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BRES2014-1104r f ; O.�i 78-495 CALLE TAMPICO D 44 VOICE FAX ( (760) 777-7125 760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/2/2014 Application Number: . BRES2014-1104 Owner: Property Address: 78765 SAGEBRUSH AVE JOE TOBY APN: 646070014 78-765 SAGEBRUSH AVE. Application Description: CHANGE 2 GARAGE DOORS TO ONE LA QUINTA,.CA 92253 Property Zoning: Application Valuation: $5,000.00 Applicant: Contractor: JOE TOBY STEVE AERY CONSTRUCTION78-765 SAGEBRUSH AVE. 52641 AVEINDA BERMUDASLA F,;, QUINTA, CA 92253 LA QUINTA, CA 92253 (760)200-7910Llc. No.: 717813 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 717813 i. Dat /Q _ �— Lzfcontractor*:10.01 4.1 OWNER-BUILIILDDER 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 intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have -the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. B.&P.C. for this reason Date Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Addre! 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 thel,400 for which this permit is issued. i ave and will maintain workers' compensation insurance, as required by Se2tin'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 Labo ode, I shall forthwith comply with those provisions. /y/ D � �U- —� Applican�l 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 omissionrelated 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- mentioned property for inspection purposes. Datate: �— 2` Signature (Applicant or Agent_l 5 Fl NANCIAL'I N FORMATION DESCRIRTION TWA I RRZeN� W0,11 N11, 10 1 HOURLY,PLAN CHECK,-'YES 101-0000-426W, 0.75 $52.56, :$0.00 - mmv R Vc- I Total -Pa`1d'-`f6rB' kpq CITY STAFF -,:.P,ER HOUR: _$52.56,, $0.00 I N I N, MW ,Offlg'�- mr lu=ml ft�o� �-"Iw - `,i-PAIbr 201 .0 BSAS, S91473 FEE 101-0000=20306 ---.0 $0.00 111m, �1k 16" 11 Up 4 I VI-01 p WN IrAIV% 0-Qkffl4 T IMEW RM Total Pa-id for BUILDING STANDARDS ADMINISTRATION. BSA.. $1;00­1, $0.00 aw-& 0. 001 NHM WWI R- 0 OR —W IN 4 6i, m Z SHP REMODEL, EA ADDITIONAL 500 SF 101 0000=42400 0.:,-, $0.00 ft 9t t'i At zv.4&1W?d �m--J:.Ii 'A" I-N W � EC I.P�TATg- =F„ iR 4x�DESCRIPTION?rsA000�11NTa�C1T1�(t If '7-1r-11 u, , wx AMOUNT.'NO �5 7 iPA1Dm mg PIN REMODEL, EA ADDITIONAL 500'SF PC 101-'6000-',42600 0` $0.00 Y 4 ,a OREM, C. E El jr we jg QTY NO- MW � Vm IN 4-10 11 REM ODEL, Fl RSTA00.SF 401-00 00 0. 8-.62- $0.00. POW` 0 1,1111111 MEMO ENRON MW MAI M NOT* Emil -A I W77 W-5 I DATE NO" REMODEL, FIRST 500 SF PC A 0000=42600 6W 0 F, $132.99, 46, i N R--, -ii N 1-1. --j � ", 61 Tofql,liai."d-for REMODEL:': $220 $0.00 f E %1T iP W z SMI RESIDENTIALi0�65 1011-0000�20308. 0 $0.00 ffll P-(U �TO BY Total: Pa id fMOTION INSTRUMENTATION,SMt 1, !65 G� TTALS:, �274.37 O$0.00 Bin. # : �l 6dt City o - , - y Bulkffng`& Safe Aiv s� r 'wt-#-PU. Box .504,:78- 5 Cate TampJco �3QC��t4�' (( f a Qtdnta, CA 92253 - (760): ?`7.ZZO 2 Building Pe niC ppllca Torr tinct Trackfng.Shee Pmject,Addt+ess' 'l �j%�/S�� :VZ° Oemer'sNsme:°. v� `� �j • A, P.: Number:0 : d - / 4-1 - -Address: _ -74< 7l Z:'- �d► av L, r•, ,. � � V i° ' `Telephone; .. / Project Descrlptian:= ro 0 5 w► Gt e n I Add rss: city, sT, Wig:; - o e - ctcn.9 rS /� Telephono: �71q)O �j�!. -q<6,5 St$te Cit 4 ST, Zip:. L A c) ' Telophoi :; C70)..6-6 C/ -t-1-7-0 7 Construdian T"M* I. Statc Lrc: :.S ect,fiyge (cmele oitie3 No4v ` Add'a. Repair Imo . _ Namaaf COIItA�t Person: l Sg Ft.' # Stones: l # 1 Tclephanc `.df Contact Pelson:. 7�� �j G - 4i 719 Bscu bod Yaiuc of Pcojo t APPLICANT; pO NOTWRtiE,B i.QW>THIS.uW., �R+oq'.� - . Rica • , 1RACdQNC _. . ' Sbractut`al C Ics. >YtcvIe ed. mads! fas cost actions:. PhD ' Cs�1ed Caataet Yasoa` PianChedt Batts, "TitIeZ4talc8,. Ylaasgickeddpy Onnstractiou . Floc¢ pIalsl plAn Plant re9ubiaittd : M Gradtng play ; � • ; + . Z'� Revicv�r, ready . 8utkeatsctor It - taUed Contact Pvaon 0 Plum , G GraatDeed Planspciced�np ,S:14LI C C ;' �.O.A.'APP��' Plaut rctalnaitted, - : GrAd . INmousg . ='''` Rcvicty. reAdy for cotneticps/tssae - Darelopar Icnpaet ... . PlannlggApprova - ;GI[ed CotKactPeison A , �PubWkt.Appr--:, Date:oipetintissuc . . School Fees 4� (�I.rJ gyp, - Totat:PeratftBees Description: CHANGE 2 GARAGE DOORS TO ONE Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED Applied: 9/11/2014 SKH Approved: 9/30/2014 JJO Parcel No: 646070014 Site Address: 78765 SAGEBRUSH AVE LA QUINTA,CA 92253 Subdivision: PM 30631 Block: Lot: 1 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $5,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 COMPLETION DATE Details: CHANGE TWO SINGLE CAR GARAGE DOORS TO ONE TWO CAR GARAGE DOOR ' '�` i • . NOTESF- Printed: Thursday, October 02, 2014 3:48:55 PM 1 of 3 SYS iEMS ADDITIONAL CHRONOLOGY -�, CHRONOLOGY•TYPE. ,'STAFF NAME - ACTION DATE ` COMPLETION DATE ' '�` i • . NOTESF- PLAN CHECK COMMENTS FROM CONSULTANT RECEIVED KAY HENSEL 9/30/2014 9/30/2014 PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 9/11/2014 9/11/2014 PUBLIC COUNTER VISIT KAY HENSEL 9/30/2014 9/30/2014 1 EOR STAMPED & SIGNED PLANS AT COUNTER CONDITIONS CONTACTS NAME TYPE ', .r NAME ' ' ADDRES51 '' ` ,' . CITY STATE; -aZIP PHONE FAX • EMAIL APPLICANT JOE TOBY 78-765 SAGEBRUSH AVE. LA QUINTA CA 92253 (714)814-4855 CONTRACTOR STEVE AERY CONSTRUCTION 52641 AVEINDA BERMUDAS LA QUINTA CA 92253 (714)814-4855 Printed: Thursday, October 02, 2014 3:48:55 PM 1 of 3 SYS iEMS FINANCIAL INFORMATION " `' f. `> k PAID - CLTD >'.= �,. DESCRIPTION ACCOUNT CITY ,,,AMOUNT K- '� .. PAID DATE, . RECEIPT # CHECK #,' METHOD PAID BY " w - m `'BYE; HOURLY PLAN CHECK - 101-0000-42600 0.75 $52.50 $0.00 YES' Total Paid for BLDG CITY STAFF - PER HOUR: $52.50 $0.00 BSAS SB1473 FEE • 1 101-0000-20306 1 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: REMODEL, EA 101-0000-42400 0 $21.45 $0.00 ADDITIONAL 500 SF REMODEL, EA 101-0000-42600 0 $17.16 $0.00 ADDITIONAL 500 SF PC REMODEL, FIRST 100 SF 101-0000-42400 0 $48.62 $0.00 REMODEL, FIRST 500 SF 101-0000-426000 $132.99 $0.00 PC Total Paid for REMODEL: $220.22 $0.00 SMI - RESIDENTIAL 101-0000-20308 1 0 $0.65 1 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.65 $0.00 TOTALS:• 00 Printed: Thursday, October 02, 2014 3:48:55 PM 2 of 3 0TW"YSTEMS BOND PARENT .O ATTACHMENTS REVIEWS RETURNED` °STATUS `r REMARKS' REVIEW TYPE REVIEWER SENT DATE DUE DATE NOTES ` DATE NON-STRUCTURAL JIM JOHNSON 9/12/2014 9/26/2014 9/23/2014 APPROVED N/S APPROVED NON STRUC APPROVED STRUCTURAL BUILDING 9/12/2014 9/26/2014 9/30/2014 APPROVED APP PENDING EOR SENT TO YOUNG DUE 9/25 BUCKET SIGNATURE BOND INFORMATION ATTACHMENTS Printed: Thursday, October 02, 2014 3:48:55 PM 3 of 3 C SYSTEMS 77.-682 Country Club Dr. Ste. B,.Palm Desert, CA 92211 ph. (760).772-'5107 fax (760) 345 - Letter of Transmittal To: City of La Quinta Today's Date: 9-29-14 78-495 Calle Tampico City Due Date: 9-25'14 La Quinta, CA 92253 Project Address: 78765. Sagebrush Avenue Attn: Angelica Plan Check #: BRES 20140 ) t04 Submittal: ® 1St ❑ 4th ❑ 2nd. ❑ 55th ❑ 3rd ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: # Of Descriptions: Includes: # Of Descriptions: Copies: Copies: ® 1 Structural Plans ❑ Revised Structural Plans ® 1 Structural Calculations ❑ Revised Struct. Calcs ❑ Truss Calculations Floor E] Revised Truss and Roof ❑ Soils Report ❑ Revised Soils Report ❑ Structural Comment List ❑ 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: Structuralcontent is approvable, pending Engineer -of -Record's signature on structural plans and structural calculations. If you have any questions, please call. Time =.75 HR This Material Sent for: ❑ Your Files ❑ Your Review ❑ Checking Other: ❑ ® Per Your Request ❑ Approval ❑ At the request of: By: Kathryn Samuels Palm Desert Office: ® (760) 772-5107 Other: ❑ SEP 2 9 ZW CI -Ty OF LA QU, OMMUNITY DEVEL%