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BRES2015-0060F. 78-495 CALLE TAMPICO _ LA QUINTA, CALIFORNIA`92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: RREF II CWC LAQ LLC 5927 PRIESTLY DR STE 110 CARLSBAD, CA 92008 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING__ "�Bl�lT_--- , BRES2015-0060 56189 PLATINUM WAY 775370016 TEMP ADA RESTROOM LOCATED IN $8,000.00 'AIR 1 2015 LO�LA QUINTA OOMMUNIiY DEVELOPMENT DEI VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/11/2015 EF II CWC LAC. LLC 27 PRIESTLY DR STE 110 RLSBAD, CA 92008 Contractor: CALIFORNIA WEST CONSTRUCTION 1 5927 PRIESTLY DRIVE STE 110 CARLSBAD, CA 92008 (760)918-6768 Llc. No.: 927267 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, _ I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance License Class: . License No.: 927267 of the work for which this permit is issued. Df te: Conti or: 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: OWNER -BUILDER DECLARATION Carrier: Polity Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation rovisions of Section 3700 of the Labor Code, I shall forthwith 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 col ly with th a pro sions. of the Business and Professions Code) or that he or she is exempt therefrom and the p cant: Date: Apo* 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (1 I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale., If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose (_) 1, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (J I am exempt under Sec. B.&P.C. for this reason 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. 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 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 upon the above. mentioned pro rty f t�in�spection purposes. Date: Signature (Applicant or Agent):. `� Jim Johnson From: Mary Nettles<MNettles@CaliforniaWestCommunities.com> Sent: Tuesday, February 24, 2015 1:32 PM To: Jim Johnson Subject:. PGA West Hi Jim, , Below are estimates for the value of the temporary improvements: Lot 59 Plan 3B 56-176 Platinum Way Lot 3 Plan 4B 56-175 Platinum Way Building 28 V95 Plan 1A 801232 Redstone Way Let me know fi you have any questions or need additional information. Thanks! Mary Nettles Project Coordinator California West Communities 5927'Priestly Drive Ste. 110 Carlsbad, CA 92008 760-918-2829 direct line- 760-497-5258 cell phone 1 Design Center $35,000 ADA Bath $ 8,000 Design Center $35,000 DESCRIPTION FINANCIAL •• • ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3977 10689 MFA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF II CWC LAQ LLC CHECK R3977 10689 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.16 $24.16 3/11/15 PAID BY -METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3977 10689 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES; FIRST 20 PC 101-0000-42600 0 $0.01 $0.01 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CASH R3978 MFA Total Paid for ELECTRICAL: $48.34 $48.34 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $36.26 $36.26 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3977 10689 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $24.17 $24.17 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3977 10689 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $36.26 $36.26 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3977 10689 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $24.17 $24.17 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3977 10689 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $12.09 $12.09 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3977 10689 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 1 $4.83 $4.83 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3977 10689 MFA Total Paid forMECHANICAL: $137.78 $137.78 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $36.27 $36.27 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3977 10689 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $36.27 $36.27 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3977 10689 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT •101-0000-42401 0 $12.09 $12.09 3/11/15 PAID BY '' METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3977 10689 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $7.25. 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3977 10689 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $12.09 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3977 10689 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $12.09 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3977 10689 MFA Total Paid forPLUMBING FEES: $116.06 $116.06 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $49.31 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3977 10689 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 $134.88 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3977 10689 MFA Total Paid forREMODEL: $184.19 $184.19 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $1.04 $1.04 3/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RREF 11 CWC LAQ LLC CHECK R3977 10689 MFA Total Paid forSTRONG MOTION INSTRUMENTATION SMI $1.04 $1.04 Description: TEMP ADA RESTROOM LOCATED IN GARAGE LOT 3 ADDITIONAL Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: ISSUED Applied: 2/24/2015 MFA Approved: 3/6/2015 MFA Parcel No: 775370016 Site Address: 56189 PLATINUM WAYLA QUINTA,CA 92253 Subdivision: TR 29421 Block: Lot: 2 Issued: 3/11/2015 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $8,000.00 Occupancy Type: Construction Type: Expired: 9/7/2015 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 2/25/2015 Details: TEMP. ADA BATHROOM LOCATED IN GARAGE 2/24/2015 Applied to Approved Approved to Issued Printed: Wednesday, March 11, 2015 2:31:58 PM 1 of 3 CN?WlYSTEMS ADDITIONAL CHRONOLOGY TYPE STAFF NAME CHRONOLOGY ACTION DATE COMPLETION DATE NOTES NOTE KAY HENSEL 3/6/2015 3/6/2015 PLANS PICKED UP FROM BUCKET ROOM (APPROVED) PLAN CHECK SUBMITTAL RECEIVED JIM JOHNSON 2/25/2015 2/24/2015 PLAN CHECK SUBMITTED CONDITIONS ADDRESSI CONTACTS CITY STATE ZIP PHONE- FAX - EMAIL NAME TYPE NAME APPLICANT RREF II CWC LAQ LLC 5927 PRIESTLY DR STE 110 CARLSBAD CA 92008 (760)918-6768 CONTRACTOR CALIFORNIA WEST CONSTRUCTION 1 5927 PRIESTLY DRIVE STE 110 CARLSBAD CA 1 92008 1 (760)918-6768 1 LBELLOSO@CALWESTC 1 OMMUNITIES.COM OWNER RREF II CWC LAQ LLC 5927 PRIESTLY DR STE 110 1 CARLSBAD CA • 92008 1 (760)918-6768 ' Printed: Wednesday, March 11, 2015 2:31:58 PM 1 of 3 CN?WlYSTEMS FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 3/11/15 R3977 -10689 1 CHECK I RREF II CWC LAQ LLC MFA Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 3/11/15 R3977 10689 CHECK RREF II CWC LAQ LLC MFA DEVICES, FIRST 20 PC 101-0000-42600 0 $24.16 $24.16 3/11/15 R3977 10689 CHECK RREF II CWC LAQ LLC MFA DEVICES, FIRST 20 PC 101-0000-42600 0 $0.01 $0.01 3/11/15 R3978 CASH RREF II CWC LAQ LLC MFA Total Paid for ELECTRICAL: $48.34 $48.34 CONDENSER/COMPRES SOR 101-0000-42402 0 $36.26 $36.26 3/11/15 R3977 10689 CHECK RREF II CWC LAQ LLC MFA CONDENSE R/COMPRES SOR PC 101-0000-42600 0 $24.17 $24.17 3/11/15 R3977 10689 CHECK RREF II CWC LAQ LLC MFA FURNACE 101-0000-42402 0 $36.26 $36.26 3/11/15 R3977 10689 CHECK RREF II CWC LAQ LLC MFA FURNACE PC 101-0000-42600 0 $24.17 $24.17 3/11/15 R3977 10689 CHECK RREF II CWC LAQ LLC MFA VENT FAN 101-0000-42402 0 $12.09 $12.09 3/11/15 R3977 10689 CHECK RREF II CWC LAQ LLC MFA VENT FAN PC 101-0000-42600 0 $4.83 $4.83 3/11/15 R3977 10689 CHECK RREF II CWC LAQ LLC MFA Total Paid for MECHANICAL: $137.78 $137.78 FIXTURE/TRAP 101-0000-42401 0 $36.27 $36.27 3/11/15 R3977 10689 CHECK RREF II CWC LAQ LLC MFA FIXTURE/TRAP PC 101-0000-42600 0 $36.27 $36.27 3/11/15 R3977 10689 CHECK RREF II CWC LAQ LLC MFA. WATER HEATER/VENT 101-0000-42401 0 $12.09 $12.09 3/11/15 R3977 10689 CHECK RREF II CWC LAQ LLC MFA WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $7.2S 3/11/15 R3977 10689 CHECK RREF II CWC LAQ LLC MFA WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $12.09 3/11/15 R3977 10689 CHECK RREF II CWC LAQ LLC MFA WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $12.09 3/11/15 R3977 10689 CHECK RREF II CWC LAQ LLC MFA Total Paid for PLUMBING FEES: $116.06 $116.06 Printed: Wednesday, March 11, 2015 2:31:58 PM 2 of 3 SYSTEMS. DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY _ CLTD BY REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31. $49.31 3/11/15 R3977 .10689 CHECK RREF II CWC LAQ LLC MFA REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 $134.88 3/11/15 R3977 10689 CHECK RREF II CWC LAQ LLC MFA Total Paid for REMODEL: $184.19 $184.19 SMI - RESIDENTIAL 101-0000-20308 1 0 $1.04 $1.04 3/11/15 R3977 10689 CHECK RREF II CWC LAQ LLC MFA Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $1.04 $1.04 TOTALS:4: INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" DUE DATE PARENT PROJECTS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE REVIEWS STATUS REMARKS NOTES NON-STRUCTURAL JIM JOHNSON 2/24/2015 3/10/2015 2/25/2015 APPROVED APPROVED ASSINGED TO JAY. PLANNING WALLY NESBIT 2/27/2015 3/10/2015 3/5/2015 READY FOR APPROVAL REASSIGNED WAS ORIGINALLY ASSIGNED TO JAY ON 2/24. REVIEW WAS REASSIGNED TO WNE ON 2/27/15 BUT DATE NOT CHANGED IN TRAKIT -----� �` BOND INFORMATION Printed: Wednesday, March 11, 2015 2:31:58 PM 3 of 3 C ., SY57EM5 l3iq # ' City of La Quinta O 'Building &r Safety Divirion Permit # P.O. Box 1504, 78-495 caiie Tampico Yes La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: 5 (o Owner's Name: RREF II—CWC LaQ , LLC A. P. Number: Address: 5927 Priestly Dr. , Suite 110 Legal Description: LO� 3 Traot No. 36537-1 City, ST, Zip: Carlsbad, CA 92008 Contractor: California West Construction Inc Telephone: ( 760) 918-6768 Address: 5927 Priestly Dr. , Suite 110 Project Description: City,.ST,Zip: Carlsbad, CA 92008 �e M P drag . ,.:::::::•: r,;:r:!:il;'<�`:: 'ice.:}:.,..;.,.:.:::....:.. Telephone: (760) 918-6768. ,t:<'><F�;:::�>:;' ;::rr:�;:<•::;<;:<:::r}:%::r<: state Lic. # : 927267 City Lie. #;101491 QQ� I.. Arch., Engr., Designer: Bassenian Lagoni Address: 2031 Orchard Drive City., ST, Zip: Newport Beach, CA 926,60 Telephone: (949 553-9100 <#t<<4''`` Cons truction Type: Occupancy: State Lic.#:w>rN> r>:}:.::..rr:;}:;<•:;.r:;:;<.;rr.:. r , Project type (circle New >.r:; t::.<.:. one): Add n Alter Repair Demo Name of Contact Person: Mary Nettles Sq. Ft.: #Stories, # Units: Telephone #,of Contact Person: ( 760) 497-5258 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE tl I Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"a Review, ready for correctio /issue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plant picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrcctionsrissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Permit Number: BRES2015-0060 Applied: 2/24/2015 Approved: Issued: Finaled: Status: UNDER REVIEW Parent Permit: Parent Project: Details Description: TEMP ADA RESTROOM LOCATED IN GARAGE LOT 3 Site Address: 56189 PLATINUM WAY City, State Zip Code: LA QUINTA, CA 92253 Applicant: <NONE> Owner: RREF II CWC LAQ LLC Contractor: <NONE> SENT DATE RETURNED DATE DUE DATE LIST OF REVIEWS TYPE CONTACT STATUS REMARKS Review Group: BLDG 1ST (2WK) 2/24/2015 3/10/2015 NON-STRUCTURALT JIM JOHNSON Notes: 2/24/2015 3/10/2015 PLANNING PLANNING BUCKET /Z{jye may( Notes: wAC.:. i Printed: Tuesday, 24 February, 2015 1 of 1 ' VSYSTE.MS