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BRES2016-0012 Revision 178-495 CALLE'TAMPICO VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 4/.21/2016 Application Number: BRES2016-0012 Owner: Property Address: 52768 VIA DONA JOHN GUSTAFSON APN: 777410006 2040 E LIVE OAK DR Application Description: HIDEAWAY / FUSTAFSON / REMODEL (4) FIREPLACES LOS ANGELES, CA o Property Zoning: Application Valuation: $32,000.00 f----�^---�--. Applicant: Contractor: APR 2 DAZARTH STUDIO MONARCH HOMI L----- P.O.BOX 5083 49950JEFFERS0 `STREET #13o1Ty0FLAQUINTA LA QUINTA, CA 92247 LA QUINTA, CA 92 Mft'.UNP DEVELOPMENT DEPAMMENT (951)634-6381 Llc. No.: C28860 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 Business and Professions Code, and my License is in full force and effect. License Class: License No.: C28860 Date: Contractor: WORKER'S COMPENSAT-:ON 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 370C 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: OWNER -BUILDER DECLARATION Carrier:- Policy Number: _ I hereby affirm under penalty of perjury that I am exempt from the Contractor's State 1 certify that in the performance of :he work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree th. L, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions. 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 Date: Applicant: 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 WARNING: FAILURE TO SECURE WORKERS' CO %I PENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMII Al_ PENALTIES AND CIVIL FINES UP TO ( ) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($SOO,OOD). IN ADDITION TO THE COST OF compensation, will do'the work, and the structure is not interided or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose (� 1, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless theCity of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to t ie work being performed under or the Contractors' State License Law.). following issuance of this permit. (_) I am exempt under Sec. . B.&P.C. for this reason 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 Bssuance of such permit, or cessation of work for 180 days will subject permit to tante lation. 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 Add 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 represent.tives of this city to enter upon the above-mentioned property for inspection purposes. Date: Signature (Applicant or Agent): 'FINANCIAL INFORMATION 'DESCRIPTION ACCOUNT QTY AMOUNT' _ PAID PAID DATE HOURLY CHARGE - BLDG CITY STAFF 101-0000-42600' 0.5 $72.50 $72.50 4/21/16 PAID BY METHOD RECEIPT # . CHECK #,. CLTD BY DAZARTH STUDIO DEBIT R14963 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY PLAN CHECK - ESG 101-0000-42600 1 $98.00 $98.00 4/21/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DAZARTH STUDIO DEBIT R14963 RSE Total Paid for BLDG CITY STAFF - PER HOUR: $170.50 $170.50 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 3/25/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY MONARCH HOMES CHECK R14236 2156 RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:. $2.00 $2.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID ' PAID DATE FIREPLACE 101-0000-42400 0 $580.12 $580.12 3/25/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY MONARCH HOMES CHECK R14236 2156 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIREPLACE PC 101-0000-42600 0 $870.20 $870.20 3/25/16 PAID BY METHOD RECEIPT# CHECK # CLTD BY MONARCH HOMES CHECK R14236 2156 RSE Total Paid for FIREPLACE: $1,450.32 $1,450.32 DESCRIPTION ACCOUNT QTY AMOUNT = PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $4.16 $4.16 3/25/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY MONARCH HOMES CHECK R14236 2156 RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $4.16 $4.16 TOTALS: Description: HIDEAWAY / FUSTAFSON / REMODEL (4) FIREPLACES Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: ISSUED Applied: 1/26/2016 SKH Approved: 3/24/2016 JJO Parcel No: 777410006 Site Address: 52768 VIA DONA LA QUINTA,CA 92253 Subdivision: TR 29894-4 Block: Lot: 6 Issued: 3/29/2016 RSE Lot Sci Ft: 0 Building Sci Ft: 0 Zoning: Finaled: Valuation: $32,000.00 Occupancy Type: Construction Type: Expired: 9/25/2016 RSE No. Buildings: 0 No. Stories: 0 No. Unites: 0 2/9/2016 Details: REPLACE 4 FIREPLACES WITH NEW ISOKERN UNITS PER 2013 CRC CODES NOTE _'f Applied to Approved Approved to Issued Printed: Thursday, April 21, 2016 3:11:00 PM 1 of 4 SYSTEMS CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE JIM JOHNSON 2/9/2016 2/9/2016 NOTE JIM JOHNSON 3/10/2016 3/29/2016 waiting for the plans to be returned from stru p/c PLAN CHECK COMMENTS STRUC RFC ON 2/3/16. RECEIVED BACK 1N OFFICE ON FROM CONSULTANT KAY HENSEL 2/8/2016 2/8/2016 2/8/2016 RECEIVED PLAN CHECK COMMENTS FROM CONSULTANT RAMSES SEVILLA 3/22/2016 3/'22/ZU16 RECEIVED PLAN CHECK COMMENTS FROM CONSULTANT RAMSES SEVILLA 4/18/2016 4/18/2016 RECEIVED PLAN CHECK PICKED UP RAMSES SEVILLA 2/11/2016 2/11/2016 ALBERTO PICK UP PLANS 2/11/16 Printed: Thursday, April 21, 2016 3:11:00 PM 1 of 4 SYSTEMS PLAN CHECK SENT TO RAMSES SEVILLA 4/6/2016 4/6/2016 SENT NEW PLANS AND OFFICE COPY FOR FIREPLACE.RSE OUTSIDE PC PLAN CHECK SENT TO STEPHANIE KHATAMI 3/8/2016 3/8/2016 OUTSIDE PC PLAN CHECK SUBMITTAL RAMSES SEVILLA 4/6/2016 4/6/2016 ACCOUNT RECEIVED AMOUNT PAID PAID DATE RECEIPT # PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 3/8/2016 3/8/2016 RECEIVED CALLED ALBERTO TO INFORM HIM THE PLANS HAVE TELEPHONE CALL JIM JOHNSON 2/10/1016 2/10/2016 $72.50 4/21/16 R14963 DEBIT CORRECTIONS TELEPHONE CALL JIM JOHNSON 4/21/2016 4/21/2016 CALLED DAVID JACOBSEN TO INFORM HIM THE PLANS ARE READY TO ISSUE TELEPHONE CALL JIM JOHNSON 4/21/2016 4/21/2016 CALLED DAVID JACOBSEN TO INFORM HIM THE PLANS ARE $98.00 $98.00 4/21/16 R14963 READY TO ISSUE DEBIT DAZARTH STUDIO CONDITIONS ESG CONTACTS Total Paid for BLDG CITY STAFF - PER HOUR: $170.50 $170.50 NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT DAZARTH STUDIO P.O. BOX 5083 LA QUINTA CA 92247 CONTRACTOR MONARCH HOMES 49950 JEFFERSON LA QUINTA CA 92264 STREET #130 OWNER JOHN GUSTAFSON 2040 E LIVE OAK DR LOS ANGELES CA 92253 Printed: Thursday, April 21, 2016 3:11:00 PM 2 of 4 SYSTEMS FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY HOURLY CHARGE - 101-0000-42600 0.5 $72.50 $72.50 4/21/16 R14963 DEBIT DAZARTH STUDIO RSE BLDG CITY STAFF HOURLY PLAN CHECK - 101-0000-42600 1 $98.00 $98.00 4/21/16 R14963 DEBIT DAZARTH STUDIO RSE ESG Total Paid for BLDG CITY STAFF - PER HOUR: $170.50 $170.50 Printed: Thursday, April 21, 2016 3:11:00 PM 2 of 4 SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 3/25/16 R14236 2156 CHECK MONARCH HOMES RSE Total Paid for BUILDING STANDARDS ADMINISTRATION $2,00 $2.00 BSA: FIREPLACE 101-0000-42400 0. $580.12 $580.12 3/25/16 R14236 2156 CHECK MONARCH HOMES RSE FIREPLACE PC 101-0000-42600 0 $870.20 $870.20 3/25/16 R14236 2156 CHECK MONARCH HOMES RSE Total Paid for FIREPLACE: $1,450.32 $1,450.32 SMI - RESIDENTIAL 101-0000-20308 0 $4.16 $4.16 3/25/16 R14236 2156 CHECK MONARCH HOMES RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $4.16 $4.16 TOTALS: $1,626.98 $1,62698 INSPECTIONS BOND INFORMATION Printed: Thursday, April 21, 2016 3:11:00 PM 3 of 4 c SYSTEMS REVIEWS RETURNED STATUS REMARKS REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE NOTES 1ST BLDG NS (2 WK) JIM JOHNSON 1/26/2016 2/9/2016 2/2/2016 REVISIONS REQUIRED 1ST BLDG STR (2 KURT CULVER 1/26/2016 2/9/2016 2/3/2016 REVISIONS REQUIRED WK) 2ND BLDG NS (2 JIM JOHNSON 3/8/2016 3/22/2016 3/10/2016 APPROVED WK) ZNU BLUb 5'1 RIZ KUR'1 LULVER 3/8/ZUlb 3%22%2016 3/21/2016 READY FUR APPRUVAL WK) IST BLDG NS (2 WK) JIM JOHNSON 4/6/2016 4/20/2016 4/21/2016 APPROVED REVISION 1: FIREPLACE REVISIONS FIRST. RSE SEND OFFICE FIREPLACES COPY 1ST BLDG STR (2' KURT CULVER 4/6/2016 4/20/2016 4/14/2016 READY FOR APPROVAL REVISION 1: FIRST REVISION FOR FIRE PLACE SEND OFFICE WK) FIREPLACES COPY. RSE BOND INFORMATION Printed: Thursday, April 21, 2016 3:11:00 PM 3 of 4 c SYSTEMS Printed:. Thursday, April 21, 2016 3:11:00 PM 4 of 4 SYSTEMS ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED 1ST REVIEW BRES2016-0012 - 1ST DOC 2/4/2016 AJ ORTEGA STRUCTURAL FEE SHEET REVIEW STRUCTURAL 0 (ESGIL) FEE SHEET.pdf IST REVIEW BRES2016-0012 -1ST DOC 2/4/2016 AJ ORTEGA STRUCTURAL REVIEW STRUCTURAL 0 CORRECTIONS (ESGIL) CORRECTIONS.pdf 2ND REVIEW BRES2016-0012 - 2ND DOC 3/22/2016 AJ ORTEGA STRUCTURAL REVIEW STRUCTURAL 0 TRANSMITTAL TRANSMITTAL (APPROVED) (APPROVED).pdf BRES2016-0012 - REVISION 1 -1ST DOC 4/14/2016 AJ ORTEGA REVIEW STRUCTURAL REVISION 1- 1ST 0 REVIEW STRUCTURAL FEE SHEET FEE- SHEET.pdf REVISION 1- 1ST BRES2016-0012 - DOC 4/14/2016 AJ ORTEGA REVIEW STRUCTURAL REVISION 1- 1ST 0 TRANSMITTAL REVIEW STRUCTURAL (APPROVED) TRANS.MITTAL.pdf Printed:. Thursday, April 21, 2016 3:11:00 PM 4 of 4 SYSTEMS Bin # - lS City of La Qulnta 6 Building 8i: Safety Division . . 78-495 Calfe Tampico La Quinta, CA 92253 - (760) 777-7012 )2 Building Permit Application and Tracking ShEet Permit # `Zo 6-00 Project Address: �/ f� Owner's Name: AA A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: Telephone: Address:`5� Project Description: City, ST, Zip: Telephone: hone• State Lic. # : City Lic.In Arch., Engr., Designer: Address: City., ST, Zip: hone: oTele :Cn truction Type: snOccucY State• Lic. Project type (circle ne • New Add'n Alter Repairair Demo Name of Contact Person:Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcon(actor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. I-I.O.A. Approval Plans resubmitted Grading IN ROUSE:- '"! 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 Fecs iS EsGil Corporation In (Partnership with Government for Building Safety DATE: Apr 14, 2016 JURISDICTION: City of La Quinta PLAN CHECK NO.: BRES2016-0012. REV -I SET: I PROJECT ADDRESS: 52768 Via Dona PROJECT NAME: Home Remodel for Gustafson and Daly SFR. ❑ APPLICANT t2--JURIS. ❑ PLAN REVIEWER ❑ FILE ❑ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. ® The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. ❑ The plans transmitted herewith have significant deficiencies identified on -he enclosed check list and should be corrected and resubmitted for a complete recheck. ❑ The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. ❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. ❑ The applicant's copy of the check list has been sent to: ® EsGil Corporation staff did not advise the applicant that the plan check has been completed. ❑ EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: — (b Email: Mail Telephone Fax In P son ® REMARKS: Structural Only By: ' Rich Moreno Enclosures: BRES2016-0012 EsGil Corporation ❑ GA �❑ EJ ❑ MB ❑ PC Apr 7, 2016 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Bin # Permit # �a51,01LIP ^ Project Address: « city VI La Qui ! to Building 8i- Safety Division . . 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet 1 Owner's Name: aFSph ✓� A. P. Nwnber: oD Address: Legal Description: City, ST, Zip: LI -p— 7 Contractor: ' �1 Telephone: Address: •� � � Project Description: City, ST, Zip: �UI %� f 1 q - A f'� T elePhn oe �.. A State Lic. # : % City Lic. #; Arch., Engr., Designer: C� Address: 1P, V3. . City, ST, Zip: t' TeleP h on S3 Construction ucti n TY Pe•Occupancy: t to Lic. # Sa Project type (circle one):- New Add'n Demo Name of Contact Person: �y �_...... Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 3 '3 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # SGbmittal Rcq'd Rcc'd TRACKMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss CAIcs. Called Contact Person Plan Check -Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN IfOUSE--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, 1. Total Permit Fees �y