BRES2014-123078-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BRES20141230
Property Address: 53714 VIA DONA
APN: 777420013
Application Description: 4982 SQ FT SFD
Property Zoning:
Application Valuation: $451,248.20
Applicant:
PETER JACOBS HOMES INC
P 0 BOX 356
LA QUINTA, CA 92247
`ter °F lwQumm:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
JUL 2 8 2016
I CITYOFLAQUINTA
COMMU LAITY DEIIELOPPAENT OEPARTb1=NT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commeNii
ction 7000) of Division 3 of the Business and Professions Code,
and my LicI force and effect.
License ClaLicense No.: 799449
Date: Contractor.
�-IF Vr
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 herown 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:
VOICE (760) 777-7125
FAX.(760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/25/2016
Owner:
KIMBERLY WALTERS
80668 VIA TRANQUILA
LA QUINTA, CA 0
Contractor:
PETER JACOBS HOMES INC
P 0 BOX 356
LA QUINTA, CA 92247
(760)777-9921
Llc. No.: 799449
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 M kers' 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 nofemploy any person in any manner so as to become subject to the workers' .
compensation laws of California, and agree that, if I hould become subject to the
workers' compensation provisions of Section 370 f th Lab Code, I shall forthwith
comply with those provisions.
Date: ± �� V/ lA Aoolicant
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 la relating to building
construction, and hereby authorize representatives of this city/&y the
above-mentioned property for inspection purposes.
i
Date: ignature (Applicant or Agent)
i
FINANCIAL INFORMATION
s t 'DESCRIPTION',' -a n
}ACCOUNT a
:,QTY' AMOUNT
PAID
PAID DATE-
:v
PLAN CHECK/PERMIT EXTENSION.
101-0000-42600, '
1
$97.17
$0.00
PROCESSING
METIOD
A RECEIPT# `Y r
CHECK
rv° {?PAIDFBYTR
°;
Total Paid for ADMINISTRATIVE: $97.17 $0.00-
M..
DESCRIPTION ;. 'y
`ACCOUNT
QTY
AMOUNT
#PAID
DATE-
SFC-+v.
.`ti'✓'cx':
�'W
5PAID
ART IN PUBLIC PLACES - RESIDENTIAL
270-0000-43201
0
$628.12
$0.00
s+ 'PAID'.BY x
"� METHODTRECEIP.,T#
CHECK #'
CLTD BY*:
Total Paid for ART IN PUBLIC PLACES - AIPP: $628.12 $0.00
;DESCRIPTION ' k
x ACCOUNT ''
°QTY
�
AMOUNT
PAID s ,:
,:
�PAIf) DATE-
,a
E a
HOURLY PLAN CHECK - YES
F 101-0000-42600
1.75
$122.50
$0.00
PAID BY .sy ~
METHOD '
RECEIPTS#
CHECK # `
CLTD
.. •fix.';
„t,
..
Total Paid for BLDG CITY STAFF - PER HOUR: $122.50 $0.00
k DESCRIPTION
A000UNT
a"
w
f
.sa
3
QTY
x' AMOUNT
�. PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306 ''
0
$19.00
$0.00
`.xPAID BY�w
' K'€METIiOD� >vk
,
` 'RECEIP.T#�u
x CHECK # n
CLTD BY r
✓
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $19.00 $0.00
" DESCRIPTIONACCOUNT
3 �
QTY
s * `
AMOUNT �,R
:.
r#,yPAID�
'PAID DAM
s`
..
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$0.00
" ` r PAID�BY + �:'
" M� " METHOD
AkEIP.T W 11
,- CHECK #'
CLTD BY
s € >
�5�
��-
Al
xACCO_UNT��QTYaANIOUNT�:
PAID
PAID DATE';
;DESCRIPTION
DIF - COMMUNITY CENTERS
254-0000-43200
0
$129.00
$0.00
METHOD x�'"�aRECEIRT#'Fv
CHECK#
CLTDBY
tiw Y.,PAID'BY
v�
DESCRIPTIONs�'r
Qs
AIyIOUNT"� ,
��� PAID �'�
PAID'DATE
�A000UNTzv xy
DIF- FIRE PROTECTION
2570000-43200
0
$433.00
$0.00
'PAID
RECEIPTS#,X
,y
HECK #
was.
CLTD BY4'
ABYc� ,
ti W> yMET1OD *
DESCRIPTION
ACCOUNT 'AINIOUNT
QTY
=
PAID ° ,
PAID`DATE :
-
a 4 '.
DIF -.LIBRARIES
253-0000-43200
0
$344.00
$0.00
C b
PAID BY `.. "`°METHOD
3. •'` 'T •}� ` :
"�.
"'A: �" .• ' SH# ti D
RECEIPT#'
.Y`' 't' P E."` ' aY
CHECK #
CLTD BY
e e a.a , •r`a
„
DESCRIPTIONAn P'
,'ACCOUNT
"'QTY'
•AINIOUNT°;!xPA1D�
PAID DATE`
i;
DIF - PARK MAINTENANCE
256-0000-43200
0
$40.00
$0.00 ,
n
PAID BY '..�k.METHOD
#
CHECK #.S
x .a x. •
4RECEIPT
e
;r ,CLTD
i
u
gzlDESCRIPTION ,,�
9 ACCOUNT'S=�
Q`*
AMOUNT
y` r.PAID kb";
tPAIDDATE
DIF - PARKS/REC
251-0000-43200
0
$2,048.00;
$0.00
BY k '•X ss
a METH<OD��ft
' RECEIP:T #3-�
�'rs CHECK #�
CLTD BY
a'
;DESCRIPTIONt*�
ACCOUNT�QTY
AMOUNTS °
f{ PAID k
PAID`DATE
e
DIF - STREET MAINTENANCE
255-0000-43200
•0
$116.00
$0.00
+ « tzPAID BYE
s s METHOD',
RECEIRT4#°k�
"CHECK #
CLTD BY
a ktl
e x,$ m
3' �
DESCRIPTIONM .
ACCOUNT�
QTY
AMOUNT �PAIU�
e,
oPA1DpATE
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$0.00
PAID BY 4=,>h
Fwl
METHODy'�'
RECEIPT#';
CHECK# ",`
�CLTUBY
.
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00
3Y',;, . y �„
S DESCRIPTION
tY % ...< Ya wk'b+!1•\�
b.
- �•. r%
AMOUNT
PAIDDATE?
_��x�ACCQUNT
n.
<
,QTY
¢ .
� >PAID
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$0.00.
'"-PAI iA meq..:.
'� ' 5
RECEIPT#kv
CLTD
x
•=.r. A.,..',Y'rMx:." .,.; A .•i:. t
EMETHOD r
+1''<+�Pk .fi, ., h�rq`i✓'%�J.*Fn
.,•icy �,;..,�, ✓'
:1'...T'.�.'
BY
Fig, 1 DESCRIPTION
ACCOUNTS F'x
QTY
% �AMOUNT�*
P AID DATE;
s.�S k.
!': �.. «{.•n'k : 4
nPAID
1i - 2}, 8 E , w<. E
i
TEMP POWER SERVICE PC
101-0000-42403
0 .'
$16.92.♦
$0.00
",,,PAID BY
r s, METHOD
RECEIPT #
CHECK # >�<
CLTD BYw
a4n"'-
..v` -.a ,
r"
• Total Paid for ELECTRICAL: $41.09 $0.00
y ;DESCRIPTION
s ACCOUNT
'CITY
`'AMOUNTk`
PAID''
PAID`^DATE';
az
RESIDENTIAL, EA ADDITION 1,000SF
101-0000-42403 `
0
$73.98
$0.00
`� �'. 5'� P''Zy `v fi �'' q+$
y •. .. hv-_ a�,
METHODS
•�.i c.i�r .'i. "�''•
RECEIPT"CHECK
..rr } w <.
#b;
... .
CL -TD BY�k•
A
4 DESCRIPTION u
�' 4r
ACCOUNTS
$QTY
;"M1 AMOUNT "
�` `PAID r
PAIDDATE''
. _ . .,
-x r
RESIDENTIAL, EA ADDITION 1,000SF, PC
r 101-0000-_42600
0
$30.48
$0.00
•5
4 PAID BY�;ti
k �'� ��,�.p.§
'_p METHOD t
RECEIPT{ #
ns #
CLTD BY
$-w ,-F
< sCHECK
;wk`aDESCRIPTION�
'ACC UNT
QTY
AMOUNT
"PAID'
LPAIDDATE
RESIDENTIAL, FIRST 1,000SF
y 101-0000-42403
0
$145.03
$0.00
METHOD
:3 ;:RECEIPT #f
¢� CHECK #
BY'
,CLTD
yACCOUNT�`
QTY
PAID'DATE?
Ax .DESCRIPTION'Ni k awk
,`
,AMOUNT k
ADZ (PAID
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600 *
0
$47.86
$0.00
PAIDrBY ?METHOD?
#'
CHECK # }�t
CLTD BYj
.
`�xkRECEIP,T
'V
a
Total Paid for ELECTRICAL -ANEW CONSTRUCTION: $297.35 $0.00
"DESCRIPTION �µ
ACCOUNT,`'
QTY
AMOUNT
PAID
PAIDDATE;
RESIDENTIAL PRECISE GRADING, - CUSTOM
'101-0000-42408
0
$36.26- . •
$0.00
HOME LOT >7KSF
_
4
PAID'BY ' `
t�� METH 'D
x
r;RECEIP? # '`
s
�,3 CHECK #`
.; CLTDBY':
r a `'.DESCRIPTION
r A00OUNT « y y
QTY ''
,AMOUNT „j
s ;PAID
'PAID DATE
RESIDENTIAL PRECISE GRADING - CUSTOM
HOME LOT >7KSF PC
101-0000-42600
I
0$181.29
.
$0.00
PAID BY
f:``; METHOD ,x
r RECEIPT #
.. CHECK # `
,,".CLTD BY
Total Paid for GRADING: $217.55 $0.00
DESCRIPTION *' xF x ,M
`� "ACCOUNT,',`QTY
AMOUNT,
PAID a `
-PAID DATE;
CONDENSER/COMPRESSOR
101-0000-42402
0
$181.30
$0.00
°PAID BY
METHOD X �;
,RECEIPT #
'CHECK
'CLTD BY
DESCRIPTION y
nye a
ACCOUNT ti ;s4
pQTY
AMOUNT '.
PAID
PAID DATE
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$120.85
$0.00
-°
.`PAID BY ;
sa-
`' METHOD `} `
•` RECEIPT # K =
x-
��«:CFIECK # �.�
:� CLTD BY
Pw� ?DESCRIPTION .
n
sz a Nx
x`,)ACCOUNT,;•.QTY
AMOUNT
'PAID $ A
PAID DATE.
EXHAUST HOOD
101-0000-42402
0 •
$12.09
$0.00
,r
` PAID BY' ,€
METHOD
` t yRECEIPT #
°. "CHECK #;CLTD
BY
�sl) SCRIPTION}, y a ` � u'�
.�
' ACCOUNT
..� �
QTY:
n AMOUNT ''"
4
M "i PAIW,
PAID DATE'
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$0.00
a �. PAID BY ', ry h,
:a
METHOD
r
4C E, IPT # K
CHECK #j,
CLTD BY `
k: € DESCRIPTION&
�, ..
r �� ACCO.IJNT
.„ tir
CITY
.;
AMOUNT
PAID ,
PAID DATE'
FURNACE
101-0000-42402 -
0
$181.30-
$0.00
PAID BY �f'4`
:A,; METHOD �,�r
RECEIPT#:?
,CHECK #T
fi CLTD BY
#'* *`DESCRIPTIONS
ACCOUNT �. f
QTY
AMOUNT
r PAID`
PAID DATE,'
FURNACE PC
101-0000-42600
0
$120.85
$0.00
>
t
RCEIT#k
CHECK#.PAID`BY'
CLTDBY `f=
,':DESCRIPTION .; ` .._<;.
�. �ACCOUNT#
QTY
i' AMOUNT k z
PAID
PAIDSDATE
VENT FAN
101-0000-42402
0
$120.90
$0.00
} PAID BY „
y kMETHOD E,
' RECEIP,l # n z
CHECK #, �CLTD-6Y
DESCRIPTION :
* ` ACCOUNT
; QTY
,5 AMOUNT
q PAID
PAID DATE;
VENT FAN *PC
101-0000-42600
0
$48.30
$0.00
PAID, BY v$ ,'rte
METHOD
RECEIPT #
P CHECK # a'
CLTD BY
Total Paid for MECHANICAL: $790.42 $0.00
�?�DESCRIPTION 4
s r '�ACCOIINT��
QTY`AMOUNT
PAID �.
PAID`DATE
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$722.69
$0.00
PAID„'BY ” t
Y METHODe
RECEIPT #
" n CHECK # A
CLTD BY
4 �X
yea ..x
Total Paid for NEW CONSTRUCTION PERMIT: • $722.69 $0.00
.
PTION
x `
ACCOUNT
QTY
..
AMx OUNT4
r, PAID "
'PAID DATE;
A , a Y
$ Y_
R z\
NEW CONSTRUCTION PLAN CHECK
' 101-0000-42600
0
$1,000.00
$1,000.00
11/19/14
`k PAID
p
METF ODX
RECEIPT#
CHECK # '
CLTD BY �`
ra
� o w
,
PETER JACOBS HOMES INC
CHECK
R2927
5266
SKH
`DESCRIPTION a1
'� a
QTY
r ` AMOUNT
�
PAID
PAID DATE
...>,wa
.ACCOUNT ,
R.... >_
_
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$522.04
$0.00
PAID BY
METHOD
�� RECEIP$T #
CHECK #
4, CLTD BY
.,
S k
s � r°
;
Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,522.04 $1,000.00
x 4D
i
CCOUNT
-O. UNT^
r
TE<ESCRIPTI
PAID DA.
r
r .,..
�
BACKFLOW DEVICE
101-0000742401
0
$12.09
$0.00
PAID BYv
�� r METHOD'S
'^
RECEIPT # `
CHECK #
CLTD BY.;
f
S
y
°`DESCRIPTION a«
U.
ACCOIINTygx
QTY>
AMOUNTk+
PAID
PAID,DATE �
a h
x
..
BACKFLOW DEVICE PC
101-0000-42600
0
$4.83
$0.00
)'x2; � �yx ry
PAIf)`BY
r�^xk �•' $ � ��
MET;10HODS
kY�cL`
WAY RECEIPT#
/S.f". �,•� -�. :S
CHECK#
X*s,. . ., �'
CLTD BYE r
z�,>
-•,rs
ti. ,,<
x DESCRIPTION,
AMOUNT, :
PAID �° ' K
PAID,DATE
4
`f: �ACCOUNT�
b
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
PAID BY r^
METHOD `
;RECEIP14
CHECK #
� �
" ,x ; �x
DESCRIPTION
ACCOUNT
QTY
y AMOUNT''
PAID
PAID;DATE
,< ,
k
-��
BUILDING SEWER PC
101-0000-42600
0
$12.09
$0.00
PAID.BY.<<
METH,Of)�Y
#J.
CHECK #
CLTD BY
N$RECEIPT
DESCRIPTION k .'ACCOUT
N 3�
QTY
'x
AMOUNT'PAID�
--
PAID DA,TE°
F
FIXTURE/TRAP
101-0000-42401 '
0
$302.25
$0.00
r� a � PAID: BY
na *Iljl METHOD�i* r.
' # a
x 3k CHECK # <.o
CLTD BY
;RECEIPT k
F
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE.,
>:,DESCRIPTION z <
4
; z
,
FIXTURE/TRAP PC
101-0000-42600
0
$302.25
$0.00
ry'PAID.BY%{ h
METHOD '
�RECEIPTt#
CHECK #fi
CLTD BY
r
a
y
,.DESCRIPTION
.j W 5
� ACCO
AMOUNT �
PAID
.DATE.::
PAID �
a - 6 � 9
°� �.. ,UNT,,.': �
= s.z ;
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$36.26
$0.00-
PAID`.BY�° `` 4w
h METFIOD<
;RECEIPT*
ACHECK #
CLTD BY'
. d .hu
o. • tid 4 'x .' <.
x. i}'� ;.s
r.-.
DESCRIPTION 4:q� z
ACCOUNTS,
QTY
� �'
>+.` AMOUNT
i' kr u..' y'I
°PAID;
� ..-4
a ,
R
.s ,�
rPA10yDATE.
}
' C
GAS SYSTEM, 5+ OUTLETS PC .
101-0000-42600
0
$24.17
$0.00
y: L PAID BY a
.fiT` METHOD
wRECEIPT #
* CHECK #gP
CLTD BY*
,
-
DESCRIPTION .;x'. s>
`: �"'• -ACC(UNT '', 4
QTY
,AMOUNT`'.
:n PAID
PAID`DATE'
ROOF DRAIN
101-0000-42401
0
$12.09
$0.00
? f r PAID BYRECEIPT
# . ` `
< CHECK # °
CLTD BY
DESCRIPTION' < 'tu. ""
` ACCOUNTS r ° „
14QTY.:N
, xAMOUNT,
PAID
f.PAID DATE'
ROOF DRAIN PC
101-0000-42600
0
$12.09
$0.00
' ;PAID BYE
r' ;' METHOD ¢-
R'RECEIPT 41"'
F„a CHECK # : `,::
CLTD BY•''
kDESCRIPTION�: A
I _AC OLIN ,'
nQTY.x°,
'AMOUNT,',”�'
*PAID, �,�
PAID DATE
WATER HEATER/VENT
101-0000-42401
0
$24.18
$0.00
°METHOD _*
RECEIPT # ,.
CHECK #
i,'CLTD BYF
DESCRIPTION f` "
as " ACGUUNT{ y Uc f 1
'QTY
TAINIOUNT
& 'N : PAID
.PAID DATE'
WATER HEATER/VENT PC
101-0000-42600
0
$14.50
$0.00
` PAID BY aM. ky ,
_ :METHOD
x ,RECEIP,T # �' `�
CHECK # .
CLTD BY
* 'DESCRIPTION S" ,�
ACCOUNT',. = �,m
QTY
1. 'AMOUNT
PAID
;PAIDDATE1
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.09
$0.00
*PAID BY °y.,',, `., "�t;
_ METHOD2. `; "
`; RECEIPTK#
" SCHECK #
s" CLTD BY
x '!S
,DE +.', Y ;-
'`�"' ,ACCOUNT+'
QTY,Y
AMOUNT
" PAID
PAID DATE
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0.
$12.09
$0.00
" ? " PAID BY
§' METHOD �z m
Q RECEIPT .# *''4
CHECK #= e k
'CLTD BY ,
t Total Paid for PLUMBING FEES: $793.07 $0.00
DESCRIPTIONxy +mo- ;•� A
``�ACCOUNTr "`*
QTY.
*11'_!r"AMOUNT; S
, PAID ' "
;PAID DATE
SMI - RESIDENTIAL
.101-0000-20308
0.
$58.66
$0.00
*>PAID BY ` `m n.,''
, r METHOD, e,
4 r `RECEIPT # s, k
i'CHECK #
CLTD BY
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $58.66 $0.00
DESCRIPTION -
ACCOUNTS k1,
QTY;
AMOUNT',:q
r 'PAID ;.
jFAID'DATE'
SINGLE FAMILY DETACHED
224-0000-20320
0
$1,837.44
$0.00
PAID BY " *" ` "
,ark*
, 4 METHOD`
RECEIPT # t
CHECK # *
CLTD"Blf
Total Paid for TUMF - RESIDENTIAL: $1,837.44 $0.00
Description: 4982 SQ FT SFD.
ADDITIONAL
Type: BUILDING, RESIDENTIAL
Subtype: DWELLING - SINGLE - Status: APPROVED
Applied: 11/19/2014 SKH
-' .{ ','`..iW„V .,:Y .'iis, e., -:s r&n,,y'�,a'iPX-,.aqM - n:�aiR �:-.,n-• ..i
CHRONOLOG1f TYP,E;�,� STAFF NAME s
FAMILY DETACHED
Approved: 6/9/2015 JJO
Parcel No: 777420013 Site Address: 53714 VIA DONA LA QUINTA,CA 92253
Subdivision: TR 29894-4
Block: Lot: 30 -
Issued: '
Lot Sq Ft: 0 '
Y Building Sq Ft: 0 Zoning::.
Finaled:
Valuation:- $451,248.20
Occupancy Type: Construction Type:
Expired: 2,
No. Buildings: 0 ;
No. Stories: 0 No. Unites`. 0 -
Details: NEW 4982 SQ. FT. SFD. THIS PERMIT DOES NOT INCLUDE POOL,SPA, BLOCKWALLS, DRIVEWAY APPROACH, BBQ, FIRE PIT; OR WATER.
FEATURE. HOME IS FIRE SPRINKLED PER 2013 CRC CODES.'
7/22/2016
APPLICATION EXTENSION GRANTED TO JULY 29,2016 TO PURCHASE PERMIT.
CONTRACTOR BROUGHT IN DEBRIS AND HOA
202
ye�
Printed: Monday, July 25, 2016 1:56:06 PM' 1 of 7
' - SYSTEAAS
ADDITIONAL
CHRONOLOGY
-' .{ ','`..iW„V .,:Y .'iis, e., -:s r&n,,y'�,a'iPX-,.aqM - n:�aiR �:-.,n-• ..i
CHRONOLOG1f TYP,E;�,� STAFF NAME s
y '3K>.:+.taa_. ��...i`•"'sv iy ..y . -,e:..: ..��'?ac .$'.,` ^'V�
DATE COMPLETION DATE;'
'i�4'" h K"L 'M *r.'`. �+ ,�,.y
� - :NOTES
> .: . ,��� . ;-
n ;ACTION • ,,,.�
kms' F�T�� a„ •. � .��� -
NOTE
r JIM JOHNSON .” '
3/10/2015. '.
3/11/2015
NOTE
JIM JOHNSON
; ; 6/9/2015
6/9/2015
NOTE
MARY FASANO
7/22/2016
7/22/2016
CONTRACTOR BROUGHT IN DEBRIS AND HOA
PLAN CHECK COMMENTS
'FROM CONSULTANT
' JIM JOHNSON
6/9/2015
` . , 6/8/2015
'
RECEIVED ..
PLAN CHECK COMMENTS
,
FROM CONSULTANT
KAY HENSEL
3/11/2015
3/11/2015
STRUC BACK FROM YOUNG - RFC
RECEIVED
PLAN CHECK COMMENTS
'
FROM CONSULTANT
KAY HENSEL.
4/24/2015
4/24/2015
STRUC BACK FROM YOUNG ON 4/23/2015, RFC (3RD P/C)
RECEIVED
Printed: Monday, July 25, 2016 1:56:06 PM' 1 of 7
' - SYSTEAAS
PLAN CHECK COMMENTS
FROM CONSULTANT
PHILIP JUAREZ
12/15/2014
12/15/2014
PLANS RECIEVED FRON YOUNG NOT APPROVABLE.
RECEIVED
PLAN CHECK PICKED UP
MARY FASANO
12/19/2014
12/19/2014
PLANS AND CORRECTION LIST PICKED UP BY PETER JACOBS
PLAN CHECK PICKED UP
PHILIP JUAREZ
3/12/2015
3/12/2015 -
PICKED UP, BY PETER JACOBS.
PLAN CHECK SENT TO,
KAY HENSEL
11/19/2014
11/19/2014
STRUC TO YOUNG - DUE 12/10/14
OUTSIDE PC
PLAN CHECK SUBMITTAL
KAY HENSEL11/19/2014
11/19/2014
SUBMITTAL RECEIVED AT FRONT COUNTER BY SK.,
RECEIVED
T
+ '
RECEIVED REVISED STRUCTURAL FOR TRUSS. = .
PLAN CHECK SUBMITTAL
STEPHANIE KHATAMI
5/18/2015
5/20/2015
4TH RESUMBITTAL. NOTE -IT APPEARS APPLICATION DIDN'T
- .RECEIVED
PICKUP 3RD CORRECTION.
RESUBMITTAL,
STEPHANIE KHATAMI
2/24/2015.
' .;2/24/2015
TELEPHONE CALL
JIM JOHNSON
12/19/2014
12/19/2014
CALLED PETER JACOBS, PLANS READY FOR CORRECTIONS PICK
UP.
TELEPHONE CALL
JIM JOHNSON.
3/11/2015
3/11/2015
CALLED PETER JACOBS HOMES TO INFORM THEM THAT THE
PLANS ARE READY FOR CORRECTIONS.
TELEPHONE CALL '
JIM JOHNSON
4/24/2015
4/24/2015
CALLED PETER JACOBS TO INFORM HIM PLANS ARE READY
'
.•,..
FOR 3RD CORRECTIONS
- , •
CALLED PETER JACOBS TO INFORM HIM PLANS NEED A
TELEPHONE CALL
JIM JOHNSON
6/9/2015
.6/9/2015
EXTENTION REQUEST BEFORE WE ISSUE PLAN CHECK HAS
..
EXPIRED.ITEMS REQUIRED TO ISSUE, SCHOOL FEES, HOA
LETTER, P.M. 30, BURRTEC WASTE PLAN,
CONDITIONS
CONTACTS
..e ra,?;. ...'. �i°�'k? .: '..- -. .. �'�`:':: :^�.0 ram-'- T.i {-' fi' .•..�u� a`�"--" T'k-.
AME : ADDRESS_ CITY STATE.r 21P PHONE ,aFAX EMAIL.,
_ ti
APPLICANT PETER JACOBS HOMES INC
P 0 BOX 356
LA QUINTA CA 92247
CONTRACTOR PETER JACOBS HOMES INC
P 0 BOX 356
LA QUINTA CA 92247
OWNER KIMBERLY WALTERS
80668 VIA TRANQUILA
LA QUINTA CA 0
Printed: Monday, July 25, 2016 1:56:06 PM 2 of 7
- CLT - SYSTEMS ,
Printed: Monday, July 25, 2016 1:56:06 PM 3 of 7
SYSTEMS
FINANCIAL
••
•
DESCRIPTION
ACCOUNT
CRTY
AMOUNT
PAID
PAID`DATE
RECEIPT #
CHECK # .;
METHOD
CLTD
PAID BY
z
BY
PLAN CHECK/PERMIT
EXTENSION
101-0000-42600
1
$97.17
$0.00
PROCESSING
Total Paid for ADMINISTRATIVE: $97.17 $0.00
ART IN PUBLIC PLACES'-
270-0000-432010
$628.12
$0.00
RESIDENTIAL
Total Paid for ART IN PUBLIC PLACES - AIPP: $628.12 $0.00
HOURLY PLAN CHECK -.
101-0000-42600
1.75
$122.50
$0.00
YES
Total Paid for BLDG CITY STAFF - PER HOUR: $122.50 $0.00
BSAS SB1473 FEE
101=0000-20306
0
$19.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$19.00 $0.00
BSA:
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$0.00
DIF - COMMUNITY
254-0000-43200
0
$129.00
$0.00
CENTERS
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$0.00
DIF - LIBRARIES
253-0000-43200
0
$344.00
$0.00
DIF -PARK
256-0000-43200
0
$40.00
$0.00
MAINTENANCE
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$0.00
DIP -STREET
255-0000-43200
0
$116.00
$0.00
MAINTENANCE
-
DIF -TRANSPORTATION
250-0000-43200
0
$2,842.00
$0.00
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$0.00
Printed: Monday, July 25, 2016 1:56:06 PM 3 of 7
SYSTEMS
Printed: Monday, July 25, 2016 1:56:06 PM 4 o 7 C1?w.1YSTCMS
NT
PAID.
7
METHOD
P'A DBY
CLT6
'DESCRIVTION
x
of
BY
TEMP POWER SERVICE
101-0000-42403
0
$16.02
$0.00
PC
Total Paid for ELECTRICAL: $41.09 $0.00
RESIDENTIAL, EA
101-0000-42403
0*
$73.98
$0.00
ADDITION 1,000SF
RESIDENTIAL, EA
101-0000-42600
0
$30.48
$0.06.
ADDITION 1,000SF, PC
RESIDENTIAL, FIRST
101-0000-42403
0
$145.03
$0.00
1,OOOSF
RESIDENTIAL, FIRST
10 1 1-0000-42600
0
$47.86
$0.00
1,000SF, PC
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $297.3S $0.00
RESIDENTIAL PRECISE
GRADING - CUSTOM.
101-0000-42468
0
$36.26
$0.00
HOME LOT >7KSF
RESIDENTIAL PRECISE
GRADING - CUSTOM
101-0000-42600
0
$181.29
$0.00
HOME LOT >7KSF PC
Total Paid for GRADING: $217.SS $0.00
CONDENSER/COMPRES
101-0000642401
0
$181.30
$0.00
SOR
CONDENSER/COMPRES
101-0000-42600
0.
$120.85
$0.00
SOR PC
EXHAUST HOOD
101-0000-42402
0
$12.09
$0.00
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$0.00
FURNACE
101-0000-42402
0
$181.30
$0.00
FURNACE PC
101-0000-42600
0
$120.85
$0.00
VENT FAN
101-0000-42402
0
$120.90.
$0.00
Printed: Monday, July 25, 2016 1:56:06 PM 4 o 7 C1?w.1YSTCMS
Printed: Monday, ]uly25,2O161:56:O6PM 5of7
17CLTVENT
FAN PC
101-0600-42600
0
$48.30
$0.00Total
Paid for MECHANICAL: $790.42 $0.00NEW
CONSTRUCTION .
101-0000-42400
$722.69
$0.00PERMITTotal
Pai - d for NEWCONSTRUCTION PERMIT: $722.69 $0.00NEW
CONSTRUCTION
0
$1,000.00
$1,00b.00
11/19/14
R2927
5266
CHECK
PETER JACOBS HOMES101-0000-42600
SKHPLAN
CHECK
INCNEW
CONSTRUCTION101-0000-42600
0
$S22.04
$0.00PLAN
CHECKTotal
Paid for NEW CONSTRUCTION PLAN CHECK: $1,522.04 $1,000.00.BACKFLOW
DEVICE
101-0000-42401
0
$12.09
$0.00BACKFLOW
DEVICE PC
101-0000-42600
0
$4.83
$0.00BUILDING
SEWER
101-0000-42401
0
$12.09
$0.00BUILDING
SEWER PC
101-0000-42600
0
'$12.09
$0.00FIXTURE/TRAP
101-0000-42401
0
$302.2S
$0.00FIXTURE/TRAP
PC
101-0000-42600
0
$302.25
$0.00GAS
SYSTEM, S+OUTLETS
101-0000-42401
0
$36.26
$0.00GAS
SYSTEM, S+101-0000-42600
0
$24.17
$0.00OUTLETS
PCROOF
DRAIN
lol-0000-42401
0
$12.09
$0.00ROOF
DRAIN PC
101-0000-42600
0
$12.09
$0.00WATER
HEATER/VENT
101-0000-42401
0
$24.18
$0.00,WATER
HEATER/VENT
.101-0000-42600
0
$14.SO
$0.00PC
Printed: Monday, ]uly25,2O161:56:O6PM 5of7
1� — I
x-- 7
—
— I — 7-;> �
'YA 1,r,� 7,e
v
RECEIPT,W
FINAL**
CkIPTI N-'
E,
AMOUNT41k,,,�,
�-PAIMt '_,1,PA'1l5'bATE`
11/19/2014
12/10/2014 11/2S/2014
':�'• tHE61(4-4-
4- E_HOU
�4PAID'B
ALTOUNIAN
S,
MEN
ARM
BY.'
WATER SYSTEM
101-0000-42401
0
$12.09
$0.00
12/10/2014 12/19/2014-
REVISIONS REQUIRED
SEE ATTACHED
PLANS READY FOR CORRECTIONS
ALT
INST/ALT/REP
NON-STRUCTURAL
JIM JOHNSON
2/24/201S
3/10/2015 3/10/201S
APPROVED
APPROVED
NON STRUC APPROVED
STRUCTURAL
KATHRYNSAMUELS
WATER SYSTEM
101-0000-42600
0
$12.09
$0.00
,INST/ALT/REP PC
Total Paid for PLUMBING FEES: $793.07 $0.00
SMI . RESIDENTIAL
101-0000-210308
0
$58.66
$0.00
Total Paid for STRONG MOTION INSTRUMENTATION SMI: .$S8.66 $0.00
SINGLE FAMILY
.
224-0000-203200
_
$1,837.44
$0.00
DETACHED
Total Paid for TUMF - RESIDENTIAL: $1,837.44 $0.00
.......... . . . . . ........... .. .. .. .... . .....
TOTALS:04110 $ 1,000.00
, 14,.
T.,
V i's
•
i hill
... REVIEWS
TAT
. . ..... .
_`t]rt�
'YA 1,r,� 7,e
v
2
FINAL**
E,
NON-STRUCTURAL
ARMEN'
11/19/2014
12/10/2014 11/2S/2014
REVISIONS REQUIRED
SEE ATTACHED
T.,
V i's
•
i hill
... REVIEWS
TAT
. . ..... .
E,
2
E,
NON-STRUCTURAL
ARMEN'
11/19/2014
12/10/2014 11/2S/2014
REVISIONS REQUIRED
SEE ATTACHED
RFC
ALTOUNIAN
MEN
ARM
STRUC TO YOUNG -DUE 12/10/14
STRUCTURAL
11/19/2014
12/10/2014 12/19/2014-
REVISIONS REQUIRED
SEE ATTACHED
PLANS READY FOR CORRECTIONS
ALT
NON-STRUCTURAL
JIM JOHNSON
2/24/201S
3/10/2015 3/10/201S
APPROVED
APPROVED
NON STRUC APPROVED
STRUCTURAL
KATHRYNSAMUELS
2/24/201S
3/10/2015 3/11/201S
REVISIONS REQUIRED
15T P/C CORRECTIONS
1ST PLAN CHECK CORRECTIONS
Printiad: Monday, July 25, 2016 1:56:06 PM 6 of 7 CB?w-1YS7EMS
BOND INFORMATION -
APPROVED 3/10/2015 PLAN CHECK WAS DONE BY
NON-STRUCTURAL
JIM JOHNSON
4/13/2015
4/27/2015
4/24/2015
APPROVED
ETRAKIT ENABLED
ARMEN
STRUCTURAL
KATHRYN
4/13/2015
4/27/2015
4/23/2015
REVISIONS REQUIRED'
N/S IST REVIEW
SAMUELS
DOC
11/25/2014'
ARMEN ALTOUNIAN
53-714 VIA DONA.docx
NON-STRUCTURAL -
0
'
COMMENTS.docx
-
NON STRUC APPROVED 4/24/15
JIM JOHNSON
5/18/2015
6/1/2015
6/4/2015 •
APPROVED
2 WK
` BURT HANADA
EXTENSION REQUEST
EXTENSION REQUEST
_
1
HOLD NEED EXTENTION PLAN CHECK EXPIRED
STRUCTURAL - 2 WK
YOUNG
5/18/2015
6/1/2015
6/8/2015
READY FOR APPROVAL
ENGINEERING
Via Dona.pdf
_CONDITION
4TH SUBMITTAL -
DOC
-
KATHRYN SAMUELS
1. Update the date of engineer stamp on plan.
1ST PW GREEN •
AMY YU
7/21/2016
7/28/2016 _
7/25/2016
REVISIONS REQUIRED
FRAMING PLAN
2. Have engineer sign the plan.
SHEET
DOC
- 6/8/2015
KATHRYN SAMUELS
4TH SUBMITTAL -TRUSS
Censorio Truss review
Emailed Peter Jacobs the comments. 771
0
REVIEW LETTER
letter.pdf
- -
BOND INFORMATION -
Printed: Monday; July 25, 2016 1:56:06 PM
7of7
CffW.1ySTrM*S
CREATED ".
Attachmentjypg-p •0C
a OWNER
,DESCRIPTION a
.`s"ti-`PATHNAME "' .SUBDIR _
ETRAKIT ENABLED
� �
N/S IST REVIEW
DOC
11/25/2014'
ARMEN ALTOUNIAN
53-714 VIA DONA.docx
0
'
COMMENTS.docx
-
'
APPLICATION '
APPLICATION
DOC6/15/2016
` BURT HANADA
EXTENSION REQUEST
EXTENSION REQUEST
_
1
BRES2014-1230 -S3-714
BRES2014-1230 53-714
r
Via Dona.pdf
Via Dona.pdf
4TH SUBMITTAL -
DOC
6/8/2015
KATHRYN SAMUELS
REVISED STRUCTURAL
5-Censorio S-1.2.0df
0
FRAMING PLAN
DOC
- 6/8/2015
KATHRYN SAMUELS
4TH SUBMITTAL -TRUSS
Censorio Truss review
0
REVIEW LETTER
letter.pdf
- -
3RD SUBMITTAL
3RD SUBMITTAL
,
DOC •
4/14/2015
-STEPHANIE KHATAMI
CORRECTION LIST AND
CORRECTION LIST AND
0
COMMENTS 4-15-15.pdf
COMMENTS 4-15-15.pdf
DOC
7/10/2015
STEPHANIE KHATAMI
HOA APPROVAL 53714
HOA APPROVAL 53714
0
-
VIA DONA.pdf
VIA DONA.pdf
Printed: Monday; July 25, 2016 1:56:06 PM
7of7
CffW.1ySTrM*S