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BRES2015-00481 ` _, 1 78-495 CALLE TAMPICO LA`QUINTA, CALIFORNIA 92253 Twr 44Qu&rw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: , BRES2015-0048 Property Address: 54695 WINGED FOOT APN: 775110007 Application Description: REPAIR TO FIRE DAMAGED STRUCTURE Property Zoning: SAN DIEGO, CA 92253 Application Valuation: $10,000.00 Applicant: DESERT VALLEY RESTORATION INC 77833 PALAPAS ROAD c z PALM DESERT, CA 92211 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: B License No.: 67778877 Date: �� %5� 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 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 Name: Lender's Address: I. 'VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/10/2015 Owner: EDWARD CHAPIN 21:.1 EVERGREEN ST SAN DIEGO, CA 92253 c z � � Q Contractor: O o O DESERT VALLEY RESTORATION INC m 77833 PALAPAS ROAD c o PALM DESERT, CA 92211 n vi (7®)360-1855 Llc. No.: 677877 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will mairtain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of tork for which this pernit is issued. WI have and will mair.tain workers' compensation insurance, as required by '6ection 3700 of the Labor Cod e, 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 it any manner so as to become subject to the workers' compensation laws of Californ,a, and agree that, if 1 should become subject to the workers' compensation provis ons of Section 3700 of the Labor Code; I shall forthwith comply with those provisions DaP?j Applicant: i sty WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL.DYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES A.; PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is he -eby 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 benefitwork 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 hcld harmless the City of La Quinta, its officers, agents, and employees'for any act or omis.:ion related to the work being performed under or following issuance of this perry it. 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 )ermit to cancellation. I certify that I have read this application and state that the abW I agree to comply with all city and county ordinances and staconstruction, and hereby authxize representatives of this cit mentioned property for inspection purposes. Date: —5 J Signioture (Applicant or Agent �' PAID` PAID DATE FINANCIAL INFORMATION DESCRIPTION `;: " } '.t ACCOUNT 3. QTYAMOUNT, HOURLY PLAN CHECK - YES 101-0000-42600 0.75 $52.50 $0.00 PAID BY y ` ; METHOD ti� `' -''3 : RECEIPT +# c' CHECK# #,': CLTD. BY,, r. Total Paid forBLDG CITY STAFF - PER HOUR: $52.50 $0.00 r_, ^'.'", iDESCRIPTION : �t ra`. u `` : : ACCOUfVT ? t "' ;QTY ."w AMOUNT, :: PAID ` PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY , +' METHOD RECEIPT'# , , _ CH ECK # . �" CLTD BY.. Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 rY 4" DESCRIPTION ' " < <"' ACCOUNT , ¢QTY -AMOUNT!" ' a ° ' ` .PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00' METHOD• > ,RECEIPT # - CHECK # ., • ' CLTD BY 1DESCRIPTION -•ACCOUNT `.QTY AMOUNT „_ PAID PAID DATE? DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY ", " ti;aMETHOD RECEIPT;# t ,W CHECK # CLTD BY'" Total Paid forELECTRICAL: $48.34 $0.00 :. �•''*•`"cDESCRIPTION 4`` t •' 'ACCOUNT `':•= ' QTY'''M'rAMQUNT'�x PAID"•.. PAID DATE FIREPLACE 101-0000-42400 0 $145.03 $0.00 - J `' " 'PAID `BY .' METHOD ", �:r' RECEIPT•# CHECK # 3 . ' �, CLTD BYE r-.... _.. DESCs .. •,°ACCOUNT AMOUN rAD PAID;DATE FIREPLACE PC 101-0000-42600 0 $217.55 $0.00 PAID;BY MEETHOD " '' -, RECEIPT ,# 4 u: , :: �3 CHECK # . t Q CLTD BYs., Total Paid for FIREPLACE: $362.58 - $0.00 L' "DESCRIPTION ` ++ L ACCOUNT' a TY AMOUNT- t +_ ;fit PAID ' P4166;, ATE REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $21.75 $0.00 BY ';"�t �� `_ f'METHOD,i �' w sY;` IRECEIPT;# "' { 'cCHECK#,�, FCLTDBY.;} a .'DESCRIPTION 3- xACCOUNT'AMOUNT•; s °"PAID �'r,;� PAID DATE REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $17.40 $0.00 PAID BY f'` ' �� y METHOD * +` ?r' :t,' RECEIPT # CHECK # r'., CLTD BY; -G Y jr^DESCRIPTION .:,. 7... r _ 3" s ,% ACCOUNT y QTY '" AMOUNT.'_' rPAID`=j PAID:OATE REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $0.00 PAID BY ,rn t' ` S ' * `� Y' METHOD RECEIPT #ter ,' ;s r� CHECK # , 'CLTD BY,, "+ ACCOUNT ;'s QTY 'w � AMOUNVY-! +Y PAID PAID DATE °DESCRIPTION rw �"t; ,jj REMODEL, FIRST 500 SF PC 101-0000-42600 0$134.88 $0.00 *xPAID Blf +� s�wrp� �ri t?f '°�y'`METHOD; i'n>`�y �' RECEIPT:#ACHECK.# li ♦ 3-.T'f Total Paid for REMODEL: $223.34 $0.00 6 t t 'M � PI4DESCRIPTIOWI. PAID ^DATEA000U „j y� R - SMI - RESIDENTIAL 101-0000-20308 0 $1.30 $0.00 _q 1PAIDBY1,r-W'71_ METHOD s :-� r t° RECEIPT# x' - CHECK # r; CLTD BY r Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $1.30 $0.00' TOTALS:0. $0.00 Description: REPAIR TO FIRE DAMAGED STRUCTURE ADDITIONAL a. Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED Applied: 2/13/2015 KHE ; Approved: 3/5/2015 JJO Parcel No: 775110007' Site Address: 54695 WINGED FOOT LA QUINTA,CA 922537 Subdivision: 28149 Block: Lot:7 '~CHRONOLOGYcTYPE p Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Fineled: Valuation; $10.000,00 44Gupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 3/4/2015 - [Details: REPAIR FIRE DAMAGE DRYWALL ELEC, FIREPLACE AS NEEDED 3/5/2015 t .f ; ADDITIONAL a. 20 CHRONOLOGY =STAFF NAME r ACTION DATE, NOTES, y COMPLETION DATE NOTES DATE, '~CHRONOLOGYcTYPE p _ • u Applied to Approved Printed: Tuesday, March 10, 2015 2:01:18 PM 1 of 3 SYSTEMS A ADDITIONAL CHRONOLOGY =STAFF NAME r ACTION DATE, NOTES, y COMPLETION DATE NOTES DATE, '~CHRONOLOGYcTYPE p _ STRUCTURAL PLAN REVIEW COMPLETE = READY TO PROCESS NOTE'^ JIM JOHNSON 3/4/2015 - 3/5/2015 t FOR APPROVAL 'PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 3/4/2015 3/4/2015 STRUC APPROVED RECEIVED - PLAN CHECK SUBMITTAL KAY HENSEL" 2/13/2015 2/13/2015 STRUC TO YOUNG - DUE 2/27/2015 RECEIVED TELEPHONE CALL JIM JOHNSON 3/5/2015 3/5/2015 CALLED MELISA TO INFORM HER PERMIT ARE READY TO ISSUE CONDITIONS CONTACTS *�: z" : = w,NAME TYPE .,,sctw- NAME w "q DRESS 1 � t -CITY ESTATE ZIP' PHONE z FAX'�EMAII t�z , ... ,. APPLICANT DESERT VALLEY RESTORATION INC 77833 PALAPAS ROAD PALM DESERT CA 92211 - Printed: Tuesday, March 10, 2015 2:01:18 PM 1 of 3 SYSTEMS A -^^ . .� - ^ Printed: Tuesday, March 1lZO15l:01:l8PN1 . , _ � . . `' , . 2nf3 ' `. ' ' ' E ^'^ . CONTACTS INFORMATION NAMETATE qDESCRIPTIO QTY: RUNT -PAI PAID DATE RECEIPT CHECK 'iM CONTRACTOR DESERTMALLEY RESTORATION INC 77833 PALAPAS ROAD PALM DESERT CA 92211 OWNER EDWARD CHAPIN 2111 EVERGREEN ST SAN DIEGO CA. 92253 $0.00 - ^ Printed: Tuesday, March 1lZO15l:01:l8PN1 . , _ � . . `' , . 2nf3 ' `. ' ' ' E ^'^ . TINANCIAL INFORMATION qDESCRIPTIO QTY: RUNT -PAI PAID DATE RECEIPT CHECK 'iM HOURLY PLAN CHECK - 101-0000-42600 P.75 $52.50 $0.00 YES Total Paid for BLDG CITY STAFF - PER HOUR: -$52.50 $0.00 BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION -DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 DEVICES, FIRST 20, PC 101-0000-42600 0 $24.17 $0.00 Total Paid for ELECTRICAL: $48.34 $0.00 FIREPLACE 101-0000-Q400 0 $145.03 $0.00 FIREPLACE PC 101-0000-42600 or $217.55 $0.00 Total Paid forFIREPLACE: $362.58 $0.00, ADDITIONAL 500 SF REMODEL, EA 10 1-0000-42600 0 $17.40 $0.00 ADDITIONAL 500 SF PC REMOD . EL, FIRST 100 SF 101-0000-42400 0 $49.31 $0.00 REMODEL, FIRST 500 SF 101'-0000-42600 0 $134.88 $0.00 Total Paid for REM66EL: $223.34 $ 0.00-, - ^ Printed: Tuesday, March 1lZO15l:01:l8PN1 . , _ � . . `' , . 2nf3 ' `. ' ' ' E ^'^ . ..... aa'` - �'. « ACCOUNT^ - QTY• '" NT } AMOUYJ PAID. PAID:DATE: kRECEIPT#. 77" sCIiECK#a` :METHOD , ,;: PAID BY ,•r �CLTDt- `' ..;,.DESCRIPTION' �- Y' s? .DATE � r,•. z '. e s��'i`�',�ys' DUE DATE`' ,RETURNED --ter ' .Y.B • .: .. c �%n F:: 7..; TMs'?.:" tI •+�.' '�. ��v r. .f nw...._'`% !".�. d .i . Vii. * JIM JOHNSON .2/13/2015 .^: ,tdK: APPROVED APPROVED - KATHRYN 2/13/2015. 2/27/2015 3/4/2015 APPROVED APPROVED STRUCTURAL SMI - RESIDENTIAL 101-0000-20308 0 $1.30 $0.00. Total Paid forSTRONG MOTION INSTRUMENTATION SMI $1:30 $0.00 0. $0.00 INSPF[TIf)NS SEQID" INSPECTION'cTYPE INSPECTOR;, = SCHEDULED_: -COMPLETED RESULT 'sREMARKS r 41- NOTES '` .._ �. � .3 - ti ++�� .1 `'� iDATE �; .DATE rk4 r,•. z :, �" FINAL" DUE DATE`' ,RETURNED --ter ' a Printed: Tuesday, March 10, 2015 2:01:18 PM 3 of 3. • CR SYSTEMS . . PARENT PROJECTS '` .._ �. � �_�" .' �t ++�� .1 `'� • REVIEWS STATUS `. a, REMARKS �'� z , ... ''. �,,Y ., �` �. �� Y -'REVIEWTYPE` REVIEWER:r .SENT DATE' DUE DATE`' ,RETURNED --ter a • > NON-STRUCTURAL JIM JOHNSON .2/13/2015 2/27/2015 2/25/2015 APPROVED APPROVED - KATHRYN 2/13/2015. 2/27/2015 3/4/2015 APPROVED APPROVED STRUCTURAL SAMUELS Printed: Tuesday, March 10, 2015 2:01:18 PM 3 of 3. • CR SYSTEMS . . Zr a'i441 � too City of La Q u-cn to Building &r Safety Division P.O. Box 1504, 78-495 Calfa Tampico . ' La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # -' Project Address: Owner's Name: tool 1 A. P: Number; 5 '— 1 (b —D� �- Address: 1 Legal, Description; City, ST, Zip: Contractor.., .1v L- Telephone: Telephone: Address: Project,Dese'ription: City, ST, Zip: 1 (� 10,t� -) I� Telephone: 's>.•; •:<;>;<:»<>:::» j'< >;»'>% r<<a::va:::>s!:'•::rd«:::::{>:<:i:!<:;i;'t:.if ::= 2 , I 'L 4 t `! q �u State Lic. #,: -City Lic: #.{ Arch.; Engr, Designer:' .. 1-0 S oC— .' 1 Address: , / ✓i�d� �� t'� City, ST, Zip: �Q'- l �`� f�✓' d Telephone: S Z. —36� J, !::,,�:;:;<,s<:<> € ..,>..:.;:•>::• `;:`.:;`:;;;.;.:><._;. Constriction TYPe: Occupancy: i Ci State Lic. #::. C Z L S Project type (circle oae): New Add'n Alter epair Demo Name of Contact Person:/v `�V Sq: Ft.:. #Stories: 1 11 Units: Telephone # of Contact Person:' �—�)3sz -�� j �j Estimated Value of _Froject:. ••.�0� APPLICANT: DO NOT WRITE BELOW THIS LINE - # Submittal Req'd. Rce'd TRACKNG rERMIT FEES. Plan -Sets.: Plan Check submitted Itcm Amount Structural CAM' Reviewed, ready for corrections Plan Check Deposit, Truss Calcs... Called Contact Person Plan Check Balance. Title 24,Calcs. Plans picked up Consteuetion Flood plain plan Plans resubmitted Mechanical-.. . Grading plan . _ 2°" Review, ready for .correctios/issue fir- Electrical SubcontactorList Called ContactPcrson ✓�J ,Plumbing Grant Aced Plaris picked up 4.0.A..Approval Plans resubmitted Grading IN I10USE:-'rd Review, ready for correctionsfissue` Developer Impact Fee , Planning Approval Called Contact.Person t A.I.P.P." Pub. Wks. Appr Date of permit issue School Fees TotatPermit Tees 2113 �SL�C�+'�w►�; a�.�.ce. �+a� 2�2s NLs SPP I r.7 We are forwarding Includes: # Of Copies: ® 1 Submittal: ® 1st ❑ 4th ❑ 2nd ❑ 55th ❑ 3rd ❑ Other: ® By Messenger ❑ By Mail (Fed Ex or UPS) Descriptions: Structural Plans Structural Calculations Truss Calculations Floor and Roof Soils Report Structural Comment List Redlined Structural Plans Redlined Structural Calcs Redlined Truss Calcs Redlined Soils Reports Comments: Structural content is approvable. Includes: # Of Copies: ❑ Your Pickup Descriptions: Revised Structural Plans Revised Struct. Calcs Revised Truss Revised Soils Report Approved Structural Plans Approved Structural Calcs Approved Truss Calcs Approved Soils Report Other: BY: Kathryn Samuels Palm Desert Office: ® (760) 772-5107 Other: ❑ If you have any questions, please call. Time =.75 HR MAR- 15 CITY OF LAQUIVA,A This Material Sent for: TY �EV���Pl�" ❑ Your Files ® Per Your Req�ietUN� ❑ Your Review ❑ Approval s ❑ Checking ❑ At the regLest of: Other: ❑ BY: Kathryn Samuels Palm Desert Office: ® (760) 772-5107 Other: ❑