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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