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14-130 (SFD)78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tihr4.1�Q„Mrw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: SFD-14-130 Property Address: 78740 AVENIDA LA JARITA APN: 770144006 Application Description: NEW SFD Property Zoning: M M O Application Valuation: $0.00 9LP 1�p(,000 Applicant: ROPER MORRIS CONST 50855 WASHINGTON ST C216 LA QU I NTA, CA 0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: _ License No.::CONV:1405 25 7 Date: a Contractor- ' v � 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).: (_J I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the.project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who 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 VOICE (760) 777-7125 FAX (760) 777-7011' INSPECTIONS (760) 777-7153 Owner: MORRIS, JUSTIN & KELLY 50855 WASHINGTON ST LA QUINTA, CA 92253 Contractor: ROPER MORRIS CONST 50855 WASHINGTON ST LA QUINTA, CA 0 Date: 11/20/2014 Llc. No.::CONV:14052810,1253005736 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. - B have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier- _ Policy Number: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject o the workers' compensation laws of California, and agree that, if I should becom subjectto the workers' compensation provisions of Section 370 of the Lab C de, I shall forthwith comply with those provisions. Date: I I Za ` Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and. shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above informaffilori4correct. I agree to comply with all city and county ordinances and state awsZfron/he building construction, and hereby authorize representatives of this�ityo / above• mentioned property for inspection purposes. ///, Date: i �V ' l Signature (Applicant or Agent): o� u # C- z z Z � m O 0 v T M M O C21 3n P S M r Z UJ Llc. No.::CONV:14052810,1253005736 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. - B have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier- _ Policy Number: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject o the workers' compensation laws of California, and agree that, if I should becom subjectto the workers' compensation provisions of Section 370 of the Lab C de, I shall forthwith comply with those provisions. Date: I I Za ` Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and. shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above informaffilori4correct. I agree to comply with all city and county ordinances and state awsZfron/he building construction, and hereby authorize representatives of this�ityo / above• mentioned property for inspection purposes. ///, Date: i �V ' l Signature (Applicant or Agent): FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $64.04 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forART IN PUBLIC PLACES - AIPP: $64.04 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BLDG PC 25001-200K 10160003428200 $1,000.00 $1,000.00 2/11/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BLDG PC 25001-20OK: $1,000.00 $1,000.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $10.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $10.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT -PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF- PARK MAINTENANCE 256-0000-43200 0 $40.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 • $2,048.00 $0.00 . PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.60 $0.00 .PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION : ACCOUNT CITY AMOUNT PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for DIF - SINGLE FAMILY DWELLING $6,894.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $49.32 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $20.32 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL- NEW CONSTRUCTION: $262.53 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT _ PAID PAID DATE RESIDENTIAL FINISH GRADING PC 101-0000-42600 0 $143.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forGRADING: $143.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $72.52 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT . PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $48.34 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY . DESCRIPTION ACCOUNT QTY: AMOUNT PAID PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $4.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $72.52 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $48.34 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $72.54 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $28.98 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forMECHANICAL: $360.16 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE MULTI -SPECIES RESIDENTIAL 0-8 UNITS 101-0000-20310 0 $1,292.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forMULTI-SPECIES RESIDENTIAL $1,292.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $596.13 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for NEW CONSTRUCTION PERMIT: $596.13 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $266.04 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forNEW CONSTRUCTION PLAN CHECK: $266.04 $0.00 "DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY W DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $314.34 $0.00 .PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $314.34 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, S+ OUTLETS 101-0000-42401 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, S+ OUTLETS PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ROOF DRAIN 101-0000-42401 0 $72.54 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ROOF DRAIN PC 101-0000-42600 0 $72.54 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $0.00 PAID BY ; ` . METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forPLUMBING FEES: $918.81 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $29.33 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $29.33 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT' PAID PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS:$1,000.00 Description: NEW SFD Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE SLdlus. APPROVED Applied. 2/11/3014 FAMILY DETACHED Approved: Parcel No: 770144006 Site Address: 78740 AVENIDA LA JARITALA QUINTA,CA 92253 Subdivision: DESERT CLUB TR UNIT 5 Block: Lot: 128 Issued: Lot Sq Ft: Building Sq Ft: Zoning: Finaled: Valuation: $225,615.00 Occupancy Type: Construction Type: Expired: No. Buildings: No. Stories: No. Unites: Details: THIS PERMIT DOES NOT INCLUDE POOL,SPA, BLOCK WALLS, DRIVEWAY APPROACH, FIRE -PIT OR WATER FEATURES. HOME IS FIRE SPRINKLED PER 2013 CRC CODES. ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES Hi Ms. Morris, Per our phone. conversation today, updated Title24 documents (complying with the 2013 California Energy Code) must be submitted prior to an extension being granted for the above project. Please feel free to contact me if you have any questions. E-MAIL TOM HARTUNG 11/10/2014 11/10/2014 Tom Hartung City of La Quinta Interim Building Official 760-777-7015 thartung@la-quinta.org MR. MORRIS CAME BY TO GET INFORMATION ABOUT P.M. 10 OFFICE MEETING JIM JOHNSON 11/19/2014 11/19/2014 REQUIREMENTS. LOT IS 13000 SQ. FT. COMPLETE P.M. 10 PLAN IS REQUIRED. Printed: Thursday, November 20, 2014 3:06:51 PM 1 of 6 sysrcnns RESUBMITTAL JIM JOHNSON 11/18/2014 11/18/2014 EDS ENERGY INC. RESUBMITTED UP DATED 2013 TITLE -24 TELEPHONE CALL JIM JOHNSON 11/19/2014 11/19/2014 CALLED MR. ROPER ABOUT HIS REVISED TITLE -24 HAS BEEN APPROVED. CONDITIONS $0.00 Total Paid forART IN PUBLIC PLACES - AIPP: $64.04 $0.00 BLDG PC 25001-200K 1 10160003428200 1 1 $1,000.00 $1,000.00 2/11/14 CONTACTS Total Paid forBLDG PC 25001-20OK: $1,000.00 $1,000.00 NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT ROPER MORRIS CONST 50855 WASHINGTON ST C216 LA QUINTA CA 0 $942.00 $0.00 CONTRACTOR ROPER MORRIS CONST 50855 WASHINGTON ST C216 LA QUINTA CA 0 254-0000-43200 0 $129.00 OWNER MORRIS, JUSTIN & KELLY 50855 WASHINGTON ST # C-216 LA QUINTA CA 92253 DIF - FIRE PROTECTION 257-0000-43200 FINANCIAL• • • DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $64.04 $0.00 Total Paid forART IN PUBLIC PLACES - AIPP: $64.04 $0.00 BLDG PC 25001-200K 1 10160003428200 1 1 $1,000.00 $1,000.00 2/11/14 Total Paid forBLDG PC 25001-20OK: $1,000.00 $1,000.00 BSAS SB1473 FEE 101-0000-20306 0 $10.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $10.00 $0.00 DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $0.00 DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 Printed: Thursday, November 20, 2014 3:06:51 PM . 2 of 6 SYSTEMS ... . ......... DESCRIPTION . . ..... . ---- ------ ACCOUNT QTY . ..... ...... .............. AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD . ............ . . ...... ... .. ..... .... ............. PAID BY CLTD - BY DIF - PARK 256-0000-43200 0 $40.00 $0.00 MAINTENANCE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 DIF -STREET 255-0000-43200 0 $116.00 $0.00 MAINTENANCE DIF - TRANSPORTATION 250-0000-43200 j 0 j $2,842.00 $0.00 Total Paid forDIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 RESIDENTIAL, EA 101-0000-42403 0 $49.32 $0.00 ADDITION 1,000SF RESIDENTIAL, EA 101-0000-42600 0 $20.32 $0.00 ADDITION 1,000SF, PC RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $0.00 1,000SF RESIDENTIM, FIRST lUl-0000-42600 U $41.86 $0.00 1,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $262.53 $0.00 RESIDENTIAL FINISH 101-0000-42600 0 $143.00 $0.00 GRADING PC Total Paid forGRADING: $143.00 $0.00 CONDENSER/COMPRES 101-0000-42402 0 $72.52 $0.00 SOR CONDENSER/COMPRES 101-0000-42600 0 $48.34 $0.00 SOR PC EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 EXHAUST HOOD PC 101-0000-42600 0 $4.83 $0.00 FURNACE 101-0000-42402 0 $72.52 $0.00 FURNACE PC 101-0000-42600 0 $48.34 $0.00 VENT FAN 101-0000-42402 0 $72.54 1 $0.00 Printed: Thursday, November 20, 2014 3:06:51 PM 3 of 6 `LS srsrrMs DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE [RECEIPT # CHECK # METHOD PAID BY CLTD .,.. BY VENT FAN PC 101-0000-42600 0 $28.98 $0.00 Total Paid forMECHANICAL: $360.16 $0.00 MULTI -SPECIES 101-0000-20310 0 $1,292.00 $0.00 RESIDENTIAL 0-8 UNITS Total Paid forMULTI-SPECIES RESIDENTIAL $1,292.00 $0.00 NEW CONSTRUCTION 101-0000-42400 $596.13 $0.00 MIT PERMIT Total Paid forNEW CONSTRUCTION PERMIT: $596.13 $0.00 NEW CONSTRUCTION 101-0000-42600 107 $$266:04 $0.00 PLAN CHECK Total Paid forNEW CONSTRUCTION PLAN CHECK: $266.04 $0.00 BACKFLOW DEVICE 101-0000-42401 0 $12.09 $0.00 BACKFLOW DEVICE PC 101-0000-42600 .0 $4.83 $0.00 BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 BUILDING SEWER PC 101-0000-42600 0 $12.09 $0.00 FIXTURE/TRAP 101-0000-42401 0 $314.34 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $314.34 $0.00 GAS SYSTEM, 5+ 101-0000-42401 0 $36.26 $0.00 OUTLETS GAS SYSTEM, 5+ 101-0000-42600 0 $24.17 $0.00 OUTLETS PC ROOF DRAIN 101-0000-42401 0 $72.54 $0.00 ROOF DRAIN PC 101-0000-42600 0 $72.54 $0.00 WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 WATER HEATER/VENT 101-0000-42600 0 $7.25 $0.00 PC Printed: Thursday, November 20, 2014 3:06:51 PM 4 of 6 SYS TENTS. DESCRIPTION ACCOUNT QTY AMOUNT PAID _ ... PAID DATE ........ .. RECEIPT # CHECK # METHOD PAID BY _ __. CLTD RETURNED DATE STATUS REMARKS NOTES BY WATER SYSTEM 101-0000-42401 0 $12.09 $0.00 INFORMATION WAS NOT COMPLETE. PERMIT . INST/ALT/REP WAS UPDATED TO CORRENT FEES. TITLE -24 IS WATER SYSTEM 101-0000-42600 0 $12.09 $0.00 INST/ALT/REP PC MANAGEMENT PLANS DUE, P.M. 10 PLAN DUE, NON-STRUCTURAL JIM JOHNSON 11/5/2014 Total Paid for PLUMBING FEES: $918.81 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $29.33 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMI $29.33 $0.00 SINGLE FAMILY 224-0000-20320 T 07 $$1,837.44 $0.00 PLAN CHECK WAS SUBMITTED 2/12/2014 OWNER DETACHED WAS CALLED ON 3/31/2014 PLANS WERE READY Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS!$1,000.00 Printed: Thursday, November 20, 2014 3:06:51 PM 5 of 6 SYSTEMS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS NOTES PERMIT CAME OVER FROM HTE PERMIT INFORMATION WAS NOT COMPLETE. PERMIT . WAS UPDATED TO CORRENT FEES. TITLE -24 IS REQUIRED TO BE UP -DATED BEFORE WE ISSUE. SEE READY TO ISSUE CHECK LIST: WASTE MANAGEMENT PLANS DUE, P.M. 10 PLAN DUE, NON-STRUCTURAL JIM JOHNSON 11/5/2014 11/5/2014 11/5/2014 APPROVED APPROVED SCHOOL FEES, TITLE 24 REQUIRED TO BE UP DATED. PLAN CHECK WAS SUBMITTED 2/12/2014 OWNER WAS CALLED ON 3/31/2014 PLANS WERE READY TO ISSUE. PLANS EXPIRED 180 DAY FROM 2/12/2014. EXTENTION LETTER IS REQUIRED BEFORE WE ISSUE. Printed: Thursday, November 20, 2014 3:06:51 PM 5 of 6 SYSTEMS STRUCTURAL BUILDING 11/5/2014 11/20/2014 11/5/2014 APPROVED APPROVED APPROVED. TITLE -24 IS REQUIRES UP -DATED. BUCKET 1ST PW GREEN AMY YU 11/20/2014 11/20/2014 APPROVED FOR PM -10 SHEET _11/20/2014 BOND INFORMATION Printed: Thursday, November 20, 2014 3:06:51 PM 6 of 6 SYSTEMS P.O. BOX 1504 APPLICATION ONLY Building �� �/� �I,1' �8 495 CALLE TAMPICO Address v LLLLPPPP eCCC2222UINTA, CALIFORNIA 92253 Owner/� y�/f /C OIC p— /�.',�? S BUILDING: TYPE CONST. OCC. GRP. Mailing _7-7 0 D O Address SV 1JSS W, -8 tft�S ova/ s�t c.� �A•P Number I Ci11Cty Zip Tel. Legal Description L ° T /,;7 E5 M Con)r9ctor Project Description J y MO ►'✓ rl L4 Q `� S Q rl, T Address City Zip Tel. State Lic. City & Classif. Lic. # Hrcn., tngr., Designer Address L:Iry clp State LIC. # 4aic ICENSED RACTOR'S DECLARATION I hereby affirm tensed u er rovisionsofChapter 9 (commencing with Section 7000) ofDivision3of ess arr o ssi de, and my license is in full force and effect. ' OWNER-BU&-0tR 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 (5500). ❑ 1, 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). O I, 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) 01 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 ^ ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). I certify t at in the performan of the w r for w ' h this permit is issued, I shall not employ any pars n in ny manner so as t ecome a orkers' Compensation Laws of California. Date 1y I l Owner Al NOTICE ITO APPLICANT.. If, aft r makr g his ificate of Exemption you should become subject to the Workers' Compensation pro sfons or 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 WHITE = BUILDING DEPARTMENT 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: Validation: YELLOW = APPLICANT Date Permit PINK = FINANCE Sq. Ft. -3L) No. 1 Size Stories L No. Dw. Units New Add Alter❑ Repair❑ Demolition •''� SI'l we �.� 1��• 1./� / Estimated Valuation (v [` PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure FINAAw"v 1A 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: Validation: YELLOW = APPLICANT Date Permit PINK = FINANCE CERTIFICATE OF COMPLIANCE Desert Sands Unified School District q o 47950 Dune Palms Road < eERMUDADUNES � RANCHO MIRAGE d Date 11/19/14 La Quinta, CA 92253 ovsa�INQDIA,NN�WELLS QELyL7S P QUINTA yNo. 31626(760) 771-8515 Owner Roper Morris APN # 770-144-006 Address Jurisdiction La Quinta City Zip Permit # Tract # No. of Units 1 Type Single Family Residence Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 78740 Avenida La Jarita 3407 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments f 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 fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $3.36 X 3,407 S.F. or $11,447.52 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC/Bank of America - Roper Morris Check No. 1295700210 Bank Name/Recipient of Certificate Telephone Funding Residential BY Dr. Gary Rutherford Superintendent. Fee collected /exem7--_ Sh�f��CspilvrW Signature NOTICE: Pursuant to Government Code Se on 66020(d)(1), t is or other payment identified above will begin to the dati of which those amounts are paid to the District(s) or to another puNifi Or ' , Payment Recd $11,447.52cover/Unifier. e iyam• Iw, s.) ��.1 ill serve to notify you that the 90 -day approval period inlwhich you may protest the fees which the building or installation permit for this project is issued, or from the date on entity authorized to collect them on the District('s) behalf, whichever is earlier. . NOTICE: This Document NOT VALID without embossed seal Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting RECORDING REQUESTED BY First American Title Company AND WHEN RECORDED MAIL DOCUMENT TO: Justin R. Morris and Kelly A. Morris 50855 Washington St Ste C-216 La Quinta CA 92253 A.P.N.: 770-144-006-9 DOC # 2013-0573787 12/10/2013 03:22 PM Fees: $18.00 Page 1 of 2 Doc T Tax Paid Recorded in Official Records County of Riverside Larry W. Ward Assessor, County Clerk & Recorder "This document was electronically submitted to the County of Riverside for recording" Receipted by: SGOMEZ Space Above This Line for Recorder's Use Only GRANT DEED T.R.A. No.020-016 The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $174.90; QTY TRANSFER TAX $; x computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, unincorporated area; [ x ) City of La Quints, and File No.: RIW-4537375 (DP) FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, David Addington and Marilynn Addington, Husband and Wife As joint tenants hereby GRANTS to Justin R. Morris and Kelly A. Morris, husband and wife as joint tenants the following described property in the City of La Quints, County of Riverside, State of California: LOT 128 OF DESERT CLUB TRACT UNIT NO.5 RECORDED IN BOOK 21 PAGE 61 OF MAPS RECORDS OF RIVERSIDE COUNTY. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, PETROLEUM AND OTHER HYDROCARBON SUBSTANCES LOCATED IN, UNDER AND UPON THE PREMISES AS RESERVED IN DOCUMENT RECORDED MAY 13, 1959 AS INSTRUMENT NO. 41280 OF OFFICIAL RECORDS OF SAID COUNTY. RECEIVE® NOV 0 6 2014 - CITY OF LA QUINTA. COMMUNITY DEVELOPMENT Mail Tax Statements To: SAME AS ABOVE C ?Y� ��,�= CITY OF LA QUINTA SUB -CONTRACTOR LIST _ JOB ADDRESS 7 B PERMIT NUMBER SfD -1q -130 OWNER AP Mari a BUILDER This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information _requested below must be completed by applicant. "On File" is not an acceptable response. Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalCornp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) emery. Asic Gcra t 6 W Z 83 io lY STAfL 1► -d-.42 909,6 c/ 73 9 357 /a !(, 6"falae grate 1W, Z 13ntG 13 g l7/61� Avt-ic000l W OC tf 7 33 05706 ' /s /09'113 t 3ai�f (,ajWot p(u�«,6l C-�L SlS�yS 8311 S iI,-jqP /0966_8 �/31 -- -gl• c /trc �l�ch�'i / VV � Y8171 y.30-& 124444't- t��W q -TW 0173 `� 1 ! %� a 1047/1 C' 10 II`CABIN.ET:S;>(C=61 '.`.:;:`<.=:'.<`.:;