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BRES2014-1060Applicant: JACK L CLARK JR ' 52940 AVENIDA MONTEZUMA LA QUINTA, CA 92253 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: _ License No.: 506667/' Da�/���� Contracto'r:/� E��[ 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).: ( ) 1, 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: 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 Contractor: JACK L CLARK 1R 52940 AVENIDA MONTEZUMA LA QUINTA, CA 92253 (760)564-3511 Llc. No.: 506667 Date: 10/8/2014 3 4, 78-495 CALLE TAMP ICO c Z C.) C7 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT m 4 � BUILDING PERMIT ti O � a .a Application Number: BRES2014-1060 Owner: Property Address: 79360 STONEGATE JEROME ALHADEFF APN: 776020020 P 0 BOX 19435 Application Description: NEW BAR AREA UNDER EXISTING ROOF LINE AND TRELLIS SEATTLE, WA 92253 Property Zoning: Application Valuation: $35,000.00 Applicant: JACK L CLARK JR ' 52940 AVENIDA MONTEZUMA LA QUINTA, CA 92253 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: _ License No.: 506667/' Da�/���� Contracto'r:/� E��[ 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).: ( ) 1, 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: 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 Contractor: JACK L CLARK 1R 52940 AVENIDA MONTEZUMA LA QUINTA, CA 92253 (760)564-3511 Llc. No.: 506667 Date: 10/8/2014 3 3: c Z C.) C7 o. �o m 4 � o� O � a .a M �---� U 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 _ 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: CarrA. Policy Number: _ 166'!!//��C _I certify that in the performance of the work for which this permit is issued, I shalNot 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. Dat Applicant: / L 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 cit o enter upon the above- mentioned bovementioned property for inspection purposes. 0JV Date V -4 Signature (Applicant or Agent: 6�A s DESCRIPTION.: FINANCIAL INFORMATION -ACCOUNT�, 'AMOUNT PAID", PAID DATE ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 .0-1 $61.49 $0.00 PAID BY.. METHOD -L RECEIPT# CHECK # CLTD BY, DESCRIPTION. •,_ACCOUNT QTY' AMOUNT PAID PAID DATE ADDITION, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $17.16 $0.00 PAID BY . . METHOD RECEIPT # CHECK ' CLTD'BY DESCRIPTION— CCOUNT - PTY! AMOUNT PAID PAID DATE' ADDITION, FIRST 100 SF 101-0000-42400 0 $120.12 $0.00 'PAID By 'METHOD RECEIPT # CHECK # CLTD BY -DESCRIPTION ACCOUNT QTY AMOUNT PAID" PAID'DATE! ADDITION, FIRST 100 SF PC 101-0000-42600 0 $168.74 $0.00 PAID BY -METHOD - RECEIPT CHECK# CLTD BY Total Paid forADDITION: $367.51 $0.00 DESCRIPTION , - I ACCOUNT % :*_ iT QTY� AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 PAID BY METHOD RECEIPT # CHECK# CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00 -DESCRIPTION,, -ACCOUNT -'QTY AMOUNT PAID 1PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 1.75 $122.50 $0.00 PAID 131�- METHOD -,_�RECEIPT# 13-" CHECK #, CLTD BY Total Paid forCITY STAFF - PER HOUR: $122.50 $0.00 DESCRIPTION ACCOUNT QTYk: AMOUNT -PAID' PAID DATE' DEVICES, ADDITIONAL 101-0000-42403 0 $19.04 $0.00 `PAID BY ":METHOD �i RECEIPT#CLTD CHECK # BY DESCRIPTION ACCOUNT QTY. AMOUNT PAID PAID DATE DEVICES, ADDITIONAL PC 101-0000-42600 0 $4.80 $0.00 :PAID BY ' RECEIPT # -'CHECK# CLTD BY bESCRIPTIbN ACCOUNT 66 t'QTY AMOUNT,�,� PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $23.83 $0.00 'PAID BY METHOD ;-RECEIPT # 'CHECK # CLTDBY DESCRIPTION -ACCOUNT;QTY AMOUNT PAID, PAID DATE -.41171, DEVICES, FIRST 20 PC 101-0000-42600 0 $23.83 $0.00 PAID BY •} ""' 1r t: ` +, • METHOD : . �'� RECEIPT #" CHECK # • CLTD BY Total Paid for ELECTRICAL: $71.50 $0.00 ' DESCRIPTION, r " 'ACCOUNT _"' . :QTY; -AMOUNT ". y r PAID- • PAID DATE APPLIANCE REPAIR/ALTERATION 101-0000-42402 0 $11.92 $0.00 ,. '`PAID BY > �. ;METHOD! "s' '�fKy`RECEIPT# aCHECK# ._' CLTD BY. '• DESCRIPTION-. 'ACCOUNT w QTY -AMOUNT s PAID . ''. PAID DATE APPLIANCE REPAIR/ALTERATION PC 101-0000-42600 0 $4.77 $0.00 PAID BY , ' : r, , 7 .. METHOD ` RECEIPT # -CHECK # , CLTD BY, - Total Paid forMECHANICAL: $16.69 $0.00 . DESCRIPTION_, „ . 4 � • -' :. ACCOUNT , QTY + AMOUNT PAID: PAID DATE FIXTURE/TRAP 101-0000-42401 0 $11.92 $0.00 PAID BY = _ METHOD:. RECEIPT.# CHECK #, CLTD BY �., -''DESCRIPTION ` ' '. ACCOUNTL w QTY,. -- AMOUNT. PAID PAID DATE FIXTURE/TRAP PC- 101-0000-42600 0 $11.92 $0.00 cs,; iPAID BY+"<, ' METHOD - •. ?' .,' . _. RECEIPT# w .. "CHECK # CLTD BY DESCRIPTION .. r a. `ACCOUNT `' QTY` AMOUNT. PAID ' PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $11.92 $0.00 " .3_ `PAID BY;S . ; ° •+ z j . ` METHOD RECEIPT # - ': {HECK # = CLTD BY - s :-,DESCRIPTIONr -+' 'ACCOUNT QTY AMOUNT `'PAID? PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $11.92 $0.00 • '--PAID BY `': -METHOD a : RECEIPT #` CHECK # CLTD BY Total Paid for PLUMBING FEES: $47.68 $0.00 ri 'DESCRIPTION . �' ACCOUNTt QTY AMOUNT .'PAID .^• • ' PAID. DATE SMI - RESIDENTIAL 101-0000-20308 0 $4.55 $0.00 PAID BY".. ,, . METHOD RECEIPT# ' t s ri.'CHECK # _CLTD BY. . Total Paid forSTRONG MOTION INSTRUMENTATION SMt $4.55 $0.00 TOTALS:• 00 Description: NEW BAR AREA UNDER EXISTING ROOF LINE AND TRELLIS CHRONOLOGY Type: BUILDING, RESIDENTIAL Subtype: ADDITION Status: APPROVED Applied: 7/17/2014 PJU Approved: 9/25/2014 JJO Parcel No: 776020020 Site Address: 79360 STONEGATE LA QUINTA;CA 92253 Subdivision: TR 26524 Block: • Lot: 31 Issued: Lot Scl 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 TOWN, CORRECTIONS NEED TO BE ADDRESSED AND PLANS Details: ADDITION NEW BAR AREA UNDER EXISTING ROOF LINE AND 97 SQ. FT. TRELLIS ADDITION 70 Applied to Approvedy ADDITIONAL CHRONOLOGY '° } ` a STAFF NAME ACTION DATE a . .COMPLETION DATE c' - NOTES p. � CHRONOLOGY TYPE_L. - PLAN CHECK PICKED UP KAY HENSEL 9/19/2014 9/19/2014 ARCHITECT PICKED UP. SIGS. REQUIRED Plans need to be picked up for corrections. ARCH. IS OUT OF` PLAN CHECK READY FOR JIM JOHNSON 9/12/2014 9/12/2014 TOWN, CORRECTIONS NEED TO BE ADDRESSED AND PLANS PICK UP NEED TO BE SIGNED BY ARCH. OF RECORD. APPLICANT (JACK CLARK) STATED JIM JOHNSON REQUIRED A FEW ITEMS TO BE CLARIFIED AND FOR PLANS TO BE RESUBMITTAL AJ ORTEGA 9/10/2014 9/10/2014 SUBMITTED DIRECTLY BACK TO THE REVIEWER - REVIEW CREATED WITH (1) WEEK TURNAROUND. RESUBMITTAL MARY FASANO 9/22/2014 9/22/2014 APPLICANT RESUMBITTED WITH SIGNED PLANS PER JJ CALLED APPLICANT, INFORMED HIM PERMIT IS READY TO TELEPHONE CALL JIM JOHNSON 9/25/2014 9/25/2014 ISSUE. CONDITIONS Printed; Wednesday, October 08, 2014 10:23:25 AM ' 1 of 5 RSYSTEMS • Printed: Wednesday, October 08, 2014 10:23:25 AM 2 of 5 C§TSYSTEMS CONTACTS NAMETYPE' thi�ME �� ^k;.7_! V STATE ZIPS: INFORMATION FAX'S , I , rry 'CLTD' APPLICANT JACK L CLARK JR 52940 AVENIDA LA QU I NTA CA 92253 (760)564-3511 :CHECK#', METHOD PAID BY­ 'BY MONTEZUMA CONTRACTOR JACK L CLARK JR 52940 AVENIDA LA QUINTA CA 92253 (760)564-3511 - $61.49 $0.00 MONTEZUMA ADDITIONAL 500 SF OWNER JEROME ALHADEFF P 0 BOX 19435 SEATTLE WA 92253 (760)564-'3511 ADDITION, EA Printed: Wednesday, October 08, 2014 10:23:25 AM 2 of 5 C§TSYSTEMS FINANCIAL INFORMATION rry 'CLTD' DESCRIPTION 4: tACCOUNT CITY 'AMOUNTI�_,' PAID A PAID RECEIPT :CHECK#', METHOD PAID BY­ 'BY ADDITION, EA 101-0000-42400 0 - $61.49 $0.00 ADDITIONAL 500 SF ADDITION, EA 101-0000-42600 0 $17.16 $0.00 ADDITIONAL 500 SF PC ADDITION, FIRST 100 SF 101-0000-42400 0 $120.12 $0.00 ADDITION, FIRST 100 SF 101-0000-42600 0 $168.74 $0.00 PC Total Paid forADDITION: $367.51 $0.00 13SAS SB1473 FEE 101-0000-20306 1 0 $2.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $2.00 - $0.00 BSA - HOURLY PLAN CHECK - 101-0000-42600 1.75 $122.50 $0.00 YES Total Paid forCITY-STAFF - PER HOUR: $122.50 $0.00 DEVICES, ADDITIONAL 101-0000-42403 0 $19.04 $0.00 DEVICES, ADDITIONAL 101-0000-42600 0 $4.80 $0.00 PC DEVICES, FIRST 20 101-0000-42403 0 $23.83 $0.00 Printed: Wednesday, October 08, 2014 10:23:25 AM 2 of 5 C§TSYSTEMS y' ':•3 i,•, .:,-^ ,.,, s ACCOUNT` .. QTY .,i`h AMOUNT ;PAID PAID DATE RECEIPT #, CHECK #, • METHOD PAID BY", 7LTD L ' x: ;- -. +a, ., sq?i_ : a•:: .. .� U A i **;°�;'s»•E? Gx pro° t - REMARK � .� a t.. BY. DEVICES, FIRST 20 PC 101-0000-42600 0 $23.83 $0.00 INSULATION - Total Paid for ELECTRICAL: $71.50 $0.00 APPLIANCE 101-0000-42402 0 $11.92 $0.00 EPDXY REPAIR/ALTERATION UNDERGROUND PLBG APPLIANCE 101-0000-42600 0 $4.77 $0.00 = REPAIR/ALTERATION PC " Total Paid forMECHANICAL: $16.69 $0.00 FIXTURE/TRAP 101-0000-42401 0 $11.92 . $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $11.92 $0.00 WATER SYSTEM 101-0000-42401 0 $11.92 $0.00 INST/ALT/REP WATER SYSTEM 101-0000-42600 0 $11.92 $0.00 INST/ALT/REP PC Total Paid for PLUMBING FEES: $47.68 $0.00, SMI - RESIDENTIAL 101-0000-20308 0 $4.55 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $4.55 $0.00 TOTALS:•• 'Printed: Wednesday, October 08, 2014 10:23:25 AM . 3 .of 5 SY,SiEMS INSPECTIONS 'SEQID .,,<,INSPECTION:TYPE'.';',INSPECTOR.`r _ s • f - SCHEDULED, DATE � `•,' COMPLETED DATE • RESULT` � ,At•-% REMARK � .� UNDERGROUND ELEC INSULATION - ROUGH ELEC. EPDXY UNDERGROUND PLBG ' TEMPORARY POWER 'Printed: Wednesday, October 08, 2014 10:23:25 AM . 3 .of 5 SY,SiEMS 4 77, IREVIEW,TYPE.�-, AEVIEWER- iEWf dAii DATE, :RETURNED'- ST _RiMARKS �-'°-' �,Tk NOTES f.IDUE D ATE 5- PLANS WERE RE -SUBMITTED 9/10/14 BY JACK CLARK CORRECTIONS WERE NOT DONE BE ARCH. 2ND P/L CORRECTION OF RECORD. CORRECTION WERE NOT ADDRESSED.I NON-STRUCTURAL JIM JOHNSON 9/10/2014 9/17/2014 9/12/2014 REVISIONS REQUIRED REQUIRED CALLED JACK CLARK TO PICK UP PLANS AND HAVE - - ARCH OF RECORD SIGN AND ADDRESS CORRECTIONS. BUILDING STRUC APPROVED 7/31/14 BY YOUNG 'STRUCTURAL 9/12/2014 9/26/2014 9/12/2014 APPROVED APPROVED BUCKET ENGINEERING NON-STRUCTURAL JIM JOHNSON 9/22/2014 9/29/2014 9/25/2014 APPROVED APPROVED NON STRUC APPROVED Bin # Permit # Project Address: ��(?��� City of La Qulnta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico. La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet C Owner's Name:�r 1 4 ' A. P. Number: 776 —026 Address: 3bp _�5772e A 4-e Legal Description:City, ST, Zip: L J Contractor: oact . L ( � � Telephone:. .. :.............:. Address: ! �� �, S� e �+/r Project Description: �; r City, ST, zip: t Or Oo Telephone: «»:<>N>. Statc Lic. #: City Lic. #; — gPq Arch., Engr., Designer: "' ' tel/ be Address: & R City., ST, Zip: (� ' Telephone: 0 �f i`.';ir;;;}i?::::iii'•'>iF:iii:'e<i; <ti ...?^%�" - . Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repairair Demo Lic. State L c.# Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person: �S VV Estimated Value of Project:. �— APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted 7 Item Amount Structural Calcs. Reviewed, read or corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Cala. Pians picked up V Construction Flood plain plan Plans resubmitted Grading plan Subcontactor List pMechanical 2°" Review, ready fo corrections/is u -/ Electrical Called Contact Person Grant.Dccd Plans picked up011 H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctionsri OF mpac Fee Wmmul Called Contact Person A.I.P.P. Planning Approval Pub. Wks. Appr Date of permit issue School Fees .v' Total Permit Fees - Date 10/8/14 No. 31581 Owner Jerry Alhadeff Address 79-360 Stonegate City La Quinta Zip Tract # Type Residential Addition CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760)771-8515 APN # Jurisdiction Permit # No. of Units Z4 oBERMUDA DUNES UO RANCHO MIRAGE t7 INDIAN WELLS PALM DESERT ,y INDIOTy�� 776-020-020 La Quinta 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 79360 Stonegate 109 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement 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 fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.00 X 109 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 .this proposed project may now be issued. Fees Paid By Exempt - Jack Clark Check No. Bank Name/Recipient of Certificate Telephone 760-625-3368 Funding Exempt By Dr. Gary Rutherford Superintendent Fee collected Signature Y Payment Recd �F$0.00 „-Over/Under NOTICE: Pursuant to Government Code Section 66020(d)(1), thisWerve to notify you that the 90 -day approval period in which you may protest the fees or 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: This Document NOT VALID without embossed seal Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting If you have any questions Time =1.75 HR This Material Sent for: ❑ Your Files ® Per Your Request - ❑ Your Review ❑ Approval ❑ Checking ❑ At the request of: - Other: ❑ 7• _ By: Kathryn Samuels Palm Desert Office: ® (760) 772-5107 t Other: ❑ R""CEIVE JUL 3` 1 2014 My OF LA QUANTA. COMM UN nY DEVELOPMENT YO UNG EVGI EERING SER VICES s If you have any questions Time =1.75 HR This Material Sent for: ❑ Your Files ® Per Your Request - ❑ Your Review ❑ Approval ❑ Checking ❑ At the request of: - Other: ❑ 7• _ By: Kathryn Samuels Palm Desert Office: ® (760) 772-5107 t Other: ❑ R""CEIVE JUL 3` 1 2014 My OF LA QUANTA. COMM UN nY DEVELOPMENT YO UNG EVGI EERING SER VICES r'' ax "" 77-682 Country Club Dr. Ste. -B, Palm Desert,,CA 92211 ph._(760) 772-5107 fax (760)345-7620 - Letter of Transmittal t To: City of La Quinta` Today's Date:. 7-31-14 , 78-495 Calle Tampico City Due Date: 7-31-14 La.Quinta, CA 92253 Project Address: 79-360 Stonegate Attn: Angelica Plan Check #: 14-1060. - . Submittal•® 1st 4in ❑ 2nd ❑ 551H ❑ 3' ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ : ' Your Pickup Includes: # Of, Descriptions: Includes: # Of Descriptions: Copies: Copies: ® 1 Structural Plans ❑ Revised Structural Plans ' ® 1 Structural Calculations ❑ Revised Struct. Calcs ❑ Truss Calculations Floor ❑ Revised Truss and Roof ❑ Soils Report ❑ Revised Soils Report - ❑ Structural Comment List ❑ Approved Structural Plans '❑ Redlined Structural Plans ❑ Approved Structural Calcs ❑ Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined Truss Calcs w ❑ • Approved Soils Report ❑ Redlined Soils,Reports ❑ Other:. 'Comments: Structural content is approvable. If you have any questions Time =1.75 HR This Material Sent for: ❑ Your Files ® Per Your Request - ❑ Your Review ❑ Approval ❑ Checking ❑ At the request of: - Other: ❑ 7• _ By: Kathryn Samuels Palm Desert Office: ® (760) 772-5107 t Other: ❑ R""CEIVE JUL 3` 1 2014 My OF LA QUANTA. COMM UN nY DEVELOPMENT CITY OF LA QUINTA'SUB-CONTRACTOR LIST JOB ADDRESS _Iq�C �fuT PERMIT NUMBER bUZ04- JR90 OWNER: ZEW *A ,+1 19-.2kK— BUILDER JAZ-ri� This form shall be posted on the job with the Building InspectionCard at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result In a stoppage of work and/or the voidance —4 Kisilrlinrn narmit Fnr each annlicahIp trariP- all information reouested below must be comDleted by applicant. "On File" is not an acceptable response. Trade / Classification '" Contractor "' :;:»::<::::::':::>,::'::.:: State:.Contractor .s. lacense... • .; .. :.: Workers'Com ensat�on:Irisurance: '.:`. ' . ':.'..';:'::.: City Business License:':::. Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-12). CONCRETE F%�^��j�� �R. dd . �; G 5't Sia ° �' �� -� x'15/ 0�� �' 'u' } FRAMING .(C-5) ;:::'' �~l� _` b ��3j-�� U� 5' VdLRi:- 7 O D6 ""r'�J ��I�t� -(D•f.� STRUCT. `STEEL' JC -51) fUTASONRY (C�29) � _ PLUMBING IC -36j I C , • �9 DSS, 10'1-I ie� I.! �1e �,s1r, r F 3 /S d �o l - (� LATH; PLASTER (C 35) V wt�. Com. ;!� l�-/� 3 •I Dt;YI �1ld�l l� F✓15. Z `t �t�. .� -�5 ��YX/ �• 3r�) DRYWALL (C-9).-::'. Vavi ' Q, G- �l�8 J 3�'0 1 Bf !o ELECTRICAL. (C-10) SHEET METAL(d 3) FLOOiRING (C-1'5); GLAZING (C-17):: ";>'.'' C; 1• iIZS �' `1 �A�3���0 3'3�^�b �11�✓�S� 1ogQ ��1�Pc.� �6©�f�� i `�-� ��"l� 3D-'.5. INSULATION(C-2) . SEWAGE DISP' (C-42) '. (C-33) Z lei 64411 10-1/ p' 3i'fPAINTING CERAMIC TILE (C-54) GLG I (� k 6� �H<. G �f' ' `�i�bcl.�ig 3 �3/- �k _'�!�45 Z�1P.1/�� �vls. !� 141(J0�0�6 �RD A-4545 CABINETS (0-6) FENCING (C-13) C=27.)• .''-" LANDSCAPING (C=27).-.' '-"' POOL (C-53)