13-0571 (SFD)5..
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4&t
"
J
49
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application_Number:_13 - 00000571_
y — .
Property Address: 53070 AVENIDA CARRANZA
APN: 774-051-003-22 -000000-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: COVE RESIDENTIAL
Application valuation: 82238
Owner:
FOREMOST HOMES, LLC
70600 COUNTRY CLUB DR.
RANCHO MIRAGE, CA 92270
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
Applicant: Architect or Engineer: DANTOR MARTINEZ CON _Lulorg
C 81057 AVENIDA ROMER D
INDIO, CA 92201
(760)702-6209 JUL 18 2013
Lic. No.:
: 9 926128 v
CITY OF LA OUINra
FINANCE DEPT.
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 Professionals Code, and my License is in full force and effect.
/License Class: B /LJ/iFense No.: 926128
V/ Dater I� C� ��)) A� \lil�'L
�a � vNER-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).:
1 _) 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.).
1 _ 1 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:
LQPERMIT
Date: 7/16/13
JI 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 STATE FUND INS Policy Number 1960997
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, Z
and
oagree that, if I should become subject to the workers' compensation provisions of Section
] 17 1700 f the Labor Code, 1 shall forthwith coy with those provisions.
Date: 3- Applicant: I_ �(.,�P 01f
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 Director of Building and Safety 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 buil 'vg construction, and ereby autho ze representatives
of his countytoenter upon the above-mentioned proper t r inspection purpo s.
Date: r 1' 1 L Signature (Applicant or Agent):
Application Number . . . . . 13-0000057.1
Structure Information
Construction Type . .
. . . TYPE V, UNPROTECTED
Occupancy Type
DWELLG/LODGING/CONG <=10
Other struct info . .
. . . CODE EDITION 2010
# BEDROOMS
3.00
FIRE SPRINKLERS YES
GARAGE SQ FTG
421.00
PATIO SQ FTG
53.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE 1232.00
Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
563.00 Plan Check Fee
365.95
Issue Date . . . .
Valuation . . . .
82238
Expiration Date
1/12/14
r,
Qty Unit Charge
Per
Extension
BASE FEE
414.50
33.00 4.5000
----------------------------------------------------------------------------
THOU BLDG 50,001-100,000
148.50
Permit . . . ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
81.54 Plan Check Fee
-20.39
Issue Date . . . .
Valuation . . . .
0
Expiration Date
1/12/14
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1232.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
43.12
421.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
8.42
1.00 15.0000
--------------------------------------------------
EA ELEC TEMPORARY POWER POLE
------------------------
15.00
Permit . . . GRADING PERMIT
Additional desc .
Permit Fee . . . .
15.00 Plan Check Fee
.00
Issue Date . . . .
Valuation
0
Expiration Date
1/12/14
Qty Unit Charge
Per
Extension
----------------------------------------------------------------------------
BASE FEE
15.00
Permit . . . . . . MECHANICAL
LQPERMIT
Application Number . . . . . 13-00000571
Permit
. . .
MECHANICAL
Additional
desc .
7.00
6.0000 EA
PLB FIXTURE
Permit Fee
. . . .
59.00
Plan Check Fee
14.75
Issue Date
. . . .
PLB WATER HEATER/VENT
Valuation . . .
. 0
Expiration
Date
1/12/14
1.00
9.0000 EA
Qty Unit Charge
Per
1.00
Extension
PLB GAS PIPE 1-4 OUTLETS
3.00
BASE
FEE
15.00
1.00
9.0000
EA MECH
FURNACE <=100K
9.00
1.00
9.0000
EA MECH
B/C <=3HP/100K BTU
9.00
3.00
6.5000
EA MECH
VENT FAN
19.50
1.00
----------------------------------------------------------------------------
6.5000
EA MECH
EXHAUST HOOD
6.50
Permit
. . .
PLUMBING
SPA, BBQ'S and
DRIVEWAY APPROACH**
Additional
desc .
-----------------------------------------------
Other Fees .
. . . . . . .
-----------------------------
. BLDG STDS ADMIN (SB1473)
Permit Fee
. . . .
109.50
Plan Check Fee
27.38
Issue Date
. . . .
DIF CIVIC CENTER - RES
Valuation
0
Expiration Date . . 1/12/14
Qty Unit Charge Per
Extension
BASE FEE
15.00
7.00
6.0000 EA
PLB FIXTURE
42.00
1.00
15.0000 EA
PLB BUILDING SEWER
15.00
1.00
7.5000 EA
PLB WATER HEATER/VENT
7.50
1.00
3.0000 EA
PLB WATER INST/ALT/REP
3.00
1.00
9.0000 EA
PLB LAWN SPRINKLER SYSTEM
9.00
1.00
3.0000 EA
PLB GAS PIPE 1-4 OUTLETS
3.00
1.00
15.0000 EA
PLB GAS METER
15.00
----------------------------------------------------------------------------
Special Notes
and Comments
1232 SF SFD.
GARAGE RT. 2010
CODES W/
FIRE SPRINKLERS.
R-3 OCC. V
-B CONSTR.
2013 DIF. TUMF. ARCHITECT:
KEVIN L.
CROOK C15561.
**PERMIT DOES
NOT INCLUDE
BLOCK WALLS,
FENCES, SWIMMING POOLS,
SPA, BBQ'S and
DRIVEWAY APPROACH**
-----------------------------------------------
Other Fees .
. . . . . . .
-----------------------------
. BLDG STDS ADMIN (SB1473)
4.00
DIF COMMUNITY CENTERS -RES
129.00
DIF CIVIC CENTER - RES
942.00
ENERGY REVIEW FEE
36.60
DIF FIRE PROTECTION -RES
433.00
DIF LIBRARIES - RES
344.00
MULTI -SPECIES (MSHCP) FEE
531.00
DIF PARK MAINT FAC - RES
40.00
DIF PARKS/REC - RES
2048.00
STRONG MOTION (SMI) - RES
8.22
LQPERMIT
Application Number . . . . . 13-00000571
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
TUMF: RESIDENTIAL
1837.44
DIF STREET MAINT FAC -RES
116.00
DIF TRANSPORTATION - RES
2842.00
Fee summary
Charged
Paid Credited
------------------------------
Due
-----------------
Permit Fee Total
----------
828.04
.00 .00
828.04
Plan Check Total
428.47
250.00 .00
178.47
Other Fee Total
9311.26
.00 .00
9311.26
Grand Total
10567.77
250.00 .00
10317.77
LQPERMIT
Building
Address
Owner
Address
C&&�/ 4 4 a"
P.O. BOX 1504
//�� 78-495 CALLE TAMPICO
/ 7illYhy,,71�A QUINTA, CALIFORNIA 92253
S
0 161,0) S-3-7 —IS6
/Ighin2if/V a z S Gh
Address
01 6 C"_7
r �� 192 -0 1 ii
Date 7/18/13
No. 31735
Owner Foremost Homes
Address 70600 Country Club Dr
City Rnch Mirage Zip
Tract #
Type Single Family Residence
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
Lot # No. Street
Unit 1 53070 Avenida Carranza
Unit 2
Unit 3
Unit 4
Unit 5
APN #
Jurisdiction
Permit #
No. of Units
S.F. Lot # No.
1232 Unit 6
Unit 7
Unit 8
Unit 9
Unit 10
Comments Certs #31734 thru 31736 used for cc#379320 totaling $11,827.20
4"F]:Epsmc'�"
Ilk
O
Q BERMUDA DUNES r
RANCHO MIRAGE b
N�INDIAN WELLS
PALM DESERT.
LA QUINTA
INDIO
151Q,y7
774-051-003
La Quinta
1
Street S.F.
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:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $3.20 X 1,232 S.F. or $3,942.40 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 CC-Califronia Bank & Trust - James Fortson Check No. 379320
Bank Name/Recipient of Certificate
By Dr. Gary Rutherford
Superintendent
Fee collected /exempted by y Kfirgr(WcGily-rey
Signature
Telephone
Funding Residential
Al
Payment Recd
Over/Under a t
$3,942.40 ,
NOTICE: Pursuant to Government Code 4ection 66020((1), this ill serve to notify you that the 90 -day approval period in which you may protest the fees
or other payment identified above will begs to run from t date 9A which the building or installation permit for this project is issued, or from the date on
which those amounts are paid to the District or to anoth&piOic 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
PROUDLY SERVING THE
UNINCORPORATED AREAS
OF RIVERSIDE COUNTY
AND THE CITIES OF:
BANNING
BEAUMONT
CALIMESA
CANYON LAKE
COACHELLA
DESERT HOT SPRINGS
EASTVALE
INDIAN WELLS
INDIO
LAKE ELSINORE
LA QUINTA
MENIFEE
MORENO VALLEY
PALM DESERT
PERRIS
RANCHO MIRAGE
RUBIDOUX CSD
SAN JACINTO
TEMECULA
WILDOMAR
BOARD OF
SUPERVISORS:
BOB BUSTER
DISTRICT 1
JOHN TAVAGLIONE
DISTRICT 2
JEFF STONE
DISTRICT 3
JOHN BENOIT
DISTRICT 4
MARION ASHLEY
DISTRICT 5
• RIVERSIDE COUNTY FIRmibDEPARTMENT
IN COOPERATION WH
THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION
77-933 Las Montanas Rd., Ste. #201, Palm Desert,.CA 92211-4131 • Phone (760) 863-8886
• Fax (760) 863-7072
www.rvcfire.org
June 20, 2013
Residential Fire Systems
Re: Residential Fire Sprinkler Plan Review
LAQ-I3-RS-032 Foremost Homes 53-070 Avenida Carranza La Quinta, CA
The sprinkler plans you submitted for the above referenced project have been reviewed by
Riverside County Fire Department Planning & Engineering personnel and are approved with
the following conditions:
A minimum of three spare fire sprinklers of each type and temperature rating along with a
sprinkler wrench should be located in a spare head cabinet at the system riser or other approved
location.
Permanently marked identification signs shall be attached to all control valves.
A warning sign, with minimum'/ inch letters, shall be affixed adjacent to the main shutoff
valve and shall state the following:
WARNING: The water system for this home supplies fire sprinklers that require certain flows
and pressures to fight a fire. Devices that restrict the flow or decrease the pressure or
automatically shut off the water to the fire sprinkler system, such as water softeners, filtration
systems, and automatic shut-off valves, shall not be added to this system without a review of
the fire sprinkler system by a fire protections specialist. DO NOT remove this sign.
The following inspections/tests are required to be witnessed by the Fire Department Planning
Division staff:
(a) Overhead Rough and Hydro static test: All piping shall be visible and
pumped at normal operating pressure.
(b) Final inspection.
The Fire Department job card, approved plans and conditions letter must be at the job site or
NO inspection will be performed. Applicant/installer shall be responsible to contact the Fire
Department to schedule inspection(s) a minimum of 72 hours prior to the requested inspection
date.
All questions regarding the meaning of these conditions should be referred to the Fire
Department Planning & Engineering staff at (760) 863-8886.
Applicant/installer shall be responsible to contact the Fire Departmelpt to schedule nsp ction.
Sincerely,
Jaso tubble
Fire Safety Specialist
,rte-.
JAN -16-2014 THU 06:02 PM RIVERSIDE COUNTY FIRE FAX N0, 17606637072
P. 04
Riverside County Fire Department Fire Protection Planning Section
War' lde Of lce; 2300 Market St., Ste. 150, Riverelde. CA 02501 ph. (061) 966-47111 Fax (051) 066.4860
Patrn Deeen Office: 77.933 Las Manranas Rd,, 8 201 Palin Desert, CA 92211-4131 Ph. (760) 863.8886 rex (760) 8637072
Fire Department Clearance/Release
Date: 1/16/2014
To: LA QUINTA B&S
Fax:
Tract/Parcel Map #:
FOREMOST
Permit/Lot #:
LAQ-13-RS-032
Job Site Address:
53070 AVENIDA CARRANZA
City, State, Zip
I -A QUINTA
Final For Recordation
❑ Final for Alarm System
® Final for Fire Suppression System
❑ Shell Final Only (No Tenant)
❑ Release For Residential Sprinkler Installation
❑ Building Plan Check Fees Paid, Water Requirement. Met- If water applicable
❑ Building Plan Check Fees Not Paid
1-1 Residential Sprinkler Plan Check Fees Paid
❑ _ Residential Sprinkler Plan Check Fees Not Paid
0 Other Fees
Fees Not Required
If you should have any questions, please contact the appropriate Riverside County.Fire Protection Planning office for
further assistance.
KOHL HETRICK
Print Name of Plan Reviewer/Inspector Approved Release
Sent By: Print Name
Form C — RoA:;vd 3/0112012
POST IN A CONSPICUOUS PLACE
Certificate of Occupancy
Community Development Department
This Certificate is issued pursuant to the requirements of Chapter 1 Section R110 of the
California Residential Code, certifying that, at the time of issuance, this structure was in
compliance with the provisions of the Building Code and the various ordinances of the City
regulating building construction and/or use.
BUILDING ADDRESS: 53-070 AVENIDA CARRANZA
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 13-0571
Occupancy Group: R3 Type of Construction: VB Land Use Zone: RC
Code Edition: 2010 Sprinkler Installed: YES Sprinkler Required: YES
Owner of Building: FOREMOST HOMES LLC
Address: 70600 COUNTRY CLUB
City, ST, ZIP: RANCHO MIRAGE, CA 92270
_____________GREG BUTLER__________________ By: AJ ORTEGA
Building Official Date: MARCH 5, 2014