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BRES2016-0070r VOICE (760) 777-7125 78-495 CALLE TAMPICO � Ct 0 D FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT ' INSPECTIONS (760) 777-7153 BUILDING PERMIT. Date: 5/.2/2016 Application Number: BRES2016-0070 Owner: Property Address: _ 55738 BRAE BURN ERIC SAITO APN: 775280054 Property Zoning: Application Valuation: $45,000.00 ®DD U� Applicant:�j>aY U !� J�� ontractor: MIGUEL A TAFOYADESERT MASTER'BUILDERS INC DBA MONTEREY 36947 COOK 0558 ULLSWATER DR PALM DESERT, CA CITYOFLAQUINTA NDIO, CA 92203 COMMUNITY DEVELOPMENT DEPARTMENT (760)578-7366 Llc. No.: 818586 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 Professions Code, and my License is in full force and effect. License Class: B License No.: 818586 Date eC-Z —� Contracto - OWNER UILDER CLA ON I hereby affirm under penalty of perjury I am�efempt from the Contractor's State License Law for the following reason (S. 7 .5, Business and Professions Code: Any city or county that requires a permit t w truct, 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 contractors) 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 Na Lender's Add 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 polity number are: Carrier: _ Polity 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, hall forthwith comply with those provisions. .1ry Date: J J� l Applicant WARNING: FAILURE TO SECURE WORKE ' COMP 710N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,990).1"N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDECyFOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.' !!!!v//// 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 up above-mentioned property for inspection purposes. Date: Z �� Signature (Applicant or DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE. ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 0 $62.36 $62.36 5/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY ERIC SAITO CHECK R15200 1065 RSE DESCRIPTION ACCOUNT = QTY AMOUNT PAID PAID DATE ADDITION, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $17.40 $17.40 5/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY ERIC SAITO CHECK R15200 1065 RSE - DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $120.83 5/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY ERIC SAITO CHECK R15200 1065 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, FIRST 100 SF PC 101-0000-42600 0 $171.14 $171.14 5/2/16 PAID BY METHOD = RECEIPT # CHECK # CLTD BY ERIC SAITO CHECK R15200 1065 RSE Total Paid for ADDITION: $371.73 $371.73 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 1.5 $105.00 $105.00 5/2/16 PAID BY METHOD RECEIPT# CHECK # CLTD BY ERIC SAITO CHECK R15200 1065 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 1.25 $87.50 $87.50 5/2/16 PAID BY . METHOD = RECEIPT # CHECK # CLTD BY ERIC SAITO CHECK R15200 1065 RSE Total Paid for BLDG CITY STAFF - PER HOUR: $192.50 $192.50 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 5/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY ERIC SAITO CHECK R15200 1065 RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $2.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $145.03 S/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY ERIC SAITO CHECK R15200 1065 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $47.86 5/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY ERIC SAITO .CHECK R15200 1065 RSE Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $192.89 �DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $36.26 $36.26 5/2/16 PAID BY'.:: METHOD _ RECEIPT # CHECK # CLTD BY ERIC SAITO CHECK R15200 1065 RSE '.:DESCRIPTION ACCOUNT .: QTY AMOUNT PAID PAID DATE; CONDENSER/COMPRESSOR PC. 101-0000-42600• 0 $24.17 $24.17 5/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY ERIC SAITO CHECK R15200 1065 RSE DESCRIPTION _ - ACCOUNT QTY AMOUNT PAID PAID DATE, FURNACE 101-0000-42402 0 $36.26 $36.26 5/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY ERIC SAITO CHECK R15200 1065 RSE DESCRIPTION ACCOUNT QTY, AMOUNT, PAID PAIDD ATE FURNACE PC 101-0000-42600 0 $24.17 $24.17 5/2/16 PAID BY METHOD RECEIPT # CHECK # - CLTD BY ERIC SAITO CHECK R15200 1065 RSE DESCRIPTION ACCOUNT ; QTY AMOUNT PAID PAID DATE` VENT FAN 101-0000-42402 0 $12.09 $12.09 5/2/16 PAID BY METHOD RECEIPT #. CHECK # CLTD BY ERIC SAITO CHECK R15200 1065 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600. 0 $4.83 $4.83 5/2/16 PAID BY METHOD. RECEIPT# CHECK# CLTDBY ERIC SAITO CHECK R15200 1065 RSE Total Paid for MECHANICAL: $137.78 $137.78 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $48.36 $48.36 5/2/16 • PAID BY ' METHOD . RECEIPT # CHECK # CLTD BY ERIC SAITO CHECK R15200 1065 RSE - DESCRIPTION ACCOUNT ::. QTY -AMOUNT PAID PAID DATE FIXTURE/TRAPPC 101-0000-42600 0 $48.36 $48.36 5/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY ERIC SAITO CHECK R15200 1065 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $12.09 5/2/16 PAID BY METHODRECEIPT # CHECK # CLTD BY ERIC SAITO CHECK R15200 1065 RSE DESCRIPTION ACCOUNT • QTY AMOUNT PAID PAID.DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $24.17 5/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY ERIC SAITO CHECK` R15200 1065 RSE DESCRIPTION ' ACCOUNT QTY AMOUNT PAID : PAID DATE WATER HEATER/VENT 161-0000-42401 0 $12.09 $12.09 5/2/16 PAID BY-" METHOD...:; -RECEIPT# CHECK # CLTD BY i ERIC SAITO CHECK R15200 1065 RSE DESCRIPTION _ ACCOUNT - QTY- AMOUNT PAID - ... PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $7.25 5/2/16 PAID°BY "METHOD• ; RECEIPT # CHECK # CLTD BY ERIC SAITO CHECK R15200 1065 RSE -;DESCRIPTION ACCOUNTQTY AMOUNT; - PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $12.09 5/2/16 PAID. BY METHOD RECEIPT # CHECK # CLTD BY ERIC SAITO. CHECK R15200 1065 RSE DESCRIPTION ACCOUNT..QTY AMOUNT: PAID PAID, DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $12.09 5/2/16 PAID BY ,: ;. METHOD :, RECEIPT # CHECK # CLTD BY ERIC SAITO CHECK R15200 1065 RSE Total Paid for PLUMBING FEES: $176.50 $176.50 DESCRIPTION `'' ACCOUNT - QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $5.85 $5.85 5/2/16 PAID BY METHOD RECEIPT # CHECK #:.: CLTD BY ERIC SAITO CHECK R15200 1065 RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $5.85 $5.85 TOTALS:• Description: RICK SAITO / ADDITION CASITA Type: BUILDING, RESIDENTIAL Subtype: ADDITION Status: APPROVED Applied: 3/11/2016 RSE Approved: 4/28/2016 JJO Parcel No: 775280054 Site Address: 55738 BRAE BURN LA QUINTA,CA 92253 Subdivision: TR 29003 Block: Lot: 9 Issued: Lot Sq Ft:.0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $45,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 4/28/2016 Details: I CALL MIGUEL TAFOYA THAT THE CASITA NEEDS STRUC CALC.RSE NEW ATTACHED 529 SQ. FT. CASITA. PER 2013 CRC CODES CASITA NOT FIRE SPRINKLED ADDITIONAL SITES Printed: Monday, May 02, 2016 11:43:16 AM. 1 of 51w''� f.1 LJ sysrEMs CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE JIM JOHNSON 4/28/2016 4/28/2016 WAITING FOR STRUC CORRECTIONS OWNER CAME TO CHECK ON PERMITS, HE WAS GIVEN OFFICE MEETING JIM JOHNSON 4/28/2016 4/28/2016 SCHOOL FEE LETTER AND TOLD THE CONTRACTOR NEED A SUB -CONTRACTORS LIST. PLANS WIL BE READY TODAY PLAN CHECK'COMMENTS FROM CONSULTANT KAY HENSEL 3/28/2016 3/28/2016 STRUC RFC 3/28/2016 RECEIVED PLAN CHECK PICKED UP RAMSES SEVILLA 3/30/2016 3/30/2016 MIGUEL TAFOYA PICK UP PLANS. PLAN CHECK SENT TO RAMSES SEVILLA 3/11/2016 3/11/2016 OUTSIDE PC PLAN CHECK SENT TO RAMSES SEVILLA 4/14/2016 4/14/2016 OUTSIDE PC Printed: Monday, May 02, 2016 11:43:16 AM. 1 of 51w''� f.1 LJ sysrEMs PLAN CHECK SUBMITTAL RAMSES SEVILLA 3/11/2016 FINANCIAL INFORMATION 3/11%2016 RECEIVED DESCRIPTION ACCOUNT QTY AMOUNT PAID PLAN CHECK SUBMITTAL RAMSES SEVILLA 4/14/2016 METHOD PAID BY 4/14/2016 RECEIVED TELEPHONE CALL JIM JOHNSON 3/29/2016 0 $62.36 3/29/2016 5/2/16 CALLED MIGEL TAFOYA TO INFORM HIM THE PLANS ARE 1065 CHECK ERIC SAITO RSE ADDITIONAL 500 SF READY FOR CORRECTIONS CONDITIONS CONDITION DATE DATE DATE 0 $17.40 $17.40 5/2/16 CONTACT 1065 STATUS REMARKS NOTES TYPE ADDED REQUIRED SATISFIED READY TO ISSUE JIM JOHNSON 4/26/2016 PENDING CHECKLIST 101-0000-42400 0 $120.83 $120.83 5/2/16 R15200 1065 CHECK ERIC SAITO CONTACTS ADDITION, FIRST 100 SF 101=0000-42600 0 $171.14 $171.14 NAME -TYPE NAME 1065 ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT MIGUEL A TAFOYA 36947 COOK PALM DESERT CA Total Paid for ADDITION: $371.73 $371.73 CONTRACTOR DESERT MASTER BUILDERS INC DBA 80558 ULLSWATER DR INDIO CA 92203 MONTEREY ' OWNER ERIC SAITO 2607 HILLCREST CT WEST LINN OR 92253 Printed: Monday, May 02, 2016 11:43:16 AM 2 of 5 SYSTEMS FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY ADDITION, EA 101-0000-42400 0 $62.36 $62.36 5/2/16 R15200 1065 CHECK ERIC SAITO RSE ADDITIONAL 500 SF ADDITION, EA 101-0000-42600 0 $17.40 $17.40 5/2/16 R15200 1065 CHECK ERIC SAITO RSE ADDITIONAL 500 SF PC ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $120.83 5/2/16 R15200 1065 CHECK ERIC SAITO RSE ADDITION, FIRST 100 SF 101=0000-42600 0 $171.14 $171.14 5/2/16 R15200 1065 CHECK ERIC SAITO RSE PC Total Paid for ADDITION: $371.73 $371.73 Printed: Monday, May 02, 2016 11:43:16 AM 2 of 5 SYSTEMS Printed: Monday, May 02, 2016 11:43:16 AM 3 of 5 C7 sysrcMs CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY . BY HOURLY PLAN CHECK - 101-0000-42600 1.5 $105.00 $105.00 5/2/16 R15200 1065 CHECK ERIC SAITO RSE YES HOURLY PLAN CHECK - 101-0000-42600 1.25 $87.50 $87.50 5/2/16 R15200 1065 CHECK ERIC SAITO RSE YES Total Paid for BLDG CITY STAFF - PER HOUR: $192.50 $192.50 BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 5/2/16 R15200 1065 CHECK ERIC SAITO RSE Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $2.00 BSA: RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $145.03 5/2/16 R15200 1065 CHECK .ERIC SAITO RSE 1,000$F RESIDENTIAL, FIRST 101-0000-42600 0 $47.86. $47.86 5/2/16 R15200 1065 CHECK ERIC SAITO RSE 1,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $192.89 CONDENSER/COMPRES 101-0000-42402 0 $36.26 $36.26 5/2/16 R15200 1065 CHECK ERIC SAITO RSE 50 R CONDENSER/COMPRES 101-0000-42600 0 $24.17 $24.17 5/2/16 R15200 1065 CHECK ERIC SAITO RSE SOR PC FURNACE 101-0000-42402 0- $36.26 $36.26 5/2/16 R15200 1065 CHECK ERIC SAITO RSE FURNACE PC 101-0000-42600 0 $24.17 $24.17 5/2/16 •1115200 1065 CHECK ERIC SAITO RSE VENT FAN 101-0000-42402 0 $12.09 $12.09 5/2/16 R15200 1065 CHECK ERIC SAITO RSE VENT FAN PC 101-0000-42600 0 $4.83 $4.83 5/2/16 R15200 1065 CHECK ERIC SAITO RSE Total Paid for MECHANICAL: $137.78 $137.78 FIXTURE/TRAP 101-0000-42401 0 $48.36 $48.36 5/2/16 R15200 1065 CHECK ERIC SAITO RSE FIXTURE/TRAP PC 101-0000-42600 0 $48.36 $48.36 5/2/16 R15200 1065 CHECK ERIC SAITO RSE GAS SYSTEM, 1-4. 101-0000-42401 0 $12.09 $12.09 5/2/16 R15200 1065 CHECK ERIC SAITO RSE OUTLETS GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $24.17 5/2/16 R1S200 1065 CHECK ERIC SAITO RSE OUTLETS PC Printed: Monday, May 02, 2016 11:43:16 AM 3 of 5 C7 sysrcMs Printed: Monday, May 02, 2016 11:43:16 AM 4 of S ,:, SYSTEMS STATUS REMARKS NOTES REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT# CHECK # METHOD PAID BY BY WATER HEATER/VENT 101-0000-42401 0 $12.09 $12.09 5/2/16 R15200 1065 CHECK ERIC SAITO RSE WATER HEATER/VENT 101-0000-42600 0 $7.25 $7.25 5/2/16 1115200 1065 CHECK ERIC SAITO RSE PC 4/26/2016 APPROVED WK) WATER SYSTEM 101-0000-42401 0 $12.09 $12.09 5/2/16 R15200 1065 CHECK ERIC SAITO RSE INST/ALT/REP WATER SYSTEM 101-0000-42600 0 $12.09 $12.09 5/2/16 R15200 1065 CHECK ERIC SAITO RSE INST/ALT/REP PC . Total Paid for PLUMBING FEES: ' $176.50 $176.50 SMI -RESIDENTIAL 101-0000-20308 0 $5.85 $5.85 1 5/2/16 1115200 1 1065 1 CHECK ERIC SAITO RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $5.85 $5.85 TOTALS: Printed: Monday, May 02, 2016 11:43:16 AM 4 of S ,:, SYSTEMS STATUS REMARKS NOTES REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE IST BLDG NS (2 WK) JIM JOHNSON 3/11/2016 3/28/2016 3/29/2016 REVISIONS REQUIRED 1ST BLDG STR (2 JOHN 3/11/2016 3/28/2016 3/28/2016 REVISIONS REQUIRED JOHN WE ARE GOING TO EMAIL YOU THE STRUC WK) THOMPSON CALC RSE 2ND BLDG NS (2 JIM JOHNSON 4/14/2016 4/28/2016 4/26/2016 APPROVED WK) 2ND BLDG STR (2 JOHN 4/14/2016 4/28/2016 4/27/2016 READY FOR APPROVAL WK) THOMPSON Printed: Monday, May 02, 2016 11:43:16 AM 4 of S ,:, SYSTEMS Printed: Monday, May 02, 2016 11:43:16 AM 5 of 5 ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 3/29/2016 JIM JOHNSON 55-738 BRAE BURN.docx 55-738 BRAE BURN.docx 0 SCHOOL FEES BRES2016- SCHOOL FEES BRES2016- 0 DOC 4/26/2016. JIM JOHNSON 0070.pdf 0070.pdf 1ST CHECK - 1ST CHECK - DOC 3/28/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 COMMENTS.doc COMMENTS.doc 1ST CHECK - 1ST CHECK - DOC 3/28/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 TRANSMITTAL:pdf TRANSMITTAL.pdf. 2ND CHECK - 2ND CHECK - DOC 4/27/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf HOA LETTER BRAE HOA LETTER BRAE 1 DOC 4/14/2016 RAMSES SEVILLA BURN.pdf BURN.pdf Printed: Monday, May 02, 2016 11:43:16 AM 5 of 5 J6ft 7168 15XLAL 1�udjd %&* a0lip -,0070. City of La Quinta Building 8t Safety Division ermit # 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address:�r �(i('t' Owner's Name: `�lG SA [TO A. P. Number: 'Address: CS: -7! ?& Legal Description: City, ST, Zip: Contractor: Telephone: Address: Project Description: City, ST, Zip: y�(�) U �/► `' (%/�- "� • ' Telephone: P o e. 2 State Lic. # Arch., Engr., Designer: Address: -5f1 t16 5'�1.0 City., ST, Zip: 4A vl'u TelePhone:7 O g2J ?i Z � Construction n TY e: Occupancy: P "A- cY: _ State Lic. #: Project ect hPa (circle one): New Add'n Alter Repair Demo' _ Name of Contact Person: Sq. Ft.: #Stories: l #Units: Telephone # of Contact Person: 760 2 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for'corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance, Title 24 Calcs. v Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for corrections/issue ,Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact -Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, . Total Permit Fees Coachella,Valley Unified School District This Box For District Use Only 83-733 Avenue 55, Thermal, CA 92274 DEVELOPER FEES PAID , (760) 398-5909 — Fax (760) 398-1224 ti AREA: - - AMOUNT _ LEVEL ONE AMOUNT : ' LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/MD. AMOUNT: DATE:' • s RECEIPT: CHECK#: INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name:' o (PGA West) Date: April 28, 2016 Owner's Name: Phone No. Project Address: 55-738 Brae Burn., La Quinta, CA 92253 ti Project Description: Attached Casita APN: 775-280-054 Tract #: • Lot #'s: Type'of Development: Residential XX Commercial Industrial Total Square Feet of Building Area: 529 Sq: Ft. " 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 o ner/developer. 'Dated:. b 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: Specific Plan 83-002 (PGA West) Sunrise Agreement Number of Sq.Ft. 529 -1986 states that all residential untis within this area are to be charged a fee of $628.00 for each unit constructed regardless Amount per Sq.Ft. EXEMPT -- —� of the square footage. his certifcate is exempt because at is Amount Collected $0.00 for _an.addition only _and -the -per _unit fee was_previoulsy-paid! Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Certificate issued by: Leticia C. Torres, Facilities Analyst Signature: NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEE TAT NT. OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that tl ct 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. \,IV:c/myd6es/devfees/eertiticate ofcompliance form updated 3=2007: 11/2010 ,- Notice of Architectural Review March 11, 2016 Eric & Karen Saito Re: Architectural Application — 55738 Brae Burn (Heritage SBA) Dear Mr. & Mrs. Saito: The Architectural Review Committee has reviewed your application to build a casita at your residence. I am pleased to inform you that the Committee has approved your application as submitted with the following conditions: • The paint must match the existing paint on the house. If the paint does not match, you will be required to re -paint the entire house. • Submission of final approved .plans. from the City of La.Quinta. If any changes are required by the City the Committee requests. that you submit a summary of the changes. • You are responsible for the transplanting of the plants. If the plants do not survive the transplant you must replace.the plants with approved plants from the plant palette. • If a portable restroom is needed, please notify the Association and a location for the restroom will be determined by the Manager. Portable restrooms must be tan or gray in color. Enclosed is an Exhibit C — the Compliance Review Request form. Please complete this form after the work is completed and return it by mail or fax to the address below so the completed project can be inspected. If you have any questions, .please contact Kari Martin at 760-895-6345 or by email at Kaii.Martin@Managementtrustcom, ... Sincerely, For the Architectural Committee PGA WESTFairways Association Cassie Gertz, CCAM I Ge eral Manager The Management Trust — Desert Division Enclosure: Exhibit C — Compliance Review Request cc: Lot File Architectural Committee The Management Trust — Desert Division 39755 Berkey Drive, Suite A, Palm Desert, CA 92211 Phone: (760) 776-5100 Fax: (760) 776-5111 www.l?gawestfairways.com