BRES2014-10794 w-
78-495 CALLE TAMPICO 4
LA QUINTA, CALIFORNIA 92253 ' COMMUNITY.DEVELOPMENT.DEPARTMENT
BUILDING PERMIT
Application Number:0`
rBRES2014-1079'�'�
P ro p e rty`Ad d re"ss:—S
5889-P I N E H U RSZ)
APN:
775241063 `.
Application Description:
1,225SF REMODEL
Property Zoning:
Application Valuation:
$100,000.00
Applicant:
ROD JEHEBER
410 32ND ST. #202
NEWPORT BEACH, CA 92663.
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
JOE LANDSTORM
55-889 PINEHURST
LA -QUINTA, CA 92253
Contractor:
"ABARCA CONSTRUCTION
0 OUTSIDE.CITY. LIMITS
LA QUINTA; CA 92253
(760)766-5090
Llc. No.: :LIC -0111076
Date: 11/14/2014
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I:am:licensed under provisions of'Chapter` Lhereby affirm.under penaltyof perjury one.of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions:Code, " I have and will maintain a certificate of consent to self-insure'for workers'
and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: License No*.: :LIC -0111076 of the work :for,which'.this per is issued. --- —
Lhave and will maintain workers' compensation insurance, as required by
/Date: `ii, k AAAAontractor A3f4ReA. OtA Sectioh'3700_of the LabocCode,, forthe performance of the work for which this permit
is issued. _My workers' compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION Carrier: _'..Policy Number:
I hereby affirm under penalty of.perjurythat I'am exempt from the Contractor's State • I%certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031:5, Business and Professions Code: Any shall,not employany,person in any manner so as to.become subject to the workers'
city or county that requires a permit to.construct, alter, improve, demolish„or repair compensat cn.laws of California;'and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permitto file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she:islicensed pursuant to the provisions of& comply with those provisions.
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 ate:• ��` 4- Applicants �. AM^RK M)NVjTQ1,1 CX4
basis for the alleged exemption. Any violation `of Section 7031.5 by any applicant fo a
permit subjects the applicant to a civil penalty of not more than five hundred dollars WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL,
($500).: AND SHALL SUBJECTAN EMPLOYER JO CRIMINAL. PENALTIES AND CIVIL FINES. UP TO
(� I, as owner.of the property, or my employees,with wageras their sole.ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure.is not intended or, offered for sale. 1 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State LicensetLaw does not INTEREST, AND ATTORNEY'S FEES.
apply to an owner of property who builds or improvesthereon, and who does the'work
himself or herself through' his or her own employees, providedahat the improvements APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold . IMPORTANT: Application is hereby made to•the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that:; the•conditioins and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.). 1 ' Each,person upon whose behalf this application is made, each person at whose
(_) I, as owner of the property, am exclusively:contractingwith licensed contractors requestand fo whose'benefif work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, -Business and Professions Code: The Contractors'. issued as,a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply -to an ownerof,property who builds or improves shall defend,, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractors) licensed pursuant to employees:for any act or omission related to the work being performed under or
the Contractors' State License Law.). following, issuance ofithis permit. ,
(_) I am exempt.under Sec. B.&P.C. for this reason , 2 Any tpermit issued -as a result ofthis application becomes null and void if work is
not commenced.within 1130 days from date of issuance of such permit, or cessation of
work for 180 days'will subject permit to cancellation.
Date: Owner. c
I certify -that I have;read this application and state that the above information is correct.
CONSTRUCTION LENDING AGENCY. p I.agree to comply;with'all city and county, ordinances and state laws relating to building
1 hereby affirm under penalty of perjury that there is a construction lending agency for ` construction and hereby authorize representatives of this city to enter upon the above•
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). mentioned property for inspection purposes.
Lender's Name: Date: �:~.' ignature (Applicant or Agent):
Lender's Address: „
DESCRIPTION. a "n r xm
FINANCIAL INFORMATION
> ACCOUNT QTY AMOUNT
PAID
PAID'.DATE
BSAS SB1473 FEE
101-0000-20306
0
$4.00
$0.00
PAID BY
M 'METHOD
RECEIPT #
CHECK # -
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $4.00 $0.00
DESCRIPTION
`_ ACCOUNT
QTY
AMOUNT .:i
PAID
PAID DATE
HOURLY PLAN CHECK - YES
101-0000-42600
2.25
$157.50
$0.00
PAID BY
•P METHOD
RECEIPT.#
CHECK #
CLTD BY
. DESCRIPTION''
ACCOUNTS
QTY
AMOUNT,
PAID
PAID,DATE'
HOURLY PLAN CHECK - YES
101-0000-42600
3.5
$245.00
$0.00
PAID BY, '
METHOD
` RECEIPT #>
{ CHECK # -
,CLTD BY11
Total Paid for CITY STAFF-.PER.HOUR: $402.50 $0.00
DESCRIPTION
; . ACCOUNT =
QTY.
AMOUNT
PAID
PAID DATE
DEVICES, ADDITIONAL
101-0000-42403
0
$88.06
$0.00
. , PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
- ACCOUNT- _'.'
QTY
AMOUNT `
PAID
PAID DATE
DEVICES, ADDITIONAL PC
101-0000-42600
0
$22.20
$0.00
PAID BY -.
METHOO a
RECEIPT #
CHECK # '
CLTD BY,.
r DESCRIPTION
`' ACCOUNTQTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$23.83
$0.00
rg PAID. BY
METHOD,
"RECEIPT # - yi
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE.
DEVICES, FIRST 20 PC
101-0000-42600
0
$23.83
$0.00
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CHECK #,,', .
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Total Paid for ELECTRICAL: $157.92 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
$11.92
$0.00
PAID BY, :_ . '
METHOD
• RECEIPT#
CHECK#
CLTD BY
" DESCRIPTION
ACCOUNT
QTY
AMOUNT'
PAID
PAID DATE:
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0.
$4.77
$0.00
PAID BY,
METHOD . `:
, RECEIPT #
CHECK #. `
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DESCRIPTION
ACCOUNT.
• QTY
'AMOUNT
PAID
PAID DATE
EXHAUST HOOD '
101-6006-'42402
0 '$11.92
$6.00
y
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AMOUNTPAID
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PAID DATE
„DESCRIPTIONS.:::,
::
EXHAUST HOOD`PC .
101 0000 42600'
01.
$4 77'.
$0:00.
ir�»�:gS a� �„ '� 'i"�"�, ,,,.4zY3sks�§ -� � '�i:`�%' ",x"� a;
:�:`£`'� .�` � s�t.:&.:t.,��'a ":��`„=�"±->'� ��
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n:.�.�,3'i�(`''•�.'+'tr'�•t?ls ,
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Total Paid forMECHANICAI: $33.38, $0.00
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1010000-42401a'0,4,:'
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101-00005-42600
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101-0000 42401
0
-$11.92-
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101 0000`42600 •
0
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Total Pail,forPLUMBING;FEES. $.83.43 $0.00
rDESCRIPTION'
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' REMODEL', EA ADDITIONAL 500`SF
101 0000_42400:.:
$0.00
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101 0000=42600.
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$51.48
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101-000042400
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' 101 0000.-42600:;
R 0 ;,! `• $132:99
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Description: 1,225SF REMODEL
Type: BUILDING, RESIDENTIAL
Subtype: REMODEL Status APPROVED
Applied. 7/30/2014 AOR
Approved: il/3/2014 JJO.
Parcel -No: 775241063% Sito dress ;55889'PINEHURST LA,QUINTA,CA.92253
Subdivision. TR 21381-3 SEE ASSESSORS IVI13.769=41 Block: Lot: 2 .
Issued:
40 FOR CMS
Lot Sq Ft:. 0.
Building Sq Ft: 0 Zoning:
Finaled;-
Valuation: $100,000.00-
Occupancy -Type.: Construction Type: •:
Expired:
No. Buildings: 0_
No. Stories 0: No. Unites:.0,_'
...... -
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pym Now
;CHRONOLOGY TY=PES STAFFNANIE. x' ACTION DATEffil GOMPLETION DATE NOTES
RAN.
Details: 1225 sq: ft. OF INTERIOR•REMODEL OF THE KITCHEN, DINING ROOM, LIVING ROOM AND ADD FIRE PLACE: .
j App liedto Approved
-_
kr N � IVY-
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;CHRONOLOGY TY=PES STAFFNANIE. x' ACTION DATEffil GOMPLETION DATE NOTES
RAN.
-
..'�>
�,"r, . _ '.e i �>""'"«"-aC... 's ' a"E ''.a, j�"' ,.f: x `#.'itivaZe a. 'ebFJ^'A '.gsaa i'1, r3, +' :izu ` ..w..w .,.^
PLAN CHECK COMMENTS
,•
r
=
FROM :CONSULTANT ..
u. .
KAYHRFC
0/13/2014
1013/2014
r
UC--10/13/1'4
RECEIVED
-
RESUBMITTED PLANCK RETURNED BOTH REDLINE SET
•
.. •..• .
; '•LAPP OD JEH
LICANT'R EBER 949'. 723 4393 STATED HE SLIP•
'
SHEETED CORRECTIONS IN ALONG WITH OLD ONE.TITLE•2'4'S
RESUBMITTAL
PHILIP JUAREZ
10/29/2014-
10/29%2014
ON PLANS,STRUCTURAL AGAIN SLIP SHEETED PAGE 14 IN. -
NCORRECTIONS.AP.PLICANT
CORRECTIONS APPLICANTSTATED JIM>WAS NOT GOING TO
SEND OUT WAS GOING TO DO IN HOUSE.'
PER J.J. THIS RESUBMITTAL WILL REMAIN IN HOUSE10/30/14
SENT TO PLAN CHECK
KAY HENSEL
9/26/2014
11/26/2014
CONSULTANT
TELEPHONE CALL.
JIM*JOHNSON
10/14/2014
10/14/2014
PLANS READY FOR CORRECTIONS 2ND P/C
Printed: Friday, November 14, 2014 10:09:08 AM 1 of 5
. SYSTEMS
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Printed: Friday, November 14, 2014 10:09:08 AM 2 of S
- SYSTEMS
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, s..1 °? t,.��,,. ��,•'� w.. • :9 .. max. x: �t.'"v: + .: 4' :y{ Ek , aX.€-. 'suh`` ...,.s a, .F� i .. .5»%--r,'',.y� .u' .w.os .,
.: .... ..•;. .'AM` ':�: v'�i+i�,d+'F::-_...,.. ..,5- ..:e%a.. '. xe vPo urf7,c Y._..h.. xx.�......ar,x_b'n:,iASRSSX'..t. .;. i.CFj'ra.,�.+e; ._. ry Ysn: y
i;-,:. u ..` `z`�..;+v. ;s,.. ., _.�a« ....,fir x,� `` .. ,.� :s.. t E;``.. RCLTD,.
DESCRIPTION Tx A' ibu sPAID c PAID DATE ' 3.'RECEIPT# CHECKt# ME;THQD - PAID:BY' •--
`�e;€.
c. : •,. .. ,, "ACCOUNT_ ._„ _. ... .... .. � : w .x :. .. ;,
.... ... 'sZ. ,. ::. ., x�+«-.. .F` YT> a4«.., l.::K« e �; , m: � �xn: .r.^ks�a.
m
.,,.,. tx< .�iil. P.,}Y.: _i•r..yf .,.irt.�.:-.$ £,ez.'�.[ R{ ux, %;ids :...: ..', cs .i:. ke,.u.;...i .. sa .=X •`.`.<. a..X i .,. r:,�: 'Fa '.uZ .. �s,i .'?:Y+. x �:+<& 4 1a.' ..rH.&s�Z+, i°df.ry `s "�.(h t«eiv:..�'x IND 4';1� rt -n; `i''.:yam �
BSAS 561473.FEE :101:.0000-,20 .0 $4 00 $0 00
�.
TotaI Paid 'forBU, ILDING STANDARDS`ADMINISTRATION
$4 00 $0 00
•SA
HOURLY.PLAN CHECK,:'101
0000 42600
.2'25.
$157 5.0
$0:00
- YES
HOURLY PLAN CHECK.-.
101 0000 42600. ,
3.5
.$24S.00
J. 00
YES-
---------------
..
Total
Total Paid-forCITY STAFF= PER HOUR $402.50 $0.00:
DEVICES, ADDITIONAL
101 0000=42403 , .:
: `0$88:06
$0:00
DEVICES, ADDITIONAL
101-0000.-42600'
0
$22.20
$0.00
PC
DEVICES, FIRST 20
101=0000-42403
0
$23.83
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
0.
$23.133
$0.00
Total Paid fo�ELECTRICAC: $157.92 $0.00
APPLIANCE
101-0000-42402
0
$11.92
$0.00
I
I
I
REPAIR/ALTERATIONI
Printed: Friday, November 14, 2014 10:09:08 AM 2 of S
- SYSTEMS
DESCRIPTION.
<ACCOU.NT
7777-7
QTY
AMOUNT
PAID
PAID GATE
RECEIPT#
CHECK #
METHOD. -
PAID BY
CLTD
,;.
BY
APPLIANCE
101-0000-42600
0
$4.77
$0.00
REPAIR/ALTERATION PC
EXHAUST HOOD
101-0000-42402
0
$11.92
$0.00
EXHAUST HOOD PC
101-0000-42600
0
$4.77
j $0.00
Total Paid forMECHANICAL: $33.38 $0.00
FIXTURE/TRAP
101-0000-42401
0
$11.92
$0.00
FIXTURE/TRAP PC
101-0000-42600
0
$11.92
$0.00
GAS SYSTEM, 1-4
101-0000-42401
0
$11.92
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$23.83
$0.00
OUTLETS PC
WATER SYSTEM
101-0000-42401
0
$11.92
$0.00
INST/ALT/REP
WATER SYSTEM
101-0000-42600
0
$11.92
$0.00
INST/ALT/REP PC
Total Paid forPLUMBING FEES: $83.43 $0.00
REMODEL, EA
101-0000-42400
0
$64.35
$0.00
ADDITIONAL 500 SF
REMODEL, EA
101-0000-42600
0
$51.48
$0.00
ADDITIONAL 500 SF PC
REMODEL, FIRST 100 SF
101-0000-42400
0
$48.62
$0.00
REMODEL, FIRST 500 SF
101-0000-42600
0
$132.99
$0.00
PC
Total Paid for REMODEL: $297.44 $0.00
SMI - RESIDENTIAL
101-0000-20308
0 •
$13.00
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SM! $13.00 $0.00
TOTALS:00
Printed: Friday, November 14, 2014 10:09:08 AM 3 of 5
sysrr:Ms
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR '' 'SCHEDULED* COMPLETED RESULT REMARKS "F NOTES t
DATE:, DATE
GAS LINE/TEST -
TEMP USE OF PERM PWR
INSULATION
SETBACKS
ROOF NAIL
OKAY TO WRAP
FOOTINGS
ROUGH PLBG
ROUGH MECH
SLAB
FRAMING
DRYWALL NAIL
SEWER CONNECTION
FINAL"
UNDERGROUND PLBG
LATH
ROUGH ELEC
TEMPORARY POWER
Printed: Friday, November 14, 2014 10:09:08 AM 4 of 5
- SYSTC'h1S
NON-STRUCTURAL
JIM JOHNSON
8/18/2014
9/1/2014
8/18/2014
REVISIONS REQUIRED
CORRECTIONS
STRUC 1ST. PLAN CHECK BY YOUNG ENG.
CORRECTIONS
STRUCTURAL
JIM JOHNSON
8/18/2014
9/2/2014
8/18/2014
REVISIONS REQUIRED
CORRECTIONS
1ST. PLAN CHECK CORRECTIONS
NON-STRUCTURAL
JIM JOHNSON
9/26/2014
10/10/2014
9/26/2014
REVISIONS REQUIRED
CORRECTION
2ND PLAN CHECK CORRECTIONS
REQUIRED
STRUCTURAL
JIM JOHNSON
9/26/2014
10/10/2014
9/26/2014
REVISIONS REQUIRED
CORRECTIONS
NON-STRUCTURAL
JIM JOHNSON
10/29/2014
11/12/2014
11/3/2014
APPROVED
APPROVED
PLANS APPROVED
STRUCTURAL
JIM JOHNSON
10/29/2014
11/12/2014
11/3/2014
APPROVED
APPRPOVED
STRUC APPROVED IN HOUSE BY JJ
BOND INFORMATION_
Printed: Friday, November 14, 2014 10:09:08 AM 5 of 5
SYSTEMS
70A
325 a014 -107q
PGA WEST,
RESIDENTIAL ASSOCIATION; INC.
May 15, 2014
Mr. Joe Landstrom
3405 Newport Blvd.
Newport Beach, CA 92663
Re: 55-889 Pinehurst —Interior Renovation and Related Exterior Modifications
Dear Mr. Landstrom,
The Architectural Committee has received your submittal. The plans, prepared by R H. Jeheber
Residential Design. Inc., dated April 23, 2014, have been reviewed. The conceptual intent of the
proposed renovations are acceptable subject to providing a complete set of architectural and
structural plans ready for plan check by the City of La Quinta. The seismic and structural
integrity of this structure is to be maintained or improved.
The next submittal to the Committee should include three sets of plans, all in accordance with
the CC&R's, 'Architectural Guidelines and City of La Quinta building code requirements. Be
advised that the exterior detailing should match the existing.
If I may be of further assistance, please contact me at the HOA office at (760) 771-1234,
Extension 15.
Cordially,
C'
Ke cGalliard
Operations Manager
For the Architectural Committee
KM/bvf
Cc: Architectural Committee
JUL -3 0 2014
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
54-320 Southern Hills, La Quinta, California 92253-5665, Telephone 760-771-1234 FAX 760-771-5125
♦1 Y
B` City off. La Q Grin to
Building 8r' Safety Division
Permit �- dam" P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012.
Building Permit_ Application and Tracking Sheet
Project Address: ��� //J t rHV< S— T Owner's Name: L�/z%7x ejA-1
A. P. Number: .1 I 15- -- 24 1— M3 `-; S
-115-
Address:VE11Q_
Legal Description:. LCtrr5 z:*� - .2-13 a I-- 3
City, ST, Zip: Ar6 ��'} .• /yZ��3
Contractor:
Telephone: 3 ,Y�
Address:
Project.Description:`—
City, ST, Zip:
Telephone:C,
State Lic. #:
City Lie. #:
�I
Arch., Eng Designer- Rd V A _�9�%-
Address:
City., ST, Zip:�C'1�p
Telephone:
Occupancy:
Construction :
Prosect hPa (circleone): New Add' Alter Repair Demo
Lic. #: _
.....:..:.. ....... f-:
"=State
Name of Contact P o -
'. Sq.°Ft : �
#Stories: /
# Units: /
Telephone # of Contact Person �; 1�r6Y r,- / 1-
�EsGmated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Rec'd
TRACIGNG
PERMIT FEES
Plan Sets
PIan Check submitted
!/ U
Item
Amount
Structural.Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact. Person�t
Plan Check Balance.
Title 24 Cala.
Plans picked up ��b�
v�l
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
.2°" Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
.Plumbing
Grant Deed
Plans picked up
u
S.M.I.
H.O.A. Approval
Plans resubmitted'
Grading
IN ROUSE:-
'`° Review, ready for correctiifissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
8113 713 0 Nis RF=
1 �
dl Q 'Pon".) I?