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BRES2016-0022r 78-495 CALLE TAMPICO , LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2016-0022 Property Address: 52020 AVENIDA CORTEZ APN: 773202002 Application Description: TERRY/1,694 SF DWELLING/VB/RES-3/CLASS A-FR/13D Property Zoning: Application Valuation: $114,143.90 Applicant: MICHAEL TERRY C/O RIMCREST 3419 VIA LIDO STE 455 NEWPORT BEACH, CA 92663 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury th t I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisi n of the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 858893 Dai t� e 7 / 3 A. Gontr cio OWNER -BUILDER ECLARATION 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.). (� 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 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/13/2016 Owner: TERRY LIVING TRUST 3419 VIA LIDO NEWPORT BEACH, CA 92663 Contractor: RIMCREST DEVELO MENT/�,NG 3419 VIA LIDO S 4.5 NEWPORT BEAC 92663 JUL , 2016 (949)466-0900 � �_ Lic. No.: 858893 t✓I•(YOFLAOUINTA COtdMUNITY DEVELOPMENT DEPARTMENT WORKER'S COMPENSATION DECLARATION ereby affirm under penalty of perjury one of the following declarations: AI have and will maintain a certificate of consent to self -insure for workers' co ensation, as provided for by Section 3700 of the Labor Code, for the performance oft work for which this permit is issued. �I have and will maintain workers' compensation insurance, as required by Se n 700 of the Labor Code, for the performance of the work for which this permit is issu d. My workers' compensation insurance carrier and policy number are: Carrie : _ 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 as to become subject to the workers' compensation laws of California, and agree tha if I hould become subject to the workers' compensation provisions of Section 3.7 the Labor Code, I shall forthwith comply with those provisions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN .L 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 b ve information is correct. I agree to comply with all city and county ordinances and laws relating to building construction, and hereby authorize representatives of this to enter upon the above-mentioned property for inspection purposes. Date / �i Signature*(Apppplicanfor-Agent) DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $5.00 $5.00 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE 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 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNTQTY AMOUNT PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 U $129.00 $129.00 7/13/16 PAID BY METHOD RECEIPT # CHECK ## -CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT- PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 7/13/16 'PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $40.00 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION` ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00' $2,048.00 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $116.00 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 7/13/16 PAID BY.. METHOD RECEIPT # CHECK # CLTD BY. RIMCREST DEVELOPMENT INC CHECKR17070 7420 RSE 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 $24.66 $24.66 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 .7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $10.16 $10.16 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $145.03 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION, ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86''"'. $47.86 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE Total Paid for ELECTRICAL - NEW CONSTRUCTION: .$227.71 $227.71 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT <=7KSF 101-0000-02408 0 $36.26 $36.26 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT <=7KSF PC 101-0000-42600 0 $36.26 $36.26 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE 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 7/13/16 PAID BY METHOD RECEIPT #' CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT' QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $24.17 $24.17 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $4.83 $4.83 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $36.26 $36.26 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 01. $24.17 $24.17 7/13/16 , PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION. ACCOUNT QTY AMOUNT PAID -PAID DATE.' VENT FAN 101-0000-42402 0 $48.36 $48.36 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7429 RSE DESCRIPTION ACCOUNT QTY • AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $19.32 $19.32 7/13/16 PAID $Y METHOD RECEIPT # CHECK.# CLTD BY. RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE 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 $552.00 $552.00 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE Total Paid for MULTI -SPECIES RESIDENTIAL: $552.00 $552.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $511.79 $511.79 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE Total Paid for NEW CONSTRUCTION PERMIT: $511.79 $511.79 DESCRIPTION ACCOUNT QTY AMOUNT 'PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,000.00 $1,000.00 2/1/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R12486 7253 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $3.51 $3.51 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,003.51 $1,003.51 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE 101-0000-42401 0 $12.09 $12.09 7/13/16 PAID BY. METHOD. RECEIPT # ,. CHECK # CLTD BY' RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $4.83 7/13/16 PAID BY METHOD - RECEIPT # CHECK # CLTD BY. RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 7/13/16 PAID BY . METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT Q'rY 'AMOUNT-'-- -PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $145.08 $145:08 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $145.08 $145.08 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 $36.26 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $24.17 $24.17 7/13/16 PAID BY METHOD RECEIPT# CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY • AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $12.09 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $7.25 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $12.09 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID* PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $12.09 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD*BY RIMCREST DEVELOPMENT INC CHECK 1117070 7420 RSE Total Paid for PLUMBING FEES: $435:21 $435.21 DESCRIPTION ACCOUNT, QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $14.84 $14.84 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $14.84 $14.84 DESCRIPTION ACCOUNT = QTY AMOUNT PAID PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $1,837.44 7/13/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIMCREST DEVELOPMENT INC CHECK R17070 7420 RSE Total Paid for TUMF - RESIDENTIAL:'! ` '$1',837'.44"$1,837.44' " TOTALS:4; Description: TERRY/1,694 SF DWELLING/VB/RES-3/CLASS A-FR/13D Type: BUILDING, RESIDENTIAL Subtype: DWELLING -SINGLE Status: APPROVED Applied; 2/1/2016 AOR FAMILY DETACHED Approved: 7/12/2016 JFU Parcel No: 773202002 Site Address: 52020 AVENIDA CORTEZ LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 38 Lot: 21 Issued: UNIT 3 NOTES Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $114,143.90 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 1,694 S.F. NEW SINGLE FAMILY DWELLING -LOT 21 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. ADDITIONAL SITES Printed: Wednesday, July 13, 2016 2:45:56 PM 1 of 9 SYSTEMS CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES E-MAIL JAKE fUSON 7/12/2016 7/12/2016 NOTIFIED JOHN PEDALINO THAT PLANS WERE APPROVED 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. Printed: Wednesday, July 13, 2016 2:45:56 PM 1 of 9 SYSTEMS Printed: Wednesday, July 13, 2016 2:45:56 PM 2 of 9 (CJW SYS7EAAS TRUSSES WERE RECEIVED WITH 3RD PLAN CHECK SUBMITTAL FOR BRES2016-0021-52010 CORTES AS EACH BOOK HAD NOTE STEPHANIE KHATAMI 6/3/2016 6/3/2016 BOTH -ADDRESSES WITHIN. DID NOT SENT OUT FOR PLAN CHECK AS THEY DID NOT SUBMIT ANYTHING FOR THIS ADDRESS. PLAN CHECK COMMENTS FROM CONSULTANT JAKE FUSON 7/12/2016 7/12/2016 STRUCTURAL PORTION' RECEIVED AS APPROVABLE. RECEIVED 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 5/20/2616 5/20/2016 STRUC RFC 2/19/2016 RECEIVED PLAN CHECK PICKED UP JIM JOHNSON 2/24/2016 2/24/2016 PICKED UP BY CURTIC SHUPE PLAN CHECK PICKED UP STEPHANIE KHATAMI 6/24/2016 6/24/2016 PLAN CHECK SENT TO KAY HENSEL 2/1/2016 2/1/2016 STRUC TO YOUNG - DUE 2/22/2016 OUTSIDE PC PLAN CHECK SENT TO STEPHANIE KHATAMI 6/24/2016 6/28/2016 OUTSIDE PC PLAN CHECK SUBMITTAL MARY FASANO 2/1/2016 2/1/2016 RECEIVED RECEIVED REVISED CF1R, PLEASE JOHN (760)578-6915 CALL TO ADVISE OF THE FEES. PUBLIC COUNTER VISIT STEPHANIE KHATAMI 6/13/2016 6/13/2016 LEFT MESSAGE WITH JOHN 6/13/2016 AT 4:15PM REQUESTING A RETURN CALL. 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. Printed: Wednesday, July 13, 2016 2:45:56 PM 2 of 9 (CJW SYS7EAAS FINANCIAL INFORMATION LEFT MESSAGE FOR MICHAEL TERRY (949-466-0900) CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # -METHOD PAID BY NOTIFYING HIM THAT PLAN REVIEW WAS COMPLETE, TELEPHONE CALL JAKE FUSON 2/23/2016 BY BSAS SB1473 FEE 101-0000-20306 2/23/2016 $5.00 $5.00 7/13/16 R11070 7420 CHECK RIMCREST RSE DEVELOPMENT INC Total Paid for BUILDING STANDARDS ADMINISTRATION REVISIONS WERE REQUIRED, AND PLANS WERE READY TO BE $5.00 BSA: PICKED UP. 252-0000-43200 0 $942.00 $942.00 7/13/16 R17070 7420 CHECK RIMCREST NOTIFIED DESIGNER CURTIS SHUPE THAT PLAN REVIEW WAS COMPLETE AND REVISIONS WERE REQUIRED. I EXPLAINED TO Printed: Wednesday, July 13, 2016 2:45:56 PM HIM MY NONSTRUCTURAL CORRECTIONS. I ALSO CALLED 3 of 9- SYSTEMS RIMCREST DEVELOPMENT AND NOTIFIED THEM THAT PLAN TELEPHONE CALL JAKE FUSON 5/19/2016 5/19/2016 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. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT MICHAEL TERRY C/O RIMCREST 3419 VIA LIDO STE 455 NEWPORT CA 92663 BEACH CONTRACTOR RIMCREST DEVELOPMENT INC 3419 VIA LIDO SUITE NEWPORT CA 92663 455 BEACH DESIGNER CURTIS SHUPE DESIGN 72880 FRED WARING PALM DESERT CA 92260 STE A-5 OWNER TERRY LIVING TRUST 3419 VIA LIDO NEWPORT CA 92663 BEACH FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # -METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $5.00 $5.00 7/13/16 R11070 7420 CHECK RIMCREST RSE DEVELOPMENT INC Total Paid for BUILDING STANDARDS ADMINISTRATION $5.00 $5.00 BSA: DIF -CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 7/13/16 R17070 7420 CHECK RIMCREST RSE DEVELOPMENT INC Printed: Wednesday, July 13, 2016 2:45:56 PM 3 of 9- SYSTEMS Printed: Wedn. esday, July 13, 2016 2:45:56 PM 4 of 9 - 7LJL■�lfj' SYSTfh1S CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY DIF - COMMUNITY 254-0000-43200 0 $129.00 $129.00 7/13/16 R17070 7420 CHECK RIMCREST RSE CENTERS DEVELOPMENT INC DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 7/13/16 R17070 . 7420 CHECK RIMCREST RSE DEVELOPMENT INC DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 7/13/16 R17070 7420 CHECK RIMCREST RSE DEVELOPMENT INC DIF - PARK 256-0000-43200 0 $40.00 $40.00 7/13/16 R17070 7420 CHECK RIMCREST RSE MAINTENANCE . DEVELOPMENT INC DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 7/13/16 R17070 7420 CHECK RIMCREST RSE DEVELOPMENT INC DIF -STREET 255-0000-43200 0 $116.00 $116.00 7/13/16 R17070 7420 CHECK RIMCREST RSE MAINTENANCE DEVELOPMENT INC DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 7/13/16 R17070 7420 CHECK RIMCREST RSE DEVELOPMENT INC Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 RESIDENTIAL, 101-0000-42403 0 $24.66 $24.66 7/13/16 R17070 7420 CHECK RIMCREST RSE ADDITION 1,00050SE . DEVELOPMENT INC RESIDENTIAL, EA 101-0000-42600 0 $10.16 $10.16 7/13/16 R17070 7420 CHECK RIMCREST RSE. ADDITION 1,000SF, PC DEVELOPMENT INC RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $145.03 7/13/16 R17070 7420 CHECK RIMCREST RSE 1,0005E DEVELOPMENT INC RESIDENTIAL, FIRST 101-0000-426000 $47.86 $47.86 7/13/16 R17070 7420 CHECK RIMCREST RSE 1,000SF, PC DEVELOPMENT INC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $227.71 $227.71 RESIDENTIAL PRECISE GRADING - CUSTOM 101-0000-42408 0 $36.26 $36.26 7/13/16 R17070 7420 CHECK RIMCREST RSE DEVELOPMENT INC HOME LOT <=7KSF RESIDENTIAL PRECISE GRADING - CUSTOM 101-0000-42600 0 $36.26 $36.26 7/13/16 R17070 7420 CHECK RIMCREST RSE DEVELOPMENT INC HOME LOT <=7KSF PC Total Paid for GRADING: $72.52 $72.52 Printed: Wedn. esday, July 13, 2016 2:45:56 PM 4 of 9 - 7LJL■�lfj' SYSTfh1S Printed: Wednesday, July 13, 2016 2:45:56 PM 5 of 9 J srsTrens CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT# CHECK #. METHOD PAID BY _ BY CONDENSER/COMPRES 101-0000-42402 0 $36.26 $36.26 7/13/16 R17070 7420 CHECK RIMCREST RSE SOR DEVELOPMENT INC CONDENSER/COMPRES 101-0000-42600 0 $24.17 $24.17 7/13/16 R17070 7420 CHECK RIMCREST RSE SOR PC . DEVELOPMENT INC EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 7/13/16 R17070 7420 CHECK RIMCREST RSE DEVELOPMENT INC EXHAUST HOOD PC 101-0000-42600 0. $4.83 $4.83 7/13/16 R17070 7420 CHECK RIMCREST RSE DEVELOPMENT INC FURNACE • 101-0000-42402 0 $36.26 $36.26 7/13/16 R17070 7420 CHECK RIMCREST RSE DEVELOPMENT INC FURNACE PC 101-0000-42600 0 $24.17 $24.17 7/13/16 R17070 7420 CHECK RIMCREST RSE DEVELOPMENT INC VENT FAN 101-0000-42402 0 $48.36 $48.36 7/13/16 R17070 7420 CHECK RIMCREST RSE DEVELOPMENT INC VENT FAN PC 101-0000-42600 0 $19.32 $19.32 7/13/16 1117070 7420 CHECK RIMCREST RSE DEVELOPMENT INC Total Paid for MECHANICAL:' $205.46 $205.46 MULTI -SPECIES RESIDENTIAL 8.1-14 101-0000-20310 0 $552.00 $552.00 7/13/16 R17070 7420 CHECK RIMCREST RSE DEVELOPMENT INC UNITS - 2015 UPDATE Total Paid for MULTI -SPECIES RESIDENTIAL: $552.00 $552.00 NEW CONSTRUCTION 101-0000-42400 0 $511.79 $511.79 7/13/16 R17070 7420 CHECK RIMCREST RSE PERMIT DEVELOPMENT INC Total Paid for NEW CONSTRUCTION PERMIT: $511.79 $511.79 NEW CONSTRUCTION 101-0000-42600 0 $1,000.00 $1,000.00 2/1/16 R12486 7253 CHECK RIMCREST MFA PLAN CHECK DEVELOPMENT INC NEW CONSTRUCTION 101-0000-42600 0 $3.51 $3.51 7/13/16 R17070 7420 CHECK RIMCREST RSE PLAN CHECK DEVELOPMENT INC Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,003.51 $1,003.51 Printed: Wednesday, July 13, 2016 2:45:56 PM 5 of 9 J srsTrens Printed; Wednesday, July 13, 2016 2:45:56 PM 6 of 9 0 C1 SYS7Eib1S GLTD DESCRIPTION ACCOUNT' QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID,BY BY BACKFLOW DEVICE 101-0000-42401 0 $12.09. $12.09 7/13/16 R17070 7420 CHECK RIMCREST RSE DEVELOPMENT INC BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $4.83 7/13/16 R17070 7420 CHECK RIMCREST RSE DEVELOPMENT INC BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 7/13/16 R17070 7420 CHECK RIMCREST RSE DEVELOPMENT INC BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 7/13/16 R17070 7420 CHECK RIMCREST RSE . DEVELOPMENT INC FIXTURE/TRAP 101-0000-42401 0 $145.08 $145.08 7/13/16 R17070 7420 CHECK RIMCREST RSE , DEVELOPMENT INC FIXTURE/TRAP PC 101-0000-42600 0 $145.08 $145.08 7/13/16 R17070 7420 CHECK RIMCREST RSE • DEVELOPMENT INC . GAS SYSTEM, 5+ 101-0000-42401 0 $36.26 $36.26 7/13/16 .1117070 7420 CHECK RIMCREST RSE OUTLETS DEVELOPMENT INC GAS SYSTEM, 5+ 101-0000-42600 0 $24.17 $24.17 7/13/16 817070 7420 CHECK RIMCREST RSE OUTLETS PC DEVELOPMENT INC WATER HEATER/VENT 101-0000-42401 0 $12.09 $12.09 7/13/16 R17070 7420 CHECK RIMCREST RSE DEVELOPMENT INC WATER HEATER/VENT 101-0000-42600 0 $7.25 $7.25 7/13/16 R17070 7420 CHECK RIMCREST RSE PC DEVELOPMENT INC WATER SYSTEMRIMCREST 101-0000-42401 0 $12.09 $12.09 7/13/16 817070 7420 CHECK RSE INST/ALT/REP DEVELOPMENT INC WATER SYSTEM 101-0000-42600 0 $12.09 $12.09. 7/13/16 R17070 7420 CHECK RIMCREST RSE INST/ALT/REP PC DEVELOPMENT INC Total Paid for PLUMBING FEES:- $435.21 $435.21 SMI -RESIDENTIAL 101-0000-20308 To-1 $14.84 I$14.84 I7/13/16 817070 I7420 CHECK RIMCREST RSE DEVELOPMENT INC Total Paid for STRONG MOTION INSTRUMENTATION SMI: $14.84 $14.84 Printed; Wednesday, July 13, 2016 2:45:56 PM 6 of 9 0 C1 SYS7Eib1S DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY SINGLE FAMILY 224-0000-20320 0 $1,837.44 $1,837.44 7/13/16 R17070 7420 CHECK RIMCREST RSE DETACHED DEVELOPMENT INC Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44 INSPECTIONS Printed: Wednesday, July 13, 2016 2:45:56 PM 7 of 9 SYSTEMS REVIEWS RETURNED STATUS REMARKS REVIEW TYPE REVIEWER SENT DATE DUE DATE NOTES DATE 1ST BLDG NS (3 WK) JAKE FUSON 2/1/2016 2/22/2016 2/23/2016 REVISIONS REQUIRED SEE 1ST REVIEW - NONSTRUCTURAL CORRECTION LIST. 1ST BLDG STR (3 JOHN 2/1/2016 2/22/2016 2/9/2016 REVISIONS REQUIRED WK) THOMPSON 2ND BLDG NS (2' SEE 2ND REVIEW -NONSTRUCTURAL JAKE FUSON 5/5/2016 5/19/2016 5/19/2016 REVISIONS REQUIRED WK) CORRECTIONS. 2ND BLDG STR (2 JOHN 5/5/2016 5/19/2016 5/19/2016 REVISIONS REQUIRED WK) THOMPSON KOHL 5/27/2016 6/13/2016 6/15/2016 APPROVED' FIRE SEE ATTACHMENTS FOR APPROVAL LETTER HETRICK 3RD BLDG NS (2 WK) JAKE FUSON 6/24/2016 7/11/2016 7/12/2016 APPROVED 3RD BLDG STR (2 BRONZ 6/24/2016 7/11/2016 7/11/2016 READY FOR APPROVAL WK) YOUNG Printed: Wednesday, July 13, 2016 2:45:56 PM 7 of 9 SYSTEMS Printed:. Wednesday, July 13, 2016 2:45:56 PM- 8 of 9 r SYSTEtitS ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION. PATHNAME SUBDIR ETRAKITENABLED 3RD CHECK - 3RD CHECK - DOC 7/11/2016 BRONZ YOUNG STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf, BRES2016-0022 - 1ST 1ST REVIEW = DOC 2/23/2016 JAKE FUSON NONSTRUCTURAL REVIEW - 1 NONSTRUCTURAL CORRECTION LIST CORRECTION LIST.pdf DOC S/10/2016 JAKE FUSON SCHOOL FEE LETTER BRES2016-0022 - 1 SCHOOL FEE LETTER.pdf BRES2016-0022 - 2ND 2ND REVIEW - DOC S/19/2016 JAKE FUSON NONSTRUCTURAL REVIEW - 1 NONSTRUCTURAL CORRECTIONS CORRECTIONS.pdf 1ST REVIEW - 1ST REVIEW - DOC 2/9/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 COMMENTS.doc COMMENTS.doc 1ST REVIEW - 1ST REVIEW - DOC 2/9/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf 2ND CHECK - 2ND CHECK - DOC 5/18/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 COMMENTS.doc COMMENTS.doc . 2ND CHECK - 2ND CHECK - DOC 5/18/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf FIRE - RES FIRE LAQ-16-RS-048 - LOT 21 .DOC 6/16/2016 KOHL HETRICK SPRINKLER - APPROVAL - RFSPK PC - 0 LETTER APPROVED.docx DOC 5/10/2016 STEPHANIE KHATAMI DEBRIS MANAGEMENT DEBRIS MANAGEMENT 0 52020 CORTEZ 52010 CORTEZ.pdf Printed:. Wednesday, July 13, 2016 2:45:56 PM- 8 of 9 r SYSTEtitS Printed: Wednesday, July 13, 2016 2:45:56 PM 9 of 9 C . SYS7ENiS ATTACHMENTS Attachment Type ...CREA......... TED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED 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 3RD SUBMITTAL 3RD SUBMITTAL DOC 6/28/2016 STEPHANIE KHATAMI CORRECTION LIST AND CORRECTION LIST AND 0 COMMENTS 6-28-16.pdf, COMMENTS 6-28-16.pdf Printed: Wednesday, July 13, 2016 2:45:56 PM 9 of 9 C . SYS7ENiS $I?"Lqri?otb• ODS Building T Address lJ Owner N . Mailing Addlel 4d0 city ress ?j. ��� 4zip106; _ Contr ctor Address ac has ad ove ) W P.O. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO LuvcAUINTA, CALIFORNIA 92253 /to h%cW s-� BUILDING: TYPE CONSTr� OCC. GRP. (71 LO p /A.P. Number— —77 7 . 2� 2 Q 00 2 _. S Tel /QD Legal Description �� �1 of A�� .h Project Descrip ion A. State Lic. City & Classif. y� ®,, Lic. # Arch., Engr., /'i//�- !1 4 0hV e , 17 Designer (� of Address' T I. 0� �r A-57 Stae Ptiyl/m &Jlert ZIP 22 Lic. t # LICENSED CONTRACTOR'S DECLARATION Ihereby affirm 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. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contrac- tor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he 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). OI, 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 Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such 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 did not build or improve for the purpose of sale). O1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law) O 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit is for one hundred dollars ($100) valuation or less). 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 as to become subject to Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT It, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line — FINAL DATE INSPECTOR Issued by: Validated by: Date Permit Validation: WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE �` SFt. /�C Size Stories ( / Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ L��l/•�l l 1. L Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure 112t CITYOFIAQ;NTA; M222 ;2 TOTAL CONTACT INFORMATION NAME: PHONE: ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line — FINAL DATE INSPECTOR Issued by: Validated by: Date Permit Validation: WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE �` -'.�+.......• -- j•,.+..._...--...r-- "-•---' ��� �..� �.._.--. -. . _ _... .•cam.-r...... _.. -- - --�-�_ .-.. - - '�--"^^`..--...a—...---�.. �...-- — - Building Permit Number: # ° Project Description: t SFR . r O Exempt: ❑ (Materials may contain hazardous wastes and 9 are not subject to recycling provisions) CFM.OFj i Construction Debris Management Plan Pian Submittal Date 5/9/2016 Job Site Address 52020 Avenida Cortez r Owners Name Rimcrest Development, Inc. Number, Street, or PO Box 3419 Via Lido suite 455 i City, State, Postal Code Newport beach; CA. 92663 "- Owners Phone Number .949-466-0900{ � r Owners E-Mail Address michaeletem(drmaacom ECav , Project Managers Name John Pedalino Q 206 Project Managers Phone Number 760-078-6915 Project Managers E-mail Address desertestatesCdldarr-com `I C Ov LP, Qum 6&E00` ` Builder/ Contractor Rimcrest Development, Inc. �AIVINIUNtN + t Number, Street or PO Box 3419 Via Lido suite 455 City, State, Postal Code Newport beach, CA. 92663 ` Project Square Footagel 2,125 square feet LCity Approval By ad—bUAuaah2d— W&A& ;• I Date of City Approval (95 /0911 to ► Materials To Be Discarded: 'Product Tons 3 . Trash9.00 Not recyclable Product Tons ' Asphalt 0.00 Recyclable Masonry (broken) 0.00 Recyclable Brick/Block 0.00 Recyclable Plaster 2.25 Recyclable ' Cardboard 0.00 Recyclable Scrap Metal 0.00 Recyclable t Commingled 0.00 Recyclable Tile (floor) 0.00 Recyclable y Concrete 8.00 Recyclable Tile (roof) 0.25 Recyclable Drywall 1.00 Recyclable Wood 3.25 Recyclable i Donated / Reuse' 0.00 Recyclable Landscape Debris 0.00 Recyclable E *Describe Items Totals w , Recycle Trash Projected Diversion: �• ,a j ' ., . 14.8 9.0 62.11 °� • I understand It Is the property owners responsibility to submit copies of weight tickets or receipts to the District Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the Debris Management Plan (DMP) for the above named project shall guarantee that at least 50% of the jobsite waste is diverted from. landfilling. The remaining material will be recycled or reused. I will divert, .tor recycling or re-use, remaining materials generated from the first day of the project through the completion of the project in accordance with this plan. This f DMP is issued in the name of the property owner(s) and shall remain their property throughout the construction and/or demolition project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP is still . Y issued in the name f the property owners) and the owner retains legal responsibility for ensuring that the provisions of the DMP are adhered to. The property owners) and general contractor shall be kept Informed of the diversion progress through q bl-monthly reports. If H- aulingfall refuse material from this project site must be taken to an approved recycler or transfer Owner /Developer / Pr je Manager / Superintendant Date Date: 5/20/2016 No.: 16-00218-1 Owner: Terry Living Trust Address: 52020 Avenida Cortez City: La Quinta Type: Single Family Residential Lot # Street No. 52020 Comments: CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Qunita, CA 92253 (760)7.71-8515 Email: Jurisdiction: La Quinta Tract #: `�1F 1 EO 2 +0 c .p. H SERMUOACUNE3' r 'N1"'N rVEw«e v _ Y . � 1N IPN 1 ELLS.; y d'. PCALM 4iIACNEU:A a ESEZRT. y . sN�AOUErrr.A 7� iN0E0 Y Street Name Sq. Feet APN Permit No. Avenida Cortez 1694 773-20-2002 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: EXEMPTION NOT APPLICABLE This certifies that school facility fess imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $3.36 X 1694 S.F. or $5,691.84 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in the proposed project may now be issued. Fees Paid By: Wells Fargo / John Pedaling Check No.: 0083903680 Bank Name/Recipient of Certificate Telephone: Funding: Residential By Dr. Gary Rutherford Superintendent ` Fee Collected/ Exempted by: Kelly Jones Amoura<Oue: $5,6191.84 Original Payment(s) Rec'a .$0.00 i- New Payment R!� . $5;691.84 ,? Over/yiider: _ $00Q0 NOTICE: Pursuant to Government _1de Section 66020(d)(1), this will serve 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 to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL.