BRES2015-0065OWN
50
•' IE
78-495.CALLE TAMPICO
LA QUINTA, CALIFORNIA 9225.3
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
a& QUIRro
c&t�t 4 _N
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BRES2015-0065
54521 AVENIDA ALVARADO'
774272013
CANEDO RESIDENCE PATIO ENCLOSURE AND ADDITION 156 SF
$25,548.00
Applicant:
CANEDO, DEBORAH CONSUELO
54521 AVENIDA ALVARADO
LA QUINTA, CA 92253
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: License No.:
Date:
Contractor:
OWNER -BUILDER DECLARATION
-1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
/ permit subjects the applicant to a civil penalty of not more than five hundred dollars
V ($
as owner of the property, or my employees with wages as their sole
c mpensation, 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
jhe orihe did not build or improve for the purpose of sale.).
V/ as owner of the property, am exclusively contracting with licensed contractors
t 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
/theContractors' State License Law.).
✓ m 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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/23/2015
Owner:
CANEDO, DEBORAH CONSUELO
54521 AVENIDA ALVARADO
LA QUINTA, CA 92253
Contractor:
OWNER / BUILDER
f1111[#,115-A
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: Polity 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: 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 city to enter upon the above-
men/tioped property for inspection p�s.
Q
Date: ignature (Applicant or Agen : / J.
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT
CITY- AMOUNT
PAID
PAID DATE
ADDITION, EA ADDITIONAL 500 SF
101-0000-42400
0 $62.36
$62.36
6/23/15
PAID BY
METHOD
RECEIPT.#
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
DESCRIPTION .
ACCOUNT.
QTY
AMOUNT
PAID
PAID DATE
ADDITION, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$17.40
$17.40
6/23/15
PAID BY
METHOD - .
RECEIPT #
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
ADDITION, FIRST 100 SF
101-0000-42400
0
$120.83
$120.83
6/23/15
PAID BY
METHOD
RECEIPT#
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
ADDITION, FIRST 100 SF PC
101-0000-42600
0
$171.14
$171.14
6/23/15
PAID BY
METHOD
RECEIPT #
-CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
Total Paid forADDITION: $371.73 $371.73
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HOURLY CHARGE - BLDG CITY STAFF
101-0000-42600
1
$145.00
$145.00
6/23/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
.CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
HOURLY PLAN CHECK - YES
101-0000-42600
1.75
$122.50
$122.50
6/23/15
PAID BY
METHOD.
RECEIPT #
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R72SS
2624
AZA
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
HOURLY PLAN CHECK - YES
101-0000-42600
1.25
$87.50
$87.50
6/23/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
Total Paid forBLDG CITY STAFF - PER HOUR: $355.00 $355.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$2.00
6/23/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
Total Paid forBU1LDING STANDARDS ADMINISTRATION BSA $2.00 $2.00
• DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF
101-0000-42403
0
$12.33
$12.33
6/23/15
PAID BY
METHOD :
RECEIPT #
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF, PC
161-0000-42600
0
$5.08
$5.09
6/23/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD.BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$145.03
$145.03
6/23/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK i
R7255
2624
AZA
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$47.86
$47.86
6/23/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $210.30 $210.30
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
$12.09
$12.09
6/23/15
PAID BY
METHOD
RECEIPT#
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R1255
2624
AZA
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
PAID
PAID DATE
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$4.83
$4.83
6/23/15
PAID BY .:
METHOD
RECEIPT#
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
EXHAUST HOOD
101-0000-42402
0
$12.09
$12.09
6/23/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$4.83
6/23/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
VENT FAN
101-0000-42402
0
$36.27
$36.27
6/23/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
DESCRIPTION
ACCOUNT
„CITY
AMOUNT
PAID
PAID DATE
VENT FAN PC
101-0000-42600
0
$14.49
$14.49
6/23/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
Total Paid for MECHANICAL: $84.60 $84.60
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP
101-0000-42401
0
$157.17
$157.17
6/23/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP PC
101-0000-42600
0
$157.17
$157.17
6/23/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$12.09
6/23/15
PAID BY'
METHOD
RECEIPT #
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
$24.17
6/23/15
PAID BY ...
METHOD
RECEIPT #
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
DESCRIPTION
ACCOUNT
CITY.
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT
101-0000-42401
0
$12.09
$12.09
6/23/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT PC
101-0000-42600
0
$7.25
$7.25
6/23/15
PAID BY
METHOD
RECEIPT # .
.CHECK #
CLTD BY
CANEDO,DEBORAH CONSUELO
CHECK
R7255
2624
AZA
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.09
$12.09
6/23/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.09
$12.09
6/23/15
PAID BY
METHOD
RECEIPT #'
CHECK #-
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
Total Paid for PLUMBING FEES: $394.12 $394.12
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400
0
$65.25
$65.25
6/23/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$52.20
$52.20
6/23/15
PAID BY
METHOD.
RECEIPT #
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK •
R7255
2624
AZA
DESCRIPTION
ACCOUNT'
CITY
AMOUNT
PAID
PAID DATE
REMODEL, FIRST 100 SF
101-0000-42400
0
$49.31
$49.31
6/23/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
REMODEL, FIRST 500 SF PC
101-0000-42600
0
$134.88
$134.88
6/23/15 .
PAID BY '
METHOD
RECEIPT #'
CHECK #
CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
Total Paid for REMODEL: $301.64 $301.64
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$3.32
$3.32
6/23/15
PAID BY
METHOD
RECEIPT #,
CHECK #
'CLTD BY
CANEDO, DEBORAH CONSUELO
CHECK
R7255
2624
AZA
Total Paid forSTRONG MOTION INSTRUMENTATION SMt $3.32 $3.32
ADDITIONAL SITES
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES
NOTE JIM JOHNSON 3/12/2015 3/17/2015 PENDING STRUC CORRECTIONS
NOTE JIM JOHNSON 5/14/2015 6/5/2015
PENDING PLANNING DEPT MINOR ADJUSTMENT APPROVAL
MONOR ADJESTMENT NOT APPROVED
NOTE JIM JOHNSON 6/15/2015 6/19/2015
NOTE KAY HENSEL 3/2/2015 3/2/2015
PER BURT WE TOOK IN THE PLAN CHECK WITHOUT ENERGY.
APPLICANT WILL GET FORMS, COMPLETE, AND TURN IN,
HOPEFULLY BEFORE ITS TURN COMES UP FOR N/S
PLANCHECK.
NOTE KAY HENSEL 3/6/2015 3/6/2015 PLANS PICKED UP FROM PLANNING BUCKET - REVISIONS
REQUIRED
NOTE STEPHANIE KHATAMI 3/12/2015 3/12/2015 TITLE 24 RECEIVED AND ADDED TO PLANS (NO BOOKLETS) OK
PER BURT.
Description: CANEDO RESIDENCE PATIO ENCLOSURE AND ADDITION 156 SF
Type: BUILDING RESIDENTIAL Subtype: ADDITION Status: FINALED Applied: 3/2/2015 MFA
Parcel No: 774272013 Site Address: 54521 AVENIDA ALVARADO LA QUINTA,CA 92253 Approved: 6/19/2015 JJO
Subdivision: SANTA CARMELITA VALE LA QUINTA
UNIT 25
Block: 269 Lot: 1 Issued: 6/23/2015 AZA
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: 1/23/2017 crw
Valuation: $25,548.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: DEMO COVERED PATIO 100 SQ. FT. AND 184 SQ. FT. CARPORT. 156 SQ. FT. ADDITION TO MASTER BEDROOM AND FAMILYROOM,
NEW 338 SQ. FT. GARAGE AND INTERIOR REMODEL OF WHOLE HOUSE. PER 2013 CRC CODES
Printed: Wednesday, July 23, 2025 10:15:40 AM 1 of 9
Permit Details
City of La Quinta
PERMIT NUMBER
BRES2015-0065
CONTACTS
NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL
APPLICANT CANEDO, DEBORAH CONSUELO 54521 AVENIDA
ALVARADO
LA QUINTA CA 92253
CONTRACTOR OWNER / BUILDER
OWNER CANEDO, DEBORAH CONSUELO 54521 AVENIDA
ALVARADO
LA QUINTA CA 92253
PLAN CHECK COMMENTS
FROM CONSULTANT
RECEIVED
KAY HENSEL 3/16/2015 3/16/2015 STRUC RFC 3/16/2015
PLAN CHECK COMMENTS
FROM CONSULTANT
RECEIVED
MARY FASANO 5/18/2015 5/20/2015 APPROVABLE BY YOUNG
PLAN CHECK PICKED UP JIM JOHNSON 5/21/2015 5/21/2015 PLANS PICKED BY OWNER
PLAN CHECK PICKED UP JIM JOHNSON 6/5/2015 6/5/2015
PLANS PICKED UP BY DEBORAH CANEDO, PLANS NEED TO BE
CORRECTED TO MEET SETBACK REQUIREMENTS OF 20 FT. AT
GARAGE
PLAN CHECK PICKED UP PHILIP JUAREZ 3/17/2015 3/17/2015 PICKED UP BY DEBORAH CANEDO 619846-513
PLAN CHECK SUBMITTAL
RECEIVED KAY HENSEL 3/2/2015 3/2/2015 PLAN CHECK RECEIVED AT FRONT COUNTER BY MARY
RESUBMITTAL JIM JOHNSON 5/21/2015 5/21/2015 BY OWNER
RESUBMITTAL JIM JOHNSON 6/12/2015 6/12/2015
SENT TO PLAN CHECK
CONSULTANT KAY HENSEL 3/2/2015 3/2/2015 STRUC TO YOUNG - DUE 3/16/2015
TELEPHONE CALL JIM JOHNSON 3/17/2015 3/17/2015 CALLED DEBORAH TO INFORM HER THAT THE PLANS ARE
READY FOR CORRECTIONS
TELEPHONE CALL JIM JOHNSON 6/19/2015 6/19/2015 CALLED DEBORAH TO INFORM PLANNING DEPT HAS
APPROVED PLANS AND THEY ARE READY TO ISSUE.
CONDITIONS
Printed: Wednesday, July 23, 2025 10:15:40 AM 2 of 9
Permit Details
City of La Quinta
PERMIT NUMBER
BRES2015-0065
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #CHECK #METHOD PAID BY CLTD
BY
ADDITION, EA
ADDITIONAL 500 SF 101-0000-42400 0 $62.36 $62.36 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
ADDITION, EA
ADDITIONAL 500 SF PC 101-0000-42600 0 $17.40 $17.40 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $120.83 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
ADDITION, FIRST 100 SF
PC 101-0000-42600 0 $171.14 $171.14 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
Total Paid for ADDITION: $371.73 $371.73
HOURLY CHARGE -
BLDG CITY STAFF 101-0000-42600 1 $145.00 $145.00 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
HOURLY PLAN CHECK -
YES 101-0000-42600 1.75 $122.50 $122.50 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
HOURLY PLAN CHECK -
YES 101-0000-42600 1.25 $87.50 $87.50 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
Total Paid for BLDG CITY STAFF - PER HOUR: $355.00 $355.00
BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
Total Paid for BUILDING STANDARDS ADMINISTRATION
BSA: $2.00 $2.00
RESIDENTIAL, EA
ADDITION 1,000SF 101-0000-42403 0 $12.33 $12.33 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
RESIDENTIAL, EA
ADDITION 1,000SF, PC 101-0000-42600 0 $5.08 $5.08 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
RESIDENTIAL, FIRST
1,000SF 101-0000-42403 0 $145.03 $145.03 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
RESIDENTIAL, FIRST
1,000SF, PC 101-0000-42600 0 $47.86 $47.86 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $210.30 $210.30
Printed: Wednesday, July 23, 2025 10:15:40 AM 3 of 9
Permit Details
City of La Quinta
PERMIT NUMBER
BRES2015-0065
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #CHECK #METHOD PAID BY CLTD
BY
APPLIANCE
REPAIR/ALTERATION 101-0000-42402 0 $12.09 $12.09 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
APPLIANCE
REPAIR/ALTERATION PC 101-0000-42600 0 $4.83 $4.83 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
EXHAUST HOOD PC 101-0000-42600 0 $4.83 $4.83 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
VENT FAN 101-0000-42402 0 $36.27 $36.27 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
VENT FAN PC 101-0000-42600 0 $14.49 $14.49 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
Total Paid for MECHANICAL: $84.60 $84.60
FIXTURE/TRAP 101-0000-42401 0 $157.17 $157.17 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
FIXTURE/TRAP PC 101-0000-42600 0 $157.17 $157.17 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
GAS SYSTEM, 1-4
OUTLETS 101-0000-42401 0 $12.09 $12.09 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
GAS SYSTEM, 1-4
OUTLETS PC 101-0000-42600 0 $24.17 $24.17 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
WATER HEATER/VENT 101-0000-42401 0 $12.09 $12.09 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
WATER HEATER/VENT
PC 101-0000-42600 0 $7.25 $7.25 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
WATER SYSTEM
INST/ALT/REP 101-0000-42401 0 $12.09 $12.09 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
WATER SYSTEM
INST/ALT/REP PC 101-0000-42600 0 $12.09 $12.09 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
Total Paid for PLUMBING FEES: $394.12 $394.12
Printed: Wednesday, July 23, 2025 10:15:40 AM 4 of 9
Permit Details
City of La Quinta
PERMIT NUMBER
BRES2015-0065
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED
DATE
COMPLETED
DATE
RESULT REMARKS NOTES
ROUGH PLBG LUR 7/21/2015 7/21/2015 PARTIALLY
APPROVED KITCHEN AND EAST BATHROOM ONLY.
FOOTINGS LUR 8/26/2015 8/26/2015 APPROVED
GAS LINE/TEST LUR 8/26/2015 8/26/2015 PARTIALLY
APPROVED UNDERGROUND LINE
UNDERGROUND PLBG KKI 8/26/2015 8/26/2015 APPROVED
FRAMING JFU 10/26/2015 10/26/2015
APPROVED
W/EXCEPTIO
N
FRAMING AT KITCHEN AND LIVING ROOM
LID ONLY. ADD 3X3 WASHERS AT ANCHOR
BOLTS AND NAIL PLATES AT ALL PIPING
WITHIN 1' OF FACE OF STUD.
ROUGH ELEC JFU 10/26/2015 10/26/2015 PARTIALLY
APPROVED KITCHEN AND LIVING ROOM LID ONLY.
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #CHECK #METHOD PAID BY CLTD
BY
REMODEL, EA
ADDITIONAL 500 SF 101-0000-42400 0 $65.25 $65.25 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
REMODEL, EA
ADDITIONAL 500 SF PC 101-0000-42600 0 $52.20 $52.20 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $49.31 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
REMODEL, FIRST 500 SF
PC 101-0000-42600 0 $134.88 $134.88 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
Total Paid for REMODEL: $301.64 $301.64
SMI - RESIDENTIAL 101-0000-20308 0 $3.32 $3.32 6/23/15 R7255 2624 CHECK CANEDO, DEBORAH
CONSUELO AZA
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $3.32 $3.32
TOTALS:$1,722.71 $1,722.71
Printed: Wednesday, July 23, 2025 10:15:40 AM 5 of 9
Permit Details
City of La Quinta
PERMIT NUMBER
BRES2015-0065
ROUGH MECH JFU 10/26/2015 10/26/2015 PARTIALLY
APPROVED KITCHEN AND LIVING ROOM LID ONLY.
ROUGH PLBG JFU 10/26/2015 10/26/2015 PARTIALLY
APPROVED KITCHEN AND LIVING ROOM LID ONLY.
INSULATION LUR 10/28/2015 10/28/2015 PARTIALLY
APPROVED KITCHEN AND LIVING ROOM AREA
DRYWALL NAIL LUR 10/30/2015 10/30/2015 PARTIALLY
APPROVED KITCHEN WALLS AND LID ONLY.
DRYWALL NAIL LUR 12/7/2015 12/7/2015 PARTIALLY
APPROVED WEST WALL IN LIVING ROOM.
FRAMING LUR 12/7/2015 12/7/2015 APPROVED
INSULATION LUR 12/7/2015 12/7/2015 APPROVED
ROUGH ELEC LUR 12/7/2015 12/7/2015 NOT READY NEED EXTERIOR LIGHTS AND WIRE RUNS.
WILL INSPECT AT INSULATION INSPECTION.
ROUGH MECH LUR 12/7/2015 12/7/2015 APPROVED
ROUGH PLBG LUR 12/7/2015 12/7/2015 APPROVED
ROOF NAIL LUR 12/7/2015 12/7/2015 APPROVED
OKAY TO WRAP LUR 12/7/2015 12/7/2015 APPROVED
INSULATION LUR 12/18/2015 12/18/2015 APPROVED NEED WEATHER PROOFING MATERIAL FOR
GARAGE WALL.
LATH LUR 12/18/2015 12/18/2015
APPROVED
W/EXCEPTIO
N
NEED DETAIL FOR HANGER AT SLIDER ON
NORTH WALL. NEED DETAIL ON WEATHER
PROOFING FOR GARAGE WALL.
DRYWALL NAIL LUR 12/23/2015 12/23/2015 APPROVED FAMILY AND DINNING ROOM.
DRYWALL NAIL AOR 2/16/2016 2/16/2016 PARTIALLY
APPROVED BACK SIDE OF KITCHEN WALL ONLY
ROUGH ELEC AOR 2/16/2016 2/16/2016 PARTIALLY
APPROVED MASTER BATHROOM ONLY
Printed: Wednesday, July 23, 2025 10:15:40 AM 6 of 9
Permit Details
City of La Quinta
PERMIT NUMBER
BRES2015-0065
ROUGH PLBG AOR 2/16/2016 2/16/2016 PARTIALLY
APPROVED MASTER BATHROOM ONLY
FRAMING AOR 2/16/2016 2/16/2016 PARTIALLY
APPROVED MASTER BATHROOM ONLY
DRYWALL NAIL AOR 2/24/2016 2/24/2016 PARTIALLY
APPROVED MASTER BATHROOM ONLY
SHOWER PAN AOR 3/8/2016 3/8/2016 APPROVED
FRAMING DCL 7/18/2016 7/18/2016 PARTIALLY
APPROVED
MASTER BEDROOM AND WALK IN CLOSET
AREAS ONLY.
ROUGH ELEC DCL 7/18/2016 7/18/2016 PARTIALLY
APPROVED
MASTER BEDROOM AND WALK IN CLOSET
AREA ONLY.
DRYWALL NAIL BLD 7/25/2016 7/25/2016 PARTIALLY
APPROVED MASTER BED AND WALK IN CLOSET ONLY.
FRAMING DCL 11/15/2016 11/15/2016 APPROVED
ROUGH ELEC DCL 11/15/2016 11/15/2016 APPROVED
ROUGH PLBG DCL 11/15/2016 11/15/2016 APPROVED
GAS LINE/TEST DCL 11/15/2016 11/15/2016 APPROVED
INSULATION DCL 11/18/2016 11/18/2016 APPROVED
DRYWALL NAIL DCL 12/9/2016 12/9/2016 APPROVED
FINAL**DCL 1/23/2017 1/23/2017 APPROVED
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED
DATE STATUS REMARKS NOTES
PARENT PROJECTS
Printed: Wednesday, July 23, 2025 10:15:40 AM 7 of 9
Permit Details
City of La Quinta
PERMIT NUMBER
BRES2015-0065
ATTACHMENTS
Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED
DOC 3/11/2015 JIM JOHNSON 54-521 AVENIDA
ALVARADO.docx
54-521 AVENIDA
ALVARADO.docx 0
DOC 5/20/2015 JIM JOHNSON 54-521 AVENIDA
ALVARADO.docx
54-521 AVENIDA
ALVARADO_1.docx 0
DOC 8/26/2015 LUIS URIBE EPOXY INSPECTION
REPORT
BRES2015-0065 - EPOXY
INSPECTION
REPORT.pdf
0
BOND INFORMATION
PLANNING JAY WUU 3/2/2015 3/16/2015 3/12/2015 REVISIONS REQUIRED
REQUIRED SETBACKS:
* INTERIOR SIDE 5 FEET
* EXTERIOR SIDE 10 FEET
* FRONT 20 FEET
* REAR 10 FEET
* GARAGE 20 FEET
NON-STRUCTURAL JIM JOHNSON 3/2/2015 3/16/2015 3/17/2015 REVISIONS REQUIRED CORRECTIONS
STRUCTURAL KATHRYN
SAMUELS 3/2/2015 3/16/2015 3/16/2015 REVISIONS REQUIRED
NON-STRUCTURAL JIM JOHNSON 5/6/2015 5/20/2015 5/14/2015 APPROVED PENDING PLANNING DEPT AND STRUC APPROVAL
PLANNING JAY WUU 5/6/2015 5/13/2015 5/12/2015 REVISIONS REQUIRED
* GARAGE NEEDS TO MEET 20-FOOT SETBACK
* FRONT OF HOUSE NEEDS TO MEET 20-FOOT
SETBACK (CAN QUALIFY WITH MINOR
ADJUSTMENT APPLICATION)
STRUCTURAL YOUNG
ENGINEERING 5/6/2015 5/20/2015 5/19/2015 READY FOR APPROVAL
NON-STRUCTURAL -
1 WK JIM JOHNSON 6/12/2015 6/19/2015 6/15/2015 APPROVED
PLANNING - 1WK WALLY
NESBIT 6/15/2015 6/22/2015 6/18/2015 READY FOR APPROVAL OK PER MA2015-0004 RECHECK MINOR ADJUSTMENT
Printed: Wednesday, July 23, 2025 10:15:40 AM 8 of 9
Permit Details
City of La Quinta
PERMIT NUMBER
BRES2015-0065
ATTACHMENTS
Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED
DOC 5/20/2015 MARY FASANO
BRES2015-0065
YOUNGS
TRANSMITTAL.pdf
BRES2015-0065
YOUNGS
TRANSMITTAL.pdf
0
Printed: Wednesday, July 23, 2025 10:15:40 AM 9 of 9
Permit Details
City of La Quinta
PERMIT NUMBER
BRES2015-0065
h
CITY OF LA.QUINTA SUB-CONkACTOR.LIS,.
JOB -ADDRESS � 5 1y. /7'` l�
PERMIT NUMBER ��Z(J/�-00&_ OWNER��BUILDERThis
form shall be posted on the job with the Building Inspection Card at all times in a conspicuous placeper ons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
of building. permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
:::::.Trade.: /..assif.�c.atio.h..:.::.
:........................................... .Co.n.tr. ac.tor....................:...................................................................ae..
.o,:..: ;e,n:.:.
--.-,Ucse..........:.........................................................
...::::....:..:...:...:.:....:.:.:.:....:..::....:.:...:.:.:...:.:...:.:.:...:.:......
Workers..o.m.ensa:ion.nsura. .... ...........
..
P........................................
....Y..less
.Cl
L..c.........:..:::
.:.e...St...t:.::C.:.ntr6ctor..
Company Name
isanon
License Number
Ex . Date
CarrierName
be r
PolicY Number
Ex P Date
License Number
Exp. Date
A B C 8�
xxxxxx)
xx/xx/xx
(e. .State Fund CalComP)
(Format Varies)
xx xx xx
xxxx
)
(xx xx xx
)e.9.
RAM I N:G'.4 G>5:)'iz<:'z<:
T. .:.6.
:...:::..:7
PLUMBING (C 36)
d
At W � 5
'
'LATH'PLASTER> C35:>»>
l
CA
.V
ELECTRICAL (C 10)
G/Y C-" G
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5..
v �J�'Y(L•iEGy
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.................... .
SHEET::IUIETA : (. 43):......::.
>FLOORING' :Ct1.51><s;<
SEWAG.;DISP.(C2j'a
PA'INTIN:G>i C=33'`><`><><>
:.1.........: ).:..::.............:
FENDING:::::
':LAN US:CAPI NG
IIIIIIIIIIIIIIIIIIIIIII
51
-
�F �wa�rw
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
11111IIIIIIIIIIIIIII1
52
IE
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
Considering Becoming an Owner -Builder?
Important information you need to know BEFORE pulling your permit!
The term "Owner -Builder" can mean.three different things:
"Owner as Worker", "Owner as Contractor" or "Owner as Employer"
Understand each has Benefits or Risk, and it is possible to combine them!
Hiring a California -Licensed Contractor means you do not personally perform any of the construction work, the permit is not taken
out in your name,.you are not personally responsible for the construction and you are not an Owner -Builder. Instead, you become a
"Customer" and California law provides you the benefit of protection from poor workmanship, failure to finish the job and financial
risk due to worker injury.
Benefit/Risk: Highest Benefits and the Least amount of Risk
Owner-as-Worker'is a type of Owner -Builder where you personally perform the construction work, the permit is _taken. out in your
name and you are personally responsible for the construction management, knowledge, workmanship, and completion of the job. You
benefit by not paying others to perform this work for you and your risk depends on your own ability to complete the job'successfully.
Benefit/Risk: Possible Benefit with Love Financial Risk
Owner -as -Contractor is a type of Owner -Builder where you personally act as your own General Contractor, the permit is taken out in
your name and you hire California licensed sub -contractors to perform portions of the construction work. WARNING: The benefit of
protection provided by law when you hire only California licensed sub -contractors can turn to serious financial risk if you hire
unlicensed contractors to perform any of the work.
Benefit/Risk: Possible. Benefit and Sienificant Financial Risk
Owner -as -Employer is a type of Owner: -Builder where you pay any unlicensed individual to perform any construction work valued at
more than $500.00, the permit is taken out in your name and you are personally responsible for their employment requirements,
supervision, performance, safety and welfare while on your property. WARNING: Cost savings benefit can turn to serious financial
risk if you fail to deduct payroll taxes or provide workers compensation insurance for each worker.
BenefiUMsk: Possible Benefit with Sienificant Financial Risk
(Health and Safety Code Section 19827) The California Legislature declares an "urgent and statewide
public interest in assuring" that contractors comply with Contractors' License Law, Business and
Professions Code and Workers' Compensation Insurance requirements to ensure property owners are
informed about, and protected from the following when improving their property as Owner -Builders:
Fraudulent representations • Liability for worker's injuries - Liability for material and labor costs unpaid by
contractors • Licensing requirements - Employers tax liabilities
Over 20,000 consumer complaints are filed each year. Many complaints relate to owner/builder projects
and include workmanship and workers' compensation issues Homeowners suffer financial harm due to
defective workmanship and injured employees.
Following are alarming examples oaf what has occurred with Owner -Builder permits:
Example 1: Homeowner received insurance money to rebuild burned -down home.
■ Owner/Builder permit pulled to rebuild structure.
• Unlicensed contractor built substandard structure — must be torn down and replaced.
• Estimated financial injury is $225,000.
■ Additional financial injury - IRS threatened to tax insurance payout if house not completed by the end of
the year.
Example 2: Brother-in-law had active license but filed an exemption from Workers Comp.
■ Owner -Builder hires brother-in-law to install a new roof.
■ Employee falls and sustains multiple spinal and extremity fractures as well as a head injury and
remains in a coma to this day.
■ The.Owner-Builder; who has sold the home, is now a defendant in a lawsuit for reimbursement for
benefits paid to the injured worker.
Example 3: Employee of contractor without Workers Comp is hired by Owner -Builder to install septic
system and suffers injury that results in permanent disability.
■ The Owner -Builder did not have a homeowner's insurance policy on the house against which to submit
a claim.
■ The Owner -Builder is now a defendant in a lawsuit for reimbursement for benefits paid to the injured .
worker.
Did you know — unlicensed persons frequently have the property owner obtain an "Owner -Builder" building
permit which erroneously implies that the property owner is providing his or her own labor and material
personally?
Did you know — your homeowner's insurance may not provide coverage for injuries sustained on your
property by an unlicensed contractor and his/her employees?
Did you know — if you are considered an "employer" under state and federal law, you must register with
the state and federal government, withhold payroll taxes, provide workers compensation and disability
insurance and contribute to unemployment compensation for each "employee"?
Did you know — that if you fail to abide by these laws you may be subjected to serious financial risk?
OWNERS BEWARE AND CONSIDER THE RISKBEFORE ACCEPTING FULL RESPONSIBILITY FOR
YOUR CONSTRUCTION PERMIT
C&hfl 4 4 a"
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
IIIIIII IIIII III IIIII IIII 53
IE
BUILDING $ SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE.
(760) 777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a' building permit has been submitted in your name listing yourself as the builder of the property
improvements specified at -5_'' e*J- m`L J
We are providing you with an weer -Builder Acknowledgment and Information Verification Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed.your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information:.
I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
"Vuildmg permit.that erroneously implies that the property owner is providing his or her own labor and P rh' P g material personally. I, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or.her employees while working on my property. My homeowner's insurance may not provide coverage.for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
I understand building permits are not required to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.'
'I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit. filed in his or her name instead of my
own.
I understand Contractors are required by law to be licensed and bonded in California and to list their -license numbers on
ermits and contracts.
I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
f my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under state and federal law.
�. I understand if I am considered an "employer" under state'and federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute .to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial
risk.
. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number .of structures does not exceed four within any calendar year, or all' of the work is performed
under contract with a licensed general building Contractor.
I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
financial or personal injuries sustained by any subsequent owner(s) that result from any. latent construction defects in the
workmanship or materials.
tt,
I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue
the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
VILE_�0. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally and financially responsible for proposed construction activity at. the following address:
"tj�� tail 1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
Yapplicable laws and requirements that govern Owner -Builders as well as employers.
I agree to notify the issuer of this form immediately of�any additions, deletions, or changes to any of the information I
have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result .of a complaint. Your only remedy against unlicensed Contractors may be in.civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or
other verification acceptable to the agency is required to be presented when the permit is issued to verify the property
owner's signature.
Signature of property owner d -4L—:,—x — Date: o..
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO.ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agents) to apply for, sign, and .file the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable.to the agency is required to be presented when the pennit is issued to verb the property owner's signature.
Property Owner's Signature: Date:
Bin #
City of La Quinta.
Building &r Safety Division
'O P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:, tj Z�� f�
Owner's Name: bxp
A. P. Number:
Address: S S'41
Legal Description:
City, ST, Zip:
Contractor: -
-Telephone: d/ ..
Address: S S.21 41y. ALI,�k a,6 d
Project Description: �� •
City, ST, Zip: k ilL t�� .�•�5.�
Telephone:
€>
, r
State Lic. # :
City Lie. #!
Arch., Engr., Designer: `C'�A
0 J10CL
Address: 7.7 _ $--/ O
�• �� '
City., ST, Zip: i¢ Aegc_ elf 112.2,11
t
Telephone: _
6e �'� — J
l Y
:
,::.::•;;:::; > ::.>2.:<:<»:;:c:<>::»:;:>E:r;'
C slruction Type: Occu anc
YP P Y
�1
State Lic. # ��
+
roject type (circle one): New dd n Alter Repair emo
Name of Contact Person: a
tq. Ft.:
#Stories:
# Units:
Telephone #,of Contact Person: �p / - - `
Estimatedd aQ'Tu—e-5TProject: E/6 00 D
APPLICANT: DO NOT WRITE BELOW THIS LINE 0 _
#
Submittal
Req'd
Renc'd
TRACKING
PERMIT FEr`S
Plan Sets
�(
Plan Check submitted
/.?
Item
Amount
Structural Calcs.
a
Reviewed, ready crc. rrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
S
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'd Review, ready for corrections/issue
Electrical.
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'"' Review, ready for correctionsfissue
Developet Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
'J
CERTIFICATE OF COMPLIANCE �`S�5��
Desert Sands Unified School District Zq o
47950 Dune Palms Road Q BERMUOAOUNES t-
V) RANCHO MIRAGE d
Date 5/22/15 La Quinta, CA 92253 �INOIANWELyL�S
PALM
DESERT
L QUINT4No. 31807 (760) 771-8515 1NDIO41Qo
y
Owner
Canedo
APN # 774 2172-013
Address 54-521 Avenida Alvarado
Jurisdiction La Quinta
City
La Quinta Zip 92253
Permit #
Tract #
No. of Units
Type
Residential Addition
Lot # No. Street S.F.
Lot # No. Street S.F.
Unit 1
54-521 Avenida Alvarado 156
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 patioshvalkways, residential additions under
500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eatirigior 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 fallowing reason:
Residential Addition 500 Sq Feet or Less
EXEMPT
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.00 X 156 S.F. or $0.00 have been paid for the property listec 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 Exempt- Canedo Check No.
Bank Name/Recipient of Certificate Telephone 619/846-5513
Funding Exempt
BY Dr. Gary Rutherford
Superintendent
Fee collected lexem ed b Payment Recd X
Y Patricia rbuzza $oA0
- Over/Lbder — y
Signature
NOTICE: Pursuant to Government Code Section 660 A, ), this will serve to notify you that the 90-day approval perioc in which you may protest the fees
or other payment identified above will begin to run from 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
Permit Number: BRES2015-0065
Applied: 3/2/2015 Approved:
Issued: Finaled:
Status: REVISIONS REQUESTED
Parent Permit:
Parent Project:
Details:
Description: CANEDO RESIDENCE PATIO ENCLOSURE AND ADDITION
156 SF
Site Address: 54521 AVENIDA ALVARADO
City, State Zip Code: LA QUINTA, CA 92253
Applicant: CANEDO, DEBORAH CONSUELO
Owner: CANEDO, DEBORAH CONSUELO
Contractor: <NONE>
LIST OF REVIEWS
RETURNED ,
SENT DATE r DUE DATE TYPE - CONTACT, STATUS REMARKS '
i +DATE, r
Review Group: BLDG 1ST (1WK)
3/2/2015
3/12/2015
3/16/20,15
PLANNING
JAY WUU
REVISIONS
REQU•.RED
.
Notes
a e C Awl u� .yr. �i •' . ,,. < .t, f + � - .I t. s
ti",!EQUIREDSETBACKS t
* INTERIOR SIDE 5 FEET
* EXTERIOR SIDE 10 FEET
' FRONT 20AFEET 7, t ,�x r �' r• ° i a u_ t o
*.REAR 10 FEET '; 5
* GARAGE 20 FEET ` v s s' • . t x 4,, ! " , 5
.. -
Review Group: BLDG 1ST (2WK)
3/2/2015
3/17/2015
3/16/2015
NON-STRUCTURALTA
JOHNSON
RE
REQUIRED
..,,Notes
CORRECTIONS
3/2/2015
3/16/2015
3/16/2015
STRUCTURAL
KATHRYN SAMUELS
REVISIONS
REQUIRED
' Notes-:", �f - i, . k .f
14
Printed: Thursday, 07 May, 2015 1 of 1
CRWYSiEMS
QP YOUNG
ENGINEERING ��Q
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Letter of Transmittal
To::, City.of La Quinta Today's, Date:
5-19-15'
78-495 Calle Tampico City Due Date:
5-20-15 .`
La Quinta, CA 92253 Project Address:
54521 Avenida Alverado
Attn: Kay Plan Check#:
BRES 2015-0065
Submittal: ❑ 15t
❑
4th
® 2nd
❑
5th `
❑ 3rd
�'
Other:
We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS), Your Pickup
Includes: # Of .: Descriptions: Includes:
# Of Descriptions:,-,',
.,-Copies- ..'
Copies:
❑ ' Structural -Plans
®F
1 Revised Structural.Plans '
® ` 1 Structural Calculations
❑
Revised Struct. Calcs
❑ '. ' Truss Calculations Floor '
Revised Truss
and Roof
❑, . Soils Report
❑ :
Revised Soils. Report
1 Structural Comment List/.
El
Approved Structural Plans.
Responses -
® 1 ... _ Redlined Structural Plans
❑
Approved Structural Calcs
❑ .." Redlined Structural Calcs
❑
Approved Truss Calcs
❑..: ; Redlined Truss Calcs
❑ ..
Approved Soils Report _
❑ Redlined Soils Reports _
❑
Other:
` Comments: Structural content;is approvable.
If you have any questions, please call:
Time =,1.25 HR
This" Material - Sent for:
ElYour Files
®
Per Your Request
Your Review
❑
Approval .
" ❑ Checking
❑
At the request of ,
Other: ❑
F "
BY: Kathryn Samuels
" . Palm Desert Office: ® (760) 772-5107
Other: ❑ _ _
,MAY 2 0 2015
C-Ty OF LA QUINTA
COMMUNITY DEVELOPMENT
a