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12-1408 (AR)t P.`d.' BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: r12=00001408 Property Address: 80753 VIA PESSARO APN: 777-160-033- - - Application description: ADDITION.- RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL A it•Ion aluation 3500 VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT - Date: 1/30/13 .. Owner: CHAD STEELBERG D d 32 BLUE HERON D IRVINE, CA 92603 JAN 30 2013• PPI v CIry0F Contractor: F'IygN QUINrq Applicant: Architect or Engineer: MONARCH HOMES DESERT DI SN I EOEpr 49950 JEFFERSON ST, #130-134. �(/ y 01 (77660)4133--8863 n ' Lic. No.. 457228 r. — — — — — — — — — — — — — — — — — — — — — — — — —r- — — — — — — — — — — — — — — — — — — — — — — —. — — LICENSED. CONTRACTOR'S. DECLARATION _ - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of 'n licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: ' Section 7000) of Division th usiness -d ofessicnals Code, and my License is in full force and effect. - _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided, - License Class: B License No.: 457228 z _ for by Section 3700 of the Labor Code, for the performance of the work for, which this permit is � - issued. - .. �Datle/.-3";- 3 -Co rector: - S% -eo -/V I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor ' W I -.-!', - - Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: - - I hereby affirm under peva rlury that I am exempt from the Contractor's State License Law for the • ' Carrier -STATE FUND Policy Number 719000322 ° following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to - - I certify that, in apfthe work for which this permit is issued, I shall not employ any.construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in anycome subject tothe workers' compensation lawsof California, permit to file a signed statement that he or she is licensed pursuant to.the provisionsof the Contractor's State and agree thae subject tothe workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the forthwith comply with those provisions.that he or she is exempt therefrom and the basis for the alleged. exemption. Any violation of Section 7031.5 byiany applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ,.Date: iJ� pplicaS? �yI, as owner of the property, or my employees with wages as their sole compensation, will do the work, andthe structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SEOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,0001• IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). - - - APPLICANT. ACKNOWLEDGEMENT (_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the - 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. - property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as'a result of this application, - ,r I—) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant; each agrees to, and shall defend, indemnify and hold harmless the City y of La Quinta its officers agents and employees for any act or omission related to the work being Data: 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: LQPERMIT , 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 anMtobui information is correct. I agree to comply with all. city and county ordinances and state laws struction, and hereby authorize representatives of thisfcounty to enter upon the above-mepectionpurposes. Date/ ��O�13Signature(ApplicantoS I ` Application Number 12-00001408 ------ Structure Information 15SF ADDITION TO ELECTRICAL ROOM [CONV] -----. Other struct *info .. CODE EDITION 2010 , FLOOD ZONE NO IST FLOOR SQUARE FOOTAGE '15.00 Permit . .BUILDING PERMIT Additional desc . Permit Fee 63.00 Plan Check Fee 40..95 Issue Date Valuation 3500 i Expiration Date 7/29/.13 Qty Unit Charge Per Extension BASE FEE 45.00 2.00 z ' 9.0000 THOU..BLDG 2,001-25,000 -- - - - -------- - - - - - 18.00. - --,- , ---- ' •. Permit' ELECT'- ADD/ALT/REM ��,. * Additional ,desc ' Permit Fee 15.30 Plan Check , Fee 3 83 ' is ' Issue Date Valuation Expiration Date 7/2.9/13. 0 '. a Qty Unit Charge Per Extension- BASE FEE 15.00 r ' 15.00 ' 0200: ELEC GARAGE OR NON-RESIDENTIAL .30 ' -- --+ Comments- -.- - - -.- -- Special Notes and-- - - - - -- - - - - - - - - - - -- - -- {------ c 15SF ADDITION TO ELECTRICAL ROOM [CONVENTIONAL] THI'S PERMIT DOES NOT INCLUDE ALTERATION TO THE EXISTING - LATERAL.RESISTING.FRAMING, ADDITIONAL °CONDITIONED SQUARE FOOTAGE .OR UPGRADE TO 1 'THE EXISTING ELECTRICAL SERVICE. 2010 r CALIFORNIA BUILDING CODES. a •January• 29,.2013 3:12:17 PM AORTEGA Other Fees BLDG -STDS ADMIN. (SB1473) 1.00 ' ENERGY REVIEW FEE 4.10 STRONG.MOTION',(SMI),-:RES 50 a Fee summary Charged h Paid Credited Due ' _. h Permit Fee Total ,78.30- .00• `.00 78.30 . Plan Check -Total, 44.78 .00 ' • :00 44.78 Other Fee Total 5.60 .00 .00 - Grand Total 128.68 .00 .00 128.68 • LQPERMIT ain. CIS}/ Of %.a Qutnta Building &, Safety Division P.O. Box 1504,78-495 Calle Tampico 1.4.Quinta, CA 92253 - (760) 777-7012, Building Permit Application' and Tracking Sheet Permit # 1� Project Address: C Owner's Name:. A. P. Number. ►'.�-� �.QQ �. Address: Legal Description: Contractor. City, ST, Zip: V CAL 9 ZzS3 Telephone: us Address: 0 wall tt Project Description: City, ST, Zip: c� mac. . 1z7-04twN— 4o Fic 40 �.: Telephone: 8 �r� Es`\ j R City Lic. #; S State Lic. # : 1 Arch., Engr., Designer. Address: 0c;1) 1. City., ST, Zip: Telephone: Construction Type: . V Occupancy: -- State Lic. #: Project type (circle one): New dd'n Alter Repair Demo Sq. FL: # Stories: # Units: Name of Contact Person: Telephone # of Contact Person: S 3 Estimated Value of Project APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets 3 Pian Check submitted ( Item Amount Structural Calm Reviewed, ready for corrections Plan Clieck Deposit. Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up r Construction Flood plain plan Plans resubmitted ' 105 Mechanical Grading plan 2id Review, ready for correctio u Electrical Subcontaetor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE-, 'k' 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 1`7� `144 17 C.rt�1r' . Q{•v JM AM qtr2-, 78080 Calle Amigo, Suite 102 Phone: (760) 771-9993 Palm Desert, CA 92260. Fax: (760) 771-9998 Cell: (760) 808-9146 STRUCTURAL OBSER VA TION REPORT January 18, 2013 , City, Of La Quinta Building Arid Safety Department RE: Steelberg Residence , 80753 Via Pessaro ;•- ' La Quinta, Ca Gentlemen We have performed structural observation for beam #1 at electrical room and garage. ,And existing 6x8 beam with 7 ft 'span is adequate per attached calculation. Please note.that this letter does not include or waive the responsibility for the City or the • Special Inspectors from determining compliance with the approved plans. Please contact me `should you need additional information regarding this approval. Respectfully,r oQ�OFESS/o PSGHAq .Reza Asgharpour, P.E. NO. C 67613 m < y� EXP.1361! R a t S� CIVIL JAN 252013 ., F" e ldObservati C,�i,Steelberg Residence at Hideaway; La.Quinta, CA. - (Final Framing).wps CV 1) 0 P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 Finance Department, Please Collect The Following Fees For The Services Rendered ITE APPLICATION No. 09-1126 PROJECT: RESIDENTIAL ADDITION TO EXISTING DWELLI] ADDRESS: 80-753 VIA PESSARO CUSTOMER: STEELBERG, RYAN AND JESSICA SERVICES RENDERED: OUTSTANDING PLAN REVIEW FEES FOR WITHDRAWN PROJECT. Fees• NON-STRUCTURAL AND STRUCTURAL PLAN REVIEW —11/13/2009 :.............................................$ 1,420.71 LESS DEPOSIT PLAN REVIEW — 10/26/2009 : .........................................$ (1,000.00) Date: 7/10/2012 Initials: AJ TOTAL FEES NOW DUE: ...........................$ 420.71 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE BY —f a � P.O. BOX 1504 Building, 78-495 CALLE TAMPICO Address / LA QUINTA, CALIFORNIA 92253 _...._. IyTie_ELWCY2 Mailing Addressr� ' jf' yC� di t1 /_.,,„ t ress & Classif BUILDING: TYPE CONST. fie/�j I �1 7-s li 1;JC- A.P. Number TeL Le al Descri Arch., Engr., Designer Ja0 7 - Address Tel. /.3 A1.42-4 -17-1 Lic. # g I—, , Project Description ,/ Sq. Ft. No. r. New ❑ 7�1) 7zv-7Ozz LICENSED CONTRACTOR'S DECLARATION I hereby 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 Contractor'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). ❑ 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 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 im- provement 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). ❑ 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.) ❑ 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 ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (This section need not be completed if 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. If, 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. Date WHITE = BUILDING DEPARTMENT MIAMI Estimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS 011 ,11-)-(0 APPLICATION ONLY OCC. GRP. Alter ❑ RepairWz))\ Demolition ❑ IWN ��� ELIE 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 PINK = FINANCE APPLICATION # ADDRES sBY -it low, Ao VALUATXON SQ. FT. 2::la 3, BIDET, Ist FLOOR 2- e nd 21 FLOOR BATHTUBS. COVERED PATIO SINKS GARAGE BAR SINK, .TYPE CONST:* BBQ OCCUPANCY -------------- OVE A/C :RANGE FIRE SPRINKLER c OF BEDROOM DRINKING FOUN: FLOOD ZONE WASHER # OF -DRYER 'CODE EDITION WATER HEATER ROOF TYPE ROOF DRAINS MECHANICAL FLOOR DRAINS VENT FANS .KITCHEN -SINK # EXHAUST HOOD VEG SINK A/C -<3 TON LAUNDRY SINK A/C >3 TON FIREPLACE PAU <100,000 BTU PAU >100,000 BTU DUCT ALTERATION & 9 8: 1 ks- UNIT COUNTS. Z GAS ELECTRICAL SQ. FT. LIV GARAGE SQ.. FT TEMP POWER 'FIXTURE # GRADING <50 CU YDS' >50 CU YDS CDD APPROVAL ENGINEER APP. ;TOILETS BIDET, SHOWERS BATHTUBS. SINKS BAR SINK, BBQ -------------- OVE :RANGE c DRINKING FOUN: WASHER -DRYER WATER HEATER ROOF DRAINS FLOOR DRAINS .KITCHEN -SINK VEG SINK LAUNDRY SINK FIREPLACE ELECTRICAL SQ. FT. LIV GARAGE SQ.. FT TEMP POWER 'FIXTURE # GRADING <50 CU YDS' >50 CU YDS CDD APPROVAL ENGINEER APP.