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BRES2014-101978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: . Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: JOHN WALLING LA QUINTA, 92253 I it Tjhw4lw4" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BRES2014-1019 57615 CORAL MOUNTAIN CT 762440034 NEW SINGLE FAMILY DWELLING $485,413.20 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. C27 License No.: 543201 ate: 19 3ontractor: 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 2K 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.). (_J 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 Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/23/2014 Owner: PLY 2000 POSTERITY TRUST 100 CLUBHOUSE DR N BARRINGTON, IL 0 Contractor: DESERT BAY CONSTRUCTION AND DE P 0 BOX 2623 PALM DESERT, CA 92261 (760)200-6200 Llc. No.: 543201 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 t ose provisions. �_t Allte: 4 pplicant: �1 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- mentionedropert for inspection purposes. te: Si ture (Applicant or Agent) 9 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $713.53 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forART IN PUBLIC PLACES - AIPP: $713.53 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $20.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA; $20.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forDIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE TEMP POWER SERVICE 101-0000-42403 0 $23.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE TEMP POWER SERVICE PC 101-0000-42403 0 $16.68 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $40.51 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $109.44 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $45.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $143.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.19 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL - NEW CONSTRUCTION: $344.72 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL FINISH GRADING PC 101-0000-42600 0 $143.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forGRADING: $143.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $178.75 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $119.15 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $11.92 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $4.77 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $178.75 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $119.15 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION 'ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $107.28 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $42.93 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for MECHANICAL: $762.70 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE MULTI -SPECIES RESIDENTIAL 0-8 UNITS 101-0000-20310 0 $1,292.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forMULTI-SPECIES RESIDENTIAL- $1,292.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $733.59 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forNEW CONSTRUCTION PERMIT: $733.59 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,250.00 $1,250.00 7/2/14 PAID BY METHOD RECEIPT # CHECK # CLTD. BY DESERT BAY CONSTRUCTION CHECK R255 1250 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $348.84 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forNEW CONSTRUCTION PLAN CHECK: $1,598.84 $1,250.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE 101-0000-42401 0 $11.92 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE PC 101-0000-42600 0 $4.77 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $11.92 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $11.92 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $345.68 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $345.68 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $35.75 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $23.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ROOF DRAIN 101-0000-42401 0 $47.68 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY' AMOUNT PAID PAID DATE ROOF DRAIN PC 101-0000-42600 0 $47.68 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $35.76 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0, $21.45 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $11.92 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $11.92 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $967.88 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $48.54 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $48.54 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forTUMF - RESIDENTIAL: .$1,837.44 $0.00 TOTALS:• 00 Description: NEW SINGLE FAMILY DWELLING Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED Applied: 7/2/2014 AZA FAMILY DETACHED Approved: Parcel No: 762440034 Site Address: 57615 CORAL MOUNTAIN CT,CA Subdivision: TR 29963 Block: Lot: 2 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $485,413.20 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, FIRE -PIT, WATER FEATURES OR BBQ. HOME IS FIRE SPRINKLED PER 2013 CRC CODES. Printed: Tuesday, December 23, 2014 12:51:18 PM 1 of 7 MU SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE JIM JOHNSON 11/17/2014 11/17/2014 ITEMS PENDING: SCHOOL FEES, HOA LETTER, GRANT DEED, P.M. 10 PLAN, STRUC APPROVAL. PLAN CHECK COMMENTS FROM CONSULTANT RECEIVED JIM JOHNSON 12/1/2014 11/26/2014 RETURNED WITH CORRECTIONS PLAN CHECK COMMENTS FROM CONSULTANT RECEIVED KAY HENSEL 12/19/2014 12/19/2014 STRUC APP. 12/19/14 PLAN CHECK PICKED UP MARY FASANO 10/28/2014 10/28/2014 PUBLIC COUNTER VISIT PHILIP JUAREZ 11/20/2014 SCHOOL FEE LETTTER BROUGHT IN PUT FILE FOLDER. RESUBMITTAL KAY HENSEL 10/10/2014 10/10/2014 STRUC TO YOUNG DUE BACK 10/24/14 TELEPHONE CALL JIM JOHNSON 10/28/2014 10/28/2014 CALLED APLICANT FOR CORRECTION PICK-UP Printed: Tuesday, December 23, 2014 12:51:18 PM 1 of 7 MU SYSTEMS TELEPHONE CALL JIM JOHNSON 12/1/2014 12/1/2014 CALLED DESERT BAY CONSTRUCTION TO PICK UP 3RD. PLAN CHECK JOHN WALLING CAME BY OFFICE I GAVE IM THE PLANS AND CORRECTIONS TELEPHONE CALL JIM JOHNSON 12/22/2014 12/22/2014 Total Paid forART IN PUBLIC PLACES - AIPP: $713.53 $0.00 CALLED DESERT BAY CONST. TO IMFORM PLANS ARE READY TO ISSUE, ITEMS PENDING: GRANT DEED, P.M. 10 PLAN AND HOA LETTER. 101-0000-20306 0 CONDITIONS $0.00 CONTACTS Total Paid forBUILDING STANDARDS ADMINISTRATION $20.00 $0.00 BSA: DIF - CIVIC CENTER NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT JOHN WALLING LA QUINTA 92253 CONTRACTOR DESERT BAY CONSTRUCTION AND DE P 0 BOX 2623 PALM DESERT CA 92261 OWNER PLY 2000 POSTERITY TRUST 100 CLUBHOUSE DR N BARRINGTON IL 0 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY ART IN PUBLIC PLACES - 270-0000-43201 0 $713.53 $0.00 RESIDENTIAL Total Paid forART IN PUBLIC PLACES - AIPP: $713.53 $0.00 BSAS SB1473 FEE 101-0000-20306 0 $20.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $20.00 $0.00 BSA: DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 DIF - COMMUNITY 254-0000-43200 0 $129.00 $0.00 CENTERS DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 DIF -PARK 256-0000-43200 0 $40.00 MAINTENANCE .$0.00 Printed: Tuesday, December 23, 2014 12:51:18 PM 2 of 7 Rsrsrenns DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 DIF - STREET 255-0000-43200 0 $116.00 $0.00 MAINTENANCE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 Total Paid forDIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 TEMP POWER SERVICE 101-0000-42403 0 $23.83 $0.00 TEMP POWER SERVICE 101-0000-42403 0 $16.68 $0.00 PC Total Paid forELECTRICAL: $40.51 $0.00 RESIDENTIAL, EA 101-0000-42403 0 $109.44 $0.00 ADDITION 1,000SF RESIDENTIAL, EA 101-0000-42600 0 $45.09 $0.00 ADDITION 1,000SF, PC RESIDENTIAL, FIRST 101-0000-42403 0 $143.00 $0.00 1,000SF RESIDENTIAL, FIRST 101-0000-42600 0 $47.19 $0.00 1,000SF, PC Total Paid forELECTRICAL - NEW CONSTRUCTION: $344.72 $0.00 RESIDENTIAL FINISH 101-0000-42600 0 $143.00 $0.00 GRADING PC Total Paid forGRADING: $143.00 $0.00 CONDENSER/COMPRES 101-0000-42402 0 $178.75 $0.00 SOR CONDENSER/COMPRES 101-0000-42600 0 $119.15 $0.00 SOR PC EXHAUST HOOD 101-0000-42402 0 $11.92 $0.00 EXHAUST HOOD PC 101-0000-42600 0 $4.77 $0.00 FURNACE 101-0000-42402 0 $178.75 $0.00 Printed: Tuesday, December 23, 2014 12:51:18 PM 3 of 7 CN?WYS TfMS DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY - FURNACE PC 101-0000-42600 0- $119.15 $0.00 VENT FAN 101-0000-42402 0 $107.28 $0.00 VENT FAN PC 101-0000-42600 0 $42.93 $0.00 Total Paid forMECHANICAL: $762.70 $0.00 MULTI -SPECIES RESIDENTIAL 0-8 UNITS ,101-0000-20310 0 $1,292.00 $0.00 Total Paid forMULTI-SPECIES RESIDENTIAL* $1,292.00 $0.00 NEW CONSTRUCTION PERMIT 101-0000-424000 $733.59 $0.00 Total Paid forNEW CONSTRUCTION PERMIT: $733.59 $0.00 NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,250.00 $1,250.00 7/2/14 R255 1250 CHECK DESERT BAY CONSTRUCTION AZA NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $348.84 $0.00 Total Paid forNEW CONSTRUCTION PLAN CHECK: $1,598.84 $1,250.00 BACKFLOW DEVICE 101-0000-42401 0 $11.92 $0.00 BACKFLOW DEVICE PC 101-0000-42600 0 $4.77 $0.00 BUILDING SEWER 101-0000-42401 0 $11.92 $0.00 BUILDING SEWER PC 101-0000-42600 0 $11.92 $0.00 FIXTURE/TRAP 101-0000-42401 0 $345.68 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $345.68 $0.00 GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $35.75 $0.00 GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $23.83 $0.00 ROOF DRAIN 101-0000-42401 0 $47.68 $0.00 ROOF DRAIN PC 101-0000-42600 0 $47.68 $0.00 Printed: Tuesday, December 23, 2014 12:51:18 PM 4 of 7 CR SYSTEMS Printed: Tuesday, December 23, 2014 12:51:18 PM 5 of 7 Cg? SYSTEMS INSPECTIONS SEQID INSPECTION TYPE CLTD DESCRIPTION - ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY ROOF DRAIN BY WATER HEATER/VENT 101-0000-42401 0 $35.76 $0.00 SHOWER PAN WATER HEATER/VENT 101-0000-42600 0 $21.45 $0.00 EPDXY PC OKAY TO WRAP ROOF NAIL WATER SYSTEM 101-0000-42401 0 $11.92 $0.00 UNDERGROUND MECH INST/ALT/REP SEWER CONNECTION WATER SYSTEM 101-0000-42600 0 $11.92 $0.00 INST/ALT/REP PC Total Paid forPLUMBING FEES: $967.88 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $48.54 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $48.54 $0.00 SINGLE FAMILY 24-0000-203200 224-0000-2032007 $1,837.44 $0.00 DETACHED Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS:00 Printed: Tuesday, December 23, 2014 12:51:18 PM 5 of 7 Cg? SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES TEMP USE OF PERM PWR ROOF DRAIN DRYWALL NAIL SHOWER PAN EPDXY OKAY TO WRAP ROOF NAIL UNDERGROUND MECH SEWER CONNECTION Printed: Tuesday, December 23, 2014 12:51:18 PM 5 of 7 Cg? SYSTEMS LATH TEMPORARY POWER UNDERGROUND ELEC INSULATION ROUGH MECH FRAMING GAS LINE/TEST ROUGH ELEC UNDERGROUND GAS FINAL" SETBACKS FOOTINGS SLAB PIERS DRYPACK UNDERGROUND PLBG ROUGH PLBG GRADE BEAM FLOOR NAIL TEMPLATE FOOTING STRUCTURAL JIM JOHNSON 7/2/2014 7/12/2014 8/12/2014 REVISIONS REQUIRED CORRECTIONS 1ST. P/C CORRECTIONS NON-STRUCTURAL JIM JOHNSON 10/10/2014 10/24/2014 10/10/2014 REVISIONS REQUIRED CORRECTIONS 2ND PLAN CHECK CORRECTION STRUCTURAL JIM JOHNSON 10/10/2014 10/24/2014 10/28/2014 REVISIONS REQUIRED CORRECTIONS CORRECTIONS REQUIRED 2ND PLAN CHECK NON-STRUCTURAL JIM JOHNSON 11/6/2014 11/20/2014 11/17/2014 APPROVED APPROVED NON STRUC APPROVED STRUCTURAL JIM JOHNSON 11/6/2014 11/20/2014 12/16/2014 APPROVED APPROVED STRUC CORRECTIONS REQUIRED PLANS APPROVED 12/15/14 Printed: Tuesday, December 23, 201412:51:18 PM 7 of 7. g?�srsrenns ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED ' DOC 10/14/2014 JIM JOHNSON 57-615 CORAL MT 57-615 CORAL MT 0 CT..docx CT..docx DOC 10/14/2014 JIM JOHNSON 57-615 CORAL MT 57-615 CORAL MT 0 CT..docx CT. l.docx DOC 12/1/2014 JIM JOHNSON 57-615 CORAL MT 57-615 CORAL MT 0 CT..docxCT. 2.docx Printed: Tuesday, December 23, 201412:51:18 PM 7 of 7. g?�srsrenns MWIRP, 011 -.,,M Building / �/J/ I ��®` Address l Owner r �Ox 1504 APPLICATION ONLY E TAMPICO QUINTA, CALIFORNIA 92253 tf , IIrl • Y k &:7" ✓ BUILDING: TYPE CONST. OCC. GRP. Mailing ..�^ 1 -7� 2- V4 >I o 34- Addresss 5'-7615;— GOMI � f 14*%'tG�iJ_X A.P. Number t7T FItyPi1 ZIp�Z25 Legal Description ontractor Project Description dress (Ci (�� Zip Tel. JW Dtserf ' 76-0 Zoo- 6,9-oo State Lic. �� a -O / c & Classif. Lic.. # Sq. Ft. Arch., Engr., _/ New Designer fa f l l� AW1 M C�`l U WI L_1M,4 P_ a 6 `U h Qr City An/0 State W `rm Will Lic. # G 74,;+ LICENSED CONTRACTOR'S DECLARATION I here off rm that I licensed under ovisions of Chapter 9 (commencing with Section 7000) of ' Is' n 3 of the iness Pr s ions Code, and my license is in II ice a eff ct. a SIG�MRE 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 orcounly which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file =statement 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 five hundred dollars ($500). D 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. It, 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.) D 1 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 copy thereof. (Sec. 3800, Labor Code.) Policy No. Company D Copy is filed with the city. D 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 ($100) 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 No. 3 Sto Add ❑ No. Dw. Units Alter ❑ Repair ❑ Demolition ❑ 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 INSPECTOR Issued by: _ Validated by: Validation: YELLOW = APPLICANT Date Permit PINK = FINANCE Estimated Valuation PERMIT ®� AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. �E Grading i v F_ Driveway Enc. Infrastructure INTA EN TOTAL CONTACT INFORMATION 3 C Q ()2 S NAME: PHONE: 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 INSPECTOR Issued by: _ Validated by: Validation: YELLOW = APPLICANT Date Permit PINK = FINANCE Coma Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVELONEAMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMMAND. AMOUNT: DATE: RECEIPT: CHECK#: FMT1ALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Eng erl Date: November 20, 2014 Owner's Name: Phone No. (. Project Address: 57-615 Coral Mountain Ct., La Quinta, CA 92253 Project Description: 1 Single Family Dwelling Unit APN: 762-440-034 Tract #: Type of Development: Residential XX Total Square Feet of Building Area: Commercial Lot #'s: Industrial -- Certification of-Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: I Zd / Signature: ******************************** - 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 Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Number of Sq.Ft. 7,187 Amount per.Sq.Ft. $3.36 Amount Collected $24,148.32 Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Certificate issued by- _ Leticia C. Torres, Facilities Analyst NOTICE -OF 90 DAY PERIOD FOR PROTEST OI' FEE�ANYS ftATEKIENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this 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 -Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this -----__-_ timeor-in=whole-or-in=par-t=prior-to-issuance-of a Certificate -of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance_is valid -for -thirty -.(30) -days from -the date. of. issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. MV:c/mydoes'devfees/certificate of compliance form updated 3-2007 11/2010 RECORDING REQUESTED BY: Chicago Title Company AND WHEN RECORDED MAIL TO: Mr. and Mrs. Mark Andrew Engler Title Order No.: NT DEED U'I/"I t1ZU"14 uo:uu /-uvi refs. �p iu.uu Page 1 of 1 Doc T Tax Paid Recorded in Official Records County of Riverside Larry W. Ward Assessor, County Clerk & Recorder —This document was electronically submitted to the County of Riverside for recording— Receipted by: SGOMEZ I nla arHt.t rVK KCGVKUCK-a vat unLT: Escrow No.: 112607 -ER THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX is NOT FOR PUBLIC RECORD [XI computed on full value of property conveyed, or [ J computed on full value less value of liens or encumbrances remaining at time of sale. [ j Unincorporated area [XJ City of La Quinta AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Eunice K. Sullivan, Successor Trustee of The Pty 2000 Posterity Trust dated August 28, 2000 hereby GRANT(s) to: Mark Andrew Engler and Mary Moore Engler, Husband and Wife as Community Property with Right of Survivorship the real property in the City of La Quinta, County of Riverside, State of California, described as: Lot 2, of Tract 29963 as shown by map on file in Book 340, Pages 36 and 37 of Maps in the office of the County Recorder of Riverside County, California. Also Known as: Vacant Land APN 762-440-034-0 (aka 57615 Coral Mountain Court), La Quinta, CA 92253 AP#: 762440-0340 DATED January 8, 2014 STATE OF 1 L L -S lei o I 5 Eunice K. Sullivan, Successor Trustee of The Ply 2000 COUNTY OF 0 0 Posterity Trust dated August 28, 2000 On 5,9j N u A a 1 _ 2 0\ before me, �,n �_ y o L YA � I - 1 A Notary Public in and r said State personally app�arerl BY: �_� ==, ,Qr�� T`Q1_1�� rlCU A ,c , , A,T � t- it �,,, , 7 , r,c rV Eunice K. Sullivan, Successor 1 rustee who proved to me on the basis of satisfactory evidence to be the person(s) whose names) islare subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. OFFICIAL SEAL I certify under PENALTY OF PERJURY under the laws of the State DMITRIY POLYAKOY of California that the foregoing paragraph is true and correct. Notary Public - State of Illinois WITNESS my hand and official seal] My Commission Expires Oct 30, 2016 i7 Signature V c— —�� (Seal) MAIL TAX STPUMENTS TO PARTY SHOWN BELOW; IF NO PARTY SHOWN, MAIL AS DIRECTED ABOVE: RECEIVED DEC 23 2014 CITY OF LA QUINTA COMMUNITY DEVELOPMENT 4 l ' October 10, 2014 OF'fNE Mr. & Mrs. Mark Engler Re: Construction Debris Management Plan Site Address: 57-615 Coral Mountain Ct cc. Desert Bay Const Inc P.O. Box 2623 Palm Desert, Ca. 92261 Dear La Quinta Property Owner, Construction debris is waste material that is produced in the process of construction. As of January 1, 2011, The Green Building Standards Code (CALGreen) requires that the construction of most new structures in the State of California comply with sections 4.408 and 5.408 of the code in accordance with Assembly Bill 939 requiring that no more than 50% of jobsite waste be disposed of as trash at local land fill sites and transfer stations. Exceptions may be made for certain roof work and residential housing structures over 3 stories. • IMPORTANT: Burrtec Waste & Recycling is the City's franchised hauler. If you choose to self -haul any recyclables, you MUST provide copies of weight tickets and/or receipts as the job progresses. Clean-up companies and other haulers are not permitted to haul waste or recyclables from the City of La Quinta. Self -haul weight tickets may be mailed to me at the address below, faxed to me at (760) 340-0417, or sent via e-mail to roouldlockaburrtecdesert.com. A monthly progress report can be sent to the builder upon request. Renado Gouldlock 41-575 Eclectic Street Palm Desert, Ca 92260 Enclosed you will find detailed guidelines and helpful suggestions to assist you in meeting the above requirements. Please read them over before disposing of any material. Should you have any questions or concerns, please do not hesitate to contact me. Sincerely, Renado Gouldlock District Environmental Coordinator rgouldlock0-)burrtecdesert.com - 760-578-5236 is • Construction Debris Management Plan Summary of Requirements As of January 1, 2011, The Green Building Standards Code (CALGreen) requires that the construction of most new structures in the State of California comply with sections 4.408 and 5.408 of the code in accordance with Assembly Bill 939 requiring that no more than 50% of jobsite waste be disposed of as trash at local land fill sites and transfer stations. Exceptions may be made for certain projects under certain conditions. The City of La Quinta is committed to the highest level of environmental respect, to conserving our precious natural resources and setting an example to provide for a better world for generations to come. Recycling helps keep reusable resources out of landfills and will also reduce disposal costs. • IMPORTANT: Burrtec Waste & Recycling Services is the City's franchise haulers. If you choose to self -haul any recyclables or trash, you must provide copies of all weight tickets and/or receipts from the transfer station, landfill, or recycler as the job progresses. Clean-up companies and other haulers are not permitted to haul waste or recyclables from the City of La Quinta. Self -haul weight tickets should be submitted to: Renado Gouldlock, District Environmental Coordinator - rgouldlock@burrtecdesert.com, or faxed to (760) 340-0417, or mailed to: 41575 Eclectic Street, Palm Desert, Ca 92260. 41 • 0 • Plan Submittal Job Site Owner's N; Number, Street, or PO City, State, Postal C Ownees Phone Nun Owners E -Mail Add Building Permit Number. Project Description: SFR Exempt: 0 (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan 10/10/2014 57-615 Coral Mountain Ct Mr. & Mrs. Mark Engler Project Managers Namal Mike Evans Project Managers Phone Number 760-200-6200 Project Managers E-mefi Address I mikeevansdboMamaH.com Builder / C:ontrr Number, Street or PO City, State, Postal C Desert Bay Const Inc P.O. Box 2623 Palm Desert, Ca. 92261 Project Square Footage I 9689 sq feet City Approval By �o .� '— ILI QizrEA' Date of City Approval 10 /10 //4 Product Trash Asphalt Bdck/Block Cardboard Commingled Concrete Drywall Donated / Reuse' "Describe Items Tons 31.75 1 Not recyclable Totals: Recycle Trash 60.0 1 31.8 Product Tons Masonry (broken) 01 Plaster 8.1 Scrap Metal O.0 Tile (floor) 0.1 Tile (roof) 1.( Wood 11.0 Landscape Debris 0.( Projected Diversion: 6b.40% 1 understand it Is the property owners responsibility to submit copies of weight tickets or receipts to the District Environmental Coordinator as these hauls occur. I hereby certify that completion, Implementation and adherence of the Debris Management Plan (DMP) for the above named project shall guarantee that at least 50% of the jobsite waste is diverted from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining materials generated from the first day of the project through the completion of the project in accordance with this plan. This DMP Is issued In the name of the property owner(s) and shall remain their property throughout the construction and/or demolition project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP Is still Issued In the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP are adhered to. The property owner(s) and general contractor shall be kept Informed of the diversion progress through bi-monthly reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer Owner/ Developer/ Project Manager/ Superintendent Date