BRES2015-0458VOICE (760) 777-7125
78-495 CALLE TAMPICO O�i � D
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT -
Date: 5/3/2016
Application Number: BRES2015-0458
Owner:
Property Address: 52910 DEL GATO DR
DG DEV LLC
APN: 770330021
78060 CALLE ESTADO STE 9
Application Description: DG DEV LLC RESIDENCE / TRADITION / NEW SFR
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $477,267.10
0 0
N
Applicant:
Contractor: 0^j
JODY JONES DEVELOPMENT CORPORATION
JODY JONES DEVELOPMENT TIR S c
78-060 CALLE ESTADO
78-060 CALLE ESTADO O V
LA QUINTA, CA 92253
LA QUINTA; CA 92253 21s� 4
U�
(760)698-9624
n
Llc. No.: 987962
O
U
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of 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: B License No.: 98 2
of the work for which this permit is issued.
�+I
3
have and will maintain workers' compensation insurance, as required by
Dater Contract �-
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:
OWNER-BUIL ER DECLARATION
Carrier:_ Policy Number:
I hereby affirm under penalty of perjury that 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 employ any 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
compensation 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 permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
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
Date: 3 / Applicant: �—
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora
permit subjects the applicant to a civil penalty of not more than five hundred dollars
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
() I, as owner of the property, or my employees with wages as 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.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE'LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
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 conditions 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
(1 I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit 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 owner of 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 contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(� I am exempt under Sec. . B.&P.C. for this reason
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.
Date:
Owner:
4,NSTRUCTION
COLENDING 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
Lender's
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. /" �p
Date: ,5 3 / Signature (Applicant or Agen. " ► 07,.—
t
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY AMOUNT PAID ` ;
PAID DATE
ART IN PUBLIC PLACES - RESIDENTIAL
270-0000-43201 0 $693.17 $693.17
5/3/16
PAID BY
METHOD " RECEIRT # CHECK #
-CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK R15232 3001
SKH
Total Paid for ART IN PUBLIC PLACES - AIPP: $693.17 $693.17
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$20.00
$20.00
5/3/16
PAID BY
METHOD ,
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $20.00 $20.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID ''
PAID DATE
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$942.00
5/3/16
PAID BY
METHOD,:.RECEIPT
#
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID `
PAID DATE
DIF - COMMUNITY CENTERS
254-0000-43200
0
$129.00
$129.00
5/3/16
PAID. BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT '
PAID '
PAID DATE
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$433.00
5/3/16
PAID BY
METHOD.
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - LIBRARIES
253-0000-43200
0
$344.00
$344.00
5/3/16
PAID BY
METHOD
'RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - PARK MAINTENANCE
256-0000-43200
0
$40.00
$40.00
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT..
QTY
AMOUNT
PAID
PAID DATE`
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$2,048.00
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT` `
PAID
PAID DATE
DIF - STREET MAINTENANCE
255-0000-43200
0
$116.00
$116.00
5/3/16
PAID BY
METHOD
RECEIPT#.
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$2,842.00
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$24.17
5/3/16
- PAID BY 'i
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT, .
QTY
AMOUNT
PAID
PAID DATE
TEMP POWER SERVICE PC
101-0000-42600
0
$16.92
$16.92
5/3/16
PAID BY
METHOD ._
RECEIPT # .
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
Total Paid for ELECTRICAL: $41.09 $41.09
DESCRIPTION:
ACCOUNT • ,
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF
101-0000-42403
0
$73.98
$73.98
5/3/16
PAID BY
METHOD :'
RECEIPT #
CHECK #
CLTD BY.
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT -
QTY ;
: ,.AMOUNT
PAID
PAID DATE .
RESIDENTIAL, EA ADDITION 1,000SF, PC
101-0000-42600
0
$30.48
$30.48
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF
.101-0000-42403
0
$145.03
$145.03
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK :#
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION `
ACCOUNT ''
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$47.86
$47.86
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $297.35 $297.35
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL PRECISE GRADING - CUSTOM
HOME LOT >7KSF
101-0000-42408
0
$36.26
$36.26
5/3/16
PAID BY
METHOD-
RECEIPT#.
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION.
ACCOUNT-
QTY
AMOUNT
PAID
PAID DATE.
RESIDENTIAL PRECISE GRADING -CUSTOM
HOME LOT >7KSF PC
101-0000-42600
0
$181.29
$181.29
5/3/16
PAID BY
METHOD _
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
Total Paid for GRADING:. $217.55 $217.55
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
CONDENSER/COMPRESSOR
101-0000-42402
0
$181.30
$181.30
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$120.85
$120.85
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
EXHAUST HOOD
101-0000-42402
0
$12.09
$12.09
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$4.83
5/3/16
PAID BY
METHOD
RECEIPT#
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION.
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FURNACE-
101-0000-42402
0
$181.30
$181.30
S/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT-
QTY
AMOUNT
PAID
PAID DATE
FURNACE PC
101-0000-02600
0
$120.85
$120.85
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
QTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
VENT FAN
101-0000-42402
0
$108.81
$108.81
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
VENT FAN PC
101-0000-42600
0
$43.47'
$43.47
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
Total Paid for MECHANICAL: $773.50 $773.50
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
MULTI -SPECIES RESIDENTIAL 0-8 UNITS -
2015 UPDATE
101-0000-20310
0
$1,301.00
$1,301.00
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00 $1,301.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$737.25
$737.25
5/3/16
PAID BY
METHOD
RECEIPT #,
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
Total Paid.for NEW CONSTRUCTION PERMIT: $737.25 .$737.25
DESCRIPTION
ACCOUNT"
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
.0
$1,000.00
$1,000.00
12/22/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R11666
2215
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PLAN CHECK
•101-0000-42600
0
$605.24
$605.24
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,605.24 $1,605.24
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BACKFLOW DEVICE
101-0000-42401
0
$12.09
$12.09
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BACKFLOW DEVICE PC
101-0000-42600
0
$4.83
$4.83
5/3/16
PAID BY:
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BUILDING SEWER
101-0000=42401
0
$12.09
$12.09
5/3/16
PAID BYE
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
. DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BUILDING SEWER PC
101-0000-42600
0
$12.09
$12.09
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP
101-0000-42401
U
$302.25
.$302.25
5/3/16
PAID BY
METHOD
RECEIPT`#
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP PC
101-0000-42600
0
$302.25
$302.25
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$36.26
$36.26
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 5+ OUTLETS PC
101-0000-42600
0
$24.17
$24.17
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
ROOF DRAIN
101-000042401
0
$96.72
$96.72
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT -
QTY
AMOUNT
PAID
PAID DATE
ROOF DRAIN PC
101-0000-42600
0
$96.72
$96.72
5/3/16
'PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT `
PAID
PAID DATE
WATER HEATER/VENT
101-0000-42401
0
$24.18
$24.18
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT PC
101-0000-42600
0
$14.50
$14.50
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY •
AMOUNT
PAID
PAID DATE
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.09
$12.09
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.09
$12.09
5/3/16
PAID BY
METHOD
RECEIPT#
CHECK#
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK'
R15232
3001
SKH
Total Paid for PLUMBING FEES: $962.33 $962.33
DESCRIPTION
ACCOUNT :
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$62.04
$62.04
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $62.04 $62.04
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SINGLE FAMILY DETACHED
224-0000-20320
0
$1,837.44
$1,837.44
5/3/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JODY JONES DEVELOPMENT CORPORA
CHECK
R15232
3001
SKH
Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44
Description: DG DEV LLC RESIDENCE / TRADITION / NEW SFR
Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED
Applied: 12/22/2015 MFA
FAMILY DETACHED.
Approved: 5/3/2016 JJO
Parcel No: 770330021 Site Address: 52910 DEL GATO DR LA QUINTA,CA 92253
Subdivision: TR 28867 Block: Lot: 57
Issued:
Lot Sq- Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $477,267.10 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
COMPLETION DATE
Details: NEW SFD. THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, DRIVEWAY APPROACH, BBQ, WATER FEATURES OR FIRE PITS.
HOME IS FIRE SPRINKLED PER 2013 CRC CODES.
Printed: Tuesday, May 03, 2016 5:09:42 PM 1 of 9
CAWWYS TEMS
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
WORKED WITH RAMSES TO GET THE NON-STRUCTURAL AND
STRUCTURAL INFORMATION TOGETHER WHILE JIM WAS OUT
NOTE
JIM JOHNSON
3/16/2016
3/16/2016
OF THE OFFICE, RETURNED EVERYTHING TO REPRESENTITIVE
FROM JONES DEVELOPMENT AND SAID JIM WILL BE
CONTACTING HER WITH A COVER LETTER AND ANY
ADDITIONAL INFORMATION IF NECESSARY.
PLAN CHECK COMMENTS
STRUC RFC - NO PAPER CORRECTION LIST CAME BACK.
FROM CONSULTANT'
KAY HENSEL
3/11/2016
3/11/2016
ELECTRONIC TO AJ?? 3/11/2016
RECEIVED
PLAN CHECK COMMENTS
FROM CONSULTANT
RAMSES SEVILLA
1/6/2016
1/6/2016
RETURN FOR CORRECTIONS
RECEIVED
PLAN CHECK COMMENTS
FROM CONSULTANT
RAMSES SEVILLA
3/30/2016
3/30/2016
RECEIVED
Printed: Tuesday, May 03, 2016 5:09:42 PM 1 of 9
CAWWYS TEMS
PLAN CHECK PICKED UP
STEPHANIE KHATAMI
3/17/2016
3/17/2016
PAM
PLAN CHECK SENT TO
MARY FASANO
12/22/2015
12/22/2015
OUTSIDE PC
PLAN CHECK SENT TO
RAMSES SEVILLA
3/23/2016
3/23/2016
OUTSIDE PC
PLAN CHECK SUBMITTAL
MARY FASANO
12/22/2015
12/22/2015
RECEIVED
PLAN CHECK SUBMITTAL
RAMSES SEVILLA
3/2/2016
3/2/2016
DID NOT HAVE FIRE LEETER APPROVAL, AND PLAN FOR PM10
RECEIVED
PLAN CHECK SUBMITTAL
RAMSES SEVILLA
3/23/2016
3/23/2016
RECEIVED
PUBLIC COUNTER VISIT
RAMSES SEVILLA
3/10/2016
3/10/2016
PAM PICK UP PM10 AND GRADING PIANS
PAM DROPPED OF GREEN SHEET. I GAVE HER SCHOOL LETTER
FEES AND SHE ALSO WANTED TO DROP OF THE TRUSS CALCS
PUBLIC COUNTER VISIT
RAMSES SEVILLA
3/15/2016
3/15/2016
BUT I INFORMED HER TO BRING THEM IN THE 3RD PLAN
REVIEW.
CALLED GORDON STEIN TO INFORM HIM THE PLANS ARE
TELEPHONE CALL
JIM JOHNSON
1/14/2016
1/14/2016
READY FOR CORRECTIONS
TELEPHONE CALL
JIM JOHNSON
3/16/2016
3/16/2016
called mike to inform him the plans are ready for corrections
CONDITIONS
CONDITION
CONTACT
DATE
DATE
DATE
STATUS REMARKS
NOTES
TYPE,
ADDED
REQUIRED
SATISFIED
READY TO ISSUE
PLANS NOT SIGNED
JIM JOHNSON
3/9/2016
3/9/2016
5/3/2016
COMPLETE
CHECKLIST
PLANS SIGNED
CONTACTS
NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL
APPLICANT
JODY JONES DEVELOPMENT 78-060 CALLE ESTADO LA QUINTA CA 92253 (760)698-9624
CORPORATION
Printed: Tuesday, May 03, 2016 5:09:42 PM 2 of 9
SYS TEMS
Printed: Tuesday, May 03, 2016 5:09:42 PM 3 of 9
CN?WY57fM5
NAME TYPE .
NAME
'ADDRESSS
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
CONTRACTOR
JODY JONES DEVELOPMENT
CORPORATION
78-060 CALLE ESTADO
LA QUINTA
CA
92253
(760)698-9624
OWNER
DG DEV LLC
78060 CALLE ESTADO
STE 9
LA QUINTA
CA
92253
(760)698-9624
PAID
PAID DATE
Printed: Tuesday, May 03, 2016 5:09:42 PM 3 of 9
CN?WY57fM5
FINANCIAL
INFORMATION
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
JODY JONES
ART IN PUBLIC PLACES -
270-0000-43201
0
$693.17
$693.17
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
RESIDENTIAL
CORPORA
Total Paid for ART IN PUBLIC PLACES - AIPP: $693.17 $693.17
JODY JONES
BSAS SB1473 FEE
101-0000-20306
0
$20.00
$20.00
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA
Total Paid for BUILDING STANDARDS ADMINISTRATION $20.00 $20.00
BSA:
JODY JONES
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$942.00
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA
JODY JONES
DIF -COMMUNITY
254-0000-43200
0
$129.OU
$129.00
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CENTERS
CORPORA
JODY JONES
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$433.00
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA
JODY JONES
DIF - LIBRARIES
253-0000-43200
0
$344.00
$344.00
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA
Printed: Tuesday, May 03, 2016 5:09:42 PM 3 of 9
CN?WY57fM5
Printed: Tuesday, May 03, 2016 5:09:42 PM 4 of 9 C§?
SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
-
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
JODYJONES
DIF - PARK
256-0000-43200
0
$40.00
$40.00
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
MAINTENANCE
CORPORA
JODY JONES
DIF - PARKS/REC
251-0000=43200
0
$2,048.00
$2,048.00
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA
JODY JONES
DIF - STREET
255-0000-43200
0
$116.00
$116.00
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
MAINTENANCE
CORPORA
JODY JONES
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$2,842.00
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00
1ODYJONES
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$24.17
5/3/16
R15232
3001
CHECK
DEVELOPMENT"
SKH
CORPORA
1ODY JONES
TEMP POWER SERVICE
101-0000-42600
0
$16.92
$16.92
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
PC
CORPORA
Total Paid for ELECTRICAL: $41.09 $41.09
JODY JONES
RESIDENTIAL, EA
101-0000-42403
0
$73.98
$73.98
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
ADDITION 1,OOOSF
CORPORA
JODY JONES
RESIDENTIAL, EA
E
101-0000-42600
0
$30.48
$30.48
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
ADDITION 1AL
, PC
CORPORA
JODY JONES
RESIDENTIAL, FIRST
101-0000-42403
0
$145.03
$145.03
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
1,0005E
CORPORA
Printed: Tuesday, May 03, 2016 5:09:42 PM 4 of 9 C§?
SYSTEMS
Printed: Tuesday, May 03, 2016 5:09:42 PM 5 of 9
SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
JODY JONES
RESIDENTIAL, FIRST
101-0000-42600
0
$47.86
$47.86
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
1,000SF, PC
CORPORA
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $297.35 $297.35
RESIDENTIAL PRECISE
JODY JONES _
GRADING - CUSTOM
101-0000-42408
0
$36.26
$36.26
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
HOME LOT >7KSF
CORPORA
RESIDENTIAL PRECISE
JODY JONES
GRADING - CUSTOM
101-0000-42600
0
$181.29
$181.29
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
HOME LOT>7KSF PC
CORPORA
Total Paid for GRADING: $217.55 $217.55
JODY JONES
CONDENSER/COMPRES
101-0000-42402
0
$181.30
$181.30
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
SOR
CORPORA
JODY JONES
CONDENSER/COMPRES
101-0000-42600
0
$120.85
$120.85
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
SOR PC
.CORPORA
JODY JONES
EXHAUST HOOD
101-0000-42402
0
$12.09
$12.09
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA
JODY JONES
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$4.83
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA
JODYJONES
FURNACE
101-0000-42402
0
$181.30
$181.30
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA
JODY JONES
FURNACE PC
101-0000-42600
0
$120.85
$120.85
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA
Printed: Tuesday, May 03, 2016 5:09:42 PM 5 of 9
SYSTEMS
Printed: Tuesday, May 03, 2016 5:09:42 PM 6 of 9
gr�SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
-
CHECK #
METHOD
PAID BY
BY
JODYJONES
VENT FAN
101-0000-42402
0
$108.81
$108.81
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA
JODYJONES
VENT FAN PC
101-0000-42600
0
$43.47
$43.47
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA
Total Paid for MECHANICAL: $773.50 $773.50
MULTI -SPECIES
JODYJONES
RESIDENTIAL 0-8 UNITS
101-0000-20310
0
$1,301.00
$1,301.00
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
- 2015 UPDATE
CORPORA
Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00 $1,301.00
JODYJONES
NEW CONSTRUCTION
101-0000-42400
0
$737.25
$737.25
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
PERMIT
CORPORA
Total Paid for NEW CONSTRUCTION PERMIT: $737.25 $737.25
JODYJONES
NEW CONSTRUCTION
101-0000-42600
0
$1,000.00
$1,000.00
12/22/15
R11666
2215
CHECK
DEVELOPMENT
MFA
PLAN CHECK
CORPORA
JODYJONES
NEW CONSTRUCTION
101-0000-42600
0
$605.24
$605.24
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
PLAN CHECK
CORPORA
Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,605.24 $1,605.24
JODYJONES
BACKFLOW DEVICE
101-0000-42401
0
$12.09
$12.09
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA
JODYJONES
BACKFLOW DEVICE PC
101-0000-42600
0
$4.83
$4.83
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA
JODYJONES
BUILDING SEWER
101-0000-42401
0
$12.09
$12.09
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA
Printed: Tuesday, May 03, 2016 5:09:42 PM 6 of 9
gr�SYSTEMS
Printed: Tuesday, May 03, 2016 5:09:42 PM 7 of 9
RWYS TEMS
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
JODY JONES
BUILDING SEWER PC
101-0000-42600
0
$12.09
$12.09
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA
JODY JONES
FIXTURE/TRAP
101-0000-42401
0
$302.25
$302.25
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA .
JODY JONES
FIXTURE/TRAP PC
101-0000-42600
0
$302.25
$302.25
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA
JODY JONES
GAS SYSTEM, 5+
101-0000-42401
0
$36.26
$36.26
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
OUTLETS
CORPORA
JODY JONES
GAS SYSTEM, 5+
101-0000-42600
0
$24.17
$24.17
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
OUTLETS PC
CORPORA
1ODY JONES
ROOF DRAIN
101-0000-42401
0
$96.72
$96.72
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA
JODYJONES
ROOF DRAIN PC
101-0000-42600
0
$96.72
$96.72
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA
JODY JONES
WATER HEATER/VENT
101-0000-42401
0
$24.18
$24.18
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
CORPORA
JODY JONES
WATER HEATER/VENT
101-0000-42600
0
$14.50
$14.50
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
PC
CORPORA
JODY JONES
WATER SYSTEM
101-0000-42401
0
$12.09
$12.09
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
INST/ALT/REP
CORPORA
Printed: Tuesday, May 03, 2016 5:09:42 PM 7 of 9
RWYS TEMS
Printed: Tuesday, May 03, 2016 5:09:42 PM 8 of 9
- RWYSTEMS
PARENT.O
REVIEWS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
REMARKS
NOTES
DATE
1ST BLDG NS (3 WK)
BY
12/22/2015
1/21/2016
1/14/2016
REVISIONS REQUIRED
1ST BLDG STR (3
KURT CULVER
12/22/2015
1ODY JONES
1/5/2016
WATER SYSTEM
101-0000-42600
0
$12.09
$12.09
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
INST/ALT/REP PC
JIM JOHNSON
3/2/2016
3/16/2016
3/9/2016
APPROVED-
PLANS NOT SIGNED
WK)
CONDITIONS
2ND BLDG STR (2
KURT CULVER
3/2/2016
3/16/2016
CORPORA
REVISIONS REQUIRED
Total Paid for PLUMBING FEES: $962.33 $962.33
WK)
1ODY JONES
SMI - RESIDENTIAL
101-0000-20308
0
$62.04
$62.04
5/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
REVISIONS REQUIRED
AND GREEN SHEET PUT IN PICK UP BIN AT
SHEET
CORPORA
COUNTER
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $62.04 $62.04
1ODY JONES
SINGLE FAMILY
224-0000-20320
0
$1,837.44
$1,837.445/3/16
R15232
3001
CHECK
DEVELOPMENT
SKH
DETACHED
CORPORA
Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44
TOTALS:
Printed: Tuesday, May 03, 2016 5:09:42 PM 8 of 9
- RWYSTEMS
PARENT.O
REVIEWS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
RETURNED
STATUS
REMARKS
NOTES
DATE
1ST BLDG NS (3 WK)
JIM JOHNSON
12/22/2015
1/21/2016
1/14/2016
REVISIONS REQUIRED
1ST BLDG STR (3
KURT CULVER
12/22/2015
1/21/2016
1/5/2016
REVISIONS REQUIRED
WK)
2ND BLDG NS (2
JIM JOHNSON
3/2/2016
3/16/2016
3/9/2016
APPROVED-
PLANS NOT SIGNED
WK)
CONDITIONS
2ND BLDG STR (2
KURT CULVER
3/2/2016
3/16/2016
3/10/2016
REVISIONS REQUIRED
WK)
CALLED JODY TO PICK UP REDLINES. REDLINES
T PW GREEN
Fis
AMY YU
3/8/2016
3/15/2016
3/9/2016
REVISIONS REQUIRED
AND GREEN SHEET PUT IN PICK UP BIN AT
SHEET
COUNTER
Printed: Tuesday, May 03, 2016 5:09:42 PM 8 of 9
- RWYSTEMS
2ND PW GREEN
AMY YU
3/15/2016
3/22/2016
3/22/2016
READY FOR APPROVAL
Attachment Type
CREATED
SHEET
ATTACHMENTS
DESCRIPTION
PATHNAME
1ST REVIEW
BRES2015-0458 - 1ST
3RD BLDG STR (2
KURT CULVER
3/23/2016
4/6/2016
3/29/2016
READY FOR APPROVAL
REVIEW STRUCTURAL
WK)
(ESGIL)
FEE SHEET.pdf
FIRE
FIRE BUCKET
4/1/2016
4/15/2016
BRES2015-0458 - 1ST
DOC
Printed: Tuesday, May 03, 2016 5:09:42 PM 9 of 9 CR
SYSTEMS
SUBDIR
ETRAKIT ENABLED_,
BOND INFORMATION
Attachment Type
CREATED
OWNER
ATTACHMENTS
DESCRIPTION
PATHNAME
1ST REVIEW
BRES2015-0458 - 1ST
DOC
1/5/2016
AJ ORTEGA
STRUCTURAL FEE SHEET
REVIEW STRUCTURAL
0
(ESGIL)
FEE SHEET.pdf
1ST REVIEW
BRES2015-0458 - 1ST
DOC
1/5/2016
AJ ORTEGA
STRUCTURAL
REVIEW STRUCTURAL
0
CORRECTIONS (ESGIL)
CORRECTIONS.pdf
BRES2015-0458 - 2ND
'
2ND REVIEW
REVIEW STRUCTURAL
DOC
3/10/2016
AJ ORTEGA
STRUCTURAL
0
CORRECTIONS
CORRECTIONS (ESGIL)
(ESGIL).pdf
3RD REVIEW
BRES2015-0458 - 3RD
STRUCTURAL
REVIEW STRUCTURAL
DOC
3/30/2016
AJ ORTEGA
0
TRANSMITTAL
TRANSMITTAL
(APPROVED)
(APPROVED).pdf
SCHOOL FEES BRES2015-
SCHOOL FEES BRES2015-
DOC
3/9/2016
JIM JOHNSON
0
0458.pdf
0458.pdf
DOC
3/23/2016
RAMSES SEVILLA
PM 10 GREEN SHEET
PM 10.pdf
1
DOC
5/3/2016
STEPHANIE KHATAMI
HOA APPROVAL 5-3-16
HOA APPROVAL 5-3-
0
16.pdf
CERTIFICATION OF
CERTIFICATION OF
BUILIDNG AREA-
BUILIDNG AREA-
DOC
5/3/2016
STEPHANIE KHATAMI
0
SCHOOL FEE RECEIPTS-
SCHOOL FEE RECEIPTS -
3 -16
3-16.pdf
Printed: Tuesday, May 03, 2016 5:09:42 PM 9 of 9 CR
SYSTEMS
_6Q,
P.O. BOX 1504
Building 78-495 CALLE TAMPICO
Address 57- -cl 10 EL 4!�QTO �e. LA QUINTA, CALIFORNIA 92253
DG bev LLC
Mailing �A
Address -[8.04,0 (__/A 1 i F ES74po
City lZiD ITel.
W-rA 1 612Z53
`78 •oho (�.� Es-rA. �o , �-�
C1�QutM-r4 I�GiZZ53 `74..9,0P �,q&zd I
APPLICATION ONLY
BUILDING: TYPE CONST. Y5> OCC. GRP.
A.P. Number 77o - 3 5o - oz I 1
Legal Description L1 IT =1w 5,1 l ��.d71 T le[otel I I -
Project Description Q S Q6,L� FAM (LY h 0 fic—
W.17"(4 �,i Z-/�G l-4 ED 3 C e Q54JU6F_
Ordte t_R;. I-ItY Sq. Ft. ,I N0. No. Dw.
& Classif. g87,11o2 Lic. # UI l ( ZZ I Size 54oz Stories � Units I
Designer [rte P_nn►.l 15:.�i-r_i U
Aaaress lel.
Q l,>►o , Ci1V 1604Z�- (0335
Lic. #,
LICENSED CONTRACTOR'S DECLARATION
�hebyffirm that I am lic nse under.provisions of Chapter 9 (commencing with Section 000)
o 3 of t Busi s Pro ssions Code, and my license is in 1 11 1 c and ffec .
SIGXATUREE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
(Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct,
alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant /or
such permit to file a signed statement that he is licensed pursuant to the Provisions of the Contrac-
tor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code, or that he 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 o/
not more than live 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 Profes-
sions Code: The Contractor's License Law does not apply to an owner of property who builds or
improves thereon and who does such work himself or through his own employees, provided that
such 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 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 Contractor's License Law does not apply
to an owner of property who builds or improves thereon, and who contracts for such projects with
a contractor(s) licensed pursuant to the Contractor's License Law.)
01 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's
Compensation Insurance, or a certified copyJgd
Policy o. Company'Copy C ir Co
�
is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars (8100) valuation
or less).
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 Workers' Compensation Laws of California.
Date Owner
NOTICE TO APPLICANT If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for
Which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
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 the above-mentioned
property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
WHITE = BUILDING DEPARTMENT
New, Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
CONTACT INFORMATION
NAME: rk I R K r?N K/ U r` -
PHONE: 066) 2 %
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line _
Side Street Setback from Center Line
Side Setback from Property Line —
FINAL DATE—
Issued by:
Validated by: —
Validation:
YELLOW = APPLICANT
INSPECTOR
Date
PINK = FINANCE
CERTIFICATE OF COMPLIANCE JN�riEc s
Desert Sands Unified School District Qay cyo
W BERMUDA DUNES
47950 Dune Palms Road aANCIt0 MIRAGE
r.."WOLW WELLS'; y
La Qunita CA 92253' ��' coac°iLa �y
Date:S/3/2016 _ '
No.: 16-00199-1 (760)771-8515
Owner: DG Dev LLC Email:
Address: Jurisdiction: La Quinta .
City: Tract #:
Type: Single Family Residential
Lot # Street No. Street Name Sq. Feet APN Permit No.
52910 Del Gato 5402 770-330-021
Comments:
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions
under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking eating, or sanitation) or replacement
mobile homes. It has been determined that the above-named owner is exempt from.paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fess imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $3.36 X 5402 S.F. or $18,150.72 have been paid for the property listed above and that building
permits and/or Certificates of Occupancy for this square footage in the proposed project may now be issued.
Fees Paid By: CC/1st Bank -Pam Dixon Check No.: 1329113 .- ., Telephone:
Bank Name/Recipient of Certificate
Funding: Residential
By Dr. Gary Rutherford
Superintendent
Fee Collected/ Exempted by: Sh
Amou
Orig I Payi
"_J��New Paymen
11n. $18,150.72
Is) Rec'd-.� ,$0.00
'd: $18,150.72
r./Ursder, $0.00
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may,protest the'fees or
other payment identified above will begin to run from the date on which the building or installation permit for this project is issuedr;'orJrom"the date on
which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
Notice to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTE
RECEIVe
Ay 0 3 2016 x
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
RECORDING.. REQUESTED BY
Lawyers Title - IE
WHEN RECORDED MAIL THIS DOCUMENT
AND :TAX STATEMENTS TO
Albert W. Duffiled,
�i�cl:l w: u ► U,:A c, L`� tJ V
239 Lkto
APN: 770-330-021.4
Escrow No.: POL132-3`1-LT139-CM
DOC # 2015-01279:11
03/31/2015 11:49 AM Fees: $18.00'
Page 1 of 2 Doc T Tax Paid
Recorded in Official Records.
County ofRiverside
Peter Ald'ana
Assessor, County Clerk & Recorder
"This document was electronically submitted.
to the County of Riverside forrecording"'
Receipted by: LJONES
�� .92m-0� Spate above this'linefor Recorder's use
GRANT DEED
THE GNDERSIGNED;GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX IS #632:50
I@'computed on. full value of.property conveyed-
® :City of`La. Quinta', AND
FOR A VALUABLE'CONSIDERATION,-receipt of:which is hereby. acknowledged,
Scott Free, Trustee.ofthe Free Family Trust dated 2-10-97
hereby.GRANT(,S) to
DelGatodev, LLC
the following described real. property.'inahe'City of La Quinta County of Riverside, State of CALIFORNIA:"
For legal description of the real property herein, see Exhibit attached hereto and made.a part hereof..
Commonly known as: 52910 D Gato - Lot 57 ,.La Quinta, CA 92253
Dated: March 12_20TS ~_5r
the Free.FarnilylNsS: all5d;2-10-9,
By: Scott free, Tru
A notary public ar other officer completing this certificate verifies only the identity of theandividual who signed the
document.to whlch this certificate is attached;.and not the truthfulness, accuracy, or validity of that document.
.STATE OF. CALIFORNIA.
San':: Qie
o
COUNTYOF _ 9 }:
On Ntarch 47 2015 before me, �N_ /?'1._ T��'G'f3�tJ Notary Public,. personally
appeared Scott_'Firg
who provedto me on the basis of.satisfactory evidence' to..'be the.personhj whose namefsj- isfertrsubscribed ;to:
the within: instrument and ackriovrledged to me that hefsgeftfiey executed the.same in his/!lwf 4 ..r authorized'
capacityf�, and :thatby fifsfpeWt4eir signatur" on the instrument the {r},: or. the entity upon behalf: of
which.itie personl;y},acted executed the _.ierson
pnstrument.
I certify.under PENALTY OF PERJURY under. the la..ws, of the State -of. California that'the foregoing`para.graph it true:
and correct.
WITNESS�my. haind and official seal. ELAINE M. REGIIN
comfft! Ien 0 207VI9
Notary PMC - CMitornla
San DIW C -G-
My Como. 21, 2018
Signature . I (-,��r�- --•.
AILTAX STATEMENTS AS DIRECTED ABOVE
Order: Non -Order Search Doc: RV:2015 00127911 Page 1 of 2 Created By: dijohnson Printed: 1/22/2016 4:15:16 PM PST