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BRES2015-0328 (2)78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: T4hr4 4QuIR& COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BRES2015-0328 51775 AVENIDA MADERO 773153013 GRANT RESIDENCE / REMODEL REVISIONS UNDER CONSTRUCTION $15,000.00 Applicant: J F KELLNER CONSTRUCTION PO BOX 10370 PALM DESERT, CA 92255 OCT 45 2015 CITYLQUINTACOMMUNITIDEVELOPMENT DEPARTP,4ENT 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.: 834358 Da -."/5/ / 6ontract~oyr JX --n2,_ OWNE -BUI LARATION 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).: ( ) 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.). ( ) 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 contractcr(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 consruction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Na Lender's Address: 11111111111111111111 30 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/15/2015 Owner: ETHAN GRANT 5691 MANGRUM DR. HUNTINGTON BEACH, CA 92649 Contractor: J F KELLNER'CONSTRUCTION PO BOX 10370 PALM DESERT, CA 92255 (760)774-5333 Llc. No.: 834358 WORKER'S COMPENSATION DECLARATION I hereby , rm 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 370 of the Labor Code, I shall forthwith comply with those provisions. Dat 6,,1, � J/Ap�nt: - WARNING: FAILURE TO SECURE W ERSO ENSATION 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-mentioned property for inspection purposes. Dat -e& " // Signature (Applicant or Agent): DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 2 $140.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT, PAID PAID DATE HOURLY PLAN CHECK -YES 101-0000-42600 1 $70.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BLDG CITY STAFF - PER HOUR: $210.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT -QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $12.33 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $5.08 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTYAMOUNT PAID . PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $0.00 PAID BY = METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT - QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL - NEW CONSTRUCTION: $210.30 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID.DATE FURNACE 101-0000-42402 0 $145.04 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE • FURNACE PC 101-0000-42600 0 $96.68 $0.00 PAID BY METHOD RECEIPT #. CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $24.18 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT, QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $9.66 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL HEATER 101-0000-42402 0 $24.71 $0.00 PAID BY METHOD RECEIPT # CHECK #. CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL HEATER PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for MECHANICAL: $312.36 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $65.25 $0.00 PAID BY METHOD RECEIPT # . CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $52.20 $0.00 PAID BY METHOD RECEIPT# CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT- QTY AMOUNT PAID PAID DATE REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for REMODEL: $301.64 $0.00 DESCRIPTION ACCOUNT QTY: AMOUNT . PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $1.95 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.95 $0.00 TOTALS:00 Description: GRANT RESIDENCE / REMODEL REVISIONS UNDER CONSTRUCTION Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED Applied: 8/26/2015 MFA Approved: 10/14/2015 LUR Parcel No: 773153013 Site Address: 51775 AVENIDA MADERO LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 30 Lot: 1 Issued: UNIT 2 CHRONOLOGY TYPE Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $15,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 LUIS URIBE Details: REMODEL EXISTING HOUSE. NEW WINDOW, DOORS, FIXTURES, 4 MINI SPLIT A/C UNITS AND 200 AMP SERVICE. LINK TO PERMIT BRES2015-0169 49 Applied to Approved Printed: Thursday, October 15, 2015 11:38:03 AM 1 of 5 C9? sysrrMs ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES E-MAIL LUIS URIBE 9/1/2015 9/1/2015 SENT ELENA EMAIL.IST REVIEW IS COMPLETE AND READY FOR CORRECTIONS E-MAIL LUIS URIBE 9/10/2015 9/10/2015 EMAILD ARMIN CORRECTIONS LIST AND LET HIM KNOW PLANS ARE READY FOR CORRECTIONS. PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 9/25/2015 9/25/2015 STRUC RFC 9/24/2015 RECEIVED PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 10/14/2015 10/14/2015 STRUC APPROVABLE 10/13/2015 RECEIVED PLAN CHECK PICKED UP STEPHANIE GUMPERT 9/29/2015 9/29/2015 PLAN CHECK PICKED UP STEPHANIE KHATAMI 9/15/2015 9/15/2015 ARMEN Printed: Thursday, October 15, 2015 11:38:03 AM 1 of 5 C9? sysrrMs PLAN CHECK SENT TO MARY FASANO 10/7/2015 FINANCIAL 10/7/2015 OUTSIDE PC •' • PLAN CHECK SUBMITTAL DESCRIPTION ACCOUNT REVISIONS WHILE UNDER CONSTRUCTION PERMIT BRES2015- AMOUNT MARY FASANO 8/25/2015 RECEIPT # 8/25/2015 METHOD PAID BY RECEIVED 0169 PLAN CHECK SUBMITTAL MARY FASANO 10/7/2015 10/7/2015 HOURLY PLAN CHECK - 101-0000-42600 RECEIVED $140.00 $0.00 TELEPHONE CALL LUIS URIBE 9/29/2015 9/29/2015 LET ARMEN KNOW PLANS ARE READY FOR CORRECTIONS AND ALSO EMAILD HIM STRUCTURAL CORRECTIONS LIST. ' TELEPHONE CALL LUIS URIBE 10/14/2015 $0.00 10/14/2015 SPOKE WITH CONTRACTOR LET HIM KNOW PERMIT IS READY YES TO BE ISSUED. CONDITIONS CONDITION . Total Paid for BLDG CITY STAFF - PER HOUR: $210.00 $0.00 DATE DATE DATE CONTACT STATUS REMARKS NOTES TYPE ADDED REQUIRED SATISFIED READY TO ISSUE LUIS URIBE 10/14/2015 10/14/2015 PENDING NEED REGISTERD TITLE 24 CHECKLIST CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT 1 F KELLNER CONSTRUCTION PO BOX 10370 PALM DESERT CA 92255 (760)774-5333 CONTRACTOR J F KELLNER CONSTRUCTION PO BOX 10370 PALM DESERT CA 92255 (760)774-5333 OWNER ETHAN GRANT 5691 MANGRUM DR. HUNTINGTON CA 92649 (760)774-5333 BEACH Printed: Thursday, October 15, 2015 11:38:03 AM 2 of 5 C srsrrnas FINANCIAL •' • DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY HOURLY PLAN CHECK - 101-0000-42600 2 $140.00 $0.00 •YES HOURLY PLAN CHECK - 101-0000-426001 $70.00 $0.00 YES . Total Paid for BLDG CITY STAFF - PER HOUR: $210.00 $0.00 Printed: Thursday, October 15, 2015 11:38:03 AM 2 of 5 C srsrrnas -1, Permit Details PERMIT NUMBER ` City of La Quinfa BRES•201�5*0328 Printed: Thursday, October 15, 2015 11:38:03 AM 3 of 5 Cr sysrriYis :LTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: RESIDENTIAL, EA 101-0000-42403 0 $12.33 $0.00 ADDITION 1,09OSF RESIDENTIAL, EA 101-0000-42600 0 $5.08 $0.00 ADDITION 1,000SF, PC RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $0.00 1,000SF RESIDENTIAL, FIRST 101-0000-426000 $47.86 $0.00 1,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $210.30 $0.00 FURNACE 101-0000-42402 0 $145.04 $0.00 FURNACE PC. 101-0000-42600 0 $96.68 $0.00 VENT FAN 101-0000-42402 0 $24.18 $0.00 VENT FAN PC 101-0000-42600 0 $9.66 $0.00 WALL HEATER 101-0000-42402 0 $24.71 $0.00 WALL HEATER PC 101-0000-42600 0 $12.09 $0.00 Total Paid for MECHANICAL: $312.36 $0.00 REMODEL, EA 101-0000-42400 0 $65.25 $0.00 ADDITIONAL 500 SF REMODEL, EA 101-0000-42600 0 $52.20 $0.00 ADDITIONAL 500 SF PC REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $0.00 Printed: Thursday, October 15, 2015 11:38:03 AM 3 of 5 Cr sysrriYis INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" BLD REVIEWS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY DUE DATE NOTES DATE BY REMODEL, FIRST 500 SF 101-0000-42600 0 $134.88 $0.00 9/10/2015 REVISIONS REQUIRED 2 WK PC 2ND BLDG NS (1 LUIS URIBE 9/17/2015 9/24/2015 9/29/2015 Total Paid for REMODEL: $301.64 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $1.95 $0.00 2ND BLDG STR (1 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.95 $0.00 TOTALS:• 00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" BLD Printed: Thursday, October 15, 2015 11:38:03 AM 4 of 5 r -- SYS7Eti1S PARENT PROJECTS REVIEWS RETURNED STATUS REMARKS REVIEW TYPE REVIEWER SENT DATE DUE DATE NOTES DATE NON-STRUCTURAL - LUIS URIBE 8/26/2015 9/9/2015 9/10/2015 REVISIONS REQUIRED 2 WK 2ND BLDG NS (1 LUIS URIBE 9/17/2015 9/24/2015 9/29/2015 REVISIONS REQUIRED WK) 2ND BLDG STR (1 KATHRYN APPLICANT DID NOT SUBMIT STRUCTURAL FIRST 9/17/2015 9/24/2015 9/24/2015 REVISIONS REQUIRED ROUND BUT JIM JOHNSON IS REQUIRING WK) SAMUELS STRUCTURAL CALCS. 3RD BLDG NS (1 WK) LUIS URIBE 10/7/2015 10/14/2015 10/14/2015 APPROVED 3RD BLDG STR (1 KATHRYN 10/7/2015 10/14/2015 10/13/2015 READY FOR APPROVAL WK) SAMUELS Printed: Thursday, October 15, 2015 11:38:03 AM 4 of 5 r -- SYS7Eti1S Printed: Thursday, October 15, 2015 11:38:03 AM 5 of 5 CRIM 17127 SYSTEMS ATTACHMENTS Attachment Type CREATED OWNER. DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED 1ST REVIEW - DOC 9/28/2015 KATHRYN SAMUELS STRUCTURAL BRES 2015-0328 KS 0 (ist).doc COMMENTS 1ST REVIEW - NEW CITY .DOC 9/28/2015 KATHRYN SAMUELS STRUCTURAL TRANSMITTAL BRES 0 TRANSMITTAL 2015-0328 (lst).pdf 2ND REVIEW - NEW CITY DOC 10/13/2015 KATHRYN SAMUELS STRUCTURAL TRANSMITTAL BRES 0 TRANSMITTAL 2015-0328 (2nd).pdf BRES2015-0328 - 1ST DOC 9/10/2015 LUIS URIBE 1ST REVIEW REVIEW CORRECTIONS 0 CORRECTIONS LIST LIST.docx BRES2015-0328 - 2ND DOC 9/29/2015 LUIS URIBE 2ND REVIEW REVIEW CORRECTIONS 0 CORRECTIONS LIST LIST.docx Printed: Thursday, October 15, 2015 11:38:03 AM 5 of 5 CRIM 17127 SYSTEMS