BRES2015-0058r�
r'
78-495 CALLE TAMPICO ' f, 4
LA QUINTA, CALIFORNIA 92253 Ci9MMUNITY DEVELOPMI
BUILDING PE
Application Number: BRES2015-0058
Property Address: 80290 VIA CAPRI
APN: 777100074
Application Description: REMOVE WINDOWS, ADD BI -FOLD DOOR
Property Zoning:
Application Valuation: $5,000.00
5525 SE SCENIC LN NO 200
VANCOUVER, WA 92253
DICE (760) 777-7125
FAX (760) 777-7011
ONS (760) 777-7153
Date: 4/24/2015
• r .
Applicant: Contractor:'
MONARCH HOMES MONARCH HOMES
49950 JEFFERSON STREET#130 49950 JEFFERSON STREET#130
LA QUINTA, CA 92264 + LA QUINTA, CA 92264
(760)413-8863
Llc. No.: C28860
---------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that under provisions of Chapter
9 (commencing with Section 7C 01
of Division the Bus sand Professions Code,
and my License is in full force and effect.
License Class: _ CLicense No.: C28860
Date: �G - l �+ Contractor:
'(1�/ST`
7—
OWNER-BUILDER ION
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 Divisi�� 3
of the Business and Professions Code) or that he or she is exempt therefrom and the �L
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant forr/
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 ) I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
Stafe 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
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 eco bject to the workers'
compensation laws of California, and agree t t, if I o b ome subject to the
workers' compensation provisions of Section 37 f the r Code, I shall forthwith
comply with those provisions. ^
DL r
Date: Applicant:
WST JD
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 ab formation is correct.
I agree to comply with all city and county ordinances and state la o building _
construction, and hereby authorize representatives of this city to nt n he above•
mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
sT." ,*J�
FINANCIAL INFORMATION
DESCRIPTION A - " ' '`' . ACCOUNTQTY' AMOUNT ' PAID PAID DATE
HOURLY PLAN CHECK - YES 101-0000-42600 0.75 $52.50 $0.00
'- PAID BY'.."r _ ., . c- ° w ' METHOD .' "' -RECEIPT # CHECK # CLTD BY
Total Paid for BLDG CITY STAFF - PER HOUR: $52.50 $0.00
'DESCRIPTION
''ACCOUNT "
CITY.
- AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
= PAID BY ' , y,` _ a•: *r
METHOD
RECEIPT #' ' '
CHECK # :
CLTD BY;
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
- . DESCRIPTION'
ACCOUNT `' * .
QTY
A.,AMOUNT"""PAID
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
P41D BYMETHOD
RECEIPT.# '
T: 'CHECK #
CLTD BY
.`"DESCRIPTION ,-� ' .
- ` ACCOUNT
QTY
:AMOUNT
.PAID
PAID DATE
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
PAID.BY '
METHOD
- RECEIPT #
CHECK # j
CLTD BY .
Total Paid for ELECTRICAL: $48.34 $0.00
' °.DESCRIPTION r
ACCOUNT' , _ '
CITY
• AMOUNT -
PAID
PAID DATE
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400
0
$21.75
$0.00
'PAID BY -
METHODRECEIPT
#
"CHECK #,"' .
'CLTD BY
DESCRIPTION
' 'ACCOUNT
QTY
.AMOUNT
r"PAID^. ,
PAID`DATE
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$17.40
$0.00
' PAID BY ;
.• METHOD
' ' RECEIPT #
CHECK # -
CLTD BY'.
DESCRIPTION
'•'ACCOUNTQTY?
";` AMOUNT.' `
PAID..
. PAID DATE
REMODEL, FIRST 100 SF
101-0000-42400
0
$49.31
$0.00
-PAID BY r j
" + k` METHOD , �-
-`RECEIPT #
'CHECK #
CLTD BY
G _ "DESCRIPTION _
:F { •,ACCOUNT '
QTY
AMOUNT
PAID,'PAID
DATE
REMODEL, FIRST 500 SF PC
101-0000-42600
0
$134.88
$0.00
PAID BY
METHOD t"
'' RECEIPT #,,.
CHECK#
CLTD BY
Total Paid forREMODEL: $223.34 $0.00
DESCRIPTION , :.
,ACCOUNT ,.%
QTY
; AMOUNT,
PAID
AID^DATE
SMI - RESIDENTIAL
101-0000-20308
0
$0.65
$0.00
� � - PAID BY t..
WETHOD g-
--RECEIP.T #
CHECK #'
CLTD,BY
i
F
F
Total Paid forSTRONG MOTION INSTRUMENTATION SMI $0.65 $0.00
t xDESCRIPTION ' '.4�'
xa; �, ACCOUNT�y x
QTY3
k«Y AMOUNT. ` n
.ti PAIDi
PAID DATE
DOOR/WINDOW, REPLACE FIRST 7
101-0000-42400
0
, $60.91
$0.00
METHOD
CHECK #
CLTD BY_
,DESCRIPTION
wACCOUNT "' '.
;QTY
r', AMOUNT'`
PAID ., ,�`
PAIP�DATE
,DOOR/WINDOW, REPLACE, FIRST 7 PC
101-0000-42600
0
$110.22
$0.00
'
Els u- PAIDBY ': s .i r' `
,u'_'METHOD ,ra
RECEIP,T# 3 ,:
",CHECK#
CLTDBY��
Total Paid forWINDOW/SLIDING GLASS DOOR/FENESTRATION: $171.13 $0.00
TOTALS:4•. 00
F
r
F
Descr iption:•REMOVE WINDOWS, ADD BI -FOLD DOOR
Type: BUILDING, RESIDENTIAL
Subtype: REMODEL Status: APPROVED
Applied: 2/20/2015 KHE
Approved: 4/22/2015 JJO
Parcel No: 777100074 Site Address: 80290 VIA CAPRI LA QUINTA,CA 92253
Subdivision: TR 29894-2
Block: Lot: 57
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $5,000.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
KAY HENSEL
Details: REMOVE WINDOWS AND REPLACE WITH BIO FOLDING DOORS
3/6/2015
Printed: Friday, April 24, 2015 11:16:31 AM 1 of 3 Or SYSTEMS
ADDITIONAL
,t CHRONOLOGY TYPE "
'` r '. STAFF NAME
CHRONOLOGY
- ACTION DATE•
COMPLETION DATE
NOTES
NOTE
JIM JOHNSON
3/6/2015
3/6/2015
STRUC APPROVED
PLAN CHECK COMMENTS
FROM CONSULTANT
RECEIVED
KAY HENSEL
3/6/2015
3/6/2015
STRUC APPROVABLE 3/5/2015
PLAN CHECK PICKED UP
PHILIP JUAREZ
3/16/2015
3/16/2015
PLAN CK CORRECTIONS PICKED UP BY AUGUST 951-634-6381
PER PLANS EXAMINERS INSTRUCTIONS.
PLAN CHECK SUBMITTAL
RECEIVED
KAY HENSEL
2/20/2015
2/20/2015
PLAN CHECK RECEIVED AT FRONT COUNTER, PROCESSED &
SENT TO YOUNG FOR STRUCTURAL P/C - DUE 3/6/2015
PLAN CHECK SUBMITTAL
RECEIVED
STEPHANIE KHATAMI
4/15/2015
4/15/2015
TELEPHONE CALL
JIM JOHNSON
4/22/2015
4/22/2015
CALLED AUGUST TO INFORM HIM PLANS ARE READY TO ISSUE
CONDITIONS
Printed: Friday, April 24, 2015 11:16:31 AM 1 of 3 Or SYSTEMS
FINANCIAL••
CONTACTS
•
:DESCRIPTION ACCOUNT 'QTYAMOUNT'
IPAID �
CLTD
. PAID DATE RECEIPT# ' CHECK#'. METHOD PAID BY
BY
HOURLY PLAN CHECK - 101-0000-42600 0.75 $52.50
NAME TYPE
NAME
ADDRESS3 � - �"
'. CITY t
.,`.STATE
ZIP
�?HONE
101-0000-20306
EMAIL M
$1.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
APPLICANT
MONARCH HOMES
49950 JEFFERSON
LA QUINTA
CA
92264
STREET #130
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
CONTRACTOR
MONARCH HOMES
49950 JEFFERSON
LA QUINTA
CA
92264
REMODEL, EA
101-0000-42400
0
$21.75
$0.00
STREET #130
ADDITIONAL 500 SF
OWNER
BRENT HICKS
5525 SE SCENIC LN NO
VANCOUVER
WA
92253
REMODEL, EA
200
0
$17.40
$0.00
FINANCIAL••
•
:DESCRIPTION ACCOUNT 'QTYAMOUNT'
IPAID �
CLTD
. PAID DATE RECEIPT# ' CHECK#'. METHOD PAID BY
BY
HOURLY PLAN CHECK - 101-0000-42600 0.75 $52.50
$0.00
YES
Total Paid forBLDG CITY STAFF - PER HOUR: $52.50 $0.00
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $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 forELECTRICAL: $48.34 $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
Printed: Friday, April 24, 2015 11:16:31 AM 2 of 3 _ CR srsrEMS
Y`
-..
DESCRIPTION - ,
ACCOUNT -
QTY-�
AMOUNT
PAID
PAID. DATE
. RECEIPT #
CHECK # '
„ METHOD
1
AID Y
P,n�
CLTD=
-
RETURNED
REVIEWS
STATUS'
..
x� 'm
` REVIEW TYPE
REVIEWER
r
, DUE DATE,
BY
SMI - RESIDENTIAL
101-0000-20308
0
$0.65
$0.00
DATE
,
d,
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.65 $0.00
DOOR/WINDOW,
2/20/2015
3/6/2015
3/6/2015
REVISIONS REQUIRED
REVISIONS REQUIRED
1 ST PLAN CHECK CORRECTIONS
STRUCTURAL
KATHRYN
2/20/2015
3/6/2015
3/5/2015
101-0000-42400
0
$60.91
$0.00
SAMUELS
REPLACE FIRST 7
NON-STRUCTURAL
JIM JOHNSON
4/15/2015
4/29/2015
4/22/2015
APPROVED
DOOR/WINDOW,
101-000042600
0
$110.22
$0.00
REPLACE, FIRST 7 PC
Total Paid for WINDOW/SLIDING GLASS
$171.13. $0.00
DOOR/FENESTRATION:
TOTALS:00
PARENT PROJECTS
RETURNED
REVIEWS
STATUS'
• REMARKS
; ''.
x� 'm
` REVIEW TYPE
REVIEWER
SENT DATE
, DUE DATE,
-
-NOTES
k.
DATE
,
d,
NON-STRUCTURAL
JIM JOHNSON
2/20/2015
3/6/2015
3/6/2015
REVISIONS REQUIRED
REVISIONS REQUIRED
1 ST PLAN CHECK CORRECTIONS
STRUCTURAL
KATHRYN
2/20/2015
3/6/2015
3/5/2015
APPROVED
STRUC TO YOUNG - DUE 3/6/2015
SAMUELS
NON-STRUCTURAL
JIM JOHNSON
4/15/2015
4/29/2015
4/22/2015
APPROVED
BOND INFORMATION
Printed: Friday, April 24, 2015 11:16:31 AM 3 of 3 C SYSTEMS
4�.
Bin #
City of !La Qurnto.
Building st Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Shee--t//----
Permit t#
Project Address: C) Z l D / [' (�
11
Owner's Name: 7 C 1� S I►cfSl >7/ GF
A. P. Number:
Address: 0 Z Q ✓/ Q
Legal Description:
City, ST, Zip: Z4 Otif „ Z Z S
Contractor:
Con or: �1
ON I, ' .S
C� f
!'12
1
telephone: ' l0 �
Qs (n3 3 g
7
Address:P �ftn'Lj-del f1, 3�
Project Description:
City, ST, Zip: '7;JOtw Z Z O I
J `
d Je L.,%A1•(M7u S --
Telephone: 3 /
p Si co3
:�i:ll!ii:ii i�!' �? :iC!titi!:iiiii:ii:
><::`:•'•.'•:.<•:.._:!•::::. >:;-;::;;;•::::.;.:...
.
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"I;�'-.Fv rJo•tr
State Lie. # :
City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:Construction
::;:.;s;:;.;;;:.;:<;_;;:::.i;..;;..<.>>.::;:•;;;;.;<
Type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: �91J 57—
Sq. Ft.:
#Stories:
# Units:
Telephone #,of Contact Person: t (0 3 (Q 3 /
Estimated Value of Project: S . Q a 0
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
oZ a70
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan ,t
.
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for correction issueElectrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
I-I.O.A. Approval
Plans resubmitted
1�
Grading
IN HOUSE:-
''" Review, ready for eorrcctioissue
—20
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
1
Total Permit Fees
i
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Prescriptive Residential Alterations That Do Not Require HERS Field Verification
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(Page 4 of 8)
E. FENESTRATION PROPOSED AREAS AND EFFICIENCIES -Add (Section 150.2(b)IA)
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orientation Number Proposed Proposed
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Exi ting + Proposed West -facing Fenestration Area
M ximum Allowed West Fenestration AreaCo
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Yes
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posedFenestratlanU-factor(%Vndows)R
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mpliance entStatemIs the Proposed Fenestration U -factor s the Required fenestration 1.1 -factor
O Yes
No
FOposedFenestrationSHGC(yYindows)uired
Fenestration SHGC (Windows)
1242
mpliance Statement Is the Proposed Fenestration SHGC s the Required Fenestration SHGC
O Yes
O No
roposed Fenestration U -factor (Skylights)
squired Fenestration U -factor (Skylights)
mpliance Statement is the Proposed Fenestration Udactor S the Required Fenestration 1.1 -factor -
O Yes
O NOL
Proposed Fenestration SHGC (Skylights)
RequiredFenesVatlonSHGC(Skylights)
Compliance Statement Is the Proposed Fenestration SHGC 5 the Required Fenestration SHGC
O Yes Ar No ,
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