BPAT2015-003278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Tiht 4 4v Qumro
'COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BPAT2015-0032
43100 PALM ROYALE DR
609051010
MEDITERRA APARTMENTS/SHADE STRUCTURES AND FIRE PITS
$200,000.00
Applicant:
ROBERT M WORDEN DBA R M W C 0
P O BOX 12118
ORANGE, CA 92859
AUG'O 7 2015
COMMUNITY
OF LA OUNTA
11. N
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/7/2015
Owner:
WRM LA QUINTA
1000 E 80TH PL STE 700 N
MERRILLVILLE, •N 92253
Contractor:
ROBERT M WORDEN DBA R M W C 0
P O BOX 12118
ORANGE, CA 92359
(714)289-0472
Llc. No.: 370539
---------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION I
I hereby affirm under penalty of perjury that I am licenseperan
ovisions of Chapter
9 (commencing with Section 7000) of Division 3 of the BuProfessions Code,
and my License is in full force and effect.
License Class: C27, B License No.: 370 3
Date: — ! Contractor:
OWNER -BUILDER DECLARATIO
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 Divisior(z
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 I am exempt under Sec. , B.&P.C. for this reason
Date
Owner:
CONSTRUCTION LENDING AGENCY L
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 Address:
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 w Nch this permit is issued,
shall not employ any person in any manner se s become jest to the workers'
compensation laws of California, and agree t t,' .I shout b ome subject to the
workers' compensation provisions of Section 1760 of t e ab r Code, I shall forthwith
1;Omply with those provisions. -
� f
DDate'j-?,61� A p p I i c a, ..
WARNING: FAILURE TO SECURE WORKERS' Cw1PENaTION COVSB IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMMAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOC 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 thi: application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is perforrrmd under or pursuant to any permit
issued as a result of this application , the.owne-,.and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the Zity 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 tsuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and
I agree to comply with all city and county of
construction, and hereby authorize represe
mentioned property for inspection purpos7
Signature (Applic
the above iinfor ion is correct.
ndstate las re ng to building
this city to me on the above.
y
wm -�,l INAT WKIp- I FI! Iiir
1 5� N ',Ali, IACCOUN.A mm
W DESCRIPTION ON
�i Mill V-1
',A�*
MAMMA
.T Z WN
glIMfk W I
H-OLRLY- PLAN CHECK-YES:101-0000-4260V
s3,15.00 0.00,
'4 m
ig-g-500, M ETT H 0 D,1'� ) , ,RECEIPT
4 M
# CLTD-,BXip.'gq'
pPAIMBT;q f5t;! N-1
R",
nng
:�N'11§ Q,
ACCOUNTM
1-p-agpi
m MINIM
gm�z'
�4yqT yag
x
V"W"MAMOUNI �16- v
IN -0
19S
INS r
HOURLY,PLAWCHECK, - YES - 10170000.426001,,
.00 .0
:RECE
01
ISO
gm -W�
f -I m
n hom � .1 H
:121TWfl.. m -.14-r-1 i0mal 7;,- M
:Total Paid for BLDG,CITY. STAFF. -PER HOUR*,, 385'00, 0.,00
M-wW";
rI
ACCOUNT "
"
A R
OP
WNlvl!+11111!
U;i fill, MIA
PAI 11
IIN�Onm—mIr
lWN
BSAS:SB1473 FEE
101-,0000-20306.'1.11
8.'00;1-,
0 Ij�
'0
C- 2,
IM �g,�;m.- �A
NR .0PAID
my
METHOU
gg -g lg- ,,
CHEC�J#---f!§-Z,�
D
ME
WN14
M-4 M4i*m:
otal:Paid for BUI LDI NG. STAN IjARb ADM`j
lS
1 IkATION�
S N�
8.0(�'BSA�'
N, "
10 Sly
Ac&% N '.12; 1.1 M
TY E!,AM
NO
0*1 blbxg
`rW On.,
Tpj
Pi�w-�, 0"M -wwMM2
Raw,
DEVICESJIRST-20
4
.,'101-0000-42 03
0 24'17
11p1 -.'C" �x Munw
V PAI
W
X
V,
XMIMI.0 RL
I 'lilt
5,"
-p
DESCRIP Mimi
'gg fwug a,'
JU N ii
ACCOiz
<Ipp-vrmj
'w
gff
K,*`��E��M-iFi -,UM.R-R.0 t V, z H -L
I RSTL 2 PC,�
pEV.ICES,"F,
101 -00004?60 0.'
0 "
`WL '.-Mgmimv gg
P A 1i Uk,4"10 1, '1
AIDIBY' - Met
-MEM&M-0
-gz
0'�ME T
'
0111
6 ECEIPTIWN�, 6
1--- CHECWWN'RF5"
4M
- L' ��i "
A
12112
•
r.
T"
Total Paid forELECTRICA .4
'�48:i- 01
0.0
pug
2`1 E
ON
ME
�X 41 9AMOUNT,
-n
PAID p
14.,
1 n
.81:0,118
0714INZ4
FIREPLACE,,
101-0000-42406-
V 14
'1
00"
I XUE11111
INWEHLTDBY
-6
E Tg,
AVA5. lii� ie 7i i 4 gu i i rX
I -C
J
H
NN -4WO M
g 'm
PAIVE'd'
FIREPLACEPC � 7�
'101-0000-.42600.
0'r 211.55,,-'�,
0 0
Wffi
Hmffifl HUN
W 6`10
111
grggiq RECElpfT #1
VZOWN'.
,CHECK1
- w
p
t: ;4 Total Paid f&FIREPLACE: -$362.58 $0.00
- rk I PT'l 0 g-vj
MT50"i, n
MISS,
A
16i -0066-424Q4 ,
. 0
�viii
4 8
i
0.001'-",
WIPWIN
PATIO COVER, STD, OPEN :,�
W11,10i
WRIP .1. Q
Hi 1111
g 4a PAID BY",,
Isu
w7� -
gm
1-0
IP§W
p
11 ff 0
BY
g
Un
NI'l MW'! �afr
gg� g gg
EN,
NMI A
"'
15 -S 11 1�
-
Ii I4��a
'DESCRIPTIOW�=i'
Nam
AMOUNT,
mr , g
E�
gll.
-NTL-12 IINPITVI, _6 Mr,
W
-PATIO,COVER" D,1OPEN PC
101-60,00-42600
0 478.60
0- 0:
^00i, T`�-'
i9 m -mom" -'OPAIMB gi 7- .4
, REPRO
' 'v�W IVUZIEK "W"
E;T
ge, 40;�
A K,
WIN'
K3,
311
K W"S"
igg
%CHECKE#gJ� ; jffi,,CLTDtBYgE
=
y
J
Total Paid for PATIO COVER / COVERED PORCH / LATTICE $964AS $0.00
e,R ':DESCRIPTION
!KACCOUNT� 4
QTY'
�t AMOUNT,.:
tP.AID
PAID DATE"
,, E.
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$0.00
PAID BY, t_ x
METHOD *�
#�
CHECK # js
CLTD BY8
yt,'
ti''�RECEIPT
�Y6 k ':DESCRIPTION a 4
'
QTY
AMOUNT
�PAID xt
,ACCOUNT
w .`
,PAIUDATE:
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
$0.00
y"� PAID BY, `
METHOD y °
RECEIPT #;
CHECK #
CLTD BY
y
{
3,
;?;:DESCRIPTIONz
xnQTY;
�AMOUNTF,
PAID. DATE
µ
,' �ACCOIINT,
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.09
$0.00
a PAID BYr
;:.
�METHOD�
, RECEIPT #1:
e#, °,
, CHECK #
e
BY
`.. ,.
,�°; ,:.
tCCTD .
DESCRIPTION r _
"t�, ACCOUNT} * r`
"QTY
.'rAMOUNT. °xa4'`
sPAID
DATE
,PAID
WATER SYSTEM INST/ALT/REP PC
101-000042600
0
$12.09
.$0.00 .
PAID'BY -
.METHOD,
>R #
; ` CHECK #;
CLTD BY
Total Paid for PLUMBING FEES: $60.44 $0.00
_
'a t .DESCRIPTION 'w
r t aACCOUNT �t % ats s
aQTY
PAID DATE
€
wt
SMI - RESIDENTIAL
101-0000-20308
0
$26.00
$0.00
Rv
=RECEIPT #
i "� CHECK #
CLTD BY
4
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $26.00 $0.00
TOTALS:00
J
Description: MEDITERRA APARTMENTS/SHADE STRUCTURES AND FIRE PITS
Type: PATIO COVER
Subtype: Status: APPROVED
Applied:,6/3/2015 SKH
Approved: 8/5/2015 JJO
Parcel No: 609051010 Site Address: 43100 PALM ROYALE DRLA QUINTA,CA 92253
r
Subdivision: PM 27131.
- . Block:. Lot: 3
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $200,000.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
JOHN SHULTZ SENT ME AN EMAIL STATING THE WRONG
Details: ADD SHADE STRUCTURES, FIRE PIT & FIREPLACE TO EXISTING POOL AREA.
STEPHANIE KHATAMI
63
appiea to Approved
,1 _
a-7
CHRONOLOGY
g � , , :. __ _ .Y': -
CHRONOLOGYTYPE STAFF NAME ACTION DATE, ryy COWIFLETION;DATE.
i-A '�
�' .'?' o ff' ,, NOTES
NOTES g"
4 _,z�
• :<r?$ z"-,. :+. »- ,w.8-„'9-wiC_G t«:L•' ..:r.9>.. :.... -.•.: . ,--r ?.,.v c. ft. .... A.. ,...:_. .vdm,_'sv?;, ^•.e 2a `a3> ::^'S
_.r
h.-�.:.f. ia'L. :.:. ?7.`..,4f-$`:.,:' w;A-.` ^.:...:n ..."K :+.,.✓ '":p..
appiea to Approved
,1 _
a-7
Printed: Friday, August 07, 2015 9:37:08 AM 1 of 4
' .SYSTEMS
CHRONOLOGY
g � , , :. __ _ .Y': -
CHRONOLOGYTYPE STAFF NAME ACTION DATE, ryy COWIFLETION;DATE.
i-A '�
�' .'?' o ff' ,, NOTES
NOTES g"
4 _,z�
• :<r?$ z"-,. :+. »- ,w.8-„'9-wiC_G t«:L•' ..:r.9>.. :.... -.•.: . ,--r ?.,.v c. ft. .... A.. ,...:_. .vdm,_'sv?;, ^•.e 2a `a3> ::^'S
_.r
h.-�.:.f. ia'L. :.:. ?7.`..,4f-$`:.,:' w;A-.` ^.:...:n ..."K :+.,.✓ '":p..
NOTE
JIM JOHNSON
6/10/2015”
6/12/2015
JOHN SHULTZ SENT ME AN EMAIL STATING THE WRONG
NOTE
STEPHANIE KHATAMI
6/8/2015
6/8/2015
CALCULATIONS WERE SUBMITTED. SAVED NEW CALCS AS AN
ATTACHMENT AND CONTACTED KATHERINE AT YOUNG. '
PLAN CHECK PICKED UP
LUIS URIBE .
6/12/2015
6/12/2015
PICKED UP BY BRITTANY.
PLAN CHECK PICKED UP
-PHILIP JUAREZ
7/28/2015
7/28/2015
KAYLA FREY 760-360-8100 CAME AND PICKED UP
GORRECTIOS FOR PROJECT. s
PLAN CHECK SENT TO
KAY HENSEL
7/20/2015
7/20/2015
STRUC SENT TO YOUNG - DUE BACK 7/27/2015
OUTSIDE PC
RESUBMITTAL
PHILIP JUAREZ
8/3/2015
8/3/2015,
l
TELEPHONE CALL
'JIM JOHNSON
6/12/2015
• 6/12/2015
CALLED JOHN SCHUTZ TO INFORM HIM PLANS ARE READY
FOR CORRECTIONS
Printed: Friday, August 07, 2015 9:37:08 AM 1 of 4
' .SYSTEMS
a
TELEPHONE CALL JIM JOHNSON 7/28/2015 7/28/2015 CALLED JOHN SCHUTZ TO INFORM HIM PLANS READY FOR
CORRECTIONS.
TELEPHONE CALL JIM JOHNSON , 8/5/2015 8/5/2015 CALLED .JOHN SCHUTZ TO INFORM HIM PLANS ARE READY TO
ISSUE.
TINANCIAL INFORMATION
.
-x c`'F
•h
•e-. a a.., i
`«. §t
:=�;DESCRIPTION< ACCOUN?AMOUNT a PAID:
-,.PAID -.DATE
;, e4,v� '+'xs .:�:
: RECEI,PT'# CHECK #, z iiMETHOD 3 . PAID BY ,
, ° M.• i.:::. N-."',4° s em':. F` Yl n..-C':R. X' ta^
Y:,.„;xa �z i` r
..» ''
a =.
,,'E;. a Y :. y 5x .h . i'.:? .}.:' k,
c ur.x � s• & BY.'
HOURLY PLAN CHECK -
101-0000-42600 4.5
$315.00 $0.00
YES
'
HOURLY PLAN CHECK -
101-0000-42600 1
$70.00 $0.00 ,
YES
-
Total Paid for BLDG CITY STAFF - PER HOUR: $385.00' $0.00
BSAS SB1473 FEE
101-0000-20306
0
$8.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$8•00 $0.00
BSA:
DEVICES, FIRST 20 101-0000-42403 0 $24.17. $0.00
DEVICES, FIRST 20 PC
101-0000=42600
0
$24.17
$0.00
Total Paid for ELECTRICAL: $48.34 $0.00,
FIREPLACE
101-0000-42400 •
0
$145.03
$0.00
FIREPLACE PC
101-0000-42600
0
$217.55
$0.00
Total Paid. for FIREPLACE: $362.58 $0.00'
Printed: Friday, August 07, 2015.9:37:08 AM 2 of 4 sysrctns
:. DESCRIPTION'
-- ---- -
ACCOUNT
---
QTY
AMOUNT
PAID
PAtD DATE
RECEIPT #`:
CHECK #
METHOD
PAID BY
CLTD
PATIO COVER, STD,
101-0000-42404
0
$485.85
$0.00
OPEN
PATIO COVER, STD,
101-0000-42600
0
$478.60
$0.00
OPEN PC
Total Paid forPATIO COVER /COVERED PORCH / LATTICE $964.45 $0.00
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$0.00
OUTLETS PC
WATER SYSTEM
101-0000-42401
0
$12.09
$0.00
INST/ALT/REP
WATER SYSTEM
101-0000-42600
0
$12.09
$0.00
INST/ALT/REP PC
Total Paid forPLUMBING FEES: $60.44 $0.00
SMI - RESIDENTIAL
101-0000-20308
0
$26.00
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI $26.00 $0.00
TOTALS!���
i
SEQID "°"" INSP;E'CT[ON TTYPE ` ;INSPECTOR SCHEDULED COMPLETED RESULT" ;; REMARKS NOTES
:;.DATE DATE,::.
FINAL" BLD
PARENT PROJECTS
Printed: Friday, August 07, 2015 9:37:08 AM 3 of 4
SYSTEMS
NON-STRUCTURAL-.
JIM JOHNSON
6/4/2015
6/11/2015
6/10/2015
REVISIONS REQUIRED
AttachmentT e -
-n,•� OEA T.ED OWNER
1 WK
-. _ .�
DOC
NON-STRUCTURAL -
JIM JOHNSON
7/20/2015
-
7/27/2015
8/5/2015
APPROVED
NO FIRST SUBMITTAL N/S REDLINES WERE.
1 WK
DR.doc
DR.doc
RETURNED (BY FEDEX) WITH THE RESUBMITTAL
2ND REVIEW -
NEW CITY TRANSMITTAL
DOC
7/27/2015
KATHRYN SAMUELS
ON DUAL TRELLIS FOUNDATION PLAN,HSS
STRUCTURAL - 1 WK
KATHRYN
7/20/2015
7/27/2015
8/5/2015,
APPROVED
TRANSMITTAL
6X6X1/4 COLUMNS ARE CALLED OUT, WHILE
SAMUELS
1ST SUBMITTAL
1ST SUBMITTAL
STRUC CALC SPECIFIES HSS 6X6X1/2. REVISE
DOC
6/8/2015
STEPHANIE KHATAMI
STRUCTURAL CALCS 06-
STRUCTURAL CALCS 06-
y
ACCORDINGLY
PLANNING -1WK
WALLY NESBIT
7/20/2015
7/27/2015
7/28/2015
READY FOR APPROVAL
TRELLIS, FIREPIT,
MEDITERRA APTS.
s
FIREPLACE
Printed: Friday, August 07, 2015 9:37:08 AM ,
4of4
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INFORMATION
AttachmentT e -
-n,•� OEA T.ED OWNER
S.
ATTACHmENT
DESCRIPTIORl PATHNAIVIE °-SUBDIR ETRAKIT ENABLED
-. _ .�
DOC
7/28/2015
JIM JOHNSON
43-100 PALMROYAL
43-100 PALMROYAL
0
DR.doc
DR.doc
2ND REVIEW -
NEW CITY TRANSMITTAL
DOC
7/27/2015
KATHRYN SAMUELS
STRUCTURAL
BPAT 2015-0032
0
TRANSMITTAL
(2nd).pdf
1ST SUBMITTAL
1ST SUBMITTAL
DOC
6/8/2015
STEPHANIE KHATAMI
STRUCTURAL CALCS 06-
STRUCTURAL CALCS 06-
0
08-15
08-15.pdf
Printed: Friday, August 07, 2015 9:37:08 AM ,
4of4
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