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BRES2015-004578-495 CALLE TAMPICO V LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2015-0045 Property Address,. 80232 REDSTONE WAY UNIT V95 APN: 775370016 Application Description: TEMP. DESIGN CTR. IMPROVEMENTS IN Property Zoning: Application Valuation: $35,000.00 Applicant: CALIFORNIA WEST CONSTRUCTION I, 5927 PRIESTLY DRIVE STE 110 CARLSBAD, CA 92008 :IAP, 11 2015 CITY OF 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: ' Li ense No.: 927267 D /�r Contractor a 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 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).: (_) 1, 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 Coce: 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, Busmess 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. . E.&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 tfiis permit is issued (Sec. 3097, Civ. C.). Lender's'Na Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/11/2015 Owner: RREF II CWC LAQ LLC' 5927 PRIESTLY DR STE 110 CARLSBAD, CA 92008 Contractor: CALIFORNIA WEST CONSTRUCTION 1 5927 PRIESTLY DRIVE STE 110 CARLSBAD, CA 92008 (760)918-6768 Llc. No.: 927267 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 with t ose pr sions. D te:Applieant: 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 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 emp.oyees 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 cerify 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 pr9l5erty f9r ns�pection purposes. Dat /✓ Signature (Applicant or Ageh DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID 'PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3980 10690 - MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA .$2.00 $2.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, ADDITIONAL 101-0000-42403 0 $9.68 $9.68 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF II CWC LAQ LLC CHECK R3980 10690 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, ADDITIONA12PC 101-0000-42600 0 $2.40 $2.40 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF II CWC LAQ LLC CHECK R3980 10690 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 2G. 101-0000-42403 0 $24.17 $24.17 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF II CWC LAQ LLC CHECK R3980 10690 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF II CWC LAQ LLC CHECK R3980 10690 MFA Total Paid for ELECTRICAL: $60.42 $60.42 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $36.26 $36.26 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF II CWC LAQ LLC CHECK R3980 10690 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $24.17 $24.17 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF II CWC LAQ LLC CHECK R3980 10690 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $36.26 $36.26 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF II CWC LAQ LLC CHECK R3980 10690 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID.DATE FURNACE PC. 101-0000-42600 0 $24.17 $24.17 3/11/15 PAID BY METHOD. RECEIPT # CHECK # CLTD BY RREF II CWC LAQ LLC CHECK R3980 10690 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $12.09 $12.09 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF II CWC LAQ'LLC CHECK R3980 10690 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $4.83 $4.83 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3980 10690 MFA Total Paid forMECHANICAL: $137.78 $137.78 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $36.27 $36.27 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF II CWC LAQ LLC CHECK R3980 10690 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $36.27 $36.27 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3980 10690 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $12.09 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF II CWC LAQ LLC CHECK R3980 10690 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $7.25 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF II CWC LAQ LLC CHECK R3980 10690 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $12.09 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3980 10690 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $12.09 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF II CWC LAQ LLC CHECK R3980 10690 MFA Total Paid forPLUMBING FEES: $116.06 $116.06 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $43.50 $43.50 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF II CWC LAQ LLC CHECK R3980 10690 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, EA ADDITIONAL 500 SF PC • 101-0000-42600 0 $34.80 $34.80 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF II CWC LAQ LLC CHECK R3980 10690 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $49.31 3/11/15 PAID BY METHOD = RECEIPT # CHECK # CLTD BY RREF II CWC LAQ LLC CHECK R3980 10690 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, FIRST 500 S'F PC 101-0000-42600 0 $134.88 $134.88 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF II CWC LAQ LLC CHECK R3980 10690 MFA Total Paid for REMODEL: $262.49 $262.49 DESCRIPTION ACCOUNT = QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $4.55 $4.55 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF II CWC LAQ LLC CHECK R3980 10690 MFA Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $4.55 $4.55 TOTALS: $583.30 $583.30 t q Description: TEMP. DESIGN CTR. IMPROVEMENTS IN GARAGE ADDITIONAL Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: ISSUED Applied: 2/13/2015 KHE Approved: 2/25/2015 J10 Parcel No: 775370016 Site Address: 80232 REDSTONE WAY UNIT V95 LA QUINTA,CA 92253 Subdivision: TR 29421 Block: Lot: 2 Issued: 3/11/2015 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $35,000.00 Occupancy Type: Construction Type: Expired: 9/7/2015 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 KAY HENSEL Details: VILLAS TEMP. DESIGN CENTER AND OFFICE / ADA BATH ROOM 14 12— _j 2 - ___j Applied to Approved Approved to Issued Printed: Wednesday, March 11, 2015 2:41:36 PM 1 of 4 SYSTEM S ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE KAY HENSEL 3/2/2015 3/2/2015 PLANS PICKED UP FROM BUCKET ROOM "READY FOR APPROVAL" BY WALLY PLAN CHECK SUBMITTAL PLANS TAKEN IN ON 2/12/15 BY PJ, AND PROCESSED KAY HENSEL 2/13/2015 2/13/2015 RECEIVED 2/13/15. 1 SET TO PLANNING CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT CALIFORNIA WEST CONSTRUCTION 1 5927 PRIESTLY DRIVE CARLSBAD CA 92008 (760)918-6768 STE 110 CONTRACTOR CALIFORNIA WEST CONSTRUCTION 1 5927 PRIESTLY DRIVE CARLSBAD CA 92008 (760)918-6768 STE 110 OWNER RREF II CWC LAQ LLC 5927 PRIESTLY DR STE CARLSBAD CA 92008 (760)918-6768 110 Printed: Wednesday, March 11, 2015 2:41:36 PM 1 of 4 SYSTEM S FINANCIAL, •• • CLTD , DESCRIPTION ACCOUNT'' QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 3/11/15 R3980 10690 CHECK RREF II CWC LAQ LLC MFA Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $2.00 BSA: DEVICES, ADDITIONAL 101-0000-42403 0 $9.68 $9.68 3/11/15 R3980 10690 CHECK RREF II CWC LAQ LLC MFA DEVICES, ADDITIONAL 101-0000-42600 0 $2.40 $2.40 3/11/15 R3980 10690 CHECK RREF II CWC LAQ LLC MFA PC DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 3/11/15 R3980 10690 CHECK RREF II CWC LAQ LLC MFA' DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 3/11/15 R3980 10690- CHECK RREF II CWC LAQ LLC MFA Total Paid for ELECTRICAL: $60.42 $60.42 CONDENSER/COMPRES 101-0000-42402 0 $36.26 $36.26 3/11/15 R3980 10690 CHECK RREF II CWC LAQ LLC MFA SOR CON DENS ER/COM PRES 101-0000-42600 0 $24.17 $24.17 3/11/15 R3980. 10690 CHECK RREF II CWC LAQ LLC MFA SOR PC FURNACE 101-0000-42402 0 $36.26 $36.26 3/11/15 R3980 10690: CHECK RREF II CWC LAQ LLC MFA FURNACE PC 101-0000-42600 0 $24.17 $24.17 3/11/15 R3980 10690 CHECK RREF II CWC LAQ LLC MFA - VENT FAN 101-0000-42402 0 $12.09 $12.09 3/11/15 R3980 10690 CHECK RREF II CWC LAQ LLC MFA VENT FAN PC 101-0000-42600 0 $4.83 $4.83 3/11/15 R3980 10690 CHECK RREF II CWC LAQ LLC MFA Total Paid forMECHANICAL: $137.78 $137.78 FIXTURE/TRAP 101-0000-42401 0 $36.27 $36.27 3/11/15 R3980 10690 CHECK RREF II CWC LAQ LLC MFA FIXTURE/TRAP PC 101-0000-42600 0 $36.27 $36.27 3/11/15 83980 10690 CHECK RREF II CWC LAQ LLC MFA WATER HEATER/VENT 101-0000-42401 0 $12.09 $12.09 3/11/15 R3980 10690 CHECK RREF II CWC LAQ LLC MFA WATER HEATER/VENT 101-0000-42600 0' $7.25 $7.25 3/11/15 R3980 10690 CHECK RREF II CWC LAQ LLC MFA PC WATER SYSTEM 101-0000-.42401 0 $12.09 $12.09 3/11/15 R3980 10690 CHECK RREF II CWC LAQ LLC MFA INST/ALT/REP Printed: Wednesday, March 11, 2015 2:41:36 PM 2 of 4 SY57FM5 DESCRIPTION ACCOUNT. QTY AMOUNT _ PAID PAID DATE` RECEIPT # }CHECK # METHOD _ PAID BY� CLTD BY WATER SYSTEM 101-0000-42600 0 $12.09 $12.09 3/11/15 R3980 10690 CHECK RREF II CWC LAQ LLC MFA INST/ALT/REP PC Total Paid for PLUMBING FEES: $116.06 $116.06 REMODEL, EA 101-0000-42400 0 $43.50 $43.50 3/11/15 R3980 10690 CHECK RREF II CWC LAQ LLC MFA ADDITIONAL 500 SF REMODEL, EA 101-0000-42600 0 $34.80 $34.80 3/11/15 R3980 10690 CHECK RREF II CWC LAQ LLC MFA ADDITIONAL 500 SF PC REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $49.31 3/11/15 R3980 10690 CHECK RREF II CWC LAQ LLC MFA REMODEL, FIRST 500 SF 101-0000-426000 $134.88 $134.88 3/11/15 R3980 10690 CHECK RREF II CWC LAQ LLC MFA PC Total Paid for REMODEL: $262.49 $262.49. SMI - RESIDENTIAL 101-0000-20308 0 $4.55 $4.55 3/11/15 R3980 10690 CHECK RREF II CWC LAQ LLC I MFA Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $4.55 $4.55 TOTALS: Printed: Wednesday, March 11, 2015 2:41:36 PM 3 of 4 Cg?WIYSTEMS ATTACHMENTS Printed: Wednesday, March 11, 2015 2:41:36 PM 4 of 4 SYSTEMS