BSPN2015-0027r
4 Qub&
VOICE (760) 777-7125
78-495 CALLE TAMPICO
D
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/21/2015
Application Number:
BSPN2015-0027
Owner:
Property Address:
81945 ELYNOR CT
NORTHSTAR
APN:
764040026
81945ELYNOR CT
Application Description:
SAFE
GUARD /_INSP_ECT.I,O.N.EOR,IID-RELEASE
LA QUINTA, CA 92253
Property Zoning:
0
En-�
Application Valuation:
--rnI
Applicant: J" ! JUL 2 3 2015 le Contractor:
CHAD ACKERSON PROPERTY SERVICE _w_ ____
133051NAGA cr,Y_o u,z= :-.PJA
DESERT HOT SPRINGS, CA 922401 COP.4h9U:ti!TYDEbE:CP2�°rPaTDEPAA3;,;,�;iY
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: License No.:
Date:
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
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.).
L_J 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
Llc. No.:
WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit
Is issued. My workers' compensation insurance carrier and policy number are:
Carrier: _ Policy Number:
_ I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date:
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 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 property for inspection purposes.
Date: Signature (Applicant or Agent):
FINANCIAL •• •
_: DESCRIPTION
ACCOUNT
QTY;,
AMOUNT'
PAID PAID DATE
SPECIAL INSPECTION
101-0000-42404
1
$72.52
$0.00
PAID BY
METHOD
RECEIPT #
CHECK # CLTD BY
Total Paid forCOMPLIANCE SURVEY/SPECIAL INSPECTION: $72.52 $0.00
• ••
Description: SAFE GUARD / INSPECTION FOR IID RELEASE
Type: SPECIAL INSPECTION
Subtype: Status: ON HOLD
Applied: 7/21/2015 SKH
Approved:
Parcel No: 764040026 Site Address: 81945 ELYNOR CT LA QUINTA,CA 92253
Subdivision: TR 29317
Block: Lot: 4
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $0.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
_
Details: INSPECTION FOR IID RELEASE. THIS PERMIT IS NOT FOR WORK. 2013 CALIFORNIA BUILDING CODES.
Printed: Tuesday, July 21, 2015 5:13:35 PM 1 of 2
RWSYSTEMS
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE NOTES
NOTE
STEPHANIE KHATAMI
7/21/2015
7/21/2015 ON HOLD, WAITING FOR OWNER AUTHORIZATION. SK
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY STATE ZIP PHONE FAX EMAIL
APPLICANT CHAD ACKERSON PROPERTY SERVICE
13305 INAGA
DESERT HOT CA 92240
SPRINGS
OWNER
NORTHSTAR
81945ELYNOR CT
LA QUINTA CA 92253
Printed: Tuesday, July 21, 2015 5:13:35 PM 1 of 2
RWSYSTEMS
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
SPECIAL INSPECTION 1 101-0000-42404 1 $72.52 $0.00
Total Paid forCOMPLIANCE SURVEY/SPECIAL INSPECTION: $72.52 $0.00
Printed: Tuesday, July 21, 2015 5:13:35 PM 2 of 2 CR
SYSTEMS
• .,
a
78-495 CALLE TAMPICO D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/21/2015
Application Number: B5PN2015-Ob27 Owner:
Property Address: 81945 ELYNOR CT NORTHSTAR
APN: 764040026 81945ELYNOR CT
Application Description: SAFE GUARD/ INSPECTION FOR IID RELEASE LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
I►� � o �l
Applicant:
CHAD ACKERSON PROPERTY SERVICE
133051NAGA
DESERT HOT SPRINGS, CA 92240
JUL 2 3 2015
`� u oFLAOUNTA
CoN!,NJUNITY DEVEL()PVIEN'T DEPARTt.:ENT
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.:
Date: 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).:
(_ _) 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
hr she did not build or improve for the purpose of sale.).
e,p
( ) 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 eason
Date: 7 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
Contractor:
Uc. No.:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: Policy Number: _
_ I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree th if I s uld become subject to the
workers' compensation provisions of Sectio 37 0 e Labor Cod , I shall forthwith
comply wit thos provisions.
Date: -7 3 2 0 r Applicant: Lim
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 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 thi ity ente po the above
mentionedrropertfor inspection purposes.
Date: 1 2 Signature (Applicant or Agent)
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT .:
QTY
- AMOUNT!
PAID PAID DATE
SPECIAL INSPECTION
101-0000-42404
1
$72.52
$0.00
PAID BY -
METHOD'.
RECEIPT #
CHECK # CLTD BY
Total Paid forCOMPLIANCE SURVEY/SPECIAL INSPECTION:
TOTALS:00
$72.52
$0.00
Description: SAFE GUARD / INSPECTION FOR IID RELEASE
ADDITIONAL
Type: SPECIAL INSPECTION
Subtype:
Status: ON HOLD
Applied: 7/21/2015 SKH
Approved:
Parcel No: 764040026 Site Address: 81945 ELYNOR CT LA QUINTA,CA 92253
Subdivision: TR 29317
Block:
Lot: 4
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $0.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
CONTACTS
Details: INSPECTION FOR IID RELEASE. THIS PERMIT IS NOT FOR WORK. 2013 CALIFORNIA BUILDING CODES.
Printed: Tuesday, July 21, 2015 5:13:35 PM 1 of 2 CN?W
SYSTEMS
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE NOTES
NOTE
STEPHANIE KHATAMI
7/21/2015
7/21/2015 ON HOLD, WAITING FOR OWNER AUTHORIZATION. SK
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY STATE ZIP PHONE FAX EMAIL
APPLICANT CHAD ACKERSON PROPERTY SERVICE
13305 INAGA
DESERT HOT CA 92240
SPRINGS
OWNER
NORTHSTAR
81945ELYNOR CT
LA QUINTA CA 92253
Printed: Tuesday, July 21, 2015 5:13:35 PM 1 of 2 CN?W
SYSTEMS
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTO
BY
SPECIAL INSPECTION 101-0000-42404 1 $72.52 $0.00
Total Paid forCOMPLIANCE SURVEY/SPECIAL INSPECTION: $72.52 $0.00
Printed: Tuesday, July 21, 2015 5:13:35 PM 2 of 2
SYSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
FINAL" BLD
Printed: Tuesday, July 21, 2015 5:13:35 PM 2 of 2
SYSTEMS
-Bin #
City of La Quinta
Building 8L Safety Division
P.O. Box 1504, 78-495 Calle Tampico
-�_vV1/ La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet..
Permit #
Project Address:B
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: r• G pp (�
C �
Telephone:�
.................................
Address: 1330S -Lr A
Project Description: ca., 7rpeo110 n
City, ST, Zi •P S
Y P 1
� , _
t .,�c� k/-
J 10 � l 't-1 til 13`o k/
ele h ne• 0 FS.
Telephone:?
T o . 0
P "1 c
6
o
�73 Q C
S n � M I
State Lic.
I City Lic. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: fe hone:
...,..... ..
:
Constructionn Type: Occupancy:
cY
State Lic. #:
ProJ'ecttYP (circle one):. New A dd'n Alter Repair. Demo
Name of Contact Person:
Sq. Ft.:
#Stories:
#units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
it
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2pd Review, ready for'corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant DeedPlans
picked'up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"` Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
r'
Nat.ion t
MORTGAGE
July 22, 2015
To Whom It May Concern,
We hereby authorize Chad Ackerson DBA Chad Ackerson Property Service. to
act on our behalf in all manners relating to the property at 81945 Elynor Ct La
Quinta CA 92253. This authorization is valid until further written notice from
Nationstar Mortgage LLC.
Sincerely,
Paul Belcer
Assistant Vice President
Property Protection Default'Operations
Nationstar Mortgage LLC
469-549-2178
972-315-8837(Fax)
350 Highland Drive
Lewisville, TX 75067