BRES2015-013278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
I
1
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRES2015-0132
Property Address: 54747 SOUTHERN HILLS
APN: 775101082
Application Description: PGA/BYRNE/ENCLOSE ATRIUM
Property Zoning:
Application Valuation: $12,000.00
Applicant:
ROB PITCHFORD
77622 COUNTRY CLUB STE 0
PALM DESERT, CA 92211
- MAY 2 6 2015
-------------- �____-- CITY OF LA QUINTA
----------------
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"andProfessionode,
and my.License is in full force and effect.License Clas B 7 License No.: 68 5Date: Contractor:
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 contractsfor 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 Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/26/2015
Owner:
MARK BYRNE
1642 AMARELLE ST
THOUSAND OAKS, CA 91320
Contractor:.
BOB EDWARDS CONSTRUCTION INCOR
51-455 DESERT CLUB DRIVE:
LA QUINTA, CA 92253
(760)777-8202
Llc. No.: 684857
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
ofttgork 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 wor for which this permit is issued, I
shall not employ any person in any man so a e ome subject to the workers'
compensation laws of California, and a ree t f I sh uld become subject to the
workers' om ensation provisions of I cti 700 a Labor Code, I shall forthwith
comply ith hose provisions.
Date Applican
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 th o information is correct.
I agree to comply with all city and county ordinances a &1e avJ relating to building
constructs n, a hereby authorize representatives of tho ter upon the above -
mention pr erty for inspection purposes.
Date:gW5 Signature (Applicant or Agent)
DESCRIPTION °;
FINANCIAL INFORMATION
; "ACCOUNT
QTY
• AMOUNT.' `.,
PAID 'PAID DATE
ADDITION, EA ADDITIONAL 500 SF
101-0000-42400'
0
$62.36
$0.00
PAID BY ' y ' '
METHOD •' •'
RECEIPT # -F
CHECK # . CLTD BY
„DESCRIPTIONS J4 `
' ._,' A000UNT,
QTY
AMOUNT=
PAID PAID DATE
ADDITION, EA ADDITIONAL 500 SF.PC
101-0000-42600
0
$17.40
$0.00
a . :, f, � 9
METHOD 'PAID.BY ,' .' "`
F� ` ti RECEIPT #
; ..CHECK CLTD BY
-_.-DESCRIPTION- w . - . • ,
' •'+ ACCOUNT
QTY
AMOUNT
r PAID PAID DATE
ADDITION, FIRST 100 SF
101-0000-42400
0
$120.83
$0.00
`..•'t PAID BY, ,'�
s ` ,`METHOD r
4-
RECEIPT. ``
CHECK# -'CLTD BY
x DESCRIPTIONt`" `' - ' +
. ' "'ACCOUNT
QTY,
AMOUNT -.
PAID PAID -DATE
'ADDITION, FIRST 100 SF PC -
, 101-0000-42600
0
$171.14
$0.00 "
'PAID By" ?
": r :METHOD'
'RECEIPT ,"s ..
CHECK#, �," "CLTD BY,
' Total Paid forADDITION: $371.73 $0.00
DESCRIPTION"ACCOUNTS
QTY •
- AMOUNT
„PAID ; +
PAID,DATE
HOURLY PLAN CHECK - YES,
101-0000-42600
1.5
$105.00
$0.00
-%:PAID BY
;METHOD.
RECEIPT,#
CHECK #m
CLTD BY `
Total Paid for BLDG CITY STAFF - PER HOUR:, $105.00 $0.00 .
DESCRIPTION,- = `° "
, .ACCOUNT; t
•QTY
AMOUNT :
PAID: , '` '
. PAID DATE
BSAS SB1473 FEE
101-0000-20306
'0
$1.00
$0.00
;;".PAID BY '''
METHOD '
RECEIPT# ,:j
e: CHECK# t
` 'CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
_•DESCRIPTION ' ;••,
- :ACCOUNT., °
QTY,
AMOUNT
-L. _ ,
". PAID
PAID DATE
RESIDENTIAL; FIRST 1,000SF
101-0000-42403 _ `
0
$145.03
$0.00
'PAID BYMETHOD
RECEIPT # Y; }
t • CHECK #
CLTD BY '
DESCRIPTION �``"
QTY.
AMOUNT'
" ~PAID *' `
•PAID DATE
RESIDENTIAL,
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$47:86
$0.00 • '
PAID BY,, " s •
','-w METHOD :�' ,�
RECEIPT # __ .
CHECK #' ' ..
CLTD BY
Total Paid for ELECTRICAL - NEW CONSTRUCTION:. $192.89, ` _$0.00
,=.'DESCRIP.TION ", ' .a •
, 'z ACCOUNT ' ;`
.;QTY-
; AMOUNT �;4
-' PAID�•� ^.'PAID
DATE
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
$12:09 •..
$0.00
PAID BY i'
.. s ;". METHOD.,
„` RECEIPT#CHECK
#
"CLTD-BY `
>. DESCRIPTION
',i�
QM'AMOUNT
",'' _
PAID' " i'
-p T
.,!;w;.ACCOUNT
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$4.83
r $0.00
k. PAID BY
} METHOD`
RECEIPT #
CHECK# yrs
CLTD'BY.
x:
•
r
` = Total Paid forMECHANICAL: $16.92 ' $0.00 �.
�^ r lin
DESCRIPTION�
!!ACCOUNT' ^,t
f QTY.
r AMOUNT
'� PAID, x,' ;;
PAID DATE;
,'
- ROOF DRAIN
101-0000-42401
0
$12.09
$0.00
y
METHOD "rs
rY #RECEIPT#
.CHECK#e .t".
p CLTD`BY*.
}PAID'BY
x ,,,�
.Y DESCRIPTION '' Y } u,",
"„ r 'piACCQIINT
QTY
'Y .:.AMOUNT
'` 't •P AID
P AID DATE
Y
lrt -
„' ROOF DRAIN PC
101-0000-42600
0
$12.09 :; -
$0.00
r ~z PAID'BY; �*;;
r't� �Y ', METHOD'_,
RECEIP'Ti#
CHECK #
CLTD BY'
{ Total Paid for PLUMBING FEES: $24.18_, ` $0.00
:•nx
AMOUNT
i WAID;'r f
PAID DATE
�, t r'DESCRIPTION;;ACCOUNT,
,
,QTY,f.
Ja
SMI - RESIDENTIAL
101-0000-20308.
.0:
$1.56
$0.00 = ,'
D�BY ;s �
s
METHOD
RECEIPT # '� ,
rz}r; CHECK #s'
CLTD BY -r
�PAI
.
` Total Paid forSTRONG MOTION INSTRUMENTATION SMt $1.56 .$0,00
TOTALS:0i
Description: PGA/BYRNE/ENCLOSE ATRIUM.'
Type: BUILDING, RESIDENTIAL Subtype: ADDITION Status:` APPROVED -CONDITIONS
Applied: 4/6/2015 SKH.' -
Approved: 4/24/2015 LUR .
Parcel No: 775101082 Site Address: 54747 SOUTHERN HILLS LA QUINTA,CA 92253
Subdivision: TR 22432-4 CM 75/098 Block: Lot: 3 ,
Issued:
1
CHRONOLOGY,
Lot Sq Ft: 0' Building Scl Ft: 0 r Zoning:
Finaled: ;
Valuation: $12,000.00 - ' !Occupancy Type: , - Construction Type: _ -
Expired: -^ -
,
No. Buildings: 0, No. Stories: 0 No. Unites: 0
NOTE
Details: ATRIUM ENCLOSURE EXTENTION TO EXISTING DEN 112 SQ. FT. 2013 CALIFORNIA BUILDING CODES.
Process Summary•.';;•
f
z
' »• - � _ _ ti• .. ,• _ r1 ti� � ,J Applied tO Approved . •- I �' �.: `
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SYSTEMS
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.,ADDITIONAL,. SITE5
CHRONOLOGY,
_CHRONOLOGY TYPE-
- -�.
'.` : STAFF NAME
.``'ACTION DATE `" ;� COMPLETION DATE
`NOTES
`
NOTE
STEPHANIE KHATAMI
5/4/2015
' . 5/4/2015.
ROB PITCHFORD PICKED UP PLANS FOR SIGNATURES.'.
PLAN CHECK COMMENTS
_
t
FROM CONSULTANT '
PHILIP JUAREZ ,
4/20/2015
4/20/2015
°
RECEIVED
3
• f
PLAN CHECK COMMENTS
R
FROM CONSULTANT
LUIS URIBE
4/20/2015.
4/20/2015
,
RECEIVED
PUBLIC COUNTER VISIT
STEPHANIE KHATAMI " .
4/6/2015
4/8/2015
-
i
-CONTACTED DESIGNER ROB PITCHFORD. LET HIM KNOW '
i'
PLANS WERE READY FOR APROVAL PENDING SIGNATURES
4 TELEPHONE CALL
LUIS URIBE
4/24/2015
4/24/2015
DOF ENGINEER AND DESIGNER: HE WILL BE INTO PICK UP .
PLANS AND BRING THEM BACK SIGNED.
CONDITONS
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CONTACTS
FINANCIAL
INFORMATION
..ADDRES
CITY
AT —E
'PAID
DESCRIPTION,
IT'
TY
)PAID DATE,
APPLICANT
ROB PITCHFORD
77622'COUNTRY CLUd
PALM DESERT
CA
92211
(760)346-2856*
STE 0.
ADDITION, EA
CONTRACTOR
808 EDWARDS CONSTRUCTION.
51-455 DESERT CLUB
LA QU I NTA
CA
92253'
(760)346-2856'
ADDITIONAL SOO SF
INCOR
DRIVE
OWNE R
MARK BYRNE
1642 AMARELLE ST
THOUSAND
-CA
91320
(760)346-2856
OAKS
ADDITIONAL SOO �'F PC
'
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FINANCIAL
INFORMATION
'AMOUNT: "h
'PAID
DESCRIPTION,
IT'
TY
)PAID DATE,
RECEIPTi#-.
-,,,CHECK #
METH D
-7i PAIDB'
ADDITION, EA
$62.36
$0.0
ADDITIONAL SOO SF
ADDITION, EA
101-0000-42600
0
$17.40
$0.00 -
ADDITIONAL SOO �'F PC
ADDITION; FIRST 100 SF
'iO1-000b-Q40O
0
%$120.83
$0.00
ADDIT ION, FIRST 100 SF
101-0000-42600
0
$171. '14
$0.00
I
PC
TotalPaid forADDITION: $371.73 $0.00
HOURLY PLAN CH C 7�-
01-0000-426 . 00
1-5
sin.00,
F7
1,
1
1 1
YES
all
Total Paid for BLDG CITY STAFF PER HOUR. $10S.00 $0.00
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1 1 .00, $0.00
RESIDENTIAL, FIRST
101-0000-42403
0
$145.63
$0.00
RESIDENTIAL, FIRST
101'0000-42600
0
$47.86
$0.00
1,OOOSF, PC
Total Paid forELECTRICAL - NEW CONSTRUCTION: .$192.89 $0.00
'
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777 77
METHOD,'
PAID-
PAID DATE,
RECEIPT #
-CHECK
DATE
AT
BY
APPLIANd
101-0000-42402
0
$12.09
$0.00
PLANS ARE APPROVED. SCHOOL FEE LETTER AND
APPLIANCE
10 1-00 00742600
$4.83
-$0.00
HOA APPROVAL LETTER ARE PENDING BEFORE
REPAIR/ALtERATION PCI
- 1
.0
NON-STRUCTURAL:
LUIS URIBE
4/8/2015
4/20/2015
4/24/2015
PERMIT CAN BE ISSUED. VIEW READY TO ISiUE
Total Paid forMECHANICAL: _$16.92 $0.00
ROOF DRAIN
10110000-42401
0
$12.09
$0.00
ROOF DRAIN PC
101m0000-42600
0
$12.09
$0.00
Total �a'id forPLUMBING FEES: $24.18
SMI - RESIDENTIAT
101-0000-20308
0
$1.56
_$0.00
READY FOR APPROVAL
EOR TO SIGN AND
STRUCTURAC
'4/8/2015"
Total Paid fdrSTR_ONG MOTION INSTRUMENTATION SMk. $1.56 $0.00
4/iO/201�
C CID DO
SEQID',�
-p INSPECTION *Pb -
RETURNE
STATUS'
DATE
AT
C CID DO
RETURNE
STATUS'
AT
PLANS ARE APPROVED. SCHOOL FEE LETTER AND
HOA APPROVAL LETTER ARE PENDING BEFORE
NON-STRUCTURAL:
LUIS URIBE
4/8/2015
4/20/2015
4/24/2015
PERMIT CAN BE ISSUED. VIEW READY TO ISiUE
CONDITIONS
YOUNG
READY FOR APPROVAL
EOR TO SIGN AND
STRUCTURAC
'4/8/2015"
2 2' 15'
4/iO/201�
ENGINEERING
--�_CONDITION
-_-ST AMP PL ANS
4
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BOND INFORMATION
ATTACHMENTS Q