BRES2014-1162 (2)yaw
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT'
.` BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/5/2014
Application Number: BRES2014-1162 Owner:
Property Address 78743 TUJUNGA LARRY ESPINOLA
APN: , 770093004- 78-743AVENIDATUJUNGA
Application Description: RELOCATE LAUNDRY ROOM, NEW SLIDER AND NEW CLEARSTORY 'LA QUINTI, CA 92253
Property Zoning: _
Application Valuation: $35,000.00 D
a e
Applicant: Contractor:
OSMOND CONSTRUCTION COMPANY DEC ®4
0 OUTSIDE CITY LIMITS 2014 0 OUOTSIDE
CO
CITY
COMPANY
LA QUINTA, CA 92253COMMUNIryTYDEVOFLto
AQUINTq LA QUINTA, CA 92253
_• _..__._ . - MENTOEpgRTMENT (760)559-7080
- Llc. No.: :LIC -0003479
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Classy License No.::LIC-000
pate: J / Contractor: ""J
(" 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 safe:).
(_) 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
tAereon, 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 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: _
ify that in the performance of the work for which this permit is issued, I
shaff 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.
r
bate/ 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 city to enter upon the above•
mentioned property for inspection purposes. �� n
6atl/e r, Signature (Applicant or Agent
77 -,
DESCRIPTION -
FINANCIAL INFORMATION
ACCOUNT, QTY! AMOUNT,PAID tP ID*DATE
HOURLY PLAN CHECK - YES
101-0000-42600 1.2511 $87.50 $0.00
PAID BY,-�z
"Z'RECEIPT4 CLTd 6Y,�.
E HOD �CHECK #
M, T.. uk
Total Paid for BLDG CITY STAFF - PER HOUR: $87.50 $0.00
r, DESCRIPTION
ACCOUNTS ;.�. �QTY
AMOUNT,
rPAID _14'-:P
AID DATE
BSAS SB1473 FEE
101-0006-20306
0
$2.00
$0.00
PAID, BY_.
METHODRECEIPT
# :1,
CHECK#
y CLTQ BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00
-DESCRIPTION,.,
-'Acc OU_
PAID,
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
Y. PAID BY
M16H
,RECEIPT.#
K ff,P
CLTD BY
DESCRIPTION.,
-ACCOUNT -
�QTY
AIVIOUNT:A.
PAIDt,v7rrV
-ACCOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
P4i D, By'
�MIETHOD,-
RECEIPT
-,,!�,,,CHECK #
LTD 6y 14
Total Paid for ELECTRICAL: $48.34 $0.00
-44 DESCRIPTION
"4 _jACCOUNT A
Z_ITy�l
d
"AMOUNT-,
PAID 4.-;v
' PAID DATE
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
$12.09
$0.00
PAID. B Y.,
''METHOD'
RECEIPT W
ICHECK #�j
fC CfD: BY
tDESCRIFTION
ACCOUNT;
�-�
AM 0UNT�,'j
PAID DATE
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$4.83
_$0.00
'PAID B Y
.A',MIETHOI)r�
"O� �;";,,RkElPf i,:
CHECK#,
LTD Bi
'
;,-:DESCRIPTIONC
"A 0 NT
'CITYJ
..,-'AMO AMOUNT
w'k'p 6
"-A-10AID
'PA I D E
VENT FAN
101-0000-42402
0.
_$12.09
$0.00
oPAID BY'
M16APD�"4
RECEAPT#
`_df b4i
DESCRIPTION.".
C LINT
"'4C6
AMOUNT f�,Jj,�
-PAID DATE
VENT FAN PC
101-0000742600
0
$4.83
$0.00
PA
MIETHT
C #
CHECK _
lo'dT618Y
Total Paid for MECHANICAL: $33.84 $0.00-
`'DESCRIPTION'
fAMOUNT-
PAID'*�'
jPAID,DAT&
FIXTURE/TRAP
101-0000-42401
0
$12.09
$0.00
6
,_METHOD
,f,,RECEIRT #'
_��CHECK #
CLTD BY
' ' `
a
; COUNT
Q
MO
PAID
PAID DATE
FIXTURE/TRAP PC
101-0000-42600
0
$12.09
$0.00
t F PAIDBY4 k`.*w...
`
:
sJCEIPT#
_
F' HECK'
C�t
CLTD.BY -,
s. ; DESCRIPTION-
{"ACCOUNTS '� j'y t
QTY
�rgMOUNT+ '',�
iPAIDr '�{=a.'PAIDsDATE'
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$0.00
PAID BYt:
RECEIPT #
CHECK-# "
. CLTD BY :�
` yaA DESCRIPTIONt
i.
;ACCOUNTs9AMOUNT
�'�
r' PAID
CPAID DATE
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
$0.00
PAID BY ` t �z, ,�� ai
.� . "+ METHOD S t� z
r. y a �� .RECEIPTr# z a
x .. CHECK #?"F-,
z 'CLTD BY r
I
DESCRIPTION t ;w `
"-�' ACCOUNT'�w;
;QTY*AMOUNT
k Nif PAID, i;
=PAID DATE
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.09
$0.00
aMETHOD , x' ,
�� wkRECEIPT # ,CHECK
#!
`,CLTD BY,
w ;yo f; iDESCRIPTION .. ,
ACCOUNT
QTY
-AMOUNT ; y
`PAID:; L�':
+PAIDLDATE
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.09 -
$0.00
sPAID'BY �'" "�'
# p as :e n'
x;,METHOD r
' ?"RECEIPT'#� �'-
e.
CHECK'# �?
i n
"` CLTD BY
" Total Paid for PLUMBING FEES: $84.62 $0.00
4 DESCRIPTION
' F `i4CCOUNT T ,
aa.+..:
QTY'
AMOUNT `s
"s'> °PAID �f,3
'PAID DATE:
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400
0
$21.75
$0.00
«
ETHOD
3". '
CLTDBY:u–PAIDYBY�
✓` "DESCRIPTION '�
-`,4"'t; ACCOUNT '' ' it
``CRTY
j AINIOUNT "
z x;APAID'j'',
PAID DATE
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$17.40
$0.00
51
rCPAID BY q,r
t
zn
.. t$ �� y }vt
i,� `METHOD t � , ;
a2' r, +3ot^ w
r �, RECEIPT-#
CHECK # '
t�'
;CLTD
?� DESCRIPTION."� ti r,,,e�AG000NT
c'`4 �+� ,
QTY'rsAIVIOUNT;
_,
irxPAIDi
�PAID'DATE'
REMODEL, FIRST 100 SF
101-0000-42400
0
$49.31
$0.00
,.�;PAIDBY� sY •rte;,t`
" ` OMETHOD' �'A'
r� r RECEIPTi#I^
��CHECK#
;CLTD
t+ �"DESCRIPTION =s, '-�
.° �^'�;'AC0OUNT` r S
,CITY
+ AMOUNT'yu. `
°;� ; ,PA_ID
,«PAIDUATE'
REMODEL, FIRST 500 SF PC
l
101-0000-42600
0
$134.88
$0.00
PAID BY '' k
�e t. Y Ys l
� ,°r'' �((METHOD �'"
YS i't
" tit,n RECEIPT#,
='CHECK'Ii �+�` t°
1�..'
' CLTD'BY
.t
Total Paid for REMODEL: $223.34 $0.00
'."DESCRIPTION { '4"'
,ACCOUNT= jam' o
tib. .,,«•a. +J'f
+QTY
'
' i§ 4 AMOUNT
.rt" .%
i' = PAI
i. f.r+;.:
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
•$4.55
$0.00
:r; F:-PAID.BY `p m,�+'*:
METHOD i
"';RECEIPT#'
w ;';CHECKitf`
��CLTDBY
Total Paid forSTRONG MOTION INSTRUMENTATION SMt $4.SS $0.00
`7DESCRIPTION ='' Fsy"' '7rACCOUNTr y� F yQT�lf s� AMO,UNT��' `. PAID ;PAID DATE
DOOR/WINDOW, REPLACE FIRST 7 101-0000-42400 0 $60.91 $0.00
-� - .sn, '( ,_: -. A•:a rr'a .� +i�� �' S"s T ...... ♦- tc a—q� .t�. --f-
+�'. PAID BY^ Y trs As- = u METHOD4 RECEIPT#�;zr�rti<?` " ^CHECK#k�i r CLTDsBV
A'�' �,A000UNT AMOUNT�i �` PAIDsry PAIDDATE
-DOOR/WINDOW, REPLACE, FIRST 7 PC 101-0000-42600 0 $110.22 $0.00 !
.,.METHOD x i . RECEIPT#`� 4'C 3,c' ' ;`, R f TD.� �.• .
> � '� � �CHECK # t o '� :' CLTO BY.,,;`
�h � � : # ,� • � b 9 . .a +.,.� , . � ;y •1,`z.. 4 . ;s•el:ht , y� u 'cc.?`:iry 'y
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $171.13 $0.00
TOTALS: $65S.32 • 11
J s
I
Description: RELOCATE LAUNDRY ROOM, NEW SLIDER AND NEW CLEARSTORY -z
Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED
Applied: 11/5/2014 SKH
Approved: 12/2/2014 JJO
Parcel No: 770093004 Site Address: 78743TUJUNGAtAQUINTACA92253
Subdivision: DESERT CLUB TR UNIT 5 Block: Lot: 27
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $35,000.00 -,Occupancy Type:., Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: RELOCATE LAUNDRY ROOM ADD NEW SLIDER AND CLEARSTORY WINDOWS
V
Applied to A V
ADDITIONAL SITES
27
-CHRON0 0 GY T -Y P ;STAFF NAME,,..
PLAN CHECK COMMENTS
FROM CONSULTANT
JIM JOHNSON 12/2/2014
V
Applied to A V
ADDITIONAL SITES
CHRONOLOGY
-CHRON0 0 GY T -Y P ;STAFF NAME,,..
PLAN CHECK COMMENTS
FROM CONSULTANT
JIM JOHNSON 12/2/2014
11/24/2014
PLANS RETURNED FROM YOUNG APPROVED
RECEIVED
PLAN CHECK SUBMITTAL
STEPHANIE KHATAMI 11/5/2014
11/5/2014
RECEIVED
-
CALLED ROB PITCHFORD TO INFORM HIM THAT PLANS'ARE
TELEPHONE CALL
JIM JOHNSON 12/2/2014
12/2/2014
READY TO ISSUE. ITEMS REQUIRED: NEED ASSESSORS SET
CONDITIONS
CONTACTS
ADDRESS :'"Z
0NE FAX
APPLICANT OSMOND CONSTRUCTION COMPANY 0 OUTSIDE CITY LIMITS LA QUINTA CA
92253 (760)559-7080
CONTRACTOR OSMOND CONSTRUCTION COMPANY 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 (760)559-7080
-7-
Printed: Friday,'December 05, 2014 1:33:12 PM I of 4 CRN"
LVL7 SYSTEMS
-2,
_'..Cify of LaBRES
i�Quihtq'
CONTACTS
ADPRESSV,&';-'}`--,. CITY -SfAtElf -'t-"Zip- 4,PHONE FAX --,.
I i
"." M AIL --j"
__ .-
OWNER LARRY ESPINOLA
78-743AVENIDA LA QUINTI
CA 92253 (760)559-7080.
TUJUNGA
F !NANCIAL INFORMATION
QTY
DESCRIPTION' t;' �ACCOUNT AMOUNT-,',*:,-,
CLTD.
PAID DATE RECE!PT�#�- --METHOD,- PAIDBY
'BY
�t p4f A;
71- AIL.
HOURLY PLAN CHECK -
101-0000-42600
1.25 $87.50 $0.00
I YES
Total Paid forBLDG CITY STAFF - PER HOUR: $87.50 $0.00
_BSA.SSB1473FEE
101-0006-20306
0
.$2.00,
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$2.00 $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
APPLIANCE
101-0000-42402.
0
$22.09
'$0.00
REPAIR/ALTERATION
APPLIANCE
101-0000-42600
0
$4.83
$0.00.
REPAIR/ALTERATION PC
VENT FAN
101-000042402
0
$12.09
$0.00
VENT FAN PC
101-0000-42600
0
$4.83
$0.00
Total Paid forMECHANICAL: $33.84 $0.00
FIXTURE/TRAP
101-0000-42401
0
$12.09
$0.00
-7-
FIXTURE/TRAP PC
101-0000-42600
0
$12.09
$0.00,
GAS SYSTEM, 1-4
101-0000-4240.1
0
$12.09
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
i4. 7
$ 1
$0.00
$00
OUTLETS PC
Printed: Friday, December 05, 2014 -1:33:12 PM 2 of 4 Cg?SYSTEMS
a
iEQ1)AI'�0 INSPECTION TYPE , INSPECTOR' N- ISC96MED'l ,COMPLETED
f�jl W"v-C^NOTES
A
FINAL*!
PARENT PROJECTS
Printed: Friday, December 05, 2014 1:33:12 PM 3 of 4 COSYSTEMS
14'i �Z
z 'z 41t,
71 T7=��
'METHOD
r
'CLT
ESCRIPTION,
�-';Accbu NT
QTY
-AMVUN 1.�
:,--j"jZrA1 b t
PA DATE'
RECEIPT:#
,,-CHE K-#'
F�
AD
I
PAID -BY !v
�"BY§"
a. - 1
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: $84.62 $0.00
REMODEL, EA.
101-0000-42400
0
$21.75
$0.00
ADDITIONAL 500 SF
REMODEL, EA
101-0000-42600
0
$17.40'
$0.00
ADDITIONAL 500 SF PC
REMODEL, FIRST 100 SF
101-0000-42400
0
$49.31
$0.00
REMODEL, FIRST 500 SF
101=0000-42600
0
$134.88
$0.00
PC
Total Paid for REMODEL: $223.34 $0.00
SMI - RESIDENTIAL
101-0000-20308
0
$4:55
$0.00
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $4.55 -$0.00
DOOR/WINDOW,
101-0000-42400
0
$60.91
$0.00
REPLACE FIRST 7
DOOR/WINDOW,
101-0000-42600
0
-$110.22
$0.00
REPLACE, FIRST 7 PC
Total Paid forWINDOW/SLIDING GLASS., $171.1� $0.00
DOOR/FENESTRATION:
TOTALS: $655.32 $0.00
iEQ1)AI'�0 INSPECTION TYPE , INSPECTOR' N- ISC96MED'l ,COMPLETED
f�jl W"v-C^NOTES
A
FINAL*!
PARENT PROJECTS
Printed: Friday, December 05, 2014 1:33:12 PM 3 of 4 COSYSTEMS
Printed: Friday, December 05, 2014 1:33:12 PM 4 o 4 r CJ SYSTEMS
R IE E"
ER •
DATES
E DATE
REVIEWS
-SENT
.;
A,
I u�l
BROW
SENT TO YOUNG (SK)
STRUCTURAL,
-'
11/5/2014-
11/19/2014
12/1/2014
APPROVED
APPROVED
YOUNG,
-APPROVED BY YOUNG ENGINEERING
NON STRUC APPROVED. NEED TO ADD STRUC P/C,
NON-STRUCTURAL
JIM JOHNSON
11/5/2014
11/19/2014
11/20/2014
APPROVED
APPROVED -.
TIME FROM YOUNG ENGINEERING.
Printed: Friday, December 05, 2014 1:33:12 PM 4 o 4 r CJ SYSTEMS