BCOM2015-002978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BCOM2015-0029
Property Address:
78998 MILES AVE
APN:
604032026
Application Description:
FAMILY HERITAGE CHURCH / RELOCATE (4) CONDENSORS
Property Zoning:
Application Valuation:
$40,000.00
Applicant:
MICAH COMBS
75-145 ST. CHARLES PLACE
#4
PALM DESERT, CA 92211
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.: 989014
Date:y- Z' I S Contractor: t Cr-Ci11A �3-5
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 70315 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(1 1, 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 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 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 Name:_
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/2/2015
Owner:
FAMILY HERITAGE CHURCH OF VA
78998 MILES AVENUE
LA QUINTA, CA 92253
t� C-) Z
v�
Contractor: m CA
MICAH COMBS
75-145 ST. CHARLES PLACE #4
PALM DESERT, CA 92211 m y
b
(760)346-8014 c c
Llc. No.: 989014
. 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.
. M -C- 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: �= �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 city to �j in// 1 above-
mentioned property for inspection purposes. / en/�
Date: ��? - �S Signature (Applicant or -Agent)
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Total Paid for ELECTRICAL: $48 34" $0:00
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DESCRIPTION �
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$0.00
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"PAID DATE
APPLIANCE REPAIR/ALTERATION PC-.
;- 101-0000-42600
0 $19 32£,
$0.00
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t, PAIDaBYaf
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Total Paid for MECHANICAL. ' "$67,68 .:" $0:00
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0
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TotaI Paid.f6rSTRONG MOTION INSTRUMENTATION SMI:'_; ` $11.20 ° $0.00 '
F
Description: FAMILY HERITAGE CHURCH / RELOCATE (4) CONDENSORS
Type: BUILDING, COMMERCIAL Subtype: REMODEL Status: APPROVED
Applied: 5/4/2015 SKH
Approved: 6/1/2015 JFU
Parcel No: 604032026 Site Address: 78998 MILES AVE LA QUINTA,CA 92253
Subdivision: Block: Lot:
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $40,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
r
Details: RELOCATE (4) ROOFTOP CONDENSERS FROM NORTH AND SOUTH ROOF DECKS TO EAST ROOFTOP. EQUIPMENT.SHALL BE SCREENED
FROM VIEW OF SURROUNDING PROPERTIES PER LQMC. 2013 CALIFORNIA BUILDING CODES.
JAY WUU TO FIELD INSPECT SCREENING OF EQUIPMENT.
28
Applied to
Printed: Tuesday, June 02, 2015 2:21:37 PM 1 of 4
SYSTEMS
ADDITIONAL
CHRONOLOGY,
:CHRONOLOGY TYPE STAFF NAME
.... . �
' ACTION`DATE h' COMPLETION DATE
NOTESar
"`°; r
r
PHONE CALL WAS RECEIVED FROM KATHERINE. SHE WAS
"NOTE
KAY HENSEL
5/8/2015
5/8/2015
MISSING A SET OF CALCULATIONS. SET WILL BE SENT THIS
AFTERNOON.
PLAN CHECK COMMENTS
FROM CONSULTANT
KAY HENSEL
5/13/2015
5/13/2015
STRUC APPROVABLE 5/11/2015
RECEIVED
PLAN CHECK PICKED UP
STEPHANIE KHATAMI
5/26/2015
5/26/2015
JACK LIMA PICKED UP CORRECTIONS.
PLAN CHECK SUBMITTAL
STEPHANIE KHATAMI
5/4/2015
5/4/2015
r
RECEIVED
PLAN CHECK SUBMITTAL
STEPHANIE KHATAMI
5/27/2015
5/29/2015
RECEIVED
NOTIFIED MICAH COMBS W/ MCFADDEN ARCHITECTS (760 -
TELEPHONE CALL
JAKE FUSON
5/26/2015
5/26/2015
346-8014) THAT PLAN REVIEW WAS COMPLETE AND
REVISIONS WERE REQUIRED.
Printed: Tuesday, June 02, 2015 2:21:37 PM 1 of 4
SYSTEMS
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Printed: Tuesday, June 02, 2015 2:21:37 PM 2 of 4
SYSTEMS
g�,«
CLTD
DESCRIPTION`° ACCOUNT x.x k;QTY AMOUNT.. PAID; , $
PAIDD ATE' «RECEIPT# CHECK # METHOD. PAID BY
- sBY
LEFT MESSAGE FOR MICAH COMBS W/ MCFADDEN
TELEPHONE CALL
JAKE FUSON
0 $2.00 $0.00
6/1/2015
6/1/2015
BSA:
ARCHITECTS (760-346-8014) NOTIFYING HIM THAT PLANS
101-0000-42403
0
$24.17
$0.00
WERE APPROVED AND PERMIT WAS READY TO ISSUE.
TELEPHONE CALL
JAY WUU
101-0000-42600
5/22/2015
$24.17
5/22/2015
SPOKE WITH APPLICANT; WAITING FOR ELEVATION TO BE
Total Paid for ELECTRICAL: $48.34 $0.00
APPLIANCE .
101-0000-42402
0
SUBMITTED
$0.00
CONDITIONS
REPAIR/ALTERATION
CONTACTS
NAME TYPE
a .......
,NAME ,.; ADDRESS I' ' '
..:. .. :.:... ....:..:•.., ., ::
CITY STATE T:
:: x. r/
ZIP PHONE EMAIL _
APPLICANT
MICAH COMBS
75-145 ST. CHARLES
PALM DESERT
CA
92211 (760)347-0355
$19.32
$0.00
PLACE #4
REPAIR/ALTERATION PC
CONTRACTOR
MICAH COMBS
75-145 ST. CHARLES
PALM DESERT
CA
92211 (760)347-0355
` Total Paid for MECHANICAL: $67.68 $0.00 .'
PARTITION
101-0000-42400
0
PLACE #4
$0.00
OWNER
FAMILY HERITAGE CHURCH OF VA
78998 MILES AVENUE
LA QUINTA
CA
92253 (760)347-0355
C
Printed: Tuesday, June 02, 2015 2:21:37 PM 2 of 4
SYSTEMS
g�,«
CLTD
DESCRIPTION`° ACCOUNT x.x k;QTY AMOUNT.. PAID; , $
PAIDD ATE' «RECEIPT# CHECK # METHOD. PAID BY
- sBY
BSAS SB1473 FEE
101-0000-20306
0 $2.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$2.00 $0.00
BSA:
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
APPLIANCE .
101-0000-42402
0
$48.36
$0.00
REPAIR/ALTERATION
APPLIANCE
101-0000-42600
0
$19.32
$0.00
REPAIR/ALTERATION PC
` Total Paid for MECHANICAL: $67.68 $0.00 .'
PARTITION
101-0000-42400
0
$72.52
$0.00
C
Printed: Tuesday, June 02, 2015 2:21:37 PM 2 of 4
SYSTEMS
... `
`
ACCOUN
FAMOUNTi'_.A
'
Dx'
a.. ,..
w '.
P.%a•-p:�
t+
P
C_.LBTYD
.DESGRIPTI0
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QTY 14 =
EC,
METHOD
PAID BY
.....a.`'Y,tw
*t'`.
F x F .
PARTITION PC
101-0000-42600
0
$133.43
$0.00
Total Paid forPARTITION:
$205.95.
$0.00 '
SMI - COMMERCIAL
101-0000-20308
1 0
$11.20 _
$0.00
Total.Paid forSTRONG MOTION INSTRUMENTATION SMI
$11.20
$0.00
TOTALS:0•
PARENTPROJECTS
REVIEWS
STATUS - 'REMARKS
REVIEW TYPE
REVIEWER SENT DATE: DUE DATE x
,:RETURNED
p -r
NOTES
¢
ATE
NON-STRUCTURAL
JAKE FUSON
5/4/2015
5/18/2015
5/26/2015.
REVISIONS REQUIRED
SEE 1ST REVIEW.
KATHRYN
5/4/2015
5/18/2015
5/11/2015
READY FOR APPROVAL
STRUCTURAL-
SAMUELS
PLANNING
SCREENING OF NEW AND RELOCATED A/C
PLANNING
5/13/2015
5/20/2015
5/22/2015
BUCKET
EQUIPMENT
PER DISCUSSIONS WITH APPLICANT, PERFORATED
METAL SCREENS PAINTED TO MATCH SHALL BE
PLANNING
JAY WUU
5/22/2015
5/22/2015.
5/26/2015
REVISIONS REQUIRED
PROVIDED. THE CDD REQUIRED OPAQUE
SCREENS, BUT APPLICANT REQUESTS TO PROCEED
AT -RISK WITH PERFORATED METAL. JW WILL '
FIELD INSPECT FOR AESTHETIC IMPACT
NON-STRUCTURAL-
JAKE FUSON
5/29/2015
6/5/2015
6/1/2015
APPROVED
1 WK
Printed: Tuesday, June 02, 2015 2:21:37 PM 4 of 4
SYSTEMS
Bin #
City Of La Quinta
Building 8Z' Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and, Tracking Sheet
Permit #
�zC1' �OOZ�
Project Address: e— q 4(p wu� 5
Owner's Name: rgyyL ,� C �eK
A. P. Number:
Legal Description:
Address: 'kqJ �k LIE—IS r -'CE
City, ST, Zip: (A. QUI A, (fA, g22S�
Contractor: WCA S
Telephone: ho
e. � — S
eo "3 3 S
Address: -- —(q�2C.l �t�
Project Description: AL C
City, ST, Zip: f119 C) C'�. Ql ZZo�
' OP
Telephone: L S
� Q g
State Lic. #
City Lic. #:
Arch., Engr., Designer: c'VAo.DF-",c C kA-
Address: X 15: X4-3 •5 , C S lam, t
City, ST, Zip:
Telephone: O -A
Sta to Lic. #• '(I
Name of Contact Person: Kkc4kk C14AgS
Construction ucti n TY P e: 3 Occupancy: '
Project ect hP e car 1 e one): New Add'n Alter (9;Pair au Dem 0
Sq. Ft.: -z4 4(o # t #Units:
Telephone # of Contact Person: -1(.s0 -Z,� bo 14
1 Estimated Value of Project: vcx)
APPLICANT: DO NOT WRITE BELOW THIS LINE
M I
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
3
Plan Check submitted
Item
Amount
Structural Calcs.
d
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2 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 .
LTotal Permit Fees
i I /
YOUNG
'
F t Q
ENGINEE.RING
4 a nU.:-
;
Letter of Transmittal
To: City of La Quinta Today's Date:
5-11-15
78-495 Calle Tampico City Due Date:
'-,5-18-15
La•Quinta, CA 92253. Project Address:
78-998 Miles Avenue
Attn: Kay =: - Plan Check #;
BCOM 2015-0029,
Submittal:. ® 1S1
El.
4"'
�.
3r!
❑
Other:
We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS)
❑ ',:'.'Your Pickup„
Includes: # Of Descriptions: ; ' Includes:
, # Of
Descriptions:
Copies:
Copies:,
® 1 Structural Plans
❑ ,
Revised Structural Plans:
® 1 Structural Calculations
❑
Revised Struct. Calcs .
Truss Calculations Floor.
El
Revised Truss
and Roof
❑ Soils Report
El
Revised Soils Report
❑ Structural Comment List
p
Approved Structural Plans
❑ Redlined Structural Plans❑
Approved Structural .Cales -_
❑ Redlined Structural Calcs
El
Approved Truss Calcs
El - Redlined Truss Calcs
.❑
Approved Soils Report, , , -
0 ` Redlined Soils Reports
❑
Other:
Comments: Structural'content is approvable.'
If you have an questions, please call.
r
OF
Af& jrj,
LA otsia-
-Time=2 HR
This ,Material Sent for: }
El Your Files
®
Per Your. Request
❑ Your Review
"a
.. Approval
Checking
❑
At the request
of
Other: ❑
By: Kathryn Samuels
t
Palm.Desert Office.: ®- (760) 772-5107.
Other: ❑
h -