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BRES2015-0256V, 78-495 CALLE TAMPICO Ct 0 D ��NUCl/ LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2015-0256 D /L1\ Property Address: 54917 FIRESTONE APN: 775051076 Application Description: MOORE RESIDENCE ADDITION / RE DEL JUL 3 0 2015 I Property Zoning: Application Valuation: $15,000.00 CITY OF LA QUINTA Applicant: BOB EDWARDS CONSTRUCTION INCOR 51-455 DESERT CLUB DRIVE LA QUINTA, CA 92253 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 Busin ss and Professions Code, and my License is in full force and effect. License Clas : B, C1,6License No.: 6 85 `/ Date: t W �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.). ( )1, 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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/29/2015 ,ner: M & RUTH ANN MOORE I17 FIRESTONE QUINTA, CA 92253 BOB EDWARDS CONSTRUCTION INCOR 51-455 DESERT CLUB DRIVE LA QUINTA, CA 92253 (760)777-8202 Llc. No.: 684857 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 tlilt, if I should become subject to the workers' comp nsation provisions of Se ' n 700 f e•L or Code, I shall forthwith comply w h thtse provisions. Date% : ` ?Q - 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 larel g to building construction, and hereby authorize representatives of th' it t e t �on the above. mentioned �rjoypee4yrfor inspection purposes. ' Date: �1'�! 1� Signature (Applicant or Agent): FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 0 $62.36 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $17.40 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, FIRST 100 SF PC 101-0000-42600 0 $171.14 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forADDITION: $371.73 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 1.25 $87.50 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BLDG CITY STAFF - PER HOUR: $87.50 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY 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 1,0005F, PC 101-0000-42600 0 $47.86 $0.00 PAID BY, METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE APPLIANCE REPAIR/ALTERATION 101-0000-42402 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ' ACCOUNT CITY AMOUNT PAID PAID DATE APPLIANCE REPAIR/ALTERATION PC 101-0000-42600 0 $4.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for MECHANICAL: $16.92 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE ROOF DRAIN 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE ROOF DRAIN PC 101-0000-42600 0 $12.09 $0.00 - PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $24.18 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $1.95 $0.00 PAID BY METHOD. RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMt $1.95 $0.00 TOTALS:00 Permit Dexaiis PERMIT NUMBER r � BRES2015 00256 City of La Quinta Description: MOORE RESIDENCE ADDITION / REMODEL f' t _d 0 A.' a,+y.. 9 ,gym . }� .:., .P$ ! p v - a^s- _ .}� >� J-, •' T} , s'Ek Type: BUILDING, RESIDENTIAL Subtype: ADDITION Status: APPROVED Applied: 7/6/2015 EVA Approved: 7/29/2015 JJO Parcel No: 775051076 Site Address: 54917 FIRESTONE LA QUINTA,CA 92253 Subdivision: TR 21846-1 Block: Lot: 1 NOTE Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $15,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 7/21/2015 Details: ENCLOSE ATRIUM 128 SQ. FT. ADDITIONPER 2013 CRC CODES RECEIVED __j Applied to Approved x n _ -. z( .'t' kf+ •{.l -`�" C "'! .:•-' - ti -RK 57 w.;.> ' ,. t+ t i. Y+�,'�, F+y, ,:Y 5, += . „ i' K ,r}�s S'yt%' i."k `' -&-&N f' t _d 0 A.' a,+y.. 9 ,gym . }� .:., .P$ ! p v - a^s- _ .}� >� J-, •' T} , s'Ek t •{:., CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE JIM JOHNSON 7/15/2015 7/21/2015 NOTE KAY HENSEL 7/27/2015 7/27/2015 PLANS PULLED FROM JIM'S DESK AND PROCESSED PLAN CHECK COMMENTS FROM CONSULTANT MARY FASANO 7/20/2015 7/21/2015 RETURNED FROM YOUNG STRUCTUAL APPROVED RECEIVED PLAN CHECK PICKED UP PHILIP JUAREZ 7/23/2015 7/23/2015 PLANS PICKED UP BY GABRIEL RIOS. PLAN CHECK SUBMITTAL ED VASQUEZ 7/6/2015 7/6/2015 RECEIVED RESUBMITTAL PHILIP JUAREZ 7/24/2015 7/24/2015 SENT TO PLAN CHECK KAY HENSEL 7/6/2015 7/6/2015 STRUC TO YOUNG - DUE BACK 7/20/2015 CONSULTANT Printed: Wednesday, July 29, 2015 2:17:09 PM 1 of 4 CL U U IJ SYSTEMS Permit Detail� City of la Qui— a �' ',.i "r �' . 6.. ,,;`j 'i ••n' r ter" �" �„'= •r :-{i : . ? r CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY PERMIT NUMBER 0 CALLED GABRIEL RIOS TO INFORM HIM PLANS ARE READY TELEPHONE CALL JIM JOHNSON 7/21/2015 B R ES�2015-025b 7/21/2015 �' ',.i "r �' . 6.. ,,;`j 'i ••n' r ter" �" �„'= •r :-{i : . ? r CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY ADDITION, EA 101-0000-42400 0 CALLED GABRIEL RIOS TO INFORM HIM PLANS ARE READY TELEPHONE CALL JIM JOHNSON 7/21/2015 ADDITIONAL 500 SF 7/21/2015 ADDITION, EA FOR CORRECTIONS TELEPHONE $17.40 $0.00 JIM JOHNSON 7/29/201{5 7/29/2015 CALLED JOE TO INFORM HIM PLANS ARE READY TO ISSUE SCALL ?� ti 2'i�.•':�'��r. ;:,.$ �£'}'ir,`N1 1!.. Y' C.i '�:: Ztt.+ 4�'S, 0 � 0 'a' fi`n;t.s-.,x,•.� .:fir-"� p� ..;": L. „rl�. CONDITION 0 DATE DATE CONTACT DATE ADDED STATUS REMARKS NOTES TYPE - REQUIRED SATISFIED $171.14 $0.00 READY TO ISSUE PC 7/23/2015 PENDING HOURLY PLAN CHECK - 101-0000-42600 CHECKLIST $87.50 $0.00 ;. .r L '.'' 6 m . ,r• �'�n y fray` s. .! ! fj � j 7; wsYs Y ' a `M1I, (Y;'^ ) -eG f ^ri �. �S £. 'wi : �jP j�•� t -,eA4�, .. '1�`- N`Y .'x'4• .M ,4,r ,/t :.Y NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE, FAX EMAIL APPLICANT BOB EDWARDS CONSTRUCTION 517455 DESERT CLUB LA QUINTA CA 92253 INCOR DRIVE CONTRACTOR BOB EDWARDS CONSTRUCTION 51-455 DESERT CLUB LA QUINTA CA 92253 INCOR DRIVE OWNER TOM & RUTH ANN MOORE 54917 FIRESTONE LA QUINTA I CA 1 92253 �' ',.i "r �' . 6.. ,,;`j 'i ••n' r ter" �" �„'= •r :-{i : . ? r CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY ADDITION, EA 101-0000-42400 0 $62.36 $0.00 ADDITIONAL 500 SF ADDITION, EA 101-0000-42600 0 $17.40 $0.00 ADDITIONAL 500 SF PC ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $0.00 ADDITION, FIRST 100 SF 101-0000-42600 0 $171.14 $0.00 PC Total Paid forADDITION: $371.73 $0.00 HOURLY PLAN CHECK - 101-0000-42600 1.25 $87.50 $0.00 YES Total Paid for BLDG CITY STAFF - PER HOUR: $87.50 $0.00 Printed: Wednesday, July 29, 2015 2:17:09 PM 2 of 4 FU LJ SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE FINAL" BLD PARENT PROJECTS Printed: Wednesday, July 29, 2015 2:17:09 PM 3 of 4 SYSTEMS MMETHOD CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $0.00 1,000SF RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $0.00 1,000SF, PC Total Paid forELECTRICAL - NEW CONSTRUCTION: $192.89 $0.00 APPLIANCE 101-0000-42402 0 $12.09 $0.00 REPAIR/ALTERATION APPLIANCE 101-0000-42600 0 $4.83 $0.00 REPAIR/ALTERATION PC Total Paid forMECHANICAL: $16.92 $0.00 ROOF DRAIN 101-0000-42401 0 $12.09 $0.00 ROOF DRAIN PC 101-0000-42600 0 $12.09 $0.00 Total Paid for PLUMBING FEES: $24.18 $0.00 SMI -RESIDENTIAL 101-0000-20308 0 $1.95 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SM! $1.95 $0.00 TOTALS:00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE FINAL" BLD PARENT PROJECTS Printed: Wednesday, July 29, 2015 2:17:09 PM 3 of 4 SYSTEMS Permit Details PERMIT NUMBER BRES2015-0256 City of La Quinta 'REVIEW'TYPE— TREVIEWEK— -SENT-DATE- —DUE'DATE DATE "- STATUS— REMARKS: NOTES NON-STRUCTURAL - JIM JOHNSON 7/6/2015 7/20/2015 7/15/2015 REVISIONS REQUIRED 0 2 WK NEW CITY TRANSMITTAL DOC 7/20/2015 KATHRYN SAMUELS STRUCTURAL BRES 2015-0256 I 0 STRUCTURAL - 2 WK YOUNG 7/6/2015 7/20/2015 7/20/2015 READY FOR APPROVAL ENGINEERING NON-STRUCTURAL - JIM JOHNSON 7/24/2015 8/7/2015 7/29/2015 APPROVED JIM TOLD ME TO PUT ON HIS DESK 2 WK .•; ,R, ..f T k�{ LS' ""�-`�' + y } '�� a71 i 1 -.. •ro X_ �.!'� of 1, 'Q ..s :: f Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 7/15/2015 JIM JOHNSON 54-917 FIRESTONE.docx 54-917 FIRESTONE.docx 0 BRES2015-0256 SCHOOL BRES2015-0256 SCHOOL DOC 7/29/2015 JIM JOHNSON FEES.pdf FEES.pdf 0 1ST REVIEW - NEW CITY TRANSMITTAL DOC 7/20/2015 KATHRYN SAMUELS STRUCTURAL BRES 2015-0256 I 0 TRANSMITTAL (ist).pdf Printed: Wednesday, July 29, 2015 2:17:09 PM 4 of 4 ti7Ll L.1 IJV SYSTEMS Bin # City Of La Quint? Building &r Safety Division P.O. Box 1504, 78-495 Calfe Tampico La Qulnta, CA 92253 - (760) 777-7012 02 � Building Permit Application and Tracking Sheet Permit # _ "IFIGS�-D l�>— Proj6et Address: Owner's Name: bb A. P. Number: ] _ �� Address: Legal Description: City, ST, Zip. L-1, 1' Contractor: 4 }y, Telephone; ?c'a%" • ,' �a?"�3 # Address: �j- �- Project Description: 2� City, ST, Zip: v Telephone: G — 1 �� <<Y +"a" r .1'` ,. State Lie. # : ^ 1 City Lie. !,: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: -- ""::z2s�% c' r 3Q: z`" ConstructionType: Occupancy: '3. . Project type circle one New dd' Alter Repair Demo Name of Contact Person: �u Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 5 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Z Plan Check submitted No Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. 'Called Contact Person Plan Check Balance, Title 24 Cafes. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d 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 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: Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.00 X 128 S.F. or $0.00 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 Exempt/ Robert Edwards Check No. Bank Name/Recipient of Certificate Telephone Funding Exempt BY Dr. Gary Rutherford Superintendent 1 f Fee collected /exempted by Kelly Jones Payment Recd ,,:Over/Und-_r Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or'other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public 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 YOUNG . .X x ENGINEERING zi'd^m" / ,?2Y _Wi 5111 Letter of Transmittal To: City of La Quinta Today's Date: 7-20-15 78-495 Calle Tampico City Due Date: 7-20-15 La Quinta, CA 92253 Project Address: 54-917 Firestone Attn: Kay Plan Check #: BRES 2015-0256 Submittal: ® 1st ❑ 4th ❑ 2nd ❑ 55th ❑ 3'd ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: # Of Descriptions: Includes: # Of Descriptions: Copies: Copies: ® 1 Structural Plans ❑ Revised Structural Plans ® 1 Structural Calculations ❑ Revised Struct. Calcs ❑ Truss Calculations Floor ❑ Revised Truss and Roof ❑ Soils Report ❑ Revised Soils Report ❑ Structural Comment List ❑ Approved Structural Plans ❑ Redlined Structural Plans ❑ Approved Structural Calcs ❑ Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other: Comments: Structural content is approvable. — If you have any questions, please call. Time = 1.25 HR This Material Sent for: UNITYDEVELOPMEI ❑ Your Files ® Per Your Request ❑ Your Review ❑ Approval ❑ Checking ❑ At the request of: Other: ❑ BY: Kathryn Sarriuels Palm Desert Office: ® (760) 772-5107 Other: ❑