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BRES2014-1077
r Twit �U Zfv Quiaroi VOICE (760) 777-7125 7,.8-4958-495 / CALLE TAMPICO o LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/9/2014 Application Number: — - BRES2014=1077' J Owner: Property Address: 78050 LAGO DR RICHARD LEE APN: 658270038 PO BOX 1435 Application Description: KINGS BEACH, CA 96143 Property Zoning: Application Valuation: $75,000.00 1 j5 /1 () n Applicant: RICHARD LEE PO BOX 1435 KINGS BEACH, CA 96143 \, SEP 0 9 2014 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: _ License No.::CONV:140528101254128711 Date: Contractor: 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 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. fo re on Date: l /wner: fn CONSTRUCTION ING AGENCY I hereby affirm under penalty of perjury th t ere 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: AA Contractor: RICHARD LEE PO BOX 1435 KINGS BEACH, CA 96143 (775)843-3566 Llc. No.::CONV:140528101254128711 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: Policy Number: _ shat*I certify that in the performance of the work for which this permit is issued, I notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if should become subject to the workers' compensation provisions of Section 37 f e Labor Code, I shall forthwith complywiwit those provisions. Date: 4 41 Applicant: WARNING: FAILURE TO SECURE WORKERS PENSATION 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 ci a er pon the above- mentiooQrJt!4XL.ture y for inspection purposes. tBd e: 0G (Applicant or Agent):- Description: STAFF NAME ADDITIONAL CHRONOLOGY ACTION DATE COMPLETION DATE Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: ISSUED Applied: 7/28/2014 KHE Approved: 9/4/2014 AAL Parcel No: 658270038 Site Address: 78050 LAGO DR LA QUINTA,CA 92253 Subdivision: TR 4418 & INT COMMON AREA Block: Lot: 13 Issued: Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: valuation: $75,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: INTERIOR KITCHEN REMODEL (ELECTRICAL, MECHANICAL, PLUMBING, STRUCTURAL) CHRONOLOGY TYPE STAFF NAME ADDITIONAL CHRONOLOGY ACTION DATE COMPLETION DATE NOTES TELEPHONE CALL ARMEN ALTOUNIAN 9/4/2014 9/4/2014 PLANS READY TO ISSUE. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT RICHARD LEE PO BOX 1435 KINGS BEACH CA 96143 (775)843-3566 CONTRACTOR RICHARD LEE PO BOX 1435 KINGS BEACH CA 96143 (775)843-3566 OWNER RICHARD LEE PO BOX 1435 KINGS BEACH CA 96143 (775)843-3566 Printed: Tuesday, September 09, 2014 12:11:39 PM 1 of 5 Ci • SYSTEMS Printed: Tuesday, September 09, 2014 12:11:39 PM 2 of 5 • T sysrriS 'F CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $3.00 $3.00 9/9/14 R1030 1299 CHECK RICHARD LEE KHE Total Paid forBUILDING STANDARDS ADMINISTRATION $3.00 $3.00 BSA: HOURLY PLAN CHECK - 101-0000-42600 1 $70.00 $70.00 9/9/14 R1030 1299 CHECK RICHARD LEE KHE YES Total Paid forCITY STAFF - PER HOUR: $70.00 $70.00 DEVICES, ADDITIONAL 101-0000-42403 0 $19.04 $19.04 9/9/14 R1030 1299 CHECK RICHARD LEE KHE DEVICES, ADDITIONAL 101-0000-42600 0 $4.80 $4.80 9/9/14 R1030 1299 CHECK RICHARD LEE KHE PC DEVICES, FIRST 20 101-0000-42403 0 $23.83 $23.83 9/9/14 R1030 1299 CHECK RICHARD LEE KHE DEVICES, FIRST 20 PC 101-0000-42600 j 0 $23.83 $23.83 j 9/9/14 R1030 1299 j CHECK j RICHARD LEE KHE Total Paid forELECTRICAL: $71.50 $71.50 APPLIANCE 101-0000-42402 0 $11.92 $11.92 9/9/14 R1030 1299 CHECK RICHARD LEE KHE REPAIR/ALTERATION APPLIANCE 101-0000-42600 0 $4.77 $4.77 9/9/14 R1030 1299 CHECK RICHARD LEE KHE REPAIR/ALTERATION PC EXHAUST HOOD 101-0000-42402 0 $11.92 $11.92 9/9/14 R1030 1299 CHECK RICHARD LEE KHE EXHAUST HOOD PC 101-0000-42600 0 $4.77 $4.77 9/9/14 R1030 1299 CHECK RICHARD LEE KHE Total Paid forMECHANICAL: $33.38 $33.38 FIXTURE/TRAP 101-0000-42401 0 $11.92 $11.92 9/9/14 R1030 1299 CHECK RICHARD LEE KHE FIXTURE/TRAP PC 101-0000-42600 0 $11.92 $11.92 9/9/14 R1030 1299 CHECK RICHARD LEE KHE GAS SYSTEM, 1-4 101-0000-42401 0 $11.92 $11.92 9/9/14 R1030 1299 CHECK RICHARD LEE KHE OUTLETS GAS SYSTEM, 1-4 101-0000-426000 $23.83 $23.83 9/9/14 R1030 1299 CHECK RICHARD LEE KHE OUTLETS PC Printed: Tuesday, September 09, 2014 12:11:39 PM 2 of 5 • T sysrriS Printed: Tuesday, September 09, 201412:11:39 PM 3 of 5 M .. C L9 SYSTEMS REMARKS NOTES SEQID INSPECTION TYPE INSPECTOR LTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY ' BY WATER SYSTEM 101-0000-42401 0 $11.92 $11.92 9/9/14 R1030 1299 CHECK RICHARD LEE KHE INST/ALT/REP TEMP USE OF PERM PWR WATER SYSTEM 101-0000-42600 0 $11.92 $11.92 9/9/14 R1030 1299 CHECK RICHARD LEE KHE INST/ALT/REP PC UNDERGROUND GAS Total Paid forPLUMBING FEES: $83.43 $83.43 REMODEL, EA 101-0000-42400 0 $21.45 $21.45 9/9/14 R1030 1299 CHECK RICHARD LEE KHE ADDITIONAL 500 SF REMODEL, EA 101-0000-426000 $17.16 $17.16 9/9/14 R1030 1299 CHECK RICHARD LEE KHE ADDITIONAL 500 SF PC REMODEL, FIRST 100 SF 101-0000-42400 0 $48.62 $48.62 9/9/14 R1030 1299 CHECK RICHARD LEE KHE REMODEL, FIRST 500 SF j 101-0000-42600 0 $132.99 $132.99 9/9/14 R1030 1299 CHECK RICHARD LEE KHE PC Total Paid for REMODEL: $220.22 $220.22 SMI - RESIDENTIAL 101-0000-20308 1 0 $9.75 $9.75 9/9/14 R1030 1299 CHECK RICHARD LEE KHE Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $9.75 $9.75 TOTALS: $491.28 $491.28 Printed: Tuesday, September 09, 201412:11:39 PM 3 of 5 M .. C L9 SYSTEMS REMARKS NOTES SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE INSPECTIONS COMPLETED ' RESULT DATE UNDERGROUND MECH SETBACKS PIERS TEMP USE OF PERM PWR ROOF NAIL UNDERGROUND ELEC UNDERGROUND GAS Printed: Tuesday, September 09, 201412:11:39 PM 3 of 5 M .. C L9 SYSTEMS Printed: Tuesday, September 09, 2014 12:11:39 PM 4 of S SYSTEMS FRAMING ROUGH MECH LATH ROOF DRAIN FINAL" DRYWALL NAIL DRYPACK EPDXY TEMPLATE FOOTING SHOWER PAN ROUGH ELEC FOOTINGS INSULATION FLOOR NAIL GAS LINE/TEST ROUGH PLBG SEWER CONNECTION SLAB OKAY TO WRAP GRADE BEAM TEMPORARY POWER UNDERGROUND PLBG Printed: Tuesday, September 09, 2014 12:11:39 PM 4 of S SYSTEMS REVIEW TYPE REVIEWER SENT DATE -DUE DATE DATE STATUS REMARKS—__ ----NOTES NON-STRUCTURAL TOM 8/27/2014 9/3/2014 9/2/2014 APPROVED APPROVED BY TOM HARTUNG HARTUNG STRUCTURAL TOM 9/2/2014 9/16/2014 9/4/2014 APPROVED APPROVED BY YOUNG ENGINEERING. HARTUNG Printed: Tuesday, September 09, 2014 12:11:39 PM 5 of 5 " SYS7Eti1S >3;n # dl City Of La Quinta -Building st Safety Division . P.O. Box 1504, 78-495 Calle Tampico . La Quints,CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit # S �QI� 'I� R� Project Address: 700050 A%. Owner's Name: �, e A. P. Number: Address:Y 14f3 Legal Description: City, ST, Zip: w lAf- Contractor: % pir' (/� Telep ne Address: Project Desj� on: City, ST, Zip: o TE i2 (© -ODE 7�VE Telephone: State Lic. # : City Lie. #; Arch., Engr., Designer: 1 C 1 ked ddress: t'9 Address:--g—oh- City., ST, zip: City., P (rt%�94,�( Tel hone:530' State Lic. —.22 Q 7 CA ? I>>;:x::>;::<:•: >nz nstruction Type: JT Occupancy. Project type (circle one): New Add'n <2to Repair Demo Name of Contact Person:.Pk, C, �%� 1 � ,P Sq. Ft.: .23,9,9 # Stories: � #Units: Telephone #,of Contact Person: Estimated Value of Project APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready r corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance Tide 24 Cala.Plans picked up Construction Flood plain plan Plans resubmitted !1 2 !Mechanical Grading plan 2" Review, ready for correction-6sue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 34 Review, ready for correctionsrissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 77-682 Country Club Dr. Ste. B, Palm Desert, CA 92211 ph. (760) 77275107 fax (7,60)' Letter of Transmittal To: City of La Quinta Today's Date: 9-3-14 78-495 Calle Tampico City Due Date: 9-10-14 La Quinta, CA 92253 Project Address: 78-050 Lago Drive Attn: . Angelica Plan Check #: 14-1078 Submittal: ❑ 1St ❑ 4th ® 2nd ❑ 55th ❑ , V ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: # Of Descriptions: Includes: # Of Descriptions: Copies: Copies: ❑ Structural Plans ® 1 Revised Structural Plans ® 1 Structural Calculations ® 1 Revised Struct. Calcs ❑ Truss Calculations Floor ❑ Revised Truss and Roof ❑ Soils Report ❑ Revised Soils Report ® 2 Structural Comment List/ ❑ Approved Structural Plans Responses ® 1 Redlined Structural Plans ❑ Approved Structural Calcs ❑ Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other: Comments: Structural content is approvable. If you have any questions, please call. Time = 1 HR This Material Sent for: ❑ Your Files ❑ Your Review ❑ Checking Other: ❑ By:_ Kathryn Samuels Palm Desert Office: ® (760) 772-5107 Other: ❑ C13A130R!' ® Per Your Request ❑ Approval ❑ At the request of: AVV/LJ/LUII/IUV11 Ui.JU IM 1611Q LX&V %"JUIRIII by tAR I7v. tuVfIJJUJI i� Asimmoucia" Desert Resort Management. August 20, 2014 City of La Quinta 78495 Calle Tampico La Quinta, CA 92253 RE: Mchard & Pamela Lee -78050 Lago Drive @ Lago La Quinta To whom it concerns; The Lago La Quinta Community Associationdoes not require and approval through the Architectural Committee on interior changes. Please accept this letter as approval for the Lee's interior home improvemenfis. Please feel free to contact me if you have any questions at 760-799-8495. Thank you. Sin rely stirs May, ClffAM Community Association Manager For the Architectural Committee Lago La Quinta Homeowners Association C'l AUG 2 7 2014 CITY OF LA QUI N-0. COMMUNITY DEVELppMEN'r Q -W5 M1Wfft Pfto. SUU M Patin 08SR. CA 92211 ids 75034&=a F&z 76Oa4&@M WOw,%drmtradnl wm Associa' I 'rho leader in community assoaabon management I Iwrassodaorifne com . .. P.O. BOX 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT (760)777-7012 PROPERTY OWNER'S PACKAGE FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT!.. NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building rmith_as„ been s miffed in y urn na listing yourself as the builder of the property improvements specified at 7 (/ _ Cin ur a A • We are providing you with an Owner -Builder cknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verb this information. WI -1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. A_2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. 3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on p rants and contracts. 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. �6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial Lsunderstand under California Contractors' State License Law, an Owner -Builder who builds single-family residential cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work. is performed under contract with a licensed general building Contractor. 11 J p. 1 +18. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. 4--9. 1 understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1- 800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. 6-10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially - responsible for proposed construction activity at the following address: . �11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all ap licable laws and requirements that govern Owner -Builders as well as employers. 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptabletor,.c isrequired to be presented when the permit is issued to verifythe property owner's signature. Signature of property ownerDate: q� b Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the 01wner-Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for'the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: