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14-0155 (GRES)78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: AR -14-155 Property Address: 78225 CALLE CADIZ APN: 770156002 Application Description: Property Zoning: Application Valuation: $36,941.10 Applicant: STEVE OPPERMAN 78-225 CALLE CADIZ , 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Sy 15 2014 L— OFLAQUINIH CDMMUNIC 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: B, C10 License No.: 285295 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).: (_J 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 ) 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 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 Na Lender's Owner: STEVE OPPERMAN 78-225 CALLE CADIZ , 92253 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/15/2014 Contractor: PAUL ALLEN SMITH GENERAL CONTR 1183 PALMAS RIDGE PALM SPRINGS, CA 92262 (760)831-9879 Llc. No.: 285295 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 those provisions. Date: Applicant: 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 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. Date: Signature (Applicant or Agent): DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY PLAN CHECK -YES 101-0000-42600 2.5 $175.00 $175.00 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY STEVE OPPERMAN CHECK R1150 3671 MFA Total Paid forCITY STAFF - PER HOUR: $175.00 $175.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURES, ADDITIONAL 101-0000-42403 1 $2.38 $2.38 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY STEVE OPPERMAN CHECK R1150 3671 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURES, ADDITIONAL PC 101-0000-42600 1 $0.60 $0.60 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY STEVE OPPERMAN CHECK R1150 3671 MFA DESCRIPTION ACCOUNT CITY AMOUNT ' PAID PAID DATE FIXTURES, FIRST 20 101-0000-42403 1 $23.83 $23.83 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY STEVE OPPERMAN CHECK R1150 3671 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURES, FIRST 20 PC 101-0000-42600 1 $23.83 $23.83 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY STEVE OPPERMAN CHECK R1150 3671 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE. SERVICES 101-0000-42403 0 $23.83 $23.83 9/15/14 PAID BY METHOD RECEIPT# CHECK # CLTD BY STEVE OPPERMAN CHECK R1150 3671 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SERVICES PC 101-0000-42403 0 $11.92 $11.92 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY STEVE OPPERMAN CHECK R1150 3671 MFA Total Paid for ELECTRICAL: $86.39 $86.39 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY PLAN CHECK 10160003428200 $227.50 $227.50 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY STEVE OPPERMAN CHECK R1150 3671 MFA Total Paid for HOURLY PLAN CHECK: $227.50 $227.50 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $441.58 $441.58 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY STEVE OPPERMAN CHECK R1150 3671 MFA Total Paid forNEW CONSTRUCTION PERMIT: $441.58 $441.58 R-— i: - `- 41 MA' N 0 NEW CONSTRUCTION PLAN CHECK 101-0000-42600 .0 $782.67. $782.67 '-9/15/14 METHO M KCHECK mD STEVE OPPERMAN 'CHECK R1150, 3671 MFA Total Paid for NEW CONSTRUCTION PLAN CHECK: $782.67 $782.67 t.-.,iV.'�".:�,�l-,���."�...-,i�t"%,�,..�., gg� 'i ih. CiCCOUNTfEQN �yuum- OUNF I PAID": " �i..T�-DESCRIPTIOW�iz�:` zti MR -w 11r; 4 sPAID'DATEr ROOF DRAIN 101-0000-42401 0. $23.84- $23:84 9/15/14 P I b MY NE,�'I"S.` i.; �METHOD",01 jg� jig-, CHECK �CLT N STEVE OPPERMAN CHECK R1150 3671 MFA DESCRIPTIONS, ACCOUN 41-,.:�, ;'pAID`pATt-.'- bg4 -GZ, ROOF DRAIN PC 101-6000-42600, 0- $213.84 $23..84 9/15/14 i4 2. kECEIPTZ# g m CHECK �;ti,peCLTD,.BY' Z - M A0 STEVE OPPERMAN CHECK R1150 w 3671 MFA Total Paid for PLUMBING FEES: $47.68, $47.68 UNT AID� PAID - SMI RESIDENTIAL 101m=0-20368 0 $4.80 $4.80 9/15/14 q, i 5A Q T, M Ei �,,,ff%MJV, kEd�.,, M 'M', z` FPAID'BY ,7.k !'N,:N All'A' nP 71 --V,CLTD,BY7i,,, STEVE OPPERMAN CHECK 3671 MFA Total Paid forSTRONG MOTION INSTRUMENTATION SMt $4.80. $4.80 Description: ADDITIONAL CHRONOLOGY Type: BUILDING, RESIDENTIAL Subtype: ADDITION Status: APPROVED Applied: 2/13/2014 Approved: 9/11/2014 AAL Parcel No: 770156002 Site Address: 78225 CALLE CADIZ LA QUINTA,CA 92253 Subdivision: Block: Lot: PENDING DOCUMENTS Issued: Lot Scl Ft: Building Sq Ft: Zoning: Finaled: Valuation: $36,941.10 Occupancy Type: Construction Type: Expired: No. Buildings: No. Stories: No. Unites: LEFT MESSAGE FOR CHARLES MARTIN ARCHITECT. APPROVED PENDING WMP, HOA LETTER AND CONTRACTOR INFO. Details: NEW ATTACHED RV GARAGE. NO PLUMBING OR MECHANICAL. ATTACHED 7 SF PATIO. SERVICE CHANGE. Printed: Monday, September 15, 2014 9:39:51 AM 1 of 3 CR SYSTEti1S ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES PENDING DOCUMENTS ARMEN ALTOUNIAN 9/11/2014 APPROVED PENDING WMP, HOA LETTER AND CONTRACTOR INFO. TELEPHONE CALL ARMEN ALTOUNIAN 9/11/2014 9/11/2014 LEFT MESSAGE FOR CHARLES MARTIN ARCHITECT. APPROVED PENDING WMP, HOA LETTER AND CONTRACTOR INFO. CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT STEVE OPPERMAN 78-225 CALLE CADIZ 92253 (707)495-5941 CONTRACTOR PAUL ALLEN SMITH GENERAL CONTR 1183 PALMAS RIDGE PALM SPRINGS CA 92262 (707)495-5941 OWNER STEVE OPPERMAN 78-225 CALLE CADIZ 92253 (707)495-5941 Printed: Monday, September 15, 2014 9:39:51 AM 1 of 3 CR SYSTEti1S DESCRIPTION ACCOUNTQTY AMOUNT PAID 'PAID DATE. RECEIPT # CHECK # METHOD' PAID BY CLTD BY HOURLY PLAN CHECK - YES 101-0000-42600 2.5 $175.00 $175.00 9/15/14 R1156 3671 CHECK STEVE OPPERMAN MFA Total Paid forCITY STAFF - PER HOUR: $175.00 $175.00 FIXTURES, ADDITIONAL 101-0000-42403 1 $2.38 $2.38 9/15/14 R1150 3671 CHECK STEVE OPPERMAN MFA FIXTURES, ADDITIONAL PC 101-0000-42600 1 $0.60 $0.60 9/15/14 R1150 3671 CHECK STEVE OPPERMAN MFA FIXTURES, FIRST 20 101-0000-42403 1 $23.83 $23.83 9/15/14 R1150 3671 CHECK STEVE OPPERMAN MFA FIXTURES, FIRST 20 PC 101-0000-42600 1 $23.83 $23.83 9/15/14 R1150 3671 CHECK STEVE OPPERMAN MFA SERVICES 101-0000-42403 0 $23.83 $23.83 9/15/14 R1150 3671 CHECK STEVE OPPERMAN MFA SERVICES PC 101-0000-42403 0 $11.92 $11.92 9/15/14 R1150 3671 CHECK STEVE OPPERMAN MFA Total Paid for ELECTRICAL: $86.39 $86.39 HOURLY PLAN CHECK HOURLY PLAN CHECKT 10160003428200 10160003428200 $227.50 $227.50 9/15/14 R1150 3671 CHECK STEVE OPPERMAN MFA Total Paid forHOURLY PLAN CHECK: $227.50 $227.50 NEW CONSTRUCTION PERMIT 101-0000-424000 $441.58 $441.58 9/15/14 R1150 3671 CHECK STEVE OPPERMAN MFA Total Paid forNEW CONSTRUCTION PERMIT: $441.58 $441.58 NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $782.67 $782.67 9/15/14 R1150 3671 CHECK STEVE OPPERMAN MFA Total Paid forNEW CONSTRUCTION PLAN CHECK: $782.67 $782.67 ROOF DRAIN 101-0000-42401 0 $23.84 $23.84 9/15/14 R1150 3671 CHECK STEVE OPPERMAN MFA ROOF DRAIN PC 101-0000-42600 0 $23.84 $23.84 9/15/14 R1150 3671 CHECK STEVE OPPERMAN MFA Total Paid forPLUMBING FEES: $47.68 $47.68 SMI -RESIDENTIAL 101-0000-20308 0 $4.80 $4.80 9/15/14 R1150 3671 CHECK STEVE OPPERMAN MFA Total Paid forSTRONG MOTION INSTRUMENTATION SMI $4.80 $4.80 TOTALS: Printed: Monday, September 15, 2014 9:39:51 AM 2 of 3 CMsysreMs Printed: Monday, September 15, 2014 9:39:51 AM 3 of 3 c#? SYSTEMS REVIEWS RETURNED STATUS REMARKS REVIEW TYPE REVIEWER SENT DATE DUE DATE NOTES DATE TOM 8/25/2014 8/25/2014 8/25/2014 APPROVED APPROVED NON-STRUCTURAL APPROVED HARTUNG STRUCTURAL ARMEN 9/2/2014 I 9/16/2014 9/11/2014 APPROVED APPROVED 3RD PLAN CHECK APPROVED BY YOUNG. READY ALTOUNIAN TO ISSUE. Printed: Monday, September 15, 2014 9:39:51 AM 3 of 3 c#? SYSTEMS Bin # * City of La Quetta 0 LAr� Building 8r Safety Division Permit # / �C, P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 L4 --aSr Building Permit Application and Tracking Sheet Project Address: a Owner's Name:s7EAP_. CWPIC?� A. P. Number: '�'� (� fi �j Address: a�, C64 Legal Description: City, ST, Zip: A- Q9OOP- Gkc q'ZZS Contractor: T Telephone: •`:<>>s>:>:::::>:>;a:>::>'<.:::i>s;::::<:<:>:�5 Address: Project Description: City, ST, Zip: Gkzw__C 4�r Telephone: >? F.:;:::.::•.::.:.:.:,..::...,.:.. State Lic. 4: City Lic. #; Arch., Engr., Designer: i" U V Address: , City., ST, Zip: p44h4 �,,1 t q7-� Telephone: (,^�34—,Construction 7 h:<r. :;;;.:.;,:<:;;;.r-:::.;,r;;.:;::;<�:;:;;;.;; ................................................. Ty e: (U� cupancy: p 3 State Lic. #:(✓ c-,�%'7/ Project type (circle one): New dd Alter Repair Demo Name of Contact Person: Sq. Ft.: ��,�j�— # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE t! Submittal Req'd Rreec'd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. tT Reviewed, ready for corrections 3 Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up d..- U� Construction Flood plain plan Plans resubmitted �/ Mechanical Grading plan 2°d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person�p,,' Plumbing Grant Decd Plans picked up CPLt" s W4 S.M.I. H.O.A. Approval Plans resubmitted Or� Grading IN HOUSE:- '"' Reyiew, ready for correctionsrissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees c/ D Total Permit Fees 130 �--� cLu.e 7/�� 9/9 �, G;'Qj� glg I . W.