0 $1.00
$1.00
7/22/15
PAID BY
METHOD RECEIPT.#
CHECK #
CLTD BY
DISCOVERY BUILDERS CALIFORNIA
DEBIT R7902
SKH
Total Paid for BUILDING STANDARDS ADMINISTRATION"BSA $1.00 $1.00
DESCRIPTION.
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$24.17
7/22/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DISCOVERY BUILDERS CALIFORNIA
DEBIT
R7902
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$24.17
.7/22/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DISCOVERY BUILDERS CALIFORNIA
DEBIT
R7902
SKH
Total Paid for ELECTRICAL: $48.34 $48.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE.
101-0000-42404
0
$91.85
$91.85
7/22/15
PAID BY.
METHOD
RECEIPT #
CHECK #
CLTD BY
DISCOVERY BUILDERS CALIFORNIA
DEBIT
R7902
SKH
Total Paid forPERMIT ISSUANCE: $91.85 $91.85
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$12.09
7/22/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DISCOVERY BUILDERS CALIFORNIA
DEBIT
R7902
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
$24.17
7/22/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DISCOVERY BUILDERS CALIFORNIA
DEBIT
R7902
SKH
Total Paid forPLUMBING FEES: $36.26 $36.26
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$1.30
$1.30
7/22/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DISCOVERY BUILDERS CALIFORNIA
DEBIT
R7902
SKH
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $1.30 $1.30
TOTALS:
Description: MC CLURE HOMES LLC / (1) GAS LINE (3) OUTLETS AT BACK PATIO
Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: UNDER REVIEW
Applied: 7/22/2015 SKH
Approved:
Parcel No: 767690018 Site Address: 81328 AMUNDSEN AVE LA QUINTA,CA 92253
Subdivision: TR 33076-2 Block: Lot: 26
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $10,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME
Details: (1) GAS LINE (3) RECEPTICALS AT BACK YARD BBQ. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER
SPECIFICATIONS. 2013 CALIFORNIA BUILDING CODE.
Printed: Wednesday, July 22, 2015 2:25:18 PM 1 of 2
SYSTEMS
ADDITIONAL
CHRONOLOGY
CONDITIONS
...... _ _..
NAME TYPE
NAME
•
ADDRESS1 CITY
STATE
_
ZIP PHONE FAX EMAIL
APPLICANT
DISCOVERY BUILDERS CALIFORNIA
14605 N 73RD STREET SCOTTSDALE
AZ
85260
CONTRACTOR
DISCOVERY BUILDERS CALIFORNIA
14605 N 73RD STREET SCOTTSDALE
AZ
85260
OWNER
MCCLURE HOMES LLC
6415 MUIRLANDS DR LA JOLLA
CA
92037
Printed: Wednesday, July 22, 2015 2:25:18 PM 1 of 2
SYSTEMS
_ z Permit Details PERMIT NUMBER
City of La Quinta BRES.20,1v5-0275
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
Total Paid for ELECTRICAL: $48.34 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
GAS SYSTEM, 1-4
OUTLETS
101-0000-42401
0
$12.09
$0.00
GAS SYSTEM, 1-4
OUTLETS PC
101-0000-42600
0
$24.17
$0.00
Total Paid forPLUMBING FEES: $36.26 $0.00
SMI - RESIDENTIAL
101-0000-20308
0
$1.30
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI $1.30 $0.00
TOTALS:• 0•
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
FINAL" BLD
PARENT PROJECTS
Printed: -Wednesday, July 22, 2015 2:25:18 PM 2 of 2 cp
SYSTEMS
L4
L, QUINTA
:3uz a $G & SAFETY DEPT:
/P®VE®
.,,POR CONSTR CTION
ATE IS BY
5e, ( To
Ssla
`3
5v
23.
ylks -'
1
h
2 A
, cs0
Bin #
City of La Quinta
Building &r Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
SZo
Project Address: 18(32 Ave- ve.
Owner's Name: LL
A. P. Number: 6 -- — (09 0 -o(6
Address: <-Z(
`l) L)
Legal Description: L. Z6 4 115
City, ST, Zip: C, Qui, CO3 q ZZ J
Contractor: GO ✓ Z_
CA—, 6 1 X7 I I
Telephone
`. fat :c.,• :s>: '
Address: R,,— S Z
Project Description:
City, ST, Zip: Qom; G R"L2S
Telephone: 76o 3R 3 , Z k:
AM
;M
`—
State Lie. # : 9
City Lie. k:
Arch., Engr., Designer: t, A i
c
Address: Lf L1 ..--kv t cru" ( w
, V "J
City, ST, Zip70A 01k,1-cA Q Z.o(
Telephone: Sg. Z _ Zip c7
, \?< 9
i
°
;;;
Construction Type: Occupancy:
State Lie. #:
Project type circle one New Add'n Alter Repair Demo
Name of Contact Person:u
Sq. Ft.: #Stories: #Units:
Telephone # of Contact Person:
Estimated Value of Project. 1 t "GO
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2i0 Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correctionsRssue
Developer Impact Fee
Planning Approval
Called Contact Person
AJ.P.P.
Pub. Wks. Appr -
Date of permit Issue
School Fees
Total Permit Fees