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VOICE (760) 777-7125
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGTOQkVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
LDMT a
Date: 11/3/2016
Application Number: BRES2016-0300 ner:
Property Address: 49295 AVENIDA FERNANDO NOV 082016 BIE CHAPMAN
APN: 658280009 U 4 295 AVENIDA FERNANDO
Application Description: CHAPMAN RESIDENCE /ADDITION 433 SF CITY OF QUINTA, CA 92253
Property zoning: DESIGNAIVD DEV QUINTA
Application Valuation: $24,767.60 ELOPMENTDEPARTMENT
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Applicant: ISSUED Contractor:
GABRIEL RIOS �! HUNTER HARVEY
49901 CINNABAR
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COACHELLA, CA 92236
(760)574-7074
Llc. No.:
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 DivisionVofthefessions Code,
and my License is in full force and effect.
License Class: License No.:Dat Contractors
I hereby affirm under penalty of perjury thafrl am exeryfpt 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.).
( 11, 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
Lender's
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: _ 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 s jest to a workers'
compensation laws of California, and agree that, if I shrd come ject to the
r
workers' compensation provisions of Section 3700 0 _e bort' I shall forthwith
comply with those provi "ons.
Date: / Applica
WARNING: FAILURE TO SECURE WORKERSMPENSA(ON COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRI INAL 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 ilding
construction, and hereby authorize representatives of this city to ent on e '
above-mentioned Vro7eqy for inspection purposes.
Date: Signature (Applicant or Agent)
or
Date: 11/3/2016
Application Number:
BRES2016-0300
Owner:
Property Address:
49295 AVENIDA FERNANDO
DEBBIE CHAPMAN
APN:
658280009
49295 AVENIDA FERNANDO
Application Description:
CHAPMAN RESIDENCE / ADDITION 433 SF
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$24,767.60
Applicant:
Contractor:
GABRIEL RIOS
HUNTER HARVEY
49901 CINNABAR
COACHELLA, CA 92236
(760)574-7074
Llc. No.:
---------------------------------------------------------------------------------------------
Detail: 433 SQ. FT. FAMILY ROOM ADDITION PER 2013 CRC CODES
FINANCIAL INFORMATION.
DESCRIPTION
ACCOUNT
CITY
AMOUNT
ADDITION, EA ADDITIONAL 500 SF
101-0000-42400
0
$65.36
DESCRIPTION
ACCOUNT
CITY
AMOUNT
ADDITION, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$18.24
DESCRIPTION
ACCOUNT
CITY
AMOUNT
ADDITION, FIRST 100 SF
101-0000-42400
0
$127.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
ADDITION, FIRST 100 SF PC
101-0000-42600
0
$179.36
Total Paid for ADDITION: $390.64
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HOURLY CHARGE - YES ADMINISTRATIVE STAFF
101-0000-42600
0.25
$10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER
101-0000-42600
2
$190.00
Total Paid for BLDG CITY STAFF - PER HOUR: $200.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$152.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$50.16
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $202.16
DESCRIPTION
ACCOUNT
CITY
AMOUNT
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
$12.67
DESCRIPTION
ACCOUNT
CITY
AMOUNT
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$5.07
Total Paid for MECHANICAL: $17.74
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$3.22
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $3.22
TOTALS:
Bin #�( .
5Q
City Of La Quints
a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # jf -
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Project Address: 49• Avenida Fernando
owner's Name: Debbie Chapman
A. P.Number: .658-280-008&009
Address: 49-925 Avenida Fernando
Legal Description:
Contractor: Hunter Harvey
Address:
City, ST, Zip: La Quinta, CA 92253
telephone:
Project Description:
City, ST, zip:
Proposed Added Family Room 433 s .ft.
Telephone: (760) 574-70741
'ys<:i::•��::�;;3 >:�:
State Lie. # :
City Lie. #:
Arch., Engr• Designer' Gabriel Rios
Address: 49901 Cinnabar Ln.
City., ST, zip: Coachella, CA 92236
Telephone: 760-485-7431
"
i ti � •:::i v.i2X:',,.`v'i,.cy {.,{i 5 '":%'.r�.. vS•;
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Construction Type: V-13 occupancy: R-3
Project type (circle one): New Add'n Alter Repair Demo
State Lie. #:°'`;>;
Name of Contact Person: Gabriel Rios
Sq. Ft.: 433 s.f.
# Stories: 1
#Units:
Telephone # of Contact Person: 760-485-7431
Estimated Value of Project: $ 25,000.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Ree'd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Coles.
Reviewed, ready for corrections
Plan Check Deposit
Truss Coles.
Called Contact Person
Plan Check Balance,
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
21' 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:-
7r° 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 Ftes
Date: 11/2/2016
No.: 16-00404-1
Owner: Chapman
Address: 49295 Avenida Fernando
City: La Quinta
Type: Residential Addition < 500 sq ft
Lot # Street No.
49295
Comments:
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Qunita, CA 92253
(760)771-8515
Street Name
Avenida Fernando
JaL�tED S
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. RANCNO Mr1 GE t7
F r wo" WELLS, y`
if• .PALM D�EESERT • y
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Email:
Jurisdiction: La Quinta
Tract #:
Sq. Feet APN
433 658-280-009
Permit No.
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential addi'. -
under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking eating, or sanitation) or replace+ ,
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:
Residential Addition 500 Sq Feet or Less
Exempt
This certifies that school facility fess imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.00 X 433 S.F. or $0.00 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: Exempt - Hunter -Harvey
Bank Name/Recipient of Certificate
By Dr. Gary Rutherford
Superintendent
Fee Collected/ Exempted by: Sha on•McGilvr
f
I
Check No.:
Telephone:
Funding: Exempt
Amount Due: $0.00
Original Payments) Recd: $0.00
New Payment Recd: $0.00
�'-.Ove.Under: -$0.00
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in whicKyou may pro"test the fef s
other payment identified above will begin to run from the date on which the building or installation permit for this project is'issued,'or from 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 IMPRINTED WITH EMBOSSED SEAL
RECEIVE®
YOUNG
ENGINEERINGP.,2016
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..�:. INTA
Letter of Transmittal COMMUNITY DEVELOPMENT
To: City of La Quinta Today's Date: 10-27-16
78-495 Calle Tampico City Due Date: 10-28-16
La Quinta, CA 92253 Project Address: 49295 Avenida Fernando
Attn: MARY Plan Check #: BRES2016-0300
We are forwarding:
Includes:
Submittal: 1 St ❑ 4th
❑ 2nd ❑ 55th
❑ 3'd ❑ Other:
El By Messenger ❑ By Mail (Fed Ex or UPS)
Descriptions: Includes: # Of
Copies:
Structural Plans
Structural Calculations
Truss Calcs
Soils Report - Update
Structural P/C Responses
/ Comments
Redlined Structural Plans
Redlined Structural Calcs
Redlined Truss Calcs
❑ Redlined Soils Reports
Comments: Structural content is approvable.
Transit Per Diem=
Admin Time = 0.25 hrs.
Structural Engineer/Principal Review Time = 0.0 hrs.
❑ Your Pickup
Descriptions:
Revised Struct. Plans
Revised Struct. Calcs
Revised Truss Calcs
Revised Soils Report
Approved Structural Plans
Approved Structural Calcs
Approved Truss Calcs
Approved Soils Report
Other:
Plan Review Engineer Time = 2.0 hrs.
This Material Sent for:
❑ Your Files Per Your Request
❑ Your Review ❑ Approval
❑ Checking ❑ At the request of:
Other. ❑
By: Joe Venuti
Office: [3 (760) 772-5107
Other: El LQPC@VALUENGR.COM