BPAT2015-003378-495 CALLE TAMPICO V ANNI1.. VOICE (760) 777-7125
FAX (7601777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT �j {�1SPECTTNS (7 77-7153
BUILDING PERMIT [1 LJ
Application Number: BPAT2015-0033 �. Owner:
�U C 2 4 20R�te: 25/2015
Property Address: 79315 TOM FAZIO LN /J • WILLIAM IM O
APN: 766032008 7931ST ITYQFLAQUINTA
R,, RIWEVELOPMENTDEPARTMENT
Application Description: SIMMONS RESIDENCE / PATIO COVER 585 SF LA QUINT ,
Property Zoning:
Application Valuation: $50,000.00
Applicant:
PREST,VUKSIC ARCHITECTS INC.
44530 SAN PABLO
PALM DESERT, CA 92260'
Contractor:
CLARK DEVELOPMENT CORPORATION
84-573 ANCHORA WAY
INDIO, CA 92203
(760)989-0099
Llc. No.: 893790
---------------------------------------------------------------------------------------------
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.: 893790A10 -
Dates vrContractor:.
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 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:
1
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 Na
Lender's Add
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. A A a
Date.v Z v—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 c' to enter upon the above-
mentioned rt for inspection purposes.
Date: ,L�J Signature -(Applicant -or Agent):
DESCRIPTION �'
FINANCIAL • ' +
ACCOUNT QTY' ' AMOUNT, a
k PAID } y,
PAIDbATE
HOURLY PLAN CHECK - YES
101-0000-42600 1.25
$87.50
$87.50
8/25/15
PAID BY ""
METHOD ; ' RECEIPT # ' "` :.
' CHECK #
CLTD BY
CLARK DEVELOPMENT CORPORATION
CHECK R8699
5396
MFA
Total Paid forBLDG CITY STAFF - PER HOUR: $87.50 $87.50
-.DESCRIPTION
ACCOUNT
.QTY,
' . AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$2.00
8/25/15
" PAID BY ° `
,' `METHOD � _,� '`
RECEIPT # '_
CHECK #
CLTD BY
CLARK DEVELOPMENT CORPORATION
CHECK
R8699
5396
MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $2.00 $2.00
DESCRIPTION
ACCOUNT `"" -
QTY:
AMOUNT'S"
PAID
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$24.17
8/25/15
PAID BY
METHOD .
RECEIPT #
CHECK #,
CLTD BY r
CLARK DEVELOPMENT CORPORATION
CHECK
R8699
5396
MFA
<"ACCOUNT
AMOUNT
�PA10DESCRIPTION
PAID DATE
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$24.17
8/25/15
PAID BY ; °
METHOD ';.
RECEIPT # r
CHECK # -
' CLTD BY, -
CLARK DEVELOPMENT CORPORATION
CHECK
R8699
5396
MFA
Total Paid for ELECTRICAL: $48.34 $48.34
DESCRIPTION ,
ACCOUNT
QT ,
""AMOUNT ' `
PAID
PAID DATE
PATIO COVER, DESIGNED
101-0000-42404
0
$133.43
$133.43
8/25/15
PAID BY,
METHOD ° ' '
RECEIPT # § t
CHECK # " `"
CLTD
CLARK DEVELOPMENT CORPORATION
CHECK'
R8699
5396
MFA
d DESCRIPTION
ACCOUNT'
> QTY"
AMOUNT
PAID
PAID DATE.
PATIO COVER, DESIGNED PC
101-0000-42600
0
$168.24
$168.24
8/25/15
" PAID BY
METHOD
RECEIPT # .. Y- :
w CHECK #:
CLTD BY
CLARK DEVELOPMENT CORPORATION
CHECK
R8699
5396
MFA
Total Paid forPATIO COVER / COVERED PORCH / LATTICE $301.67 $301.67
DESCRIPTION"
'ACCOUNT.
QTY
', _ °. AMOUNV
PAID �. � '
'PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0,
$6.50
$6.50
8/25/15
. ,. PAID BY r .
METHOD :..
RECEIPT .#
CHECK "#
CLTD BY
CLARK DEVELOPMENT CORPORATION
CHECK
R8699
5396
MFA
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $6.50 $6.50
• + ++.0
Description: SIMMONS RESIDENCE / PATIO COVER 585 SF
IU I 4A L Sl
Type: PATIO COVER
Subtype: Status: ISSUED
Applied: 6/9/2015 MFA
Approved: 6/24/2015 JJO
Parcel No: 766032008 Site Address: 79315 TOM FAZIO LN LA QUINTA,CA 92253
Subdivision: TR 27728
Block: Lot: 53
Issued: 8/25/2015 MFA
Lot Scl Ft: 0
Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $50,000.00
Occupancy Type: Construction Type:
Expired: 2/21/2016 MFA
No. Buildings: 0
No. Stories: 0 No. Unites: 0
FOR STEPHANIE EXPLAINED TO HIM WHAT WAS REQUIRED
Details: METAL WELDED ENGINEERED TRELLIS, PER 2013 CRC CODES
PHILIP JUAREZ
62
15
p Applied to Approved
Approved to Issued.
Printed: Tuesday, August 25, 2015 12:46:40 PM 1 of 4
SYSTEMS.
IU I 4A L Sl
-NOTES _
xh rsr 1MW °u umcw.. "CmOMPLETION DATE. w.
A-146NW4 TAB tN�xAM�ElW4' ACTION COMPLETION
LETTER
STEPHANIE KHATAMI
8/25/2015
8/25/2015
REVISION WITHDRAWN
SPOKE YO RODRIGO /PREST VUKSIC 760-779-5393 CALLED
FOR STEPHANIE EXPLAINED TO HIM WHAT WAS REQUIRED
NOTE
PHILIP JUAREZ
8/24/2015
8/24/2015
FOR REVISION HE THEN STATED THEY ARE NOT GOING TO DO
ITAND I EXPLAINED TO HIM TO SEND AN E-MAIL STATING
THAT HE SAID HE WOULD SEND IT TO STEPHANIE.
NOTE
PHILIP JUAREZ
8/24/2015
8/24/2015
REVISION FOR PERMIT WAS MADE AT THE COUNTER. I LATER
NOTE
STEPHANIE KHATAMI
8/20/2015
8/20/2015
RECEIVED A PHONE CALL FROM THE CONTRACTOR STATING
THEY WOULD LIKE TO WITHDRAW THE REVISION. I
REQUESTED AN EMAIL OR LETTER FROM THE APPLUCANT.
PLAN CHECK COMMENTS
FROM CONSULTANT
MARY FASANO
6/22/2015
6/22/2015
RECEIVED FROM YOUNG APPROVABLE PENDING
RECEIVED
Printed: Tuesday, August 25, 2015 12:46:40 PM 1 of 4
SYSTEMS.
PLAN CHECK SENT TO
MARY FASANO
6/9/2015
6/9/2015
OUTSIDE PC
PLAN CHECK SUBMITTAL
MARY FASANO
6/9/2015
6/9/2015
RECEIVED
PLAN CHECK SUBMITTAL
STEPHANIE KHATAMI
8/20/2015
8/20/2015
REVISION TO POSTS RECEIVED.
RECEIVED
SPOKE TO RODRIGO OF PREST VUKSIC REGARDING
TELEPHONE CALL
BURT HANADA
8/19/2015
8/19/2015
PROPOSED REVISION TO APPROVED DESIGN. INFORMED
HIME THAT ADDITIONAL PLAN REVIEW FEES WILL BE
ASSESSED TO PERMIT FEE.
CALLED BRIAN GOTTLIEB ABOUT CONDITIONAL APPROVAL
TELEPHONE CALL
JIM JOHNSON
6/24/2015
6/24/2015
FOR STRUC CALCS, VARIFY SOLUBLE SULFATE LEVELS OR
SPECIFY TVPE V, 4500 PSI CONCRETE.
NAME TYPE - -
NAME ;
ADDRES51
7.PALMDESERIT
STATE
ZIP° PHONE s`FAX ,. EMAIL
APPLICANT
PREST VUKSIC ARCHITECTS INC.
44530 SAN PABLO
CA
92260
DAVIDD@PVARCH.CO
M
CONTRACTOR
CLARK DEVELOPMENT
84-573 ANCHORA WAY
INDIO
CA
92203
CORPORATION
OWNER
WILLIAM SIMMONS
79315 TOM FAZIO LN
LA QUINTA
CA
92253
Printed: Tuesday, August 25, 2015 12:46:40 PM 2 of 4
SYS TEMS
INSPECTIONS'
SEgID INSPECTION TYPE INSPECTORSCHEDULED COMPLETED RESULT REMARKS NOTES
DATE. DATE
FINAL*" BLD
"' PARENT PROJECTS
Printed: Tuesday, August 25, 2015 12:46:40 PM 3 of 4 CRWY MS
CLTD
DESCRIPTION.
ACCOUNT
:QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY-,
BY.;
CLARK DEVELOPMENT
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$2.00
8/25/15
R8699
5396
CHECK
CORPORATION
MFA
Total Paid forBUILDING STANDARDS ADMINISTRATION
$2.00 $2.00
BSA:
CLARK DEVELOPMENT
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$24.17
8/25/15
R8699
5396
CHECK
CORPORATION
MFA
CLARK DEVELOPMENT
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$24.17
8/25/15
R8699
5396
CHECK
CORPORATION
MFA
Total Paid forELECTRICAL: $48.34 $48.34
PATIO COVER,
101-0000-42404
0
$133.43
$133.43
8/2S/15
R8699
5396
CHECK
CLARK DEVELOPMENT
MFA
DESIGNED
CORPORATION
PATIO COVER,
101-0000-42600
0
$168.24
$168:24
8/25/15
R8699
5396
CHECK
CLARK DEVELOPMENT
MFA
DESIGNED PC
CORPORATION
Total Paid forPAT10 COVER / COVERED PORCH / LATTICE $301.67 $301.67
CLARK DEVELOPMENT
SMI - RESIDENTIAL
101-0000-20308
0
$6.50
$6.50
8/25/15
R8699
5396
CHECK
CORPORATION
MFA
Total Paid forSTRONG MOTION INSTRUMENTATION SMt $6.50 $6.50
44.
INSPECTIONS'
SEgID INSPECTION TYPE INSPECTORSCHEDULED COMPLETED RESULT REMARKS NOTES
DATE. DATE
FINAL*" BLD
"' PARENT PROJECTS
Printed: Tuesday, August 25, 2015 12:46:40 PM 3 of 4 CRWY MS
NON-STRUCTURAL -
JIM JOHNSON
6/9/2015
6/23/2015
6/24/2015
APPROVED
2 WK
STRUCTURAL - 2 WK
YOUNG
6/9/2015
6/23/2015
6/22/2015
READY FOR APPROVAL
ENGINEERING
- CONDITION
BOND INFORMATION
Printed: Tuesday, August 25, 2015 12:46:40 PM 4 of 4EAS
p
SYSTEMS
Bin,#
C�
'Uinta z3
city 'f La Q CA,
Building 8l• Safety Division
(�P.O. Box 1504,78-495 Calle Tampico
4.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #,
U
Project Address: . 79-315 TOM FAZIO LANE N:
Owner's Name:. BILL & RHONDA SIMMONS
A. P. Number. 766-032-008-4
Address: .79-315 TOM FAZIO LANE N.
Legal Description: LOT 53 MB 249/1. TR 27728
City, ST, Zip: LA QUINTA, CA 92253
Contractor
,* f; tiw•s<
Telephone: z>.,� `rte• ¢ ",:
Address:
Project Description:
City, ST, zip:
NEW STEEL TRELLIS STRUCTURE AT
SIDE OF PROPERTY. NO SQ.FT.
TO BE ADDED TO EXISTING RESIDENCE
Telephone:
State Lic. # :
City Lie. #;
Arch, Engr., Designer. PREST • VUKSIC ARCHITECTS
Address: 44-530 SAN PABLO AVE. STE 200
City., ST, zip: PLAM DESERT, CA 92260
Telephone: 760.779.5393 - '' '
State Lic. #: •C=8690 '.r �'
Construction Type: . VN Occupancy 93
Project type circle one New Add'n Alter Repair Demo
Sq. FL 585.0 TRELLIS #Stories: 1 (EXISTING) #Units: 1 (EXISTING)
NONE ADDED TO EXISTING
Estimated Value of Project: $ 50,000
Name of Contact Person: DAVID PREST
Telephone # of Contact Person: 760.779.5393
APPLICANT: DO NOT WRITE BELOW THIS UNE
9
Submittal
Rod
'Rec'd
TRACKING
PERMIT FEES-
Plan Sets
Pian Cheek submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Cheek Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calci.
Plans picked up
Construction
Hood plain plan
Plans resubmitted
Mechanical
Giading plan
V Review, ready for correctionsrissue
Electrical
Subeontactor 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 correctionsfissae
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit lssue
School Fees
Total Permit Fees
THE QUARRY AT LA QUINTA OWNERS ASSOCIATION
Professionally managed by
Personalized
' Property
Management
June 8, 2015
William Simmons
79-315 Tom Fazio North
La Quinta, CA 92253
Re: Approval of Trellis for residence at 79-315 Tom Fazio Lane North
Dear Mr. & Mrs. Simmons:
68-950 Adelina Road
Cathedral City, CA 92234
Phone: (760) 325-9500
Fax: (760) 325-9300
The Board of Directors and Architectural/Landscape Committee appreciate your recent
submission of plans for the Trellis. We thank you for your patience during the review process to
ensure the HOKs Architectural/Landscape Guidelines are being followed.
The Architectural Committee and Board of Directors have approved the Trellis design as
submitted. With receipt of this letter you may move forward with your project with approval,
which should also assist in guaranteeing your compliance with all City of La Quinta building
statutes.
Should you have any questions on this matter, please contact Community Manager Caren
Carnine at Personalized Property Management Company. Thanking'you in advance for your
assistance in this matter and all the best to you in your exciting endeavor.
FOR THE QUARRYAT LA QUINTA HOMEOWNERSASSOCIATION .
BOARD OF DIRECTORS
Sincerely,
c� coo
Caren Carnine
Community Manager, The Quarry at La Quinta HOA
Personalized Property_ Management
cc: Board of Directors, File.
RECEIVED
JUN 0 9 2015
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT