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BRES2016-0152r . 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: ANTON MARINKOVICH BRES2016-0152 50055 ELDORADO DR 777280002 HALDEMAN RESIDENCE $74,482.40 4 VOICE (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/11/2016 Owner: TIM HALDEMAN 50055 ELDORADO DR ASITA ADDITION-303-S'F=LA QUINTA, CA 92253 JUL 11 2016 WYOFLAQUIMA C0' ',tjNrrV 0e+EIAPMENT 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. C33, C53, C-9, C10, C20, C36, C21 License No.: 581636 Date- i Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) I, as owner of the property, or my employees with wages as their sole compensation,'will do the work, and the structure is not .ntended 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 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 Lender's Contractor: SIPOVAC CONSTRUCTION INC 72651 THEODORA LANE PALM. DESERT, CA 92260 (760)567-2347 Llc. No.: 581636 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: _ Policy Number: _ _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: ' 7111116 Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentio ed pr perty for inspection purposes. Date: �Z l Signature (Applicant or Agent DESCRIPTION FINANCIAL •R ACCOUNT • QTY AMOUNT PAID PAID DATE ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 0 $62.36 $62.36 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY COMMERCE ESCROW CHECK R16982 226301 RSE DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE ADDITION, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $17.40 $17.40 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY COMMERCE ESCROW CHECK R16982 226301 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $120.83 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY COMMERCE ESCROW CHECK R16982 226301 RSE DESCRIPTION ACCOUNT - QTY AMOUNT PAID PAID DATE ADDITION, FIRST 100 SF PC 101-0000-42600 .0 $171.14 .$171.14 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY COMMERCE ESCROW CHECK R16982 226301 RSE- Total Paid for ADDITION: $371.73 $371.73 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 0 $265.00 $265.00 7/11/16 PAID BY METHOD. RECEIPT # CHECK # CLTD BY COMMERCE ESCROW CHECK R16982 226301 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 0 $105.00 $105.00 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY COMMERCE ESCROW CHECK R16982 226301 RSE Total Paid for BLDG CITY STAFF -'PER HOUR: $370.00 $370.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $3.00 $3.00 7/11/16 PAID BY METHOD RECEIPT # CHECK# CLTD BY COMMERCE ESCROW CHECK R16982 226301 RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $3.00 $3.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $145.03 7/11/16 PAID. -BY METHOD RECEIPT # CHECK # CLTD BY COMMERCE ESCROW CHECK R16982 226301 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $47.86 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY COMMERCE ESCROW CHECK R16982 226301 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 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY COMMERCE ESCROW CHECK R16982 226301 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $24.17 $24.17 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY COMMERCE ESCROW CHECK R16982 226301 RSE DESCRIPTION ACCOUNT QTY ; AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $36.26 $36.26 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY COMMERCE ESCROW CHECK R16982 226301 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $24:17 $24.17 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY . COMMERCE ESCROW CHECK 816982 226301 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $12.09 $12.09 7/11/16 -PAID BY METHOD RECEIPT # CHECK # CLTD BY ' COMMERCE ESCROW CHECK 816982 226301 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $4.83 $4.83 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY COMMERCE ESCROW CHECK R16982 226301 RSE Total Paid for MECHANICAL: $137.78 $137.78 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42461 0 $48.06 $48.06 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY COMMERCE ESCROW CHECK R16982 226301 RSE DESCRIPTION ACCOUNT QTY- AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $0.30 $0.30 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY COMMERCE ESCROW CASH R16983 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $48.36 $48.36 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY COMMERCE ESCROW CHECK R16982 226301 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-000042401 0 $12.09 $12.09 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY COMMERCE ESCROW CHECK R16982 226301 RSE DESCRIPTION ' ACCOUNT QTY AMOUNT PAID PAID DATE ' WATEWSYSTEM INST/ALT/REP PC 101-0000-42600 U $12.09 $12.09 7/11/16 PAID BY . METHOD RECEIPT # CHECK # CLTD BY COMMERCE ESCROW CHECK R16982 226301 RSE Total Paid for PLUMBING FEES: $120.90 $120.90 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $9.00 $9.00 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY COMMERCE ESCROW CHECK R16982 226301 RSE DESCRIPTION ACCOUNT' QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $0.68 $0.68 7/11/16 PAID BY .. - METHOD. RECEIPT # _ CHECK # CLTD BY COMMERCE ESCROW CASH R16983 • RSE, Total Paid for STRONG MOTION INSTRUMENTATION SMI: $9.68 $9.68 • Description: HALDEMAN RESIDENCE / CASITA ADDITION 303 SF CHRONOLOGY ACTION DATE Type: BUILDING, RESIDENTIAL Subtype: ADDITION Status: APPROVED Applied: 6/1/2016 MFA Approved: 7/8/2016 JJO Parcel No: 777280002 Site Address: 50055 EL DORADO DR LA QUINTA,CA 92253 Subdivision: TR 30357 Block: Lot: 151 Issued: . Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $74,482.40 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 303 SQ.FT. ATTACHED CASITA PER 2013 CRC CODES, CASITA NOT FIRE SPRINKLED STEPHANIE KHATAMI ADDITIONAL SITES __j Applied to Approved CHRONOLOGY TYPE STAFF NAME CHRONOLOGY ACTION DATE COMPLETION DATE NOTES NOTE JIM JOHNSON 6/14/2016 6/15/2016 WAITING FOR PLANS TO BE RETURNED FROM YOUNG NOTE JIM JOHNSON 7/7/2016 7/8/2016 WAITING FOR STRUC APPROVAL NOTE MARY FASANO 7/7/2016 7/7/2016 RECEIVED PLANS FROM YOUNG. APPROVABLE PLAN CHECK COMMENTS FROM CONSULTANT RECEIVED JIM JOHNSON 6/15/2016 6/15/2016 PLAN. CHECK PICKED UP STEPHANIE KHATAMI 6/15/2016 6/15/2016 ANTON PLAN CHECK SENT TO OUTSIDE PC STEPHANIE KHATAMI 6/22/2016 6/22/2016 PLAN CHECK SUBMITTAL RECEIVED MARY FASANO 6/1/2016 6/1/2016 RESUBMITTAL STEPHANIE KHATAMI 6/22/2016 6/22/2016 Printed: Monday, July 11, 2016 3:24:56 PM 1 of S c7 SYSTEnAS TELEPHONE CALL JIM JOHNSON 6/15/2016 6/15/2016 CALLED ANTON TO INFORM HIM THE PLANS ARE READY FOR INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID CORRECTIONS TELEPHONE CALL JIM JOHNSON CHECK # 7/8/2016 - PAID BY CLTD 7/8/2016 CALLED ANTON TO INFORM HIM THE PLANS ARE READY TO BY ADDITION, EA ISSUE 0 $62.36 $62.36 CONDITIONS R16982 226301 CHECK CONDITION DATE DATE DATE CONTACT STATUS REMARKS NOTES TYPE ADDED REQUIRED SATISFIED 0 $17.40 $17.40 7/11/16 READY TO ISSUE 226301 CHECK COMMERCE ESCROW RSE ADDITIONAL 500 SF PC JIM JOHNSON 7/8/2016 7/11/2016 COMPLETE SCHOOL FEES REQUIRED. CHECKLIST ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $120.83 7/11/16 R16982 226301 CHECK CONTACTS RSE ADDITION, FIRST 100 SF 101-0000-42600 0 $171.14 NAME TYPE. NAME R16982 ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT ANTON MARINKOVICH (310)994-1408 Total Paid for ADDITION: $371.73 $371.73 HOURLY PLAN CHECK - CONTRACTOR SIPOVAC CONSTRUCTION INC $265.00 72651 THEODORA PALM DESERT CA 92260 (310)994-1408 CHECK COMMERCE ESCROW RSE YES LANE OWNER TIM HALDEMAN 50055 EL DORADO DR LA QUINTA CA 92253 (310)994-1408 Printed: Monday, July 11, 2016 3:24:56 PM 2 of 5 sys'rriyis 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 7/11/16 R16982 226301 CHECK COMMERCE ESCROW RSE ADDITIONAL 500 SF ADDITION, EA 101-0000-42600 0 $17.40 $17.40 7/11/16 R16982 226301 CHECK COMMERCE ESCROW RSE ADDITIONAL 500 SF PC ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $120.83 7/11/16 R16982 226301 CHECK COMMERCE'ESCROW RSE ADDITION, FIRST 100 SF 101-0000-42600 0 $171.14 $171.14 7/11/16 R16982 226301 CHECK COMMERCE ESCROW RSE .PC Total Paid for ADDITION: $371.73 $371.73 HOURLY PLAN CHECK - 101-0000-426000 $265.00 $265.00 7/11/16 R16982 226301 CHECK COMMERCE ESCROW RSE YES Printed: Monday, July 11, 2016 3:24:56 PM 2 of 5 sys'rriyis DESCRIPTION W ACCOUNT CITY 'AMOUNT PAID _ PAID DATE. RECEIPT # ' CHECK # METHOD PAID BY BY HOURLY PLAN CHECK - 101-0000-42600 0 $105.00 $105.00 7/11/16 R16982 226301 CHECK COMMERCE ESCROW RSE YES Total Paid for BLDG CITY STAFF - PER HOUR:. $370.00 $370.00 BSAS SB1473 FEE 101-0000-20306 0 $3.00 $3.00 7/11/16 R16982 226301 CHECK COMMERCE.ESCROW RSE Total Paid for BUILDING STANDARDS ADMINISTRATION $3.00 $3.00 BSA: RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $145.03 7/11/16 R16982 226301 CHECK COMMERCE ESCROW RSE 1,0005E RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $47.86 7/11/16 R16982 226301 CHECK COMMERCE ESCROW RSE 1,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $192.89 CONDENSER/COMPRES 101-0000-42402 0 $36.26 $36.26 7/11/16 R16982 226301 CHECK COMMERCE ESCROW RSE SOR CONDENSER/COMPRES 101-0000-42600 0 $24.17 $24.17 7/11/16 R16982 226301 CHECK COMMERCE ESCROW RSE SOR PC FURNACE 101-0000-42402 0 $36.26 $36.26 7/11/16 R16982 226301 CHECK COMMERCE ESCROW RSE FURNACE PC 101-0000-42600 0 $24.17 $24.17 7/11/16 R16982 226301 CHECK COMMERCE ESCROW RSE VENT FAN 101-0000-42402 0 $12.09 $12.09 7/11/16 R16982 226301 CHECK COMMERCE ESCROW RSE VENT FAN PC 101-0000-42600 0 $4.83 $4.83 7/11/16 R16982 '226301 CHECK COMMERCE ESCROW RSE Total Paid for MECHANICAL: $137.78 .$137.78 FIXTURE/TRAP 101-0000-42401 0 $48.06 $48.06 7/11/16 R16982 226301 CHECK COMMERCE ESCROW RSE FIXTURE/TRAP 101-0000-42401 0 $0.30 $0.30 7/11/16 R16983 CASH COMMERCE ESCROW RSE FIXTURE/TRAP PC. 101-0000-42600 0 $48.36 $48.36 7/11/16 R16982 226301 CHECK COMMERCE ESCROW RSE WATER SYSTEM 101-0000-42401 0 $12.09 $12.09 7/11/16 R16982 226301 CHECK COMMERCE ESCROW RSE INST/ALT/REP Printed: Monday, July 11, 2016 3:24:56 PM 3 of 5 ,, SYST f ti1S INSPECTIONS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED REVIEWS STATUS REMARKSDATE NOTES CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY REVISIONS REQUIRED 1ST BLDG ST_R (2 BRONZ 6/1/2016 6/15/2016 6/14/2016 REVISIONS REQUIRED BY WATER SYSTEM 101-0000-42600 0 $12.09 $12.09 7/11/16 R16982 226301 CHECK COMMERCE ESCROW RSE INST/ALT/REP PC APPROVED WK) Total Paid for PLUMBING FEES: $120.90 $120.90 SMI - RESIDENTIAL 101-0000-20308 0 $9.00 $9.00 7/11/16 R16982 226301 CHECK COMMERCE ESCROW RSE SMI - RESIDENTIAL 101-0000-20308 0 $0.68 $0.68 7/11/16 R16983 CASH COMMERCE ESCROW RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $9.68 $9.68 TOTALS: INSPECTIONS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED REVIEWS STATUS REMARKSDATE NOTES 1ST BLDG NS (2 WK) JIM JOHNSON 6/1/2016 6/15/2016 6/14/2016 REVISIONS REQUIRED 1ST BLDG ST_R (2 BRONZ 6/1/2016 6/15/2016 6/14/2016 REVISIONS REQUIRED WK) YOUNG 2ND BLDG NS (2 JIM JOHNSON 6/22/2016 7/7/2016 7/1/2016 APPROVED WK) 2ND BLDG STR (2 BRONZ 6/22/2016 7/7/2016 7/7/2016 READY FOR APPROVAL WK) YOUNG Printed: Monday, July 11, 2016 3:24:56 PM 4 of 5 CgPff sys7rnas Printed: Monday, July 11, 2016 3:24:56 PM 5 of 5 J SYSTEMS ATTACHMENTS Attachment Type- CREATED OWNER DESCRIPTION PATHNAME _' SUBDIR ETRAKIT ENABLED DOC 6/14/2016 JIM JOHNSON 50-055 ELDORADO 50-055 ELDORADO 0 DRIVE.docx DRIVE.docx DOC 7/8/2016 JIM JOHNSON SCHOOL FEES BRES2016- SCHOOL FEES BRES2016- 0 01S2.pdf 0152.pdf DOC 7/8/2016 JIM JOHNSON FEES BRES2016- FEES BRES2016- 0 0152.pdf 0152.pdf 1ST CHECK - 1ST CHECK - DOC 6/14/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf 1ST CHECK - 1ST CHECK - DOC 6/14/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 COMMENTS.doc COMMENTS.doc 2ND SUBMITTAL 2ND SUBMITTAL DOC 6/23/2016 STEPHANIE KHATAMI CORRECTION LIST AND CORRECTION LIST AND 0 COMMENTS 6-23-16 COMMENTS 6-23-16.pdf, Printed: Monday, July 11, 2016 3:24:56 PM 5 of 5 J SYSTEMS A n 11,I J r --a 2E5 -MJ Z6 • Q /A' Bin #o V ''k� `City of U Quinta . l Building 8Z' Safety Division (L S 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 -Building Permit Application and Tracking Sheet Permit # t_ Vl `P Project Address: s� . �S- Owner's Name: 7l/y A. P. Number: Address:' bog -tAo Dye— City, ST, Zip: Legal Description: Contractor: Telephone:- ................ Address: 7"�jA'-_-> Project Description: City, ST, Zip: Telephone: ne• Po . h 0� State Lic. # : City Lic. Arch., Engr., Designer: Address: ?S _ %tf IE Q -_54!I8 ' ffzrno City, ST, Zip: P 1 h /� Telephone: one: •s Co structi n h n o T • an P• Occupancy: Type: Y P Y: #: ta DemoLic.idd Project hPa (circle one):: New Add'n Alt, r Repair Name of Contact Person:' �/ U�f7 Sq. Ft.: 13 # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project. 54> 0457.100 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd 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 HOUSE:- '"! 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 Crbachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 Project Name: HALDEMAN Owner's Name: HALDEMAN This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/IND. AMOUNT: DATE: RECEIPT: CHECK #: INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Address: 50-055 EL DORADO DRIVE, LA QUINTA, CA 92253 Project Description: ROOM ADDITION (ATTACHED CASITA) APN: 777-280-002 Tract #: Type of Development: Residential XX! Total Square Feet of Building Certification of Applicant/Owners: The person signing ce r penalty of perjury and further represents that he/she is autho '?, Dated: 7 // 4 Signature: Date: July 11, 2016 Phone No. Lot #'s: Commercial Industrial 303 so. ft. s that the above information is correct and makes this statement under to sign on behalf of the owner/developer. * * * * * * * * * * * * * * * * * * * * * * * * * * * * tA * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 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 17620 Number of Sq.Ft. Amount per Sq.Ft. Amount Collected Gov. Code 65995 303 EXEMPT 0.00 Project Agreement Existing Not Subject to Fee Approval Prior to 1/1/87 Requirement Note: rursuant to AB 181 any room additions or enclosures of 500 s.f._or_ less are exempt from developer_ fees., Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Certificate issued by: Leticia Torres, Facilities Analyst Signa re: NOTICE OF 90 DAY PERIOD FOR PROTEST OF REWAND"STWTEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires tfirat'ihis 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 Govern' 'e6 de 4,Additic"Pi 11yi t 1aa je�l t 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 Ce' 'fi �o� QcupancY rAs l`m thw, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of uance.`eExtensibni will b�eugr,only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. \4V:c/mydoes/deN,fees/certif7icate ofcompliancc form updated 3-2007' I1 11 2016 11/2010 CITY OF LA QUINTA COMMUNITY mvlzs nPAArmr ® YOUNG .. ENGINEERING S E R V 1 C; E. S_ Letter of Transmittal To: City of La Quinta Today's Date: 7-07-16 , 78-495 Calle Tampico City Due Date: 7-07-16 La Quinta, CA 92253 Project Address: 50055 EI Dorado Drive Attn:. Ramses Sevilla Plan Check #: BRES-2016-0152 Submittal: 1 StEl 4 h ® 2nd ❑ •. 5th ❑ 3'd ❑ Other: { We are forwarding: ® By Messenger ❑ ' By Mail (Fed Ex. or UPS) ❑ Your Pickup Includes: Descriptions: Includes: # Of Descriptions: Copies: ® 1 Structural Plans ❑ Revised Struct. Plans ® 1 Structural Calculations ❑ Revised Struct. Calcs ❑ Truss Calcs ❑ Revised Truss Calcs ❑ i Soils Report Update ❑ Revised Soils Report ❑ Structural P/C Comments ❑ Approved Structural Plans ❑ 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. A -Structural Plan Review Time = 0 HR STRUCTURAL ENGINEER 9 •1 B -Structural Plan Review Time =1 HR PLAN CHECK ENGINEER ctsl5 rU C-ADMIN_.25 ( 6 This Material Sent for: ❑ Your Files • ®. Per Your Request ❑ Your Review ❑ Approval ❑ Checking ❑ At the request of: Other: ❑ By: Bronz Young Office : ® (760) 772-5107 ` Other . ❑