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BRES2016-0021•_ 78-495 CA LLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BRES2016-0021 Property Address: 52010 AVENIDA CORTEZ APN: 773202001 Application Description: TERRY/1,529 SF DWELLING Property Zoning: Application Valuation: $101,339.80 Applicant: RIMCREST DEVELOPMENT INC 3419 VIA LIDO SUITE 455 NEWPORT BEACH, CA 92663 D VOICE (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date:. 7/11/2016 D Q Q Owner: RIMCREST DEVELOPMENT INC 3419 VIA LIDO SUITE 455 /VB/RESg3/C Y A1FR/1 ' 16 ' NEWPORT BEACH, CA 92663 TYD OF MQN EPgRTWNT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that ' licensed under provisions of Chapter 9 (commencing with Section 7000) of Division the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 858893 CDate:/ -Contractor: .1\ — OWNER -BUILDER D CLARATION 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).: U 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 herselfthrough 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.). (� 1, 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 Lender's Contractor: RIMCREST DEVELOPMENT INC 3419 VIA LIDO SUITE 455 NEWPORT BEACH, CA 92663 (949)466-0900 Llc. No.: 858893 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 mannJhh me subject to the workers' compensation laws of California, and agrld become subject to the, workers' compensation provisions of SecLabor Code, I shall forthwith comply with those provisions. Date: /f Applicant:WARNING: FAILURE TO SECURE WORKERON 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 ove information is correct. I agree to comply with all city and county ordinances and to laws relating to building construction, and hereby authorize representatives of thi to enter upon the above-mentioned prO erty for inspection purposes. Date: /0' Signature (Applicant or Agent) DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $5.00 $5.00 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $5.00. $5.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 7/11/16 PAID BY • METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $129.00 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT QTY ' AMOUNT PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNTQTY AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $40.00 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK '1116954 7415 MFA DESCRIPTION, ACCOUNT QTY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $116.00 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 d 0 1 $12.33 $12.33 7/11/16 PAID BY METHOD RECEIPT #' CHECK # CLTD BY RIMCREST DEVELOPMENT INC' CHECK R16954 7415 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $5.08 $5.08 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954, 7415 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $145.03 7/11/16 PAID BY - METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION' ACCOUNTQTY : AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $47.86 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA Total Paid for ELECTRICAL - NEW CONSTRUCTION: $210.30 $210.30 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT <=7KSF 101-0000-42408 0 $36.26 $36.26 7/11/16 PAID BY METHOD RECEIPT # CHECK# CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT <=7KSF PC 101-0000-42600 0 $36.26 $36.26 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA Total Paid for GRADING: $72.52 $72.52 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $36.26 $36.26 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK' R16954 7415 MFA DESCRIPTION ACCOUNT, QTY* AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $24.17 $24.17. 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION > ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415-. MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $4.83 $4.83 7/11/16 PAID BY METHOD RECEIPT # CHECK '# CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000.-42402 0 $36.26 $36.26' 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT•INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $24.17' $24.17 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY, RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $48.36 $48.36 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $19.32 $19.32 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA Total Paid for MECHANICAL: $205.46 $205.46 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE MULTI -SPECIES RESIDENTIAL 8.1-14 UNITS - 2015 UPDATE 101-0000-20310 0 $541.00 $541.00 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA Total Paid for MULTI -SPECIES RESIDENTIAL: $541.00 $541.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $31.46 $31.46 2/1/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R12487. 7254 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $469.67 $469.67 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA Total Paid for NEW CONSTRUCTION PERMIT: $501.13 $501.13 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $968.54 $968.54 2/1/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R12487 7254 MFA Total Paid for NEW CONSTRUCTION PLAN CHECK: $968.54 $968.54 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE 101-0000-42401 0 $12.09 $12.09 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $4.83 7/11/16 PAID BY. METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 .7415 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $145.08 $145.08 7/11/16 PAID BY -METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $145.08 $145.08 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 $36.26 7/11/16 PAID BY - METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION -ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $24.17 $24.17 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA .DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $12.09 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $7.25 7/11/16 PAID.BY METHOD RECEIPT # CHECK ,# CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $12.09 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC. CHECK R16954 7415 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $12.09 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK _ R16954 7415 MFA Total Paid for PLUMBING FEES: $435.21 $435.21 - DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $24.17 $24.17 7/11/16 PAID BY METHOD 'RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA Total Paid for STRONG MOTION INSTRUMENTATION SMI: $24.17 $24.17 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $1,837.44 7/11/16 -PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA Total Paid for TUMF - RESIDENTIAL: " $1,837.44 $1,837.44 TOTALS: $11,694.77 $11,694.77 Description: TERRY/1,529 SF DWELLING/VB/RES-3/CLASS A-FR/13D Type: BUILDING, RESIDENTIAL Subtype: DWELLING -SINGLE Status: ISSUED Applied: 2/1/2016 AOR FAMILY DETACHED Approved: 6/21/2016 JFU Parcel No: 773202001 Site Address: 51010 AVENIDA CORTEZ LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 38 Lot: 22 Issued: 7/11/2016 MFA UNIT 3 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $101,339.80 'Occupancy Type: Construction Type: Expired: 1/7/2017 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 1,529 S.F. NEW SINGLE FAMILY DWELLING -LOT 22 MB 018/059 SANTA CARMELITA VALE [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2013 CALIFORNIA BUILDING CODES. 141-1/ �� j` 20 Applied to Approved __jPp PP Approved to. issued Printed: Monday, July 11, 2016 10:41:13 AM 1 of 11 ,. SYS7Eh1S EMAILED JOHN PEDALINO NOTIFYING HIM THAT THE PERMIT WAS APPROVED WITH THE FOLLOWING CONDITIONS: -TITLE 24 ENERGY REPORTS MUST BE REGISTERED (UNREGISTERED REPORTS WERE SUBMITTED WITH 3RD REVIEW). AN APPOINTMENT MUST BE MADE WITH PLAN REVIEWER (JF) TO STAMP AND SIGN ENERGY REPORTS. -A CITY BUSINESS LICENSE MUST BE OBTAINED BY THE CONTRACTOR OF RECORD. E-MAIL JAKE FUSON 6/21/2016 6/21/2016 -ONLY ONE SET OF REVISED PLANS WAS SUBMITTED WITH THE "3RD REVIEW" SUBMITTAL. CONTENT IS APPROVABLE, BUT AN ADDITIONAL PLAN SET MUST BE SUBMITTED FOR STAMPING AND SIGNING. SEE ATTACHED EMAIL DATED. 6/21/2016. TITLE 24 ENERGY REPORTS SUBMITTED VIA EMAIL 6/22/2016. THE ONLY REMIANING OUSTANDING ITEMS ARE THE CITY BUSINESS LICENSE FOR THE CONTRACTOR AND THE SUBMITTAL OF THE 2ND COPY OF THE APPROVED PLAN SET. E-MAIL JAKE FUSON 6/24/2016 6/24/2016 NOTIFIED JOHN PEDALINO THAT ALL PREVIOUS ISSUES WERE RESOLVED AND PERMIT WAS READY TO ISSUE. NONSTRUCTURAL AND STRUCTURAL PLAN REVIEWS ARE COMPLETE; BUT STRUCTURAL PLANS ARE YET TO ARRIVE FROM CONSULTANT. WHEN THE STRUCTURAL PLAN ARRIVES, EVERYTHING WILL BE READY FOR PICKUP. TRANSMITTAL AND NOTE KAY HENSEL 5/19/2016 5/20/2016 PLAN CHECK CORRECTIONS HAVE BEEN PLACED IN THE FOLDER, AND EVERYTHING IS PACKAGED AND READY TO RETURN AS SOON AS THE STRUCTURAL PLANS ARRIVE. KAY PROCESSED STRUCTURAL TRANSMITTAL, LEFT WITH ME TO CORRELATE AND CALL APPLICATION. NOTE STEPHANIE KHATAMI 6/24/2016 6/24/2016 JOHN DROPPED OFF THE REQUESTED 2ND SET OF PLANS. Printed: Monday, July 11, 2016 10:41:13 AM 2 of 11 C SYSTEMS PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 2/10/2016 2/10/2016 STRUC RFC 2/10/2016 RECEIVED PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 5/20/2016 5/20/2016 .STRUC RFC 5/19/2016 RECEIVED PLAN CHECK PICKED UP JIM JOHNSON 2/24/2016 2/24/2016 PLANS PICKED UP BY CURTIC SHUPE PLAN CHECK SENT TO KAY HENSEL 2/1/2016 2/1/2016 STRUC TO YOUNG - DUE BACK 2/22/2016 OUTSIDE PC RECEIVED REVISED CF1R, PLEASE JOHN (760)578-6915 CALL TO ADVISE OF THE FEES. PUBLIC COUNTER VISIT JAKE FUSON 6/13/2016 6/13/2016 LEFT MESSAGE WITH JOHN 6/13/2016 AT 4:15PM REQUESTING A RETURN CALL. RECEIVED "RESUBMITTAL" - CORRECTON PACKAGE WAS NEVER PICKED UP, PLANS WERE SLIPSHEETED AND STRUCTURAL CALCULATIONS HAD 1 PAGE CHANGED. RESUBMITTAL STEPHANIE KHATAMI 6/3/2016 6/3/2016 ADDITIONAL ENERGY WAS NOT SUBMITTED. REVISED TRUSSES FOR BOTH LOTS WERE SUBMITTED. EACH BOOKLET HAS BOTH ADDRESSES WITHIN. HOWEVER, 52020 CORTEZ WAS NEVER. PICKED UP. NOTHING BESIDES TRUSSES WERE : SUBMITTED FOR THAT ADDRESS. CALLED•TERRY (949-466-0900) THAT STRUCTURAL TELEPHONE CALL AJ ORTEGA 5/20/2016 5/20/2016 CORRECTIONS HAVE BEEN RETURNED.FROM CONSULTANT AND EVERYTHING HAS BEEN CORRELATED AND IS NOW ` READY FOR PICKUP. LEFT MESSAGE FOR MICHAEL TERRY (949-466-0900) TELEPHONE CALL JAKE FUSON 2/23/2016 2/23/2016 NOTIFYING HIM THAT PLAN REVIEW WAS COMPLETE, REVISIONS WERE REQUIRED, AND PLANS WERE READY TO BE PICKED UP. Printed: Monday, July 11, 2016 10:41:13 AM 3 of 11 (rm SYSTCtit S TELEPHONE CALL WND'ITI TYPE BUILDING INSPECTION JAKE FUSON 1 5/19/2016 . L , . . , I CONT .., ACT DATE DATE. DATE ADDED I REQUIRED SATISFIED JAKE FUSON 1 6/21/2016 1 1 6/24/2016 5/19/2016 NOTIFIED DESIGNER CURTIS SHUPE THAT PLAN REVIEW WAS COMPLETE AND REVISIONS WERE REQUIRED.. I EXPLAINED TC HIM MY NONSTRUCTURAL CORRECTIONS. I ALSO CALLED RIMCREST DEVELOPMENT AND NOTIFIED THEM THAT PLAN REVIEW WAS COMPLETE BUT STRUCTURAL PLANS HAD NOT . ARRIVED AT CITY HALL YET FROM THE CONSULTANT. NOTIFIED RIMCREST THAT EVERYTHING WOULD BE READY FOR PICKUP AS SOON AS THE STRCTURAL PLANS ARRIVED. STATUS I REMARKS ) NOTES THE FOLLOWING CONDITIONS MUST BE ADDRESSED PRIOR TO PERMIT ISSUANCE: -TITLE 24 ENERGY REPORTS MUST BE REGISTERED (UNREGISTERED REPORTS WERE SUBMITTED WITH 3RD REVIEW). AN APPOINTMENT MUST BE MADE WITH PLAN REVIEWER (JF) TO STAMP AND SIGN ENERGY REPORTS. COMPLETE -A CITY BUSINESS LICENSE MUST BE OBTAINED BY THE CONTRACTOR OF RECORD. -ONLY ONE SET OF REVISED PLANS WAS SUBMITTED WITH THE "3RD REVIEW" SUBMITTAL. CONTENT IS APPROVABLE, BUT AN ADDITIONAL PLAN SET MUST BE SUBMITTED FOR STAMPING AND SIGNING. SEE CHRONO/REVIEW/EMAIL CORRESPONDENCE FOR MORE INFORMATION. Printed: Monday, July 11, 2016 10:41:13 AM 4 of 11 ,. SYSTEMS Printed: Monday, July 11, 2016 10:41:13 AM 5 of 11 CN?W.Iys*rrms FINANCIAL INFORMATION TITLE 24 ENERGY REPORTS SUBMITTED VIA CLTD' SCRIPTION EMAIL 6/22/2016. THE ONLY REMIANING QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY , OUSTANDING ITEMS ARE THE CITY BUSINESS BUILDING BY BSAS SB1473 FEE 101-0000-20306 0 LICENSE FOR THE CONTRACTOR AND THE INSPECTION JAKE FUSON 6/21/2016 7415 CHECK 6/24/2016 MFA COMPLETE SUBMITTAL OF THE 2ND COPY OF THE . DEVELOPMENT INC Total Paid for BUILDING STANDARDS ADMINISTRATION APPROVED PLAN SET. $5.00 $5.00 ALL OUTSTANDING ISSUES RESOLVED. PERMIT IS BSA: READY TO ISSUE. DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 CONTACTS R16954 7415 CHECK RIMCREST MFA NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL. APPLICANT RIMCREST DEVELOPMENT INC 3419 VIA LIDO SUITE NEWPORT CA 92663 (949)466-0900 7/11/16 R16954 7415 CHECK 455 BEACH CENTERS CONTRACTOR RIMCREST DEVELOPMENT INC 3419 VIA LIDO SUITE NEWPORT CA 92663. (949)466-0900 257-0000-43200 0 $433.00 $433.00 455 BEACH 7415 CHECK RIMCREST MFA RIMCREST DEVELOPMENT INC 3419 VIA LIDO SUITE NEWPORT CA 92663 (949)466-0900 DEVELOPMENT INC LOWNER 1 455 BEACH $344.00 $344.00 7/11/16 R16954 7415 Printed: Monday, July 11, 2016 10:41:13 AM 5 of 11 CN?W.Iys*rrms FINANCIAL INFORMATION CLTD' SCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY , BY BSAS SB1473 FEE 101-0000-20306 0 $5.00 $5.00 7/11/16 R16954 7415 CHECK RIMCREST MFA DEVELOPMENT INC Total Paid for BUILDING STANDARDS ADMINISTRATION $5.00 $5.00 BSA: DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 7/11/16 R16954 7415 CHECK RIMCREST MFA DEVELOPMENT INC DIF - COMMUNITY 254-0000-43200 0 $129.00 $129.00 7/11/16 R16954 7415 CHECK RIMCREST MFA CENTERS DEVELOPMENT INC DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 7/11/16 R16954 7415 CHECK RIMCREST MFA DEVELOPMENT INC DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 7/11/16 R16954 7415 CHECK RIMCREST MFA DEVELOPMENT INC Printed: Monday, July 11, 2016 10:41:13 AM 5 of 11 CN?W.Iys*rrms Printed: Monday, July 11, 2016 10:41:13 AM 6 of 11 SYS TEARS ......BY - CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE : RECEIPT # CHECK #. METHOD PAID BY DIF - PARK 256-0000-43200 0 $40.00 $40.00 7/11/16 R16954 7415 CHECK RIMCREST MFA MAINTENANCE. • DEVELOPMENT INC DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 7/11/16 •1116954 •7415 CHECK RIMCREST MFA DEVELOPMENT INC DIF - STREET 255-0000-43200 0 $116.00 $116.00 7/11/16 R16954 7415 CHECK RIMCREST MFA MAINTENANCE DEVELOPMENT INC DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 7/11/16 R16954 7415 CHECK RIMCREST MFA DEVELOPMENT INC Total Paid for DIF -.SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 RESIDENTIAL, EA 101-0000-42403 0 . $12.33 $12.33 7/11/16 R16954 7415 CHECK RIMCREST MFA ADDITION 1,000SF DEVELOPMENT INC RESIDENTIAL, EA 101-0000-42600 0 $5.08 $5.08 7/11/16 R16954 7415 CHECK RIMCREST MFA ADDITION 1,000SF, PC DEVELOPMENT INC RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $145.03 7/11/16 R16954 7415 CHECK RIMCREST MFA 1,000SF DEVELOPMENT INC RESIDENTIAL, FIRST 101-0000-426000 $47.86 $47.86 7/11/16 R16954 7415 CHECK RIMCREST MFA 1,000SF, PC DEVELOPMENT INC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $210.30 $210.30 RESIDENTIAL PRECISE GRADING - CUSTOM 101-0000-42408 0 $36.26 $36.26 7/11/16 R16954 7415 CHECK RIMCREST MFA DEVELOPMENT INC HOME LOT <=7KSF RESIDENTIAL PRECISE GRADING - CUSTOM 101-0000-42600 0 $36.26 $36.26 7/11/16 R16954 7415 CHECK RIMCREST MFA DEVELOPMENT INC HOME LOT <=7KSF PC Total Paid for GRADING: $72.52 $72.52 CONDENSER/COMPRES RIMCREST 101-0000-42402 0 $36.26 $36.26 7/11/16 R16954 7415 CHECK MFA SOR DEVELOPMENT INC CONDENSER/COMPRES 101-0000-42600 0 $24.17 $24.17 7/11/16 R16954 7415 CHECK RIMCREST MFA SOR PC DEVELOPMENT INC EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 7/11/16 R16954 7415 CHECK RIMCREST MFA DEVELOPMENT INC Printed: Monday, July 11, 2016 10:41:13 AM 6 of 11 SYS TEARS Per mit Details PERMIT NUMBER ✓, City of La Quinta BRE -S,201%_001 Printed:. Monday, July 11, 2016 10:41:13 AM 7 of 11 C SYSTEtiAS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY EXHAUST HOOD PC 101-0000-42600 0' $4.83 $4.83 7/11/16 R16954 7415 CHECK RIMCREST MFA DEVELOPMENT INC FURNACE 101-0000-42402 0 $36.26 $36.26 7/11/16 R16954 7415 CHECK RIMCREST.. MFA DEVELOPMENT INC FURNACE PC 101-0000-42600 0 $24.17 $24.17 7/11/16 R16954 ' 7415 CHECK RIMCREST MFA DEVELOPMENT INC VENT FAN 101-0000-42402 0 $48.36 $48.36 7/11/16 R16954 7415 CHECK RIMCREST MFA DEVELOPMENT INC VENT FAN PC 101-0000-42600 0 $19.32 $19.32 7/11/16 R16954 7415 CHECK RIMCREST MFA DEVELOPMENT INC Total Paid for MECHANICAL: $205.46 $205.46 MULTI -SPECIES RESIDENTIAL 8.1-14 101-0000-20310 0 $541.00 $541.00 7/11/16 R16954 7415 CHECK RIMCREST MFA DEVELOPMENT INC UNITS - 2015 UPDATE Total Paid for MULTI -SPECIES RESIDENTIAL: $541.00 $541.00 NEW CONSTRUCTION 101-0000-42400 0 $31.46 $31.46 2/1/16 R12487 .7254 CHECK RIMCREST MFA PERMIT DEVELOPMENT INC NEW CONSTRUCTION 101-0000-42400 0 .$469.67 $469.67 7/11/16 R16954 7415 CHECK RIMCREST MFA PERMIT DEVELOPMENT INC -Total Paid for NEW CONSTRUCTION PERMIT: $501.13 $501.13 NEW CONSTRUCTION 101-0000-42600 0 $968.54 $968.54 2/1/16 R12487 7254 CHECK RIMCREST MFA PLAN CHECK DEVELOPMENT INC Total Paid for NEW CONSTRUCTION PLAN CHECK: $968.54 $968.54 BACKFLOW DEVICE 101-0000-42401 0 $12.09 $12.09 7/11/16 R16954 7415 CHECK RIMCREST MFA DEVELOPMENT INC BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $4.83 7/11/16 R16954 7415 CHECK RIMCREST MFA DEVELOPMENT INC BUILDING SEWER 101-0000-42401 0- $12.09 $12.09 7/11/16 R16954 7415 CHECK .RIMCREST MFA • DEVELOPMENT INC Printed:. Monday, July 11, 2016 10:41:13 AM 7 of 11 C SYSTEtiAS PARFNT PRnIFrTC Printed: Monday, July 11, 2016 10:41:13 AM 8 of 11 CR SYS7E/vtS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY . BY BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 7/11/16 R16954 7415 CHECK RIMCREST MFA DEVELOPMENT INC FIXTURE/TRAP 101-0000-42401 0 $145.08 $145.08 7/11/16 R16954 7415 CHECK RIMCREST MFA DEVELOPMENT INC FIXTURE/TRAP PC 101-0000-42600 0 $145.08 $145.08 7/11/16 R16954 7415 CHECK RIMCREST MFA DEVELOPMENT INC GAS SYSTEM, 5+ 101-0000-42401 0 $36.26 $36.26 7/1.1/16 R16954 . 7415 CHECK RIMCREST MFA OUTLETS DEVELOPMENT INC GAS SYSTEM, 5+ 101-0000-42600 0 .$24.17 $24.17 7/11/16 R16954 7415 CHECK RIMCREST MFA OUTLETS PC DEVELOPMENT INC WATER HEATER/VENT 101-0000-42401 0 $12.09. $12.09 7/11/16 R16954 7415 CHECK RIMCREST MFA DEVELOPMENT INC WATER HEATER/VENT 101-0000-42600 0 $7.25 $7.25 7/11/16 R16954 7415 CHECK RIMCREST MFA. PC DEVELOPMENT INC WATER SYSTEM 101-0000-42401 0 $12.09 $12.09 7/11/16 R16954 7415 CHECK RIMCREST MFA INST/ALT/REP DEVELOPMENT INC WATER SYSTEM 101-0000-42600 0 $12.09 $12.09 7/11/16 R16954 7415 CHECK RIMCREST MFA INST/ALT/REP PC DEVELOPMENT INC Total Paid for PLUMBING FEES: $435.21 $435.21 SMI =RESIDENTIAL 101-0000-20308 0 $24.17. $24.17 7/11/16 R16954 .7415 CHECK RIMCREST MFA DEVELOPMENT INC Total Paid for STRONG MOTION INSTRUMENTATION SMI: $24.17 $24.17 SINGLE FAMILY 224-0000-203200 $1,837.44 $1,837.44 7/11/16 R16954 7415 CHECK RIMCREST MFA DETACHED DEVELOPMENT INC Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44 •, PARFNT PRnIFrTC Printed: Monday, July 11, 2016 10:41:13 AM 8 of 11 CR SYS7E/vtS Printed: Monday, July 11, 2016 10:41:13 AM 9 of 11 m(�Jw�f// LJ SYSTEMS RETURNED REVIEW TYPE REVIEWER SENT DATE DUE DATE STATUS REMARKS NOTES DATE 1ST BLDG NS (3 WK) JAKE FUSON 2/1/2016 2/22/2016 2/22/2016 REVISIONS REQUIRED SEE IST REVIEW NON-STRUCTURAL CORRECTION LIST. 1ST BLDG STR (3, JOHN 2/1/2016 2/22/2016 2/9/2016 REVISIONS REQUIRED STRUC TO YOUNG - DUE 2/22/2016 WK) THOMPSON 2ND BLDG NS (2 JAKE FUSON 5/5/2016 5/19/2016 5/19/2016 REVISIONS REQUIRED SEE 2ND REVIEW - NONSTRUCTURAL WK) CORRECTIONS. 2ND BLDG STR (2 JOHN WK) THOMPSON 5/5/2016 5/19/2016 5/19/2016 REVISIONS REQUIRED FIRE KOHL 5/27/2016 6/13/2016 6/15/2016 APPROVED SEE ATTACHEMENTS FOR APPROVAL LETTER HETRICK REVIEW WAS APPROVED WITH THE FOLLOWING • CONDITIONS: • -TITLE 24 ENERGY REPORTS MUST BE REGISTERED (UNREGISTERED REPORTS WERE SUBMITTED WITH 3RD REVIEW). AN APPOINTMENT MUST BE MADE WITH PLAN REVIEWER (JF) TO STAMP AND SIGN ENERGY REPORTS. -A CITY BUSINESS LICENSE MUST BE OBTAINED BY APPROVED- THE CONTRACTOR OF RECORD. 3RD BLDG NS (2 WK) JAKE FUSON 6/3/2016 6/17/2016 6/20/2016 CONDITIONS -ONLY ONE SET OF REVISED PLANS WAS SUBMITTED WITH THE "3RD REVIEW" SUBMITTAL. CONTENT IS APPROVABLE, BUT AN ADDITIONAL PLAN SET MUST BE SUBMITTED FOR STAMPING AND SIGNING. TITLE 24 ENERGY REPORTS SUBMITTED VIA EMAIL 6/22/2016. THE ONLY REMIANING OUSTANDING ITEMS ARE THE CITY BUSINESS LICENSE FOR THE CONTRACTOR AND THE SUBMITTAL OF THE 2ND COPY OF THE APPROVED PLAN SET. Printed: Monday, July 11, 2016 10:41:13 AM 9 of 11 m(�Jw�f// LJ SYSTEMS 3RD BLDG NS (2 WK) JAKE FUSON 6/3/2016 6/17/2016 6/20/2016 APPROVED- CONDITIONS ATTACHMENTS ALL ISSUES RESOLVED. REVIEW STATUS CHANGED TO "APPROVED". 3RD BLDG STR (2 JOHN 6/3/2016 6/17/2016 6/16/2016 READY FOR APPROVAL PATHNAME SUBDIR WK) THOMPSON BRES2016-0021- 1ST 1ST PLANNING (1 CARLOS 6/3/2016 6/10/2016 6/8/2016 READY FOR APPROVAL DOC WK) FLORES NONSTRUCTURAL REVIEW - 1 BOND INFORMATION Printed: Monday, July 11, 2016 10:41:13 AM 10 of 11 ' SYS7Eiv1S ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED BRES2016-0021- 1ST 1ST REVIEW - DOC 2/23/2016 JAKE FUSON NONSTRUCTURAL REVIEW - 1 NONSTRUCTURAL CORRECTION LIST CORRECTION LIST.pdf DOC 5/10/2016 JAKE FUSON SCHOOL FEE LETTER BREL 1 FEE LETTER SCHOOL FEE LETTER.pdf BRES2016-0021- 2ND 2ND REVIEW - DOC 5/19/2016 JAKE FUSON NONSTRUCTURAL REVIEW - 1 NONSTRUCTURAL CORRECTIONS CORRECTIONS.pdf EMAIL EMAIL DOC 6/21/2016 JAKE FUSON CORRESPONDENCE -'6- CORRESPONDENCE - 6- 1 21-2016 21-2016.msg 1ST REVIEW - 1ST REVIEW - DOC 2/9/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 COMMENTS COMMENTS.doc IST REVIEW - 1ST REVIEW - DOC 2/9/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 TRANSMITTAL TRANSMITTAL.pdf 2ND CHECK, -2ND CHECK - DOC 5/18/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 COMMENTS.doc COMMENTS.doc Printed: Monday, July 11, 2016 10:41:13 AM 10 of 11 ' SYS7Eiv1S Printed: Monday, July 11, 2016 10:41:13 AM 11 of 11 srsrrieS ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED 2ND CHECK - 2ND CHECK - DOC 5/18/2016. JOHN THOMPSON STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf 30 CHECK - 3RD CHECK'- HECK-DOC DOC 6/16/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf FIRE - RES FIRE LAQ-I6-RS-049 - LOT 22 DOC 6/16/2016 KOHL HETRICK - SPRINKLER - APPROVAL - RFSPK PC - - 0 LETTER APPROVED.docx DEBRIS MANAGEMENT DEBRIS MANAGEMENT 0 DOC 5/10/2016 STEPHANIE KHATAMI. PLAN 52010 CORTEZ PLAN 52010 CORTEZ.pdf . 3RD SUBMITTAL CHECK CHECK LIST AND -DOC 6/6/2016 STEPHANIE KHATAMI LIST AND COMMENTS 6- COMMENTS 6-3-16.pdf 0 3-16 52010 and 52020 52010 and 52020 DOC 6/20/2016 STEPHANIE KHATAMI Avenida Cortez School Avenida Cortez School 0 Fee Receipt 6-20-16 Fee Receipt 6-20-16.pdf Printed: Monday, July 11, 2016 10:41:13 AM 11 of 11 srsrrieS 78=495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 lw4�rw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT.. Application Number: BRES2016-0021 Property Address: 52010 AVENIDA CORTEZ APN: 773202001 Application -Description: TERRY/1,529 SF DWELLING/V Property Zoning: Application Valuation: $101,339.80 Applicant: RIMCREST DEVELOPMENT INC 3419 VIA LIDO SUITE 455 NEWPORT BEACH, CA.92663 /RES13/GLA A4FgJ1; D9 t6 CCr; �91NI yln QUINTA LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury thatlicensed under provisions of Chapter 9 (commencing with Section 7000) of Division the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 858893 Date: AZ41 � 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).: (1 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 Ili 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 1, 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 Lender's Address: r,. VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date:. 7/11/20.16 Owner: RIMCREST DEVELOPMENT INC 3419 VIA LIDO SUITE 455 NEWPORT BEACH, CA 92663 Contractor.: RIMCREST DEVELOPMENT INC 3419 VIA LIDO SUITE 455 NEWPORT BEACH, CA 92663, (949)466-0900. Llc. No:: 858893 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: _ Polity 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 s as o become subject to the workers' compensation laws of California, and agree th , f I should,become subject to the. workers' compensation provisions of Section of the Labor Code, I shall forthwith comply.with those provisions. Date: /f Applicant. WARNING: FAILURE TO SECURE WORKERS' CO PENSATION 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 thkte ve information is correct. I agree to comply with all city and county ordinances and laws relating to building construction, and hereby authorize representativesofthito enter upon the above-mentionedpro erty for inspection purposes. Date: 7 ? 7 Signature (Applicant or Agent) FINANCIAL DESCRIPTION ACCOUNT - _ . ,'} QTY AMOUNT .r PAID PAID'DATE BSAS SB1473 FEE 101-0000-20306 0 $5.00 $S.00 7/11/16 PAID BY, ; : ,. , Y METHOD i "' �f RECEIPT # = CHECK #,' ' -- CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $5.00. $5.00 ` bESCRIPTION . • "-ACCOUNT f " 4 QTY 4; AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 7/11/16 PAID BY METHOD .RECEIPT'# , 'i. CHECK # Cubby'. RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA `a DESCRIPTION '_ ?° ACCOUNT ,kQTY • ;AMOUNT y*".- t PAID µ PAIDIDATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $129.00 7/11/16 ' ;PAID BY .' METHOD "RECEIPT #� CHECK # CLTD BY' ' RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA . ` DESCRIPTION.. ACCOUNT t + gTY _ 1. AMOUNT _ PAID ,,` .; PAID DATE` DIF- FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 7/11/16 PAID BY, METHOD '� RECEIPT # CHECK # ' CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA - DESCRIPTION ACCOUNT`QTY ' y AMOUNT..: .PAID PAID -DATE DIF - LIBRARIES 253-0000-43200 0 $344:00 $344.00 7/11/16 .._:. r _ METHOD '� .:- ' RECEIPT # x;,v � CHECK # y,� CLTD BY., ' RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT Q7. AMOUNT,,'. PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $40.00 7/11/16 PAID BY METHOD " ' . 'RECEIPT # w* ° +CHECK # CCTD BY ' RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION: 4000UNfi QTY' AMOUNT, PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 7/11/16 PAID BY ,, METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INt CHECK '1116954 7415 MFA DESCRIPTION, :.. ACCOUNT . ; QTY -AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $116.00 7/11/16 .. s'., . PAID BY . > METHOD . '; ',' .` ; . RECEIPT # CHECK #. .'CLTD BY. RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT . ; QTY ` AMOUNT - PAID - PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 DESCRIPTION , ACCOUNT. QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $12.33 $12.33 7/11/16 ..,,.e. ... _•.._..��.... ��,;..---7...... ..e....... :ri.-,-.....W ....-• PAID BY •,..--f'w ., ,,,r•--..,.•�.-, +. ..a;•r--"-• w METHOD = : g- u - -....,.r �'.....,vr,. �-..-anr'.-a RECEIPT #' ^»,......--�.=.p y+; ,.� CHECK # ......t.•-.�. CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION '' ACCOUNT QTY, AMOUNT' " PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $5.08 $5.08. 7/11/16 o PAID BY ` »` a' METHOD • RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT } ' ,QTY - - AMOUNT `� PAID' r PAID DATE` RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $145.03 7/11/16 PAID BY i METHOD 'RECEIPT# r tI CHECK# CLTD BY,- RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA `DESCRIPTION'-..; 4: "µ u ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $47.86 7/11/16 PAID BY METHOD K s RECEIPT # :CHECK # , ; CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA Total Paid for ELECTRICAL - NEW CONSTRUCTION: $210.30 $210.30 DESCRIPTION :' -ACCOUNT- • QTY . ' . AMOUNT. PAID PAID.DATE RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT <=7KSF 101-0000-42408 0 $36.26 $36.26 7/11/16 PAID BY _ METHOD RECEIPT # CHECK # CLTD BY - ; RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT.,'.' .` ; - QTY .. AMOUNT`.. PAID PAID DATE RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT <=7KSF PC 101-0000-42600 0 $36.26 $36.26 7/11/16 PAID BY d , `, METHOD --•,RECEIPT.# - 'F t _ CHECK # _'. CLTD BY, RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA Total Paid for GRADING: $72.52 $72.52 DESCRIPTION s a ACCOUNT, QTY -AMOUNT '. - PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $36.26 $36.26 7/11/16 `PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCRESTDEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION ACCOUNT 4 CITY 'AMOUNT, PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $24.17 $24.17. 7/11/16 Y PAID BY METHOD RECEIPT # . CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA DESCRIPTION '. ` z, ACCOUNT...QTY AMOUNT .' "'PAID. PAID DATE. EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 7/11/16 PAID BY ' METHOD RECEIPT # : CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415. MFA DESCRIPTION ACCOUNT CITY .AMOUNT PAID PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $4.83 $4.83 7/11/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R16954 7415 MFA