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13-0572 (SFD)C&t!t 4 ' P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO v FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/17/13 Application -Number:—' 1:3`0 00572 -00Owner: Property Address:--�53.120 AVENIDA CARRANZA FOREMOST HOMES APN: 774-051-005-20 -000000- 70600 COUNTRY CLUB DR. Application description: DWELLING - SINGLE FAMILY DETACHED RANCHO MIRAGE, CA 92270 Property Zoning: COVE RESIDENTIAL Application valuation: 82451 Contractor: Applicant: Architect or Engineer: DANTOR MARTINEZ CONSTRUCT 81057 AVENIDA ROMERO JUL �� INDIO, CA 92201 2013 (760)702-6209 Lic. No.: 926128 C17YOF LAQUINTA FINANCE OePT. LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: 13 License No.: 926128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is _ issued. Date: - 11 J Contractor: !Jm- 16L� Z (� r u t O r-- _ 1 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND INS Policy Number 1960997 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or �he Labor Code, I shall forthwith comply th those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by 1 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date:1 -1 _ I Applicant: ' LJ Cl "\ 1 P _I (_ 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 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.). (_ 1 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 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 build' construction, and reby authoriz representatives this county to enter u n the above-mentioned prop ertt f inspect n purpos /Date �� - I ignature (Applicant or Agent): f LQPERMIT Application Number . . 13-00000572 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 431.00 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 . . . . 82451 Expiration Date 1/13/14 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 . . . . 81.74 Plan Check Fee 20.44 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/13/14 Qty Unit Charge Per Extension BASE FEE 15.00 1232.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 43.12 431.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.62 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 . . 1/13/14 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Permit . . . . . . MECHANICAL Application Number . . . . . 13-00000572 Permit . . . MECHANICAL Additional desc . 15.00 7.00 6.0000 Permit Fee . . . . 59.00 Plan Check Fee 14.75 Issue Date. EA Valuation . . . . 0 Expiration Date 1/13/14 EA PLB WATER HEATER/VENT Qty Unit Charge Per 3.0000 Extension PLB WATER INST/ALT/REP 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 Additional desc . DIF COMMUNITY CENTERS -RES 129.00 Permit Fee . . . . 109.50 Plan Check Fee 27.38 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/13/14 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 ---------------------------------------------------------------------------- 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 8.25 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 828.24 .00 .00 828.24 Plan Check Total 428.52 250.00 .00 178.52 LQPERM/T i LQPERMIT Application Number . . . . . Other Fee Total 9311.29 Grand Total 10568.05 13-00000572 .00 250.00 .00 9311.29 .00 10318.05 s7v Tjhf 4 4 uti%� l3 P.O. BOX 1504 APPLICATION ONLY Building 78-495 CALLE TAMPICO Address 12 Q Ave yj.4 61A r A 1rr4NZ l -A QUINTA, CALIFORNIA 92253 Owner G BUILDING: TYPE CONST. _LCL A OCC. GRP. Mailing Addressor U6 � A.P. Number -7 % t'( � U !—L Ci Zip Legal Description k q 2270 �r6o s3� tSo C trXactor Project Description � g rw � �� �/ —6/� � n u ;w__ r kry C 4 o Abbress 0 Sv- City Zip Tel.' 7;A G -70Z ` (o Z4 State Lic. City Sq. Ft. No. No. Dw. & Classif.. 2 6 Z Lic. # Size % Stories Units Arch., Engr.,/ / New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Designer Address Tel. nnA ✓t)/I NP 2 % / q I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm 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. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contrac- tor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he 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). OI, 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 Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such 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 did not build or improve for the purpose of sale). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's 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.) OI am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION I hereby affirm that I 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 O Copy is filed with the city. O 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 Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's 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. 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 WHITE = BUILDING DEPARTMENT CITY OF LA 4UINTA Estimated Valuation </ .76 OO PERMITAMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL 2- , CONTACT INFORMATION NAME: PHONE: 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: — Validated by: Validation: YELLOW = APPLICANT Date Permit PINK = FINANCE Comments Certs #31734 thru 31736 used for cc#379320 totaling $11,827.20 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 $3,942.40 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC-Califronia Bank & Trust - James Fortson Check No. 379320 Bank Name/Recipient of Certificate Telephone Funding Residential By Dr. Gary Rutherford Superintendent `�ti• Fee collected /exempt by aro CGi r 't Payment Recd - j$p.p $3,942.40 ?ver/Under' >� Nv Signature NOTICE: Pursuant -to Government Code Section 6620(d)(1), t is will Serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the dat on ich 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 RTVI= RSIDE COUNTY F`IEPARTMENT IN COOPERATION WITH THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION 77-933 Las Montanas Rd., Ste. #201, Palm Desert, CA 922114131 • Phone (760) 863-8886 • Fax (760) 863-7072 www.rvcfire.org PROUDLY SERVING THE June 20, 2013 UNINCORPORATED AREAS OF RIVERSIDE COUNTY 11 AND THE CITIES OF: Residential Fire Systems BANNING Re: Residential Fire Sprinkler Plan Review BEAUMONT LAQ-I3-RS-033 Foremost Homes 53-120 Avenida Carranza La Quinta, CA CALIMESA The sprinkler plans you submitted for the above referenced project have been reviewed by CANYON LAKE Riverside County Fire Department Planning & Engineering personnel and are approved with the following conditions: COACHELLA DESERT HOT SPRINGS A minimum of three spare fire sprinklers of each type and temperature rating along with a EASTVALE sprinkler wrench should be located in a spare head cabinet at the system riser or other approved location. INDIAN WELLS INDIO Permanently marked identification signs shall be attached to all control valves. LAKE ELSINORE A warning sign, with minimum % inch letters, shall be affixed adjacent to the main shutoff LA QUINTA valve and shall state the following: MENIFEE WARNING: The water system for this home supplies fire sprinklers that require certain flows MORENO VALLEY and pressures to fight a fire. Devices that restrict the flow or decrease the pressure or PALM DESERT 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 FERRIS the fire sprinkler system by a fire protections specialist. DO NOT remove this sign. RANCHO MIRAGE RUBIDOUX CSD The following inspections/tests are required to be witnessed by the Fire Department Planning Division staff: SAN JACINTO (a) Overhead Rough and Hydro static test: All piping shall be visible and TEMECULA pumped at normal operating pressure. WILDOMAR (b) Final inspection. The Fire Department job card, approved plans and conditions letter must be at the job site or BOARD OF NO inspection will be performed. Applicant/installer shall be responsible to contact the Fire SUPERVISORS: Department to schedule inspection(s) a minimum of 72 hours prior to the requested inspection BOB BUSTER date. DISTRICT 1 JOHN TAVAGLIONE All questions regarding the meaning of these conditions should be referred to the Fire DISTRICT 2 Department Planning & Engineering staff at (760) 863-8886. JEFF STONE DISTRICT 3 Applicant/installer shall be responsible to contact the Fire Department to schedule 'nspe 'on. JOHN BENOIT DISTRICT 4 Sincerely, MARION ASHLEY DISTRICT 5 Jason tubble Fire Safety Specialist r JAN -16-2014 THU 06;02 PM RIVERSIDE COUNTY FIRE FAX NO. 17608637072 -P. 03 Riverside County Fire Department Fire Protection Planning Section Riverside Office: 2300 Markel St, Ste.160, Riverside, CA 021101 P11. (051) 066-0777 Fex (951) 055+1886 Palm Pawl: Office; 77-933 las MonldBas Rd., U 201 Palm Desert, CA 92211 •1 t d1 Ph• (760) R63.68A6 Fax (760) 863-7072 Fire Department Clearance/Release Date: 1116/2014 To: LA QUINTA B&S Fax Tract/Parcel Map #: FOREMOST Permit/Lot #: LAO -1_3 -RS -033 Job Site Address: 53120 AVENIDA CARRANZA City, State, Zip LA 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 ❑ Residential Sprinkler Plan Check Fees Paid ❑ Residential Sprinkler Plan Check Fees Not Paid Q 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 — Revised S/01=12 ABBREVIATIONS EMTMINE,HaD. DNODoseP PN RpP a W i5 rusL wnYz DAODaN I p ICQE50R'E DAeCp NI1®01 EG- GN E, -.UNE v cn+rT Ama SITE ADDRESS 3o120 ANE oA CwIMUTA 7 24-051-005-0 LEGAL DESCRIPTION U T 20OF BLOCN 220 OF UNIT 0. 2, —TA IWUEMM AT VICE U —1 p LIB ]0/]2 LEGEND' oaE onrtan wa. oleo[ ® [nEI. Il »,Opt oasT. r10 <_L�}�.: 00A. MOI IVL :%7 msr. 1BENI:x EaK1UlE MT.,. Our [OAAAGU)a WIPpI WlH IF M. era KRB _.....{>-._..__ EMi.Nom,CKE w; wir. Uwx1E OOEI. 0M wE DAa. E1071 1067 DAy. EKOI Boa NUL IN THE CITY OF LA OUINTA. COUNTY OF RIVERSIDE, STATE OF CALIFORNIA SITE PLAN FOR LOT 20 OF BLOCK 220 OF UNIT NO. 21 SANTA CARMELITA AT VALE LA QUINTA, PER MB 20/22 APN: 774-051-005 LOCATED WITHIN BLOCK 220 OF SANTA CARMEUTA AT VALE LA OUINTA NO. 21 IN THE N 1/2 OF THE SE 1/4 OF SECTION 12. T65, R6E. S88M NOTE: 0lµ E, MEGNPAInI 8E TONE DU". ugdtOYE .1.1 EE.W..1 'Ne " SPO SD 1 \f i Cx5 roR PUBLIC wORKs wNs"TUCT10N. ME CA.G u EUIBE 1. C00[ UrE9T E— INE ENGYTEAEO GPAOYG REWIREND"S 0' eu\owc R vAo SWALE SECTION (TYPIC&) .1 IT sr TE DRIVEWAY APPROACH REQUIRES A SEPARATE PERMIT & INSPECTION FROM CITY OF LA OUINTA PUBLIC WORKS DEPARTMENT PRELIMINARY DIG ALERT_ � �D��,� � uNOERaRovNC YERVICE UBAT aau¢c:LU wrwOrL ®�^ """"'"`""_` » s[N '`.�" �; �� e. J'• DREDMEO WIDEN AQ pRCtf sU0[IMSgx R: FOR RfY1EW PURPOSES PHILUP N. FOu0"R PE.. OLs. P.C.E. .O. 122O< [r➢Y6 941-:] FOMOTOR ENGINEERING OT, OT U OUYLA COUNT, or RxCDAOL I— OF CNPaNr. SHEET 1 ' SITE PLAN LOT 20 OF BLOCK 220 OF UNIT N0.21 SANTA URMEIRA AT VALE U OUIMA PER MB 20/22 SM120 A ENIDA CARRAN BA980F BEN✓oOOB N0, aE`ASON .DDRMw art e ;�e'm ' A:C.F. ]]O - CW INNINGS. CAS ap 1-5 (rw) ]1]-1Ba FAY (Tool ]]]-I2e] OF"E"' ALE PUO N0. 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: 53-120 AVENIDA CARRANZA Use classification: SINGLE FAMILY DWELLING Building Permit No.: 13-0572 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: FEBRUARY 19, 2014