BRES2014-1071;78-495'CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
BRES2014-1071
49871 VIA KATALINA
602160015
ENC. EXISTING PATIO
$13,142
Applicant:
\� .,uIry
aNMUCl/ VOICE (760) 777-7125
U ` FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/2/2014
Owner:
PATRICIA KELM_NS
718 AVE NIDA AZOR
SAN CLEMENTE. CA 92253
Contractor:
RISEN CONSTRUCTION
82-775 CHARLE3TOWN AVE
INDIO, CA 92201
(760)347-15399
Llc. No.: 79238--
- - - - - - - - - - - - - - - - - -
9238_
------------------ --------------------------------=---------- ---------------------- - - -- - -
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjurylthat 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: B
�DZ LN792318
ctor:atte: Contra
OWNER-BUILDER DECLARATION %--
I
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.).
(_) 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 Na
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
the work for which this permit is issued.
o _ I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the perfcrmance 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 370 the Laborde-1-sh II forthwith
comply with those provisions.
Datd
Date: 7 z Applicant: G /�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UP LLAWFU ,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP" 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 :he Building Official for a permit subject to
the conditions and restrictions set forth on tris application.
1. Each person upon whose behalf this apFlication 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 Citi of La Quinta, its officers, agents, and
employees for any act or omission related tc 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 is-:uance of such permit, or cessation of work
for 180 days will subject permit to cancellat-ion. .
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 elating to building
construction, and hereby authorize representatives of this city to nter upon the above-
mentioned property for inspection purposes
Da[e —� Signature (Applicart or Agent): i
FINANCIAL .••
' ryDESCRIPTION tr..
` s SACCOUNT. f
QTY;` �4rAMOUNT� x�:°`
PAID
i' `'
sPAID DATE'
ADDITION, EA ADDITIONAL 500 SF
101-0000-42400
0 $61.49,
$0.00
PAID Bi, x '"� '
"` METHOD ;_ :
,, ,; RECEIPT #� `,r
CHECK # '.
CLTD BY.``
; G
".
f
~r 'DESCRIPTIONS r r z `°x.:
ACCOUNT;
QTY
` AMOUNT
'.,PAID:
;PAID {DATE
.
,
ADDITION, EA ADDITIONAL 500 SF PC
101-0000-42600'
0
$17.16
$0.00
` y'•PAID BY
METHOD
RECEIPT #
CHECK #
r.CLTDBY�
` s '' DESCRIPTION "r x
ACCOUNT
QTY;
AMOUNT
.PAID
„PAID,DATE
ADDITION, FIRST 100 SF
101-0000-42400
0
$120.12
$0.00
- Y PAID BY `P
METHOD �.,- '
RECEIPT #
.CHECK #
CLTD. BY.,
t� �"
,-
, 3✓x
y.
_ =.DESGRIPTION�,
ACCOUNT� '
QTY:
`AMOUNT �
- PAID
'PAID DATE'
ADDITION, FIRST 100 SF PC
101-0000-42600
0
$168.74
$0.00
K * Qy PAID-BY
RECEIPT #
CHCK#;
CLTD B!Y-'
Total Paid forADDITION: $367.51 $0.00
' l � DEONSCRIPTI'� `` t
ACCOUNT
Q TY"
AMOUNT.
t PAID;=
PAID DATE;
r _.sem
-F
ff ,
sr.
BSAS SB1473 FEE
101-0000-20306
0
'$1:00
$0.00
-ME HOD
.,,":RECEIPT#
CHECK'# '
-CLTDBY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
.DESCRIPTION -
5 ' '^ ACCOUNT r
QTY
AMOUNT kaXPAID
fi�
',PAID DATE
..•
_
HOURLY PLAN CHECK - YES
101-0000-42600
1.5
$105.00
$0.00
e r € PAID'BY*
METHOD,o
RECEIPT # F g
is a
CHECK # =
�sCLTD BY'
ACCOUNT & °_T
QTY'
AMOUNTS
:.PAID' °
PAID DATE
HOURLY PLAN CHECK - YES
101-0000-42600
1.25
$87.50
$0.00
PAID'.BYLrr ,E
a METHOD
x r RECEIPT #
CHECK # s,t
BY
v
Ul x
ECLTD
Total Paid forCITY' STAFF - PER HOUR: $192.50 $0.00
-bESCRIPTION ., ��ti
t ` $ ,:t
ACCOUNT '..
QTY.+•
. »M
AOUNT'-PAID
PAID DATE
... -:� x
:,4_ F
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$143.00
$0.00
J PAID:BY, z� '�
.,
METHOD
r.
% RECEIPT #' €
CHECK # 'i F
CLTD BY"�
,
z
.
RIPT3
Mr
.AOUN
T
1 PAID r
PAID DATE +
.
�'
RESIDENTIAL, FIRST 1,000SF; PC
101-0000-42600
0
$47.19
'$0.00
ti it s9 "rw
PAID BY
-' METHOD'
RECEIPT # r ri
h " CH'ECK # '= ;
BY.
y
,yCLTD
.�
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $190.19 $0.00
.. ., :._:
;: DESCRIPTION
.. o
-ACCOUNT,
QTY
i
PAID
- 77
DATE'
. k
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
$11.92
$0.00
C '..Y S'41} �5 f ..}Y'L!'°Yi A.b Y:. P�
s k PAID` BY x -
Ori 1• ,•,... {. .
" " METHOD ".` •
.' k:.,
" RECEIPT #
' CHECK #
n ,
CLTD BY":.
.- •`iC.
s.'s..}..ai. -t..•
..: Dish.
:'a
21
:DESCRIPTION T' `
` M1
,_; ACCOUNT t . t "*;
QTY,;
AMOUNT
Al"PD
PAID DATE;
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$4.77
$0.00
PAID BY ,;' ' "' ?
r- METHOD
RECEIPT #
CHECK #
CLTD BY s
•
s,„
Total Paid for MECHANICAL: $16.69 $0.00
ES
DCRIPTION'
ACCOUNT.':.'
QTY'.
AIVIOUNTt;
PAID
PAID DATE
r yf
, .
SMI - RESIDENTIAL
101-0000-20308
0
$1.71
$0.00
° PAID BY
METHOD `:` . ' :'
RECEIPT #
'CHECK ,# ,'
CLTD BY+'
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $1.71 $0.00
TOTALS:.• $0.00
,e.
Description: ENC. EXISTING PATIO
ADDITIONAL
Type: BUILDING, RESIDENTIAL •,
Subtype: REMODEL
Status: APPROVED
Applied: 7/22/2014 JJO
Approved: 8/28/2014 JJO
Parcel No: 602160015 Site Address: 49871 VIA KATALINALA QUINTA,CA 92253
Subdivision: TR 28912
Block:
Lot: 39
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $13,142.32
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 _
No. Stories: 0
No. Unites: 0
Details: ENCLOSE EXISTION PATIO AND EXTEND THE EXISTING KITCHEN PATIO AREA.
* , eApplied to. Approved
Printed: Tuesday, September 02, 2014 12:33:30 PM 1 of 4 C 11171.1
ADDITIONAL
CHRONOLOGY
;- . ,,.._ .� . __ ..:., .-- ,. . �--• �
Grpp•-CHRONOLOGY TYPE �'±, STAFF NAME
-;: a :. ...,,,.. y; . --::.. - : ,. :. x y � .w -, -,i--,, s
; DATE y COMPLETION DATE
- - ...,�y ., ,: . ,amu; :i 7 az ,.«, '. �,
NOT Y>,, t ,+
$
-'ACTION
, .
TELEPHONE CALL JIM JOHNSON
8/28/2014
8/28/2014
CALLED APPLICANT 8/28/2014 PLANS READY TO ISSUE
CONDITIONS
CONTACTS
3 T1fPE Y` mq. NAME;. ADDRESSir' _•
CITY - r,� STATE: s ZIP `";' PHONE. FAX
.NAME z.,��""T! 'a
,t Cs'vr�`5.:,
t "..-
x -yr•:r tea.
CONTRACTOR' RISEN CONS I RUC:I IUN '
82-775 CHARLESTOWN
INDIO CA
9a301
AVE.
OWNER PATRICIA KELMENS.
718 AVENIDA AZOR
SAN CLEMENTE CA
92253
Printed: Tuesday, September 02, 2014 12:33:30 PM 1 of 4 C 11171.1
INSPECTIONS
Printed: Tuesday, September OI2O1412:33:30PKx ' 2c� | '
' . . ===°="==~= V`TF"`
`
`
PAID DATE
R
ID BY'
ADDITION, EA
10 1-0000-42600
$17.16
$0.00
ADDITIONAL 500 SF PC
-
ADDITION, FIRST 100 SF
101-0000-42400
0
-'$120.12
$0.00
ADDITION, FIRST 100 SF
101-0000-42600
0
$168.74
$0.00
PC
Total Paid forADDITION: $367.51 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
HOURLY PLAN CHECK -
101-0000-42600
1.5
$105.00
$0.00
YES
HOURLY PLAN CHECK -
101-0000-42 600
1.25
$87.50
$0.00
YES
Total Paid forCITY STAFF - PER HOUR: $192.50 $0.00
RESIDENTIAL, FIRST
i01-0000-42403
0,
$143.00
$0.00
RESIDENTIAL, FIRST
101-0000-42600
0
$47.19
$0.00
1,OOOSF, PC
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $190.19 $0.00
APPLIANCE
101-0000-42402
0
$11.92
'$0.00
APPLiANCE
101-0000-42600
0
$4.77
$0.00
REPAIR/ALTERATION PC
Total Paid forMECHANICAL: $16.69 $0.00
SMI - RESIDENTIAL
101-0000-20308 1
0.
$1.71 1
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $1.71 $0.00.
INSPECTIONS
Printed: Tuesday, September OI2O1412:33:30PKx ' 2c� | '
' . . ===°="==~= V`TF"`
`
`
SEQID
�. �,.f.�j�y#{: : r'.
�, t -`_ca i ,
Y � '-�
y
...
.
x_j"INSP.ECTION,TYPE;r'>
.....ir�j,.,
J .� , iw{.-....it /. !T ;,,. .k ww W.-'*.
.._."'d �. 11 ,.... .}.qq •' -.:a..+
.T £.. .]Y. �?!". �
�':-, •� _ - � � . ,_. R ,. •
�_>.. z . c� .: _. �. ,A�"�. mss
rr.
�'Cs1NSPECTOR A•r_ '
K. w. -.../.!( 1- �e ^., •• .
� N:: - H .. ''S � .� .Y°'AC�
. 7• ,.i:. k5` A'
� -:, � �_ •;s�
>... ,'{a .e� ..� ,�, ...�::.�..,"
,,_
SCHEDULED..COMPLETED'
. _ �:.
i iw .+-Y. �
. e�!y 'y..
>A
`DATE�,x• .
. r_ .. _- , a
., �,..-,:-.
♦!j .: ... y..m
-,. if
;tDATE z�<.,
:s .•s„*,
Ef.. -
} ' ...f'...n T
4•.' 3�
�. ,�1 •� 3rN
�.k-�'. ,�,.
� !'
^,C 'R isa • „�
vi:. `.k :E'�fiYL • yS .L..y
�,-• 'Ak h..
.t'n �a_ •"Q`��'� '•� 4
:�. �� .
;�#;�.�.,...� s_. :� _ �_r-:.r
e. "4 x. �.! Rv.."� ..:; .3"Yf'
� ,��. p4M � ....fs. 3?+-. ; :�.
� r r�... ,� y +*" L S.
aM4��� §'., 4 t:y fit•: �i}^•i ��a .r C:`�' �..M
r t _ � ��: �,. -1�.,;
a'' .'�`�:: as:� i�:^:; as��. acct r.,na::+
SLAB
PIERS
GAS LINE/TEST•
`
TEMPLATE FOOTING
ROUGH PLBG
UNDERGROUND GAS
^r
INSULATION
`
EPDXY
DRYWALL NAIL
ROOF NAIL
GRADE BEAM
SETBACKS
A
SEWER CONNECTION
ROOF DRAIN
FOOTINGS
UNDERGROUND PLBG
TEMP USE OF PERM PWR
FLOOR NAIL
OKAY TO WRAP
FINAL**
SHOWER PAN
DRYPACK
LATH
"
FRAMING
Printed: Tuesday, September 02, 2014 12:33:30 PM 3 of 4 CyC TF RAC
�
'
' .
PARENT PROJECTS
REVIEWS
AS
NON-STRUCTURAL
JIM JOHNSON
8/28/2014
APPROVED
APPROVED 8/28/2014
STRUCTURAL
JIM JOHNSON
8/28/2014
9/12/2014
APPROVED
STRUC. PLAN CHECK BY YOUNG ENGINEERING
APPROVED 8/28/2014
G' �G OLID �jy► fk 13 -b81 iv ori
y . � r �Our
a�e�sUJ
i��LsCj.
`p9
City of La Quinta
.2oK4 '071 Building 8r SafetyDivision
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
�G �i -A
Project Address:
Owner's Name:
A. P. Number:
Address: s4
Legal Description: -'3q rnj-
;ZEFYC .
City, ST, Zip: &Z
Contractor:
Tele h ne•
Address:_
t✓
Project Description:
City, ST, Zip: jj
270
*^
Telephone:/SIJ –�^,
>:::.;::.::.;•.l.:.::>;>:,>;;,,.r.:,•,.;:
�--
State Lie. # :
l
City Lie. #..
Arch., Engr esigner:
Ue
Address:J_
161&L7 S4!�—
G I'D
City., ST, Zip: lK
111,C 6'L
Telephone:
::Es«s;;::::€<:::>`;>`:<:':'.?> >
;¢
Construction Type: Occupancy:
State Lic. #:
Project type circle ne • New AddI n Alter Repair Demo
Name of Contact Person:
r57s-(nSq.
Ft.:/&
# Stories:
# Units:
Telephone #,of Contact Person: S,
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
Z
Reviewed, ready r corrections
Plan Check Deposit
Truss Cales.
2—
Called Contact crson
Ian Check Balance •
Title 24 Calcs.
2,
Plans picked up
Construction
Flood plain plan
Plans resubmitted
�y�
p
Mechanical
Grading plan
2°" Review, ready for correclio /issue
j, j�
Electrical
SC000
Subcontactor List
Called Contact Person Plumbing
Plans picked up
Plans resubmitted
' ' Review, ready for corre-' .er Impact Fee
Called Contact Perms " ��� t ,n.I P.P. U N . 2 20 R
Date of perr•'/
CITY OF LA QIJIN
COMMUNITY DEV LO
f
/ Total.Permil Fees
Grant Deed
H.O.A. Approval
IN HOUSE:-
Planning Approval
Pub. Wks. Appr
School Fees