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BOTH2014-0010LICENSED 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: 5. C10 1 A License No.: 516 Date: L1 20 ontractor: OWNER -BUILDER D RATION I hereby affirm under penalty of perjurythat m exempt from the Contractor's State License Law for the following reason (Sec. 31.5, Business and Professions Code: Any city or county that requires a permit to nstruct, 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).: ( 11, 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: 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 th�yoorlyfor 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 compl with hose provisions. Da Ze, 20 / Applicant: WARNING: FAILURE TO SECURE WORKERS' CO ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($ 00,000). 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 rope y for inspection purposes. ti Date S Z Signature (Applicant or Agent): VOICE (760) 777-7125 78-495 CALLE TAMPICO U FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 5/26/2015 Application Number: BOTH2O14-0010 Owner: Property Address: 78080 CALLE ESTADO CALLE QUINTA VENTURE APN: 770151003 11260 WILBUR AVE STE 301 Application Description: EMERG. GENERATOR, FUEL TANK INSTALL,BLOCK WALLS & TRELLIS Property Zoning: NORTHRIDGE, CA 92253 Application Valuation: $25,000.00 Applicant: Contractor:ACO ARCHITECTS, INC. VALLEY ELECTRIC T B INC26170 ENTERPRISE WAY STE. 600 18487 GRAND AVENUE F__ LAKE FOREST, CA 92630 LAKE ELSINORE, CA 92530(951)678-2195 Llc. No.: 516778 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: 5. C10 1 A License No.: 516 Date: L1 20 ontractor: OWNER -BUILDER D RATION I hereby affirm under penalty of perjurythat m exempt from the Contractor's State License Law for the following reason (Sec. 31.5, Business and Professions Code: Any city or county that requires a permit to nstruct, 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).: ( 11, 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: 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 th�yoorlyfor 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 compl with hose provisions. Da Ze, 20 / Applicant: WARNING: FAILURE TO SECURE WORKERS' CO ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($ 00,000). 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 rope y for inspection purposes. ti Date S Z Signature (Applicant or Agent): Z ut f x Vffl,z PAID 4 PAID DATE HOURLY PLAN CHECK -YES 101-0000-42600 2.5 .,$115.00 "IN 1 --gin gmgm �gp PAID BY _F, ft. RIM 0 #;.��:,. -w f, _-ACHECK S --li Total Paid forBLDG CITY STAFF - PER HOUR:' $115.00 $9.00, x, DESCRIPTION E M, 5, CCOUNTQ AOUNT., 'PAID IPAIDQAti; NEW PEM "NO2 "'0 BSAS SB1473,FEE 101-6006-20306 0 $1.00, A W %Vil F1171 - F. VRECEIF,� A114y ittk­ CHECK -,I .Total, Paid forBUILDING STAN DARDS.ADM IN ISTRATION BSA $1.00 $0.00 g RNRN E I �g MA P 100A TE' g MCFpr, -Ai P POWER APPARATUS PC, 101-0000-42600 Oi. $24.17 $0.00 ID., �BY By. Total Paid for ELECTRICAL: $14.17 $0.00. �W�Q t -- E .,._. m Rpl_ �FAMOUNt-1 MDEsAWT OMc m WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 $0.00 " 0-1 -RECEIPT _ E CK,.#,'i�'-` D,rt, -CLT g _t E, P�Y'11 t �R ESCRIPTIOW,,Z-Z"' c PW 2, OUNT, �SA '0' U N 1dM, ;�M`PA16,1`* AIDZATE� m i*. T! WALL/FENCE - FIRST 100 LF PC 101-000042600 0 $60.91 $0.00 sg�,-N!M ETH0D D TD-, BY 0m, A g. ml 'Z!, E HE V.0 ViNR R.0 Nm g Total Paid for FENCE OR FREESTANDING WALL -$108.77. $0.00 ` DESCRIPTION IM w 'NtT'y -�"!AIVIOUNV �DATE f 'N p PATIO COVER, DESIGNED, 101-000042404 0 $97.17 -:,,$0.00 , RE ' CEIFCLTD A CHECK #4�1 BY --nw- 'ACCOUNT IV . PAID ....... DATE; ma, PATIO COVER, DESIGNED PC .0, $95.'72 $0.00 Xl­ fAr, b"'t, E( W, �N­Rmm Mffl IMP BY Total Paid forPATIO COVER COVERED PORCH LATTICE $192.89 $0.00. T a h {t Permit Details PERMIT NUMBER City of La Quinta BOTH2O14=0010- 4 : u Description: EMERG. GENERATOR, FUEL TANK INSTALL,BLOCK WALLS & TRELLIS Type: STRUCTURE OTHER THAN Subtype: Status: APPROVED Applied: 10/10/2014 KHE BUILDING Approved: 2/6/2015 JJO Parcel No: 770151003 Site Address: 78080 CALLE ESTADO LA QUINTA,CA 92253 Subdivision: DESERT CLUB TR UNIT 1 Block: 10 Lot: 8 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $25,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 LETTER' Details: NEW GENERATOR, TANK INSTALLATION WITH BLOCK WALLS AND TRELLIS. 2013 CALIFORNIA BUILDING CODES. Printed: Tuesday, May 26, 2015 1:55:03 PM 1 of 4 CR SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES LETTER' JIM JOHNSON 11/4/2014 11/4/2014 PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 10/27/2014 10/27/2014 STRUC RFC 10/27 RECEIVED PLAN CHECK.COMMENTS FROM CONSULTANT KAY HENSEL 2/2/2015 2/2/2015 STRUC APPROVABLE 2/2/2015 RECEIVED PLAN CHECK PICKED UP KAY HENSEL. 11/5/2014 11/5/2014 PLAN CHECK SUBMITTAL KAY HENSEL 10/10/2014 10/10/2014 SUBMITTED BY FEDEX RECEIVED RESUBMITTAL PHILIP JUAREZ 1/23/2015 1/23/2015 STRUCTARAL SENT TO YOUNG. SENT TO PLAN CHECK KAY HENSEL 10/10/2014 10/10/2014 STRUC TO YOUNG DUE 10/24/14 CONSULTANT Printed: Tuesday, May 26, 2015 1:55:03 PM 1 of 4 CR SYSTEMS Permit Details PERMIT NUMBER City of La Quinfa BOTH2014.-0010` SENT TO PLAN CHECK PHILIP JUAREZ 1/23/2015 1/23/2015 PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD SENT TO YOUNG FOR PLAN CK DUE 2-6-2015 CONSULTANT BY ' HOURLY PLAN CHECK - 101-0000-42600 2.5 $175.00 $0.00 YES Total Paid forBLDG CITY STAFF - PER HOUR: $175.00 $0.00 BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 CALLED STEVE BAILEY TO INFORM HIM PLANS READY TO TELEPHONE CALL JIM JOHNSON 2/6/2015 2/6/2015 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: POWER APPARATUS PC 101-0000-42600 0 $24.17 $0.00 ISSUE. Total Paid for ELECTRICAL: $24.17 $0.00 CONDITIONS 101-0000-42404 0 $47.86 $0.00 CONTACTS 100 LF NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT ACO ARCHITECTS, INC. 26170 ENTERPRISE WAY LAKE FOREST CA 92630 101-0000-42600 0 $60.91 STE. 600 CONTRACTOR VALLEY ELECTRIC T B INC 18487 GRAND AVENUE LAKE ELSINORE CA 92530 OWNER Total Paid for FENCE OR FREESTANDING WALL $108.77 $0.00 CALLE QUINTA VENTURE 11260 WILBUR AVE STE NORTHRIDGE CA 92253 301 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY ' HOURLY PLAN CHECK - 101-0000-42600 2.5 $175.00 $0.00 YES Total Paid forBLDG CITY STAFF - PER HOUR: $175.00 $0.00 BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: POWER APPARATUS PC 101-0000-42600 0 $24.17 $0.00 Total Paid for ELECTRICAL: $24.17 $0.00 WALL/FENCE - FIRST 101-0000-42404 0 $47.86 $0.00 100 LF WALL/FENCE - FIRST 101-0000-42600 0 $60.91 $0.00 100 LF PC Total Paid for FENCE OR FREESTANDING WALL $108.77 $0.00 Printed: Tuesday, May 26, 2015 1:55:03 PM 2 of 4 SYSTC•ti1S t Permit Details PERMIT NUMBER �w �City of La Quints BOTH2014=0Q1Q14 - DESCRIPTION ACCOUNT QTY PATIO COVER, 101-0000-42404 0 DESIGNED PATIO COVER, 101-0000-42600 0 DESIGNED PC Total Paid for PATIO COVER / COVERED PORCH / LATTICE AMOUNT PAID $97.17 $0.00 $95.72 $0.00 $192.89 $0.00 PAID DATE (RECEIPT # I CHECK # I' METHOD I PAID BY IB D INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" REVIEW TYPE Printed. Tuesday, May 26, 2015 1:55:03 PM 3 of 4 EAJFCRUff SYSTEMS PARENT PROJECTS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE REVIEWS STATUS REMARKS - NOTES NON-STRUCTURAL JIM JOHNSON 10/10/2014 10/17/2014 11/4/2014 REVISIONS REQUIRED CORRECTIONS 1ST.P/C CORRECTIONS ASSIGNED WN 10.14 CHANGE NOTE 7 SHEET A -S; STUCCO ON CMU PLANNING WALLY NESBIT 10/10/2014 10/17/2014 10/27/2014 REVISIONS REQUIRED CALLE ESTADO BLDG ENCLOSURE TO MATCH ADJACENT RESTAURANT, NOT BANK BUILDING SAME COMMENT SHEET A-3 STRUCTURAL BUILDING BUCKET 10/10/2014 10/17/2014 11/4/2014 REVISIONS REQUIRED STRUC TO YOUNG DUE 10/24 RECIEVED FROM YOUNG WITH CORRECTIONS STRUCTURAL SENT TO YOUNG ENGINEERING. PLANNING WALLY NESBIT 1/23/2015 1/30/2015 1/30/2015 READY FOR APPROVAL 2ND PLANNING REVIEW SUBMITTED. NON-STRUCTURAL JIM JOHNSON 1/23/2015 2/6/2015 2/6/2015 APPROVED APPROVED PLANS APPROVED STRUCTURAL KATHRYN SAMUELS 1/23/2015 1 2/6/2015 1 2/2/2015 APPROVED STRUC APP 2/2/2015 Printed. Tuesday, May 26, 2015 1:55:03 PM 3 of 4 EAJFCRUff SYSTEMS Printed: Tuesday, May D6,2Oz51:55lBRw 4nf4 Pemtlt ` 00� Cityof La Qurnta Building 8T Safety Division P.O. Box 1504, "78-49S Calle Tampico ta.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Project Address: O Cud S�� Owner's Name:. Tf� C A P. Number. O 151 — 003. Address: S \3-70 V t 'fie rMvu�aJ c5�11kC- Legal Description: City, ST, Zap:92253 Contractor. TBD Y. t Telephone: Project Description: Address: City, ST, Zip: Telephone: , i'Q/1 IG 1 ns't ��ccE10�1 State Lic. # : City Lic. #, Arab., BW , Deer. ACO Architects, Inc .Address: 26170 Enterprise Way, Suite 600 City, ST. Zip: Lake Forest; CA 92630 ' Telephone: 949-716-9940 Construction Type: Occupancy: W Project type (circle one): New Add'n Alter Repair Demo Sq. FL: # Stories: uI- " # Units: AJIA State Lic #: 059.DA7426 Name of Contad Person: Steve Bailey Telephone # of Contact Person: 9497633-9930 Estimated Value of Project APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Plea Sete Req'd Ree'd TRACMG Plan Check submitted ' PERMIT FEES U— Amount Structural Cake Reviewed, ready f correctlona Plan Check Deposit. . Truss Cates. Called Contact Perso Plan Check Balance_ Tide 24 Cal& Plans picked up Canstrucdon blood plain plan Plans resubmitted.. Meebarilcai Grading plan 2 ! Review, ready for corrects issue 111 Electrical Subeontaetor Liat Called Contact Person Plumbing Grant Deed Pians picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'a Review; ready for corrections/issue Developer Impact Fee 'Planning Approval. Called Contact Person A.LP.P. Pub. WI®. Appr " Date of permit Issue School Fees Total Permit Fees 1010 ��ei--a�'.gNNln14 MAI k�'�. i0�a -7 1 '0. - Master Fee Schedule Schedule of Building Fees - Mechanical, Plumbing, and Electrical * In addition to the fees identified in this schedule, the City will pass-through to the applicant any fees imposed by other agencies and any discrete costs incurred from the use of outside service providers required to process the specific application. Non -Residential Appliances 31 Residential appliances and self-contained, factory -wired, non- $ 24.17 $ 24.17 $ 48.34' residential appliances not exceeding one horsepower (HP), kilowatt (KW) , or kilovolt ampere (KVA) in rating, including medical and dental devices; food, beverage, and ice cream cabinets; illuminated show cases; drinking fountains; vending machines; laundry machines; or other similar types of equipment, each Power Apparatus 32 Motors, generators, transformers, rectifiers, synchronous converters, $ 24.17 $ 24.17 $ 48.34 capacitors, industrial heating, air conditioners and heat pumps, cooking or baking equipment, and other apparatus, each Signs, Outline Lighting, and Marquees 33 Signs, outline lighting systems, or marquees, each $ 36.26 $ 48.34. $ 84.60 Services 34 Services, each $ 24.17 $ 12.09 $ 36.26 Temporary power Services 35 Temporary service power pole or pedestal, including all pole or $ 24.17 $ 16.92 $ 41.09 pedestal -mounted receptacle outlets and appurtenances, each Miscellaneous Apparatus, Conduits; and Conductors 36 Electrical apparatus, conduits, and conductors for which a permit is 1$x:24.17 $ 24.17 $ 48.34 required, but for which no fee is identified * In addition to the fees identified in this schedule, the City will pass-through to the applicant any fees imposed by other agencies and any discrete costs incurred from the use of outside service providers required to process the specific application. Permit Number: BOTH2014,0010 De'scrip-ti—OP:-E—MgRG.-GENEIRATOR, FUEL.TANK INSTALL Applied: 10/10/2614 Approved: Site Addriiss:.78080-CALLEESTADO— Issued: Finaled: City, State Zip Code: LA Q,UINTA, CA 92253 Status: UNDER REVIEW Applicant: ACO ARCHITECTS, INC. Parent.Permit: Owner: CALLE QUINTA VENTURE Parent Project:. c6ntractor: <NO NE> Details: NEW GENERATOR AND TANK INSTALLATION - V Printed: Sunday, 01 February, 2015 '1 of 1 CRWYSTEMS �T.Zgv gi� -'-w x S4 ilk" 'ID' NlACT 26 AEMARKS;;"; & Review Group: BLDG 1ST (2WK) /10/ 114 10020 REVISIONS NON-STRUCTURAL JIM JOHNSON 1 1/4/2 014 1 0/1 7 '1/2 014 REQUIRED CORRECTIONS E i Offill MINE M 3 E t4 NS .10/1 . 0/2014 10/17/2014' 10/�7/2014 -T PLANNING WALLY NESBIT' REVISIONS CALLE ESTADO BLDG REQUIRED ;1 N�kV K s 10/10j2014 11/4/2014 1 1 0/17/2014, STRUCTURAL BUILDING BU CIET REVISIONS STRUC TO YOUNG DUE REQUIRED 10/24 In 'RO - IiR -N R "Re 51 P3 om' R, I NO Review Group: BLDG 2ND (1WK), 1/23/2015—._ -1/30/2015- —1/30/2015--- - -PLANNING WALLY NESB IT' ---I---READY-FOR APPROVAL ,4 u . X ,hN �Nmlsj ia QB% T F; r g � V Printed: Sunday, 01 February, 2015 '1 of 1 CRWYSTEMS