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BRES2014-116778-4WCALLETO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: VINCERE INDUSTRIES INC 73-983 HIGHWAY 111 PALM DESERT, CA 92260 BRES2014-1167 81460 CARBONERAS Twyll 4 4 a" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 764490014 MOVE REAR WALL 4'INSTALL GLASS WALL STEEL BEAM $16,588.00 FEB a qL L; CITY OF LA QLIIUTA 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: B License No.: 96 Date:,—;Ilda-a) l 5 Contractor: OWNER -BUILDER DEC N 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 Divisi 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 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 Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/17/2015 Owner: GREG FETTES 81460 CARBONERAS LA QUINTA, CA 92253 Contractor: VINCERE INDUSTRIES INC 73-983 HIGHWAY 111 PALM DESERT, CA 92260 (760)904-4120 Llc. No.: 968718 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' compensatio , a. provided for by Section 3700 of the Labor Code, for the performance of t rk f which this permit is issued. I ave and will maintain workers' compensation insurance, as required by Sec ' 0 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 abor de, I shall forthwith comply with those provisions. Date: a 'aQl S Applicant: WARNING: FAILURE TO SECURE WORKERS' COMP NSATION C VERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P 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 representativesPon the above. mentioned property for inspection purposes. C Date.—) OtPoks Signature (Applicant or Agent): DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE - ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 0 $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 101-0000-42400 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 forADDITION: $371.73 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID ' PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 2 $140.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION 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: $227.50 $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 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 CITY AMOUNT PAID: PAID DATE APPLIANCE REPAIR/ALTERATION 101-0000-42402 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID' PAID DATE APPLIANCE REPAIR/ALTERATION PC 101-0000-42600 0 $4.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for MECHANICAL; $16.92 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID- PAID DATE FIXTURE/TRAP 101-0000-42401 0 $24:18 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $24.18 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID _ PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY - 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 CITY 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 for PLUMBING FEES: $108.80 $0.00, DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $2.16 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATIONSMI: $2.16 $0.00 TOTALS:00 $0.00 Description: MOVE REAR WALL 4'INSTALL GLASS WALL STEEL BEAM Type: BUILDING; RESIDENTIAL Subtype: REMODEL Status: APPROVED Applied: 11/10/2014 PJU Approved: 1/28/2015 JJO Parcel No: 764490014 Site Address: 81460 CARBONERAS LA QUINTA,CA 92253 Subdivision: TR 31681-1 Block: Lot: 36 Issued: Lot Sq Ft: 0 Building Sq Ft: O Zoning: Finaled: Valuation: $16,588.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 PLAN CHECK COMMENTS Details: CONVERT 3RD CAR GARAGE TO CASITA, REMOVE REAR WALL ADD 4 ADDITIONAL FT, ADD NEW WINDOWS AND DOORS AND REMODEL PATIO.RELOCATE BBQ AREA __j Applied to Approved Printed: Tuesday, February 17, 2015 1:55:26 PM 1 of 4 C SrS,f_MS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES PLAN CHECK COMMENTS FROM CONSULTANT JIM JOHNSON 12/1/2014 11/26/2014 COMMENTS FROM YOUNG ENG. NOT APPROVED RECEIVED PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 1/28/2015 1/28/2015 STRUC APPROVED W. CONDITIONS 1/27/2015 RECEIVED PLAN CHECK PICKED UP PHILIP JUAREZ 12/1/2014 12/1/2014 ,PLANS PICKED UP BY RICK REMINGTON 951-316-7667 PLAN CHECK SENT TO KAY HENSEL 11/10/2014 11/10/2014 STRUC TO YOUNG - DUE 11/24/14 OUTSIDE PC RESUBMITTAL KAY.HENSEL 1/12/2015 1/12/2015 PLANS RESUBMITTED TO MARY AT FRONT COUNTER SENT TO PLAN CHECK KAY HENSEL 1/12/2015 1/12/2015 STRUC TO YOUNG - DUE 1/26/2015 CONSULTANT TELEPHONE CALL JIM JOHNSON 12/1/2014 12/1/2014 CALLED RICK REMINGTON TO PICK UP CORRECTIONS Printed: Tuesday, February 17, 2015 1:55:26 PM 1 of 4 C SrS,f_MS TELEPHONE CALL JIM JOHNSON 1/28/2015 1/28/2015 CALLED VINCERE INDUSTRIES TO INFORM PLANS ARE READY TO ISSUE ITEMS PENDING SCHOOL FEE LETTER AND HOA LETTER.. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT VINCERE INDUSTRIES INC 73-983 HIGHWAY 111 PALM DESERT CA 92260 CONTRACTOR VINCERE INDUSTRIES INC 73-983 HIGHWAY 111 PALM DESERT CA 92260 OWNER GREG FETTES 81460 CARBONERAS LA QUINTA CA 92253 Printed: Tuesday, February 17, 2015 1:55:26 PM 2 of 4 ri LS "SYSTEMS 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 forADDITION: $371.73 $0.00 HOURLY PLAN CHECK - 101-0000-42600 2 $140.00 $0.00 YES HOURLY PLAN CHECK - 101-0000-42600 1.25 $87.50 $0.00 YES Total Paid for BLDG CITY STAFF - PER HOUR: $227.50 $0.00 BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: Printed: Tuesday, February 17, 2015 1:55:26 PM 2 of 4 ri LS "SYSTEMS Printed: Tuesday, February 17, 2015 1:55:26 PM 3 of 4 Cm V SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL*" CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $0.00 1,0005E RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $0.00 1,000SF, PC Total Paid for ELECTRICAL- NEW CONSTRUCTION: $192.89 $0.00 APPLIANCE 101-0000-42402 0 $12.09 $0.00 REPAIR/ALTERATION APPLIANCE 101-0000-42600 0 $4.83 $0.00 REPAIR/ALTERATION PC Total Paid for MECHANICAL: $16.92 $0.00 FIXTURE/TRAP 101-0000-42401 0 $24.18 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $24.18 $0.00 GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $0.00 OUTLETS GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 • $0.00 OUTLETS PC WATER SYSTEM 101-0000-42401 0 $12.09 $0.00 INST/ALT/REP WATER SYSTEM 101-0000-42600 0 $12.09 $0.00 INST/ALT/REP PC Total Paid for PLUMBING FEES: $108.80 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $2.16 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $2.16 $0.00 TOTALS:00 $0.00 Printed: Tuesday, February 17, 2015 1:55:26 PM 3 of 4 Cm V SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL*" Printed: Tuesday, February 17, 2015 1:55:26 PM 3 of 4 Cm V SYSTEMS BOND INFORMATION ATTACHMENTS REVIEWS REVIEW TYPE- REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS NOTES 11/20/2014 JIM JOHNSON 81-460 CARBONERAS.docx 81-460 CARBONERAS.docx 0 DOC 1ST. PLAN CHECK CORRECTIONS NON-STRUCTURAL JIM JOHNSON 11/10/2014 11/24/2014 11/20/2014 REVISIONS REQUIRED SEE ATTACHED PLANS NOT COMPLETE, NEED ADDITIONAL INFORMATION TO CALC. FEES STRUCTURAL JIM JOHNSON 11/10/2014 11/24/2014 11/10/2014 REVISIONS REQUIRED CORRECTIONS CORRECTIONS REQUIRED NON STRUC APPROVED. APPLICANT NEEDS TO PROVIDE DRAIN PAN FOR WATHER HEATER AND NON-STRUCTURAL JIM JOHNSON 1/12/2015 1/26/2015 1/22/2015 APPROVED APPROVED NEW BBQ SHALL NOT BE ATTACHED TO P/L WALL, WATER, GAS & SEWER LINES SHALL BE PROVIDED. GAS LINE TO BE SLEEVED. STRUCTURAL KATHRYN SAMUELS 1/.12/2015 1/26/2015 1/28/2015 APPROVED APPROVED WITH CONDITIONS STRUC TO YOUNG - DUE 1/26/2015 APPROVED WITH CONDITIONS SEE SHEET S-1 FOR CONDITIONS BOND INFORMATION Printed: Tuesday, February 17; 2015 1:55:26 PM 4 of 4(CMLJtJ SYSTEMS ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 11/20/2014 JIM JOHNSON 81-460 CARBONERAS.docx 81-460 CARBONERAS.docx 0 DOC 2/17/2015 STEPHANIE KHATAMI SCHOOL FEE RECEIPT BRES2014-1167.pdf SCHOOL FEE RECEIPT BRES2014-1167.pdf 0 Printed: Tuesday, February 17; 2015 1:55:26 PM 4 of 4(CMLJtJ SYSTEMS tic IN14f.► �A, o 2 1 .1 � Bin.#��. Qty. of .La Quin' td BulkUpg &r Safety Atvision 1�� P.O. Box 1504,78-495 Calle Tamptco I La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # LGcj a�\u( Project Address: C ��f(J Ci�c2S Owner's Name: A P. Number. Address: Legal. Description: City, ST, Zip: u�Cx Contractor. `f �� / J Telephone: ...;," Project Description: Address: — City, Telephone:,71M cfa V-LIVO State Lic. # : City Lie'_ #; Arch:, Engr., Designer N �JgNI �� ( �/ • L l l Address: SS df City., ST, Zip: / 1 % 4 V Telephoner . g3f %� Y State Lic. #: ��p /M Name of Contact Person: lC � ��G � Construction Type: Occupancy: Project type (circle one): New � Alter Repair Demo Sq.. Ft: Q # Stories: 'To units: " Telephone # of Contact Person: – % Estimated Value of Proj APPLICANT: DO NOT WRITE BELOW -THIS UNE !� Submittal Req'd Reed TRACMGPERMfPFEES Pian Sets Plan Check submitted l 1 p Item Amount Structural Cafes. eviewed, readyor corrections Plan Check Deposit. . Truss Cafes. Called Contact Personfi&/Plan Check Balance Title 24 Calc§. Plans picked up Construction Flood plain plan Plans resubmitted.. ?' Mechariical Grading plan tad Review, ready for correctio rsstre ZZ Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 34 Review; ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person AXP.P. ' Pub. Wks. Appr Date of permit Issue School Fees I. Total Permit Fees 1bRov 11�IIlq � RFS- � "d 4,#P W C&rd- 7' J 1. okhc% Valley' Unified School District This Box For District Use Only - 83-733 Avenue 55. -Thermal. CA- 92274 DEVELOPER FEES PAID (760) 39875909 — Fax (760) 398-1224. AREA: . - AMOUNT LEVEL ONE AMOUNT:'. : LEVEL TWO AMOUNT:- M ITIGATION AMOUNT: COM IN D. AMOUNT: DATE: - - RECEIPT: CHECK#: INITIALS CERTIFICATE OF COMPLIANCE (California' Education Code 1.7620)' Project Name: C� raig and Carmyn Fettes (Andalusia), Date: February 17, 2015 - - Owner's Name: Craig. and Carmyn Fettes Phone No. Project Address: 81-460 Carboneras, LaQuinta Project Description: Addition (convert'garage to casita) APN: 76:47490-014 Tract #::Lot #'s: Type of Development: Residential XX 'Commercial Industrial Total Square Feet of Building Area: 290 Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is. authorized to sign on behalf of the owner/developer. ated:. February 17, 2015 Signature:.... , SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING:. (CIRCLE ONE) Education Code ,: Gov. Code : Project ` ; Agreement Existing Not Subject to Fee 17620 65995 - Approval Prior to 1/1/87 Requirement ' . .. ...Note: .. .. - .. • Number of Sq.Ft. 290 Rursuant to AB 181 any. room additions or enclosures of 500 ' sq. ft. or less are exempt from developer fees..Any mobile ' Amount per Sq.Ft. $0.00 ' Amount Collected $0.00 homes being. relocated within the same school district's jurisdiction are. exempt from developer fees. Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and :Maintenance Certificate issued. by. Laurie Howard; Secretary . Signature:(, I t NOTICE OF 90 -DAY PERIOD FOR PROTEST .OF FEES AND. STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide_(1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and'other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the:validity thereof; commences with the payment of the ,fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or- in part prior to issuance of a. Certificate of Occupancy. :As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty. (30) days from the.date:of issuance. Extension will be: granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. MV:c/inydcxsfdevfees/certificate ofcompliance form updated 3-2007 11/2010 rs� YOUNG �� ENGINEERING S e R V I C E S t T Letter of Transmittal To: City of La Quinta 'Today's Date: - 1-26-15 ' 78-495 Calle Tampico City Due Date: 1-26-15 La Quinta, CA 92253 Project Address: -81-460 Carboneras Attn: Kay Plan Check M .. - BRES 2014-1167 ' Submittal: ❑ 1st ❑ 4 t t ❑ `2nd ' ❑ 5th ❑ 3rd ` El Other: We are forwarding: ® By Messenger =❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: # Of - Descriptions: -- Includes::. ' # Of Descriptions: ' . Copies: - . Copies: . ❑ Structural Plans. ® 4 1- Revised Structural Plans ® 1 Structural Calculations ® 1 Revised Struct. Calcs Truss Calculations Floor ❑ and Roof ❑`' Revised Truss ❑ Soils Report ❑ Revised Soils Report Structural Comment List/ ® 1 Responses • ❑ Approved Structural Plans ® 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, pending the following: The Engineer -of -Record shall note on structural plans 1. Special inspection is required for concrete strength over 2500 psi. 2. All fasteners, anchors, bolts, and hardware in contact with preservative treated lumber shall be of hot -dipped zinc -coated galvanized steel, stainless steel, silicon bronze or copper; depending on the preservative used in treating the wood. CBC 2013 2304.9.5.1 ` If you have any questions, please call. ` .Time = 1.25 HR This Material• Sent for: • ,k ❑ Your Files ® Per Your Request ❑, Your Review e - �` _❑ _ .Approval ❑ Checking'" ❑ .V At the request of: Other: ❑ Mo By: Kathryn Samuels 7 2014 Palm Desert Office: ® (760) 772-5107 Other : "❑ • , of QuItolik a 02/19/2015 THU 14:24 FAX; 0001/002 i APPENDIX If: ARCHITECTURAL / LANDSCAPING IMPROVEMENT/HOUSE AND GARAGE PAINTING. REQUEST AND AGREEMENT �) / Date of Request: ` Z `�. ��f _ Lot Traci .No. 112-19 Owner/Applicant: G� 2 z.(�� c A9, +m,- Andalusia at Coral Mountain Address: Y. i/�� Local Telephone (- Other Telephone: q, r... • Archilect(s), if applicable: f kD e a- a "')40 PA -5s L��j.) [irc0�n Architect(s)'s Address:C� Archilect(s)'s Telephone Number: C 05')'b 6 7- SL I L( • Contractor(s), if applicable: V h CU[Itractor(s)'s Address: 0.3 CA Contractor'(s)'s Telephone: (Attach additional sheets with name(s) of Contractors/Subcontractors, if necessary) • Description of Improvement: (Please provide complete narrative description of the proposed `modification and include drawings as appropriate): 'J�A(L;i1 ('y�1!`►4c i5 _C -a 5, - L% 4 !Jwl+J i.�;u�•rv.i i r • Attachments (3 sets): EJ Full construction drawings C�ecifications/Dimensions Li—Site Plan Drainage Plan Landscape Plans F --Elevations El Other (describe/list or attach additional pages as required): Starting Date: ' ��,�L'+✓ Estimated Completion Date: lo" ;Xc. \---( " This Architectural / Landscape Improvement Request shall be accompanied by: CI A non-refundable fee of $400 as a processing and review fee to check the plans for conformance with the Design Review Gui lines. No fee for Garage & House Painting/Staining Applications. The check for this fee shall be paid to the order of Andalusia at C al Mountain Association. See appendix V for.other fees. ` A security deposit to be drawn against by Master Association for any and all direct costs to the Master Association including, but 'nolo limited to, the following: (1) legal expenses; (2) consulting fees; (3) filing fees; (4) recordation costs; <5) nonrefundable administrative costs (application fee); (6) costs to repair any damage to the "common area and/or streets maintained by the Master Association caused by the construction of the Architectural ImproJement; (7) any^other costs directly related to and/or necessary for the supervision of the Architectural Improvement, as well as to bring the costs necessary for the Master Association to bring the Architectural Improvement into compliance with the Master Declaration and/or these Guidelines; and (8) payment for any Enforcement Assessment levied in accordance with the Master Association's Enforcement Procedure. The check for this fee shall be paid to the order of Andalusia At Coral Mountain Association. This security deposit. minus Master Association's direct costs, shall be returned upon receipt of the Notice of Completion from Owner and final sign -of by Design Review Committee. All copies of plans and specifications, as enumerated in the Application Procedure, Section 4, (page 30). THE OWNER(S) UNDERSTANDS AND AGREES TO THE FOLLOWING: 1. By submission of this application, Uwe have followed the Architectural / Landscape Request Procedure as specified in the Master Association's Architectural / Landscape Guidelines, beginning on page 29, including the attachment of three sets of any applicable plans, specifications, drawings, manufacturer's brochures, city building permits, signed construction regulations, and/or other descriptions as maybe required by the Checklists, beginning on page 32. _37 - Master Design Guidelines 1/1/2012 (Amended 4-25-13) 7�0 .�77�._.70/% 02/19/2015 THU 14:24 FAX 12002/002 2. The architectural modifications will be made in strict compliance with the approved plans and specifications submitted with this application. Should any changes be required at any time during the project, those changes must be approved by the Design Review Committee Architectural & Landscaping Approval Request Form and Agreement and noted on this application. 3. Owner shall hold the 10aster Association harmless. from all liability related to any damage to existing residences, improvements thereon, any common area property and/or golf course,. wherever located within the Andalusia al Coral "Mountain subdivision, resulting from the installation/construction of this improvement or modification. Applicant shall advise Master Association office promptly upon completion of the work. 4. Any application shall be deemed incomplete, and the Design Review Committee shall disapprove, any and all plans and/or specifications submitted to it for approval if the Owner fails to deliver the required fees and security deposit referenced herein. 5. Owner shall comply with the Design Guidelines of the Andalusia at Coral Mountain IMaster Association• and furnish copies of these provisions to the contractor(s) engaged by Owner for the improvement. Applicant further understands that it is Owner's responsibility to ensure that his/her contractor(s) also complies with these provisions. G. Owner shallsecure proper building permits, if required by the local governmental entity. Applicant understands that the City of La Quints may not approve any plans which have not yet been approved by the Master Association's Design Review Committee. 7. Owner shall pay the fees and deposits, as set forth in Section 5.3 of the Design Guidelines to process this Architectural Request Form, the terms of which are incorporated herein by this reference. 8. Applicant agrees to complete the Properties within ninety (90) days of the Properties Approval date, unless otherwise slated. "Properties Approval Date" is defined as the date of the letter granting Applicant approval to proceed with the Properties. "Completion" is defined as the date when the City of La Quinta has conducted its final inspection and approved the improvement(s), or, if no building permit is required, the date the Design Review Cornmiltee gives final approval 9. Owner(s) agrees that he/she/they will be"solely responsible for the maintenance of the improvement. Signatures: Owner: ��'�' fc3ci,. '�'> Date: Owner- .4 Q Y.) Wi2WLW h V-9k A,Date: � ��C. For house painting and garage refurbishing please provide the information below:: -Ga rage/Stucco/Trim/Other Paint Manufacturer Color and number — -� i-•------ . _ . -- --- -- - -- -- ill V � i (For MislerAssocialion use only) The attached request has been reviewed by the Design Review Committee and its action is: Approved as Submitted la Approved as Amended 11 Rejected ❑ Rejected, Pending Further Information ❑ Refer to " attached comments D Dale: i rr < Signature: t For the Association Design Review)Committee Final Inspection: ❑ Approved as 'submitted Disapproved (refer to the attached comments) Date, Signature: For the Association Design Review. Committee 38" _ Master Design Guidelines 1/1/2012 (Amended 4-25-13) , RECEIPT DOLLARS $ FOR. _&L _ ACO CUNT HOW "10 AMT. OF I I IOROER BY PROOF "OF WORKER'S COMPENSATION INSURANCE`& COPY 'OF S i H l t.tivlvrnr+4 „,.;> LICENSE POCKET CARD IS REQUIRED PRIOR TO ISSUANCE OF LICENSE 1. Business Name: aiih {f�.(,(�S'`%�(�= {'1•: �'„ . Business Address: City/State: `�U'WV, i �,-� l� Zip Code:'it� 2. Mailing Address: �&VK.=" a_i2c!-e-" ..City/State Zip Code: y 3. Business Phone(2.0 ' . �y �:'L 12-0 Email Address: `%t�Vl•Cy�i✓�(,i111,ieS;� 4. Owned by: Corporation: X Partnership: 'Individual: �(�r 5. 'If Corporation or Partnership, Federal Tax I.D. is required: y 3 i 2- (P 0 3(0 6. Name of Owner or Officers and Title: IV 7. Vehicle License Plate Number ` Permit Number (Finance Dept. Use Only). I ' 8. Type of Contractoe: Gener�r Subcontractor (circle.on Contractor Classificati C. State License Number. B-1186 State Fee — - $1.00 :9. Authorized Person(s) to Sign Permits:'-., HEREBY-'CER,Y that all information supplied by me is•correct and any licenses required by the County,gr deral Government have been. issued to f e and are. in full force and .effect.. Signatures Title. 1 Date: , �FoSend Compl te' d (s) to: CITY OF LA QUINTA BUSINESS LICENSE DIVISON 78-495 Calle Tampico La Quinta, CA 92253 (760)777-7000