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BRES2015-003878-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BRES2015-0038 Property'Address: 79102 LIGA APN: 776130001 Application Description: REMODEL RESIDENCE Property. Zoning: Application Valuation: $20,000.00 Applicant: RIOS DESIGN COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT DtrCinryoF U g 2015 LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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.: 943480 Dat' e� Contractor: Lr 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. 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 Lender's Address:_ VOICE (760) 77777125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: STEPHEN SEHER 79102 LIGA LA QUINTA, CA 92253 Contractor: UNIQUE CONSTRUCTION 83740 CITRUS AVENUE UNIT 1 INDIO, CA 92201 . (760)342-2730 Llc. No.: 943480 Date: 3/18/2015 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:_ 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 3700 of the Labor Code, I shall forthwith comply wi_ h t`h se provisions. Dater Applicant:x' 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 Building Official fora 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 propZ(V y for inspection purposes. Dater Signature (Applicant or Agent): DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 1.25 $87.50 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BLDG CITY STAFF - PER HOUR: $87.50 ' $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 forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY ' METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forELECTRICAL: $48.34 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PATIO COVER, DESIGNED 101-0000-42404 0 $97.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PATIO COVER, DESIGNED PC 101-0000-42600 0 $131.98 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY . Total Paid for PATIO COVER / COVERED PORCH / LATTICE $229.15 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID.DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forPLUMBING FEES: $48.36 $0.00 DESCRIPTION ACCOUNT. QTY AMOUNT PAID 'PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $2.60 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $2.60 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DOOR/WINDOW, REPLACE FIRST -7' 101-0000-42400 0 $60.91 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD-BY DESCRIPTION ACCOUNT QTY, AMOUNT PAID PAID DATE DOOR/WINDOW, REPLACE, FIRST 7 PC 101-0000-42600 0 $110.22 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $171.13 $0.00 TOTALS:0: $0.00 Description: REMODEL RESIDENCE STAFF NAME ACTION DATE Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED Applied: 2/5/2015 MFA Approved: 3/10/2015110 Parcel No: 776130001 Site Address: 79102 LIGA LA QUINTA,CA 92253 Subdivision: TR 24890-6 Block: Lot: 2 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $20,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: CHANGE OUT 2EA. FIXED WINDOWS AND 3EA. FRENCH DOORS ADD 116 SQ. FT. PATIO OVER NEW SINK AREA. ELEC. AND DRAIN LINE FOR SINK.AND REMOVE FLARED WALLS ADD STONE. STEPHANIE KHATAMI CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 2/20/2015 2/20/2015 STRUC APPROVABLE 2/19/2015 RECEIVED PLAN CHECK PICKED UP STEPHANIE KHATAMI 2/24/2015 2/24/2015 GABRIEL PICKED UP. PLAN CHECK SUBMITTAL MARY FASANO 2/26/2015 2/26/2015 RECEIVED PLAN CHECK SUBMITTAL PHILIP JUAREZ 2/5/2015 2/5/2015 RECEIVED TELEPHONE CALL JIM JOHNSON 2/20/2015 2/20/2015 CALLED GABRIEL RIOS, PLANS READY FOR CORRECTIONS TELEPHONE CALL JIM JOHNSON 3/10/2015 3/10/2015 CALLED GABERIAL RIOS TO INFORM HIM PLANS ARE READY TO ISSUE CONDITIONS Printed: Wednesday, March 18, 2015 8:07:53 AM 1 of 4 SYSTEMS _Pel"1111Aet�alIS PERMRN :0038MBER . City of La Quinta BRES•241 Printed: Wednesday, March 18, 2015 8:07:53 AM ' 2 of 4 CO2 1YSTEMS. NAME TYPE. NAME ADDRES51 CITY STATE ZIP PHONE FAX EMAIL APPLICANT RIOS DESIGN HOURLY PLAN CHECK - 101-0000-42600 1.25 $87.50 $0.00 CONTRACTOR UNIQUE CONSTRUCTION 83740 CITRUS AVENUE UNIT J INDIO CA 92201 OWNER STEPHEN SEHER 79102 LIGA LA QUINTA CA 92253 Total Paid for BLDG CITY STAFF - PER HOUR: $87.50 $0.00 BSAS SB1473 FEE 101-0000-20306 Printed: Wednesday, March 18, 2015 8:07:53 AM ' 2 of 4 CO2 1YSTEMS. DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY HOURLY PLAN CHECK - 101-0000-42600 1.25 $87.50 $0.00 YES Total Paid for BLDG CITY STAFF - PER HOUR: $87.50 $0.00 BSAS SB1473 FEE 101-0000-20306 0 . $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 Total Paid for ELECTRICAL: $48.34 $0.00 PATIO COVER, 101-0000-42404 0 $97.17 $0.00 DESIGNED PATIO COVER, 101-0000-42600 0 $131.98 $0.00 DESIGNED PC Total Paid for PATIO COVER / COVERED PORCH / LATTICE $229.15 $0.00 FIXTURE/TRAP 101-0000-42401 0 $12.09 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $12.09 $0.00 WATER SYSTEM 101-0000-42401 0 $12.09 $0.00 INST/ALT/REP Printed: Wednesday, March 18, 2015 8:07:53 AM ' 2 of 4 CO2 1YSTEMS. DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD RETURNED DATE STATUS REMARKS NOTES NON-STRUCTURAL JIM JOHNSON 2/5/2015 2/19/2015 2/17/2015 REVISIONS REQUIRED SEE ATTACHED 1ST NON STRUC PLAN CHECK BY WATER SYSTEM 101-0000-42600 0 $12.09 $0.00 STRUC APP 2/19/2015 NON-STRUCTURAL JIM JOHNSON 2/26/2015 1 3/5/2015 1 3/10/2015 INST/ALT/REP PC PLANS APPROVED Total Paid for PLUMBING FEES: $48.36 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $2.60 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMI $2.60 $0.00 DOOR/WINDOW, 101-0000-42400 0 $60.91 $0.00 REPLACE FIRST 7 DOOR/WINDOW, 101-0000-42600 0 $110.22 $0:00 REPLACE, FIRST 7 PC Total Paid for WINDOW/SLIDING GLASS $171.13 $0.00 DOOR/FENESTRATION: TOTALS:•: $0.00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" REVIEWS Printed: Wednesday, March 18, 2015 8:07:53 AM 3 of 4 SYS7EM5 REVIEWS REVIEW TYPE ` REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS NOTES NON-STRUCTURAL JIM JOHNSON 2/5/2015 2/19/2015 2/17/2015 REVISIONS REQUIRED SEE ATTACHED 1ST NON STRUC PLAN CHECK STRUCTURAL JOHN THOMPSON 2/5/2015 2/19/2015 2/19/2015 APPROVED STRUC APP 2/19/2015 NON-STRUCTURAL JIM JOHNSON 2/26/2015 1 3/5/2015 1 3/10/2015 1 APPROVED I APPROVED I PLANS APPROVED Printed: Wednesday, March 18, 2015 8:07:53 AM 3 of 4 SYS7EM5 Printed: Wednesday, March 18, 2015 8:07:53 AM 4 of 4 C SYS7EM5 DESCRIPTION PermitTRAK ACCOUNT CITY PAID $588.08 BRES2015-0038 Address: 79102 LIGA Apn: 776130001 $588.08 BLDG CITY STAFF - PER HOUR' $87.50 HOURLY PLAN CHECK - YES 101-0000-42600 1 $87.50 BUILDING STANDARDS ADMINISTRATION BSA $1.00 BSAS SB1473 FEE 101-0000-20306 0 $1.00 ELECTRICAL $48.34 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 DEVICES, FIRST 20 101-0000-42403 0 $24.17 PATIO COVER [COVERED PORCH/ LATTICE $229.15 .. PATIO COVER, DESIGNED PC 101-0000,42600 0 $131.98 PATIO COVER, DESIGNED 101-0000-42404 0 $97.17 PLUMBING FEES $48.36. FIXTURE/TRAP PC 101-0000-42600 0 $12.09 FIXTURE/TRAP 101-0000-42401 0 $12.09 WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 STRONG MOTIONINSTRUMENTATION SMI $2.60 SMI - RESIDENTIAL 101-0000-20308 0 $2.60 WINDOW/SLIDING GLASS DOOR/FENESTRATION $171.13 DOOR/WINDOW, REPLACE FIRST 7 101-0000-42400 0 $60.91 DOOR/WINDOW, REPLACE, FIRST 7 PC TOTAL FEES PAID BY RECEIPT:R4065 101-0000-42600 0 $110.22 $588.08 Date Paid: Thursday, March 19, 2015 Paid By: UNIQUE CONSTRUCTION Cashier: AOR Pay Method: DEBIT Printed: Thursday, March 19, 2015 10:04 -AM 1 of 1 YOUNG fV ENGINEERING r�. Q e pip S E R u ; . Q E ,� �,w��' Letter of.Transmittal To: City of La Quinta Today's Date: 1/19/15 -78-495 Calle Tampico City Due Date: 1/19/15 La Quinta, CA 92253 Project Address: 79-102 Liga Attn: Philip 7 Kay Plan Check #: BRES 15-0038 Submittal: ❑.. 1st ❑ 4th ® 2nd ❑ 55th ❑ 3rd ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: Descriptions: Includes: # Of Descriptions: Copies: ® 1 Structural Plans ❑ Revised Struct. Plans ® 1 Structural Calculations ❑ Revised Struct. Calcs ❑ Truss Calcs ❑ Revised Truss Calcs Soils Report ❑ Revised Soils Report O , Structural P/C Comments ❑ Approved Structural Plans ❑ 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. IdO 1 If you have any questions please call. Structural Plan Review Time = 1.25 HR This Material Sent 'for: ❑ Your Files I Jr Your Request ❑ Your Review' ❑ Approval ❑ Checking ❑ At the request of: Other: ❑ By: John W. Thompson Rancho Mirage Office: ® (760) 772-5107 Other. ❑ M J Bin f! a� City of La Quin �a . BuildingSt Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # S �V Project Address: _ Owner's Namc: W A. P. Number:" 7'7 _ 'z _ Address: , Legal Description: City, ST, Zip: OtU t Co ntrac r o. Telephone: Address: Project.Description: ' - City, ST, Zip: Telephone: ..;,<... ;;.r.....:.:::..: G Statc Lic. # : City Lic.:#>;:; Arch., Engr., Designer. Address: UL City., ST, Zip: Telephone: �l <ti :L-•n:v: i. �' ir: fi:yH:.v.v�: nOccupancy:siructio Co nTY Type: State Lic. Repair air Demo 0ProccttYPccircl ne • New erJ Name of Contact Person: '� jl 2 Sq. Ft.: Stories: f! Units: Telcphone # of Contact Person: d .. '� Estimated Value of Projcc • APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd Rcc,d TRACIQNG PERMIT FEES Plan Sets ?j Plan Check submitted Item Amount Structural Calcs. Reviewed, ready f r corrections 2-0 Plan Check Deposit Truss Calcs. Called Contact Pcrs Plan Check Balance- Title 24 Cales. L Plans picked up Construction Flood plain plan Plans resubmitted 1 Mechanical Grading plan 2"' Review, rcady for eorrcctionsrssue Electrical Subcon laelor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN HOUSE:-. '`° Rcviav, ready for corrcctionsfissuc Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue Sc11061 FCC$ .. . Total Permit Pecs