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BRES2015-027178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Twit 4 4 0914ro COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2015-0271 Property Address: 79690 ARNOLD PALMER APN: 775241024 Application Description: HOLLINGSHEAD ROOM ADDITION Property Zoning: Application Valuation: $10,000.00 Applicant: MCFADDEN ARCHITECTS 75145 ST. CHARLES PL PALM DESERT, CA 92211 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/18/2015 Owner: MARC E HOLLINGSHEAD 79690 ARNOLD PALMER LA QUINTA, CA 92253 Contractor: � 7C'S CONSTRUCTICIk A'1AIN 48236 VISTA DE NOPAL�, *I& LA QUINTA, CA 9225 ono • Z G �tR."P (760)564-5810 0 I� Llc. No.: :LIC -00020931% r� - -------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am 'sed under provisions of Chapter 9 (commencing with Section 7000} of Division 3 f the usines d Professions Code, and my License is in full force and effect. License Class: aLicense No.: :LIC-000000 .� Date: Contracto �/ OWNER-BUILDE DEC TION 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 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 1 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 Lender's Address: 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' compe ion, as provided for by Section 3700 of the Labor Code, for the performance of the 04for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Sectio 00 -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: _ Polity 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 tha s ulcl becsubject to the workers' compensation provisions of Section/700 of th Labor e, I shall forthwith comply with those provisions. Date: Q —I U —! Applicant WARNING: FAILURE TO SECURE WORKERS COMPEN ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI INAL P ALTIES 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 ab in rmatio s correct. I agree to comply with all city and county ordinances and s to law relati o building construction, and hereby authorize representatives of thi city to nter u n the above-mentioned l property for inspection purposes. er( Date: U I; Signature (Applicant or Agent DESCRIPTION FINANCIAL INFORMATION ACCOUNTEO AMOUNT PAID PAID DATE ADDITION, EA ADDITIONAL 500 SF . 101-0000-42400 $62.36 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION 'ACCOUNT QTY ' AMOUNT PAID -PAID DATE ADDITION, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $17.40 $0.00 PAID BY METHOD - RECEIPT# CHECK# CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, FIRST 100 SF 101-0000-02400 0 $120.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, FIRST 100 SF PC 101-0000-42600 0 $171.14 $0.00 PAID BY METHOD. RECEIPT # CHECK # CLTD BY Total Paid for ADDITION: $371.73 $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, 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: $192.89 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE OTHER MECHANICAL EQUIPMENT 101-0000-42402 0 $36.26 $0.00 PAID BY METHOD RECEIPT #- CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE OTHER MECHANICAL EQUIPMENT PC 101-0000-42600 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $12.69 $0.00 :PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $4.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for MECHANICAL: $89.44 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ROOF DRAIN 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD " RECEIPT # ' CHECK # CLTD BY DESCRIPTION ACCOUNT QTY -AMOUNT PAID • PAID DATE ROOF DRAIN PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $24.18 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $1.30 $0.00 PAID BY 'METHOD RECEIPT # CHECK # CLTD BY Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.30 $0.00 TOTALS:.:0 0• Description: HOLLINGSHEAD ROOM ADDITION ADDITIONAL Type: BUILDING, RESIDENTIAL Subtype: ADDITION Status: APPROVED Applied: 7/17/2015 EVA Approved: 9/10/2015 LUR Parcel No: 775241024 Site Address: 79690 ARNOLD PALMER LA QUINTA,CA 92253 Subdivision: TR 21381-3 SEE ASSESSORS MB 769-41 Block: Lot: 3 &4 Issued: 40 FOR CMS Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $10,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: ATRIUM ENCLOSER TO ADD NEW OFFICE. TO INCLUDE ELECTRICAL, PLUMBING, AND MECHANICAL.(120SF) 2013 CALIFORNIA BUILDING CODES ASSESSOR WILL BRING IN. PLAN CHECK COMMENTS Printed: Friday, September 18, 2015 2:00:47 PM 1 of 4 SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGYTYPE STAFF NAME ACTION DATE COMPLETION DATE. NOTES JACK LIMA 760-346-8014 CAME INTO TO RESUBMIT BUT NOTE PHILIP JUAREZ 8/24/2015 8/24/2015 SPOKE WITH LUIS AT COUNTER MISSING SET OF PLANS FOR ASSESSOR WILL BRING IN. PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 7/31/2015 7/31/2015 STRUC APPROVABLE 7/31/2015 RECEIVED JACK LIMA 760-346-8014 OFFICE MCFADDEN ARCHETICS PLAN CHECK PICKED UP PHILIP JUAREZ 8/7/2015 8/7/2015 PICKED UP PLAN CK CORRECTIONS.PJ PLAN CHECK SUBMITTAL ED VASQUEZ 7/17/2015 7/17/2015 1ST PLAN CHECK SUBMITTAL RECEIVED, 2 PLAN SETS, 1 RECEIVED . ASSESSORS SET, 2 TITLE 24, 2 STRUCTURAL CALCS RESUBMITTAL RECIEVED STRUCTURAL APPROVED.PRIOR BUT HAD ALL NON STRUCTURAL CORRECTIONS FOR RESUBMITTAL PHILIP JUAREZ 8/25/2015 8/25/2015 RESUBMITTAL. LUIS SAID STILL PUT ON TWO WEEK LIST. Printed: Friday, September 18, 2015 2:00:47 PM 1 of 4 SYSTEMS TELEPHONE CALL LUIS URIBE 8/7/2015 8/7/2015 PLANS ARE READY FOR CORRECTIONS FINANCIAL INFORMATION SPOKE WITH MICAH LET HIM KNOW PLANS ARE READY TO BE CLTD ISSUED WE JUST NEED SCHOOL FEE LETTER. HE SAID TELEPHONE CALL LUIS URIBE AMOUNT 9/10/2015 RECEIPT # CHECK # 9/10/2015 PAID BY CONTRACTOR WILL PROVIDE AT THE TIME HE PICKS UP THE ADDITION, EA 101-0000-42400 0 $62.36 $0.00 PERMIT. ADDITIONAL 500 SF CONDITIONS ADDITION, EA 101-0000-42600 CONDITION. DATE CONTACT DATE DATE STATUS REMARKS NOTES TYPE ADDED REQUIRED SATISFIED ADDITIONAL 500 SF PC READY TO ISSUE 9/10/2015 9/10/2015 PENDING NEED SCHOOL FEE LETTER CHECKLIST ADDITION,. FIRST 100 SF 101-0000-42400 0 $120.83 $0.00 ADDITION, FIRST 100 SF 101-0000-42600 0 $171.14 $0.00 CONTACTS PC NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT MCFADDEN ARCHITECTS 75145 ST. CHARLES PL PALM DESERT CA 92211 CONTRACTOR .7C'S CONSTRUCTION & MAINT 48236 VISTA DE NOPAL LA QUINTA CA 92253 OWNER MARC E HOLLINGSHEAD 79690 ARNOLD LA QUINTA CA 92253 PALMER Printed: Friday, September 18, 2015 2:00:47 PM 2 of 4 L./ 1J SYSTEiv1S FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT • QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY ADDITION, EA 101-0000-42400 0 $62.36 $0.00 ADDITIONAL 500 SF ADDITION, EA 101-0000-42600 0 $17.40 $0.00 ADDITIONAL 500 SF PC ADDITION,. FIRST 100 SF 101-0000-42400 0 $120.83 $0.00 ADDITION, FIRST 100 SF 101-0000-42600 0 $171.14 $0.00 PC Total Paid for ADDITION: $371.73 $0.00 Printed: Friday, September 18, 2015 2:00:47 PM 2 of 4 L./ 1J SYSTEiv1S INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" BLD CLTD. 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, FIRST 101-0000-42403 0 $145.03 $0.00 1,000SF RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $0.00 1,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $0.00 OTHER MECHANICAL 101-0000-42402 0 $36.26 $0.00 EQUIPMENT OTHER MECHANICAL 101-0000-42600 0 $36.26 $0.00 EQUIPMENT PC VENT FAN 101-0000-42402 0 $12.09 $0.00 VENT FAN PC 101-0000-42600 0 $4.83 $0.00 Total Paid for MECHANICAL: $89.44 $0.00 ROOF DRAIN 101-0000-42401 0 $12.09 $0.00 ROOF DRAIN PC 101-0000-42600 0 $12.09 $0.00 Total Paid for PLUMBING FEES: $24.18 $0.00 SMI - RESIDENTIAL 101-0000-20308 1 0 $1.30 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.30 $0.00 TOTALS:.:00• INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" BLD PARENT PROJECTS Printed: Friday, September 18, 2015 2:00:47 PM 3 of 4. _ SYSTfidS BOND INFORMATION ATTACHMENTS Attachment Type RETURNED REVIEWS STATUS REMARKS PATHNAME REVIEW TYPE REVIEWER SENT DATE DUE DATE KATHRYN SAMUELS IST REVIEW - STRUCTURAL TRANSMITTAL NEW CITY TRANSMITTAL BRES 2015-0271 (ist).pdf NOTES 0 DOC 8/26/2015 PHILIP JUAREZ DATE 3237_001.pdf 0 NON-STRUCTURAL - LUIS URIBE 7/17/2015 7/31/2015 8/7/2015 REVISIONS REQUIRED 2 WK YOUNG 7/17/2015 7/31/2015 7/31/2015 READY FOR APPROVAL STRUCTURAL - 2 WK 15T PLAN CHECK SUBMITTAL ENGINEERING NON-STRUCTURAL - LUIS URIBE 8/25/2015 9/9/2015 9/10/2015 APPROVED 2 WK BOND INFORMATION ATTACHMENTS Attachment Type CREATED OWNER ' DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 7/31/2015 KATHRYN SAMUELS IST REVIEW - STRUCTURAL TRANSMITTAL NEW CITY TRANSMITTAL BRES 2015-0271 (ist).pdf 0 DOC 8/26/2015 PHILIP JUAREZ PLAN CHECK REVISIONS 3237_001.pdf 0 Printed:- Friday, September 18, 2015 2:00:47 PM 4 of 4 cff SYST[•nA5 �i Bin # Qty ar� Q � La uinta r Building 8i: Safety Division • • - . . O 'P.. Box 1504, 78-495 Calie Tampico La Quinta, CA 92253 - (760)1777-7012..- 760)777-7012.Building Permit Application and Tracking Sheet Building Permit # Project Address: � TL1� 2. r . Owner.'s Name: A. P. Number: Address: 1 "COLD XJL ACAA-AW Legal Description: - City, ST, Zip:, • au �l Z253 Contractor: �St1 L �` S , Telephone: e hone: P Address: , Project. Description`'. City, ST, Zip: Telephone: t State Lic. # : City Lic. #: Arch., Engr., Designer: (fv 64wpw / 1� Address: :�5 - A 5 ' S - ' lJ✓S �L. � ` :, City., ST, Zip:/-ciVl/t p(' C/a Telephone: e. —�� 4" PO Constructi n Type: ' Occupancy: State Lic. #` Pro'e ct a (circle one w : • New Add'n t J h'P � • Alter Repair Demo .Name of Contact Person: Sq. Ft.:#.Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: D �U•D ' 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 a Plan Check Balance, Title 24 Cal& Plans picked up Construction Flood plain plan / Plans resubmitted Mechanical Grading plant , 2qd Review, ready for corrections/issue ` Electrical SubeontactorList Called Contact Person Plumbing Grant Deed - _ Plans picked up •� _ S.M.I. H.O.A. Approval Plans resubmitted - ` ' Grading IN HOUSE:-, 3' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person - A.LP.P. , Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees +_ .� ". •'fir ., � � i�� st ��, F•' � � �• �i RI�K�1 CERTIFICATE'OF COMPLIANCE JN��iec s Desert.Sands Unified School District o`' oyo e p. 47950 Dune Palms Road. y��3 al. ugs�'y % wmntu we Date: 9/15/2015 La Qunita, CA 92253 "�o No.: 15-00015-1 (760)771-8515 Owner: Marc E Hollingshead Email: Address: 79690 Arnold Palmer Jurisdiction: La Quinta . City:_La Quinta Tract #: . Type: Residential Addition < 500 Sq ft . Lot # Street No. Street Name Sq. Feet APN Permit No. 79690 Arnold Palmer 120 775-241-024 Comments: At the present time, the Desert Sands Unified School Districtdoes 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: Residential Addition 500 Sq Feet or Less Exempt This certifies that school facility fess imposed pursuant to' Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.00 X 120 S.F. or $0.00 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this. square footage in the proposed project, may now be issued Fees Paid By: Exempt - Larry cola Check No.: Bank Name/Recipient of Certificate Telephoner Funding:. Exempt By. Dr. Gary Rutherford Superintendent J i Fee Collected/ Exempted by: _ S. .ro M Gilvrey % Amount Due %$0.00 Original. Paymc.nt(s) Rec'd:" x$0.00 r New Pavm&t Rec'd:' $0.00 *� fi*mar: Over/Under: ,'x$0.00 .nf4 I. .i NOTICE: Pursuant to Government Code Section 66020(d)(1), this will se ry to tify 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 date: on which he 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 to Building Department: THIS DOCUMENT.VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL.