BSPN2015-002979550 Marigold Lane
BSPN2015-0029
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
DARRELL HOWELL
79550 MARIGOLD LN
LA QUINTA, CA 92253
BSPN2015-0029
79550 MARIGOLD LN LN
604092003
HOWELL RESIDENCE
4 VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/24/2015
Owner:
DARRELL HOWELL
79550 MARIGOLD LN
LA QUINTA, CA 92253
U JUL 20 U Contractor:
CffYOFLAQUINTA OWNER/BUILDER
COMMUNITY 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 7000) of Division Sof 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
per it subjects the applicant to a civil penalty of not more than five hundred dollars
I, a owner of the property, or my employees with wages as their sole
ompensation, will do the work, and the structure is not intended or offered for sale.
ec. 7044, Business and Professions Code: The Contractors' State License Law does not
ply 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
wi in one year of completion, the owner -builder will have the burden of proving that
e did not build or improve for the purpose of sale.).
I, owner of the property, am exclusively contracting with licensed contractors
o construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
tate License Law does not apply to an owner of property who builds & improves
te and who contracts for the projects with a contractor(s) licensed pursuant to
e on actors' State License Law.).
I a exempt under Sec. B. .C. for this reason
Date: 412541O erAko' 1C. I*A hk
CONSTRUCTION LENDING A,C ENCY
I hereby affirm under penalty of pefjury that there is a construction lending ency for
the performance of the work for wrhich this permit is issued (Sec. 3097, Civ. .). •
Lender's Name:
Lender's
Uc. No.:
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: _
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 pekson 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
mentio d pr perty for inspection I
Date Signature
F
••X
a ' `-
F
_
G F h+ +amu
c
o
Description: HOWELL RESIDENCE
Type: SPECIAL INSPECTION
Subtype: Status: UNDER REVIEW
Applied: 7/24/2015 AZA
Approved:
Parcel No: 604092003 Site Address: 79550 MARIGOLD LN LN LA QUINTA,CA 92253
Subdivision: TR 22982
Block: Lot: 41
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $0.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: SPECIAL INSPECTION TO RELEASE ELECTRICAL FOR IID: 2013 CALIFORNIA BUILDING CODES.
SPECIAL INSPECTION 101-0000-42404 1 $72.52 $72.52 7/24/15 1 R7970 DEBIT SHIRLEY HOWELL AZA
Total Paid forCOMPLIANCE SURVEY/SPECIAL INSPECTION: $72.52 $72.52
mm m-
t5i
Painted: Friday, July 24, 2015 3:54:43 PM 1 of 2 CJ
' SYS7FMS
..-
-c:' y , ± ',',: ' . : .-•,=#" . ti'!' !.:.i. ''i _ vr.` 5 r { v at' , r rµ• • "
INSPECTIONS + u , a
t,. r:X at z;s 9 N ,;.
• o • • •
.
PARENT PROJECTS ,
'.`i' REVIEWS
• r
Printed: Friday, July 24, 2015 3:54:43 PM 2 of 2 C
• SYSTEMS
Bit, #
City of La Quinta
Building tai• Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit #
Project Address: J l% / • o-L 1 41Ve -
Owner's Name: yyell
A. P. Number:
Address:
Legal Description:
City, ST, Zip: L ✓C ZZD Jr
Contractor:TelPhne•
/
e o 3 r/
Address:
Project Description:
City, ST, Zip:
Gam`
L i„r 1 S
T ele h
Telephone:'
P
r cls' S
r `e
State Lic. # :
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
hone
Construction structi n
o Type: e• ane
Occu
P Occupancy:
i .#•
State Lc
Pro ' ect type (circle cle one): New Add'n Alter Repair air e
J D m 0
Name of Contact Person P S 1 i
Sq. Ft.:'
# Stories:
# Units:
Telephone_ # of Contact Person:/b0 -34,0 —6216
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs:
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan .
2pd 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 HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
4
P.O. BOX 1504 No.
Building 78-105 CALLE ESTADO
Address 79-550 H=igOld Lane LA QUINTA, CALIFORNIA 92253
Owner
City ( Zip ( State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 hereby affimr that I am licensed under provisions of Chapter 9 (commencing with Section
-< 7110(1) 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 Contractors License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
Permit to construct,, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to
the 'provisions o/ the Contractor's License Law, Chapter 9 (commendrtg with Section 7000) of
Division 3 of the Business and Professions Code, or that. he Is exempt therefrom, and the basis
for- the,.a aged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the ap"p/icant to a civil penalty of not more than rive hundred dollars (E500).
❑ 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or knprovas thereon and who does such work hknself or through his own employees,
provided that such improvements are not intended or offered for sale. ft, however, the building
or improvement is sold within one year of completion, the owner -builder wig have the burden
of proving that he did not build or improve for the purpose of safe.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractors 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
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 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
.i Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if 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 the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: N, after making this Certfrrcate 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
Ihereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lenders Name
Lender's 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 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 the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, state, zip
05907
BUILDING:'TYPE CONST. OCC: GRP.
A.P. Number
Legal Description Phiase II Lot 41
Project Description Plan 4CR Cactus Flover
La Quiata Associates
Mailing
Address
43-875 Wa hiugton St.
City
P.D.
Zip
92260
Tel.
_.
Contractor
_
E.G. Williams Dev. C-urpt
Address.
Sam
City
INSPECTOR
Zip
Tela _
State Lic.
& Classif.
493919
City
Lic. # 1&3I
Arch., Engr.,
Designer
Address
I Tel.
City ( Zip ( State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 hereby affimr that I am licensed under provisions of Chapter 9 (commencing with Section
-< 7110(1) 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 Contractors License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
Permit to construct,, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to
the 'provisions o/ the Contractor's License Law, Chapter 9 (commendrtg with Section 7000) of
Division 3 of the Business and Professions Code, or that. he Is exempt therefrom, and the basis
for- the,.a aged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the ap"p/icant to a civil penalty of not more than rive hundred dollars (E500).
❑ 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or knprovas thereon and who does such work hknself or through his own employees,
provided that such improvements are not intended or offered for sale. ft, however, the building
or improvement is sold within one year of completion, the owner -builder wig have the burden
of proving that he did not build or improve for the purpose of safe.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractors 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
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 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
.i Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if 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 the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: N, after making this Certfrrcate 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
Ihereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lenders Name
Lender's 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 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 the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, state, zip
05907
BUILDING:'TYPE CONST. OCC: GRP.
A.P. Number
Legal Description Phiase II Lot 41
Project Description Plan 4CR Cactus Flover
REMARKS , ,s t r• a , .• xr„ iia .r.•. , •rn r ea
iY,i"`..a ,4,tiJfiiwPf:°' S" ..*K + L:.".x•..- _.+v :.. :rs. ..
ZONE:
BY:
Minimum Setback Distances:
Front Setback from Center Line
Sq. Ft.
Size 1887 •
No.
Stories
No. Dw.
Units
New N Add ❑
Alter ❑
Repair ❑ Demolition ❑
y
INSPECTOR
Issued by:
Date6-15-88 Permit
Validated by:
Validation:
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
494,40
Const.
orfo
Mech.,.
53.50
Electrical
$ 3,71
Plumbing
123..00
S.M.I.
6.23
Grading
Driveway Enc.
Infrastructure
2221.98
TOTAL
}%9 x
''rift )CA a
REMARKS , ,s t r• a , .• xr„ iia .r.•. , •rn r ea
iY,i"`..a ,4,tiJfiiwPf:°' S" ..*K + L:.".x•..- _.+v :.. :rs. ..
ZONE:
BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by:
Date6-15-88 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE ^ o
(
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
FOUND. REINF.64f
GAS (ROUGH) III
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
OTHER APPJEQUIP.
REINF. STEEL
DRAINAGE PIPING
CAR P. I SO. FT. ®
MP. POLE
WALL Sp. FT.
GROUT
DRINKING FOUNTAIN,
SQ. FT. ®
SERVICE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
BOND BEAM
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
LUMBER GR. FINAL INSP. %Z%
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTOXDISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLZIONG / ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL AREA
SLAB GRADE ^ o
(
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.64f
GAS (ROUGH) III
2 /)&A
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
/ '!/
MP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR. FINAL INSP. %Z%
FRAMING `B I FINAL INSP. '
ROOFING
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING 9
MESH
INSULATIONISOUND 09 'Ly/
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
ocuro CIMM
REMARKS:-
EMARKS:VENTILATION
SIGNATURESHNITIALS
GARDEN WALL FINAL