BRES2015-0028' �` �Q�i
78-495 CALLE TAMPICO D
r
LA QUINTA, CALIFORNIA 92253 ' 4+CI:UMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
i
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
BROCK J. PAYTON
8391 BEVERLY BLVD #482
LOS ANGELES, CA 90048
BRES2015-0028
80785 VIA MONTECITO
777400024
NSFD 7,105 SQ FT
$536,145.60
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Ch r
9 (commencing with Section 7000) of Division 3 of the Business and Prof ns Code,
and my License is in full force and effect.
License Class License No.::LIC-010
Date: V Contractorh
Y.
OWNER -BUILDER DECLATIO
I hereby affirm under penalty of perjury that I am exe rom 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 N
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
LARRY KAY & JENNIFER KESSLER
Contractor:
JEHA CONSTRUCTION, MICHAEL
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(925)250-4040
Llc. No.: :LIC -0102596
Date: 4/21/2015
WORKER'S COMPENSATION DECLARATION
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 y workers' compensation insurance carrier and policy number are:
Policy Number:
I i y that in the performance of the work for which this permit is issued, I
shall of 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 Sectio 700 of the Labor Code, I shall forthwith
comply wit those provisions.
Date: Applica
WARNING: FAILURE TO SECURE WORKERS' COM PENS I N COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE IES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000. IN DITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SE ION 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'ssuance 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 laws relating to building
construction, and hereby authorize representatives of (this ' to enter upon the ab
mentioned ropey for inspection purposes.
Date: Signature (Applicant or Agent):
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WORKER'S COMPENSATION DECLARATION
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 y workers' compensation insurance carrier and policy number are:
Policy Number:
I i y that in the performance of the work for which this permit is issued, I
shall of 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 Sectio 700 of the Labor Code, I shall forthwith
comply wit those provisions.
Date: Applica
WARNING: FAILURE TO SECURE WORKERS' COM PENS I N COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE IES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000. IN DITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SE ION 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'ssuance 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 laws relating to building
construction, and hereby authorize representatives of (this ' to enter upon the ab
mentioned ropey for inspection purposes.
Date: Signature (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT
QTY AMOUNT
PAID
PAID DATE
ART IN PUBLIC PLACES - RESIDENTIAL
270-0000-43201
0 $840.36
$840.36
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
Total Paid forART IN PUBLIC PLACES - AIPP: $840.36 $840.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$22.00
$22.00
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $22.00 $22.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$942.00
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - COMMUNITY CENTERS
254-0000-43200
0
$129.00
$129.00
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$433.00
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - LIBRARIES
253-0000-43200
0
$344.00
$344.00
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - PARK MAINTENANCE
256-0000-43200
0
$40.00
$40.00
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$2,048.00
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - STREET MAINTENANCE
255-0000-43200
0
$116.00
$116.00
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF -TRANSPORTATION
250-0000-43200
0
$2,842.00
$2,842.00
4/20/15
PAID BY T�
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
Total Paid forDIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$24.17
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
TEMP POWER SERVICE PC
101-0000-42403
0
$16.92
$16.92
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
Total Paid for ELECTRICAL: $41.09 $41.09
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF
101-0000-42403
0
$86.31
$86.31
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF, PC
101-0000-42600
0
$35.56
$35.56
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$145.03
$145.03
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$47.86
$47.86
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $314.76 $314.76
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL FINISH GRADING PC
101-0000-42600
0
$143.00
$143.00
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
Total Paid forGRADING: $143.00 $143.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
CONDENSER/COMPRESSOR
101-0000-42402
0
$181.30
$181.30
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$120.85
$120.85
4/20/15
PAID BY
METHOD
RECEIPT It
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
'QTY
^ _ AMOUNT
PAID
PAID DATE
EXHAUST HOOD
101-0000-42402
0
$12.09
$12.09
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$4.83
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FURNACE
101-0000-42402
0
$181.30
$181.30
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FURNACE PC
101-0000-42600
0
$120.85
$120.85
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
VENT FAN
101-0000-42402
0
$145.08
$145.08
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
VENT FAN PC
101-0000-42600
0
$57.96
$57.96
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL HEATER
101-0000-42402
0
$98.84
$98.84
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL HEATER PC
101-0000-42600
0
$48.36
$48.36
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
Total Paid for MECHANICAL: $971.46 $971.46
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$770.29
$770.29
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
Total Paid forNEW CONSTRUCTION PERMIT: $770.29 $770.29
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$64.12
$64.12
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
`ACCOUNT r
QTY
AMOUNT
4 PAID
PAID DATE
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$1,600.00
$1,600.00
1/30/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R3558
255
MFA
Total Paid forNEW CONSTRUCTION PLAN CHECK: $1,664.12 $1,664.12
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BACKFLOW DEVICE
101-0000-42401
0
$12.09
$12.09
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BACKFLOW DEVICE PC
101-0000-42600
0
$4.83
$4.83
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BUILDING SEWER
101-0000-42401
0
$12.09
$12.09
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BUILDING SEWER PC
101-0000-42600
0
$12.09
$12.09
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP
101-0000-42401
0
$290.16
$290.16
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP PC
101-0000-42600
0
$290.16
$290.16
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$36.26
$36.26
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 5+ OUTLETS PC
101-0000-42600
0
$24.17
$24.17
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
ROOF DRAIN
101-0000-42401
0
$96.72
$96.72
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
ROOF DRAIN PC
101-0000-42600
0
$96.72
$96.72
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT
101-0000-42401
0
$24.18
$24.18
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT PC
101-0000-42600
0
$14.50
$14.50
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.09
$12.09
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.09
$12.09
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
Total Paid for PLUMBING FEES: $938.15 $938.15
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$69.70
$69.70
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293,
SKH
Total Paid forSTRONG MOTION INSTRUMENTATION SMI $69.70 $69.70
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SINGLE FAMILY DETACHED
224-0000-20320
0
$1,837.44
$1,837.44
4/20/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LARRY KAY & JENNIFER KESSLER
CHECK
R5190
293
SKH
Total Paid forTUMF - RESIDENTIAL: $1,837.44 $1,837.44
TOTALS:0.$14,506.37
Description: NSFD 7,105 SQ FT
ADDITIONAL
Type: BUILDING, RESIDENTIAL
Subtype: DWELLING - SINGLE Status: APPROVED
Applied: 1/26/2015 KHE
CHRONOLOGY
FAMILY DETACHED
Approved: 4/15/2015 JJO
Parcel No: 777400024 Site Address: 80785 VIA MONTECITO LA QUINTA,CA 92253
Subdivision: TR 29894-4
Block: Lot: A
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $536,145.60.
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
CHECK # 246 FOR THE DEPOSIT WAS VOIDED AND REPLACED
Details: NEW 6128 Q. FT. SFD. THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, DRIVEWAY APPROACH, FIRE PIT, WATER FEATURE
OR BBQ. THIS HOME IS FIRE SPRINKLED PER 2013 CRC CODES.
2/9/2015
Printed: Tuesday, April 21, 2015 10:04:22 AM 1 of 7 CRWYSTEMs
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE COMPLETION DATE
NOTES
LETTER
PHILIP JUAREZ
4/7/2015
4/7/2015
SCHOOL FEE LETTER GIVEN TO MR. JEHA
-
CHECK # 246 FOR THE DEPOSIT WAS VOIDED AND REPLACED
NOTE
JIM JOHNSON
2/9/2015
2/9/2015
WITH CHECK #255, THE VOIDED CHECK WILL BE RETURNED TO
APPLICANT.
PENDING STRUC CORRECTIONS
NOTE
JIM JOHNSON
4/3/2015
4/14/2015
STRUC CORRECTION REQUIRED
NOTE
KAY HENSEL
4/14/2015
4/15/2015
PAID, NOT ISSUED, FEW OUTSTANDING ITEMS REQUIRED PER
NOTE
STEPHANIE KHATAMI
4/20/2015
4/20/2015
CHECK LIST.
PLAN CHECK COMMENTS
FROM CONSULTANT
KAY HENSEL .
2/13/2015
2/13/2015
1ST STRUCTURAL P/C RFC, 2/13/2015
RECEIVED
Printed: Tuesday, April 21, 2015 10:04:22 AM 1 of 7 CRWYSTEMs
fg. . .
u ,,��
l°�IJ d O d
OF Tk�t
PLAN CHECK COMMENTS
FROM CONSULTANT
KAY HENSEL
4/14/2015
4/15/2015
STRUC BACK FROM YOUNG ON 4/14/2015 - APPROVABLE
RECEIVED
PLAN CHECK PICKED UP
KAY HENSEL
2/27/2015
2/27/2015
MIKE JEHA PICKED UP PLANS & DOCS FOR CORRECTIONS
PLAN CHECK SUBMITTAL
PHILIP JUAREZ
3/25/2015
3/25/2015
RESUBMITTAL RECIEVED BROCK PEYTON 310-720-6589
RECEIVED
SENT TO PLAN CHECK
KAY HENSEL
1/26/2015
1/26/2015
STRUC TO YOUNG - DUE 2/13/15
CONSULTANT
CALLED BROCK PAYTON TO INFORM THEM THE PLANS ARE
TELEPHONE CALL
JIM JOHNSON
4/15/2015
4/15/2015
READY TO ISSUE. SEE READY TO ISSUE CHECK LIST FIRST
BROCK PEYTON CALLED 310-720-6589 IN REGARDS TO PLAN
TELEPHONE CALL
PHILIP JUAREZ
2/26/2015
2/26/2015
CHECK FROM INFORMATION IN TRACK IT AND FOLDER RFC.
HE SAID HE WILL PICK UP.
� _
NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL
APPLICANT BROCK J. PAYTON 8391 BEVERLY BLVD
LOS ANGELES CA
90048
#482
CONTRACTOR JEHA CONSTRUCTION, MICHAEL 0 OUTSIDE CITY LIMITS
LA QUINTA CA
92253
OWNER LARRY KAY & JENNIFER KESSLER 80-285 VIA PONTITO
LA QUINTA CA
92253
Printed: Tuesday, April 21, 2015 10:04:22 AM 2 of 7 TOLJ LJ YSTEMS
i N
� °' T��,� a?i ,� r�y.`�F�«"�:� tea= � ,•<. ... . .
v S -
of
Printed: Tuesday, April 21, 2015 10:04:22 AM 3 of 7 01M SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
LARRY KAY &
BSAS SB1473 FEE
101-0000-20306
0
$22.00
$22.00
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
Total Paid forBUILDING STANDARDS ADMINISTRATION $22.00 $22.00
BSA:
LARRY KAY &
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$942.00
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
DIF - COMMUNITY
254-0000-43200
0
$129.00
$129.00
4/20/15
R5190
293
CHECK
LARRY KAY &
SKH
CENTERS
JENNIFER KESSLER
LARRY KAY &
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$433.00
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
LARRY KAY &
DIF - LIBRARIES
253-0000-43200
0
$344.00
$344.00
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
DIF - PARK
256-0000-43200
0
$40.00
$40.00
4/20/15
R5190
293
CHECK
LARRY KAY &
SKH
MAINTENANCE
JENNIFER KESSLER
LARRY KAY &
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$2,048.00
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
DIF - STREET
255-0000-43200
0
$116.00
$116.00
4/20/15
R5190
293
CHECK
LARRY KAY &
SKH
MAINTENANCE
JENNIFER KESSLER
LARRY KAY &
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$2,842.00
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
Total Paid forDIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00
LARRY KAY &
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$24.17
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
I EMP POWER SERVICE
101-0000-42403
0
$16.92
$16.92
4/20/15
R5190
293
CHECK
LARRY KAY &
SKH
PC
JENNIFER KESSLER
Total Paid for ELECTRICAL: $41.09 $41.09
RESIDENTIAL, EA
l
101-0000-424030
1
$86.31
1
$86.31
4/20/15
1
R5190
1
293
1
CHECK
1
LARRY KAY &
1
SKH
ADDITION 1,000SF
JENNIFER KESSLER
Printed: Tuesday, April 21, 2015 10:04:22 AM 3 of 7 01M SYSTEMS
Permit Details PERMIT NUMBER
�Y itBR
y of La Qu i nta
ES
C •2015-002$
Printed: Tuesday, April 21, 2015 10:04:22 AM 4 of 7 ORl_/LJ srsrEMS
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
RESIDENTIAL, EA
101-0000-42600
0
$35.56
$35.56
4/20/15
R5190
293
CHECK
LARRY KAY &
SKH
ADDITION 1,000SF, PC
JENNIFER KESSLER
RESIDENTIAL, FIRST
101-0000-42403
0
$145.03
$145.03
4/20/15
R5190
293
CHECK
LARRY KAY &
SKH
1,000SF
JENNIFER KESSLER
RESIDENTIAL, FIRST
101-0000-42600
0
$47.86
$47.86
4/20/15
R5190
293
CHECK
LARRY KAY &
SKH
1,000SF, PC
JENNIFER KESSLER
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $314.76 $314.76
RESIDENTIAL FINISH
101-0000-42600 T0
$143.00
T$143.00
4/20/15
R5190
293
CHECK
LARRY KAY &
SKH
GRADING PC
JENNIFER KESSLER
Total Paid forGRADING: $143.00 $143.00
CONDENSER/COMPRES
101-0000-42402
0
$181.30
$181.30
4/20/15
R5190
293
CHECK
LARRY KAY &
SKH
SOR
JENNIFER KESSLER
CONDENSER/COMPRES
101-0000-42600
0
$120.85
$120.85
4/20/15
R5190
293
CHECK
LARRY KAY &
SKH
SOR PC
JENNIFER KESSLER
LARRY KAY &
EXHAUST HOOD
101-0000-42402
0
$12.09
$12.09
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
LARRY KAY &
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$4.83
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
LARRY KAY &
FURNACE
101-0000-42402
0
$181.30
$181.30
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
LARRY KAY &
FURNACE PC
101-0000-42600
0
$120.85
$120.85
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
LARRY KAY &
VENT FAN
101-0000-42402
0
$145.08
$145.08
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
LARRY KAY &
VENT FAN PC
101-0000-42600
0
$57.96
$57.96
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
LARRY KAY &
WALL HEATER
101-0000-42402
0
$98.84
$98.84
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
Printed: Tuesday, April 21, 2015 10:04:22 AM 4 of 7 ORl_/LJ srsrEMS
Permit Dettails PERMIT NUMBER
' BRES-2015-0028
~ y 61 la Quinta
Printed: Tuesday, April 21, 2015 10:04:22 AM 5 of 7 OU U LJ YSTEMs
LTD
CBY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
LARRY KAY &
WALL HEATER PC
101-0000-42600
0
$48.36
$48.36
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
Total Paid forMECHANICAL: $971.46 $971.46
NEW CONSTRUCTION
101-0000-42400
0
I
$770.29
$770.29
I
4/20/15
I
R5190
I
293
CHECK
I
LARRY KAY &
SKH
PERMIT
JENNIFER KESSLER
Total Paid forNEW CONSTRUCTION PERMIT: $770.29 $770.29
NEW CONSTRUCTION
101-0000-42600
0
$64.12
$64.12
4/20/15
R5190
293
CHECK
LARRY KAY &
SKH
PLAN CHECK
JENNIFER KESSLER
NEW CONSTRUCTION
101-0000-42600
0
$1,600.00
$1,600.00
1/30/15
R3558
255
CHECK
LARRY KAY &
MFA
PLAN CHECK
JENNIFER KESSLER
Total Paid forNEW CONSTRUCTION PLAN CHECK: $1,664.12 $1,664.12
LARRY KAY &
BACKFLOW DEVICE
101-0000-42401
0
$12.09
$12.09
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
LARRY KAY &
BACKFLOW DEVICE PC
101-0000-42600
0
$4.83
$4.83
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
LARRY KAY &
BUILDING SEWER
101-0000-42401
0
$12.09
$12.09
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
LARRY KAY &
BUILDING SEWER PC
101-0000-42600
0
$12.09
$12.09
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
LARRY KAY &
FIXTURE/TRAP
101-0000-42401
0
$290.16
$290.16
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
LARRY KAY &
FIXTURE/TRAP PC
101-0000-42600
0
$290.16
$290.16
4/20/15
R5190
293
CHECK
JENNIFER ICE$$LER
SKH
GAS SYSTEM, 5+LARRY
101-0000-42401
0
$36.26
$36.26
4/20/15
R5190'
293
CHECK
KAY &
SKH
OUTLETS
JENNIFER KESSLER
GAS SYSTEM, 5+
101-0000-42600
0
$24.17
$24.17
4/20/15
R5190
293
CHECK
LARRY KAY &
SKH
OUTLETS PC
JENNIFER KESSLER
LARRY KAY &
ROOF DRAIN
101-0000-424010
$96.72
$96.72
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
Printed: Tuesday, April 21, 2015 10:04:22 AM 5 of 7 OU U LJ YSTEMs
y�
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,
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
RETURNED
REVIEW TYPE
LARRY KAY &
SENT DATE
ROOF DRAIN PC
101-0000-42600
0
$96.72
$96.72
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
DATE
NON-STRUCTURAL
JIM JOHNSON
1/26/2015
LARRY KAY &
2/10/2015
WATER HEATER/VENT
101-0000-42401
0
$24.18
$24.18
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
WATER HEATER/VENT
101-0000-42600
0
$14.50
$14.50
4/20/15
R5190
293
CHECK
LARRY KAY &
SKH
PC
JENNIFER KESSLER
WATER SYSTEM
101-0000-42401
0
$12.09
$12.09
4/20/15
R5190
293
CHECK
LARRY KAY &
SKH
INST/ALT/REP
I
JENNIFER KESSLER
WATER SYSTEM
101-0000-42600
0
$12.09
$12.09
4/20/15
R5190
293
CHECK
LARRY KAY &
SKH
INST/ALT/REP PC
JENNIFER KESSLER
Total Paid for PLUMBING FEES: $938.15 $938.15
LARRY KAY &
SMI - RESIDENTIAL
101-0000-203080
$69.70
$69.70
4/20/15
R5190
293
CHECK
JENNIFER KESSLER
SKH
Total Paid for STRONG MOTION INSTRUMENTATION SMt $69.70 $69.70
SINGLE FAMILY
224-0000-203200
$1,837.44
$1,837.44
4/20/15
R5190
293
CHECK
LARRY KAY &
SKH
DETACHED
JENNIFER KESSLER
Total Paid forTUMF - RESIDENTIAL: $1,837.44 $1,837.44
y t
xi� r AM, �` Ntip°�''+ i':... 1 �ir • } ?}� 'l.":. S' K y' -L•:; -h; 44—W't� �7�' 'e
cSSs?.��'��"'.Y'• l�.u'.ia..'W',@.SL%��ar''ir�'ia`se`SW'.. �3i • _ '^ i"
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,
RETURNED
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
STATUS
REMARKS
NOTES
DATE
NON-STRUCTURAL
JIM JOHNSON
1/26/2015
2/16/2015
2/10/2015
REVISIONS REQUIRED
SEE ATTACHED
1ST. PLAN CHECK COMMENTS
Printed: Tuesday, April 21, 2015 10:04:22 AM 6 of 7 C U N SYSTEMS
STRUCTURAL
KATHRYN
1/26/2015
2/13/2015
2/13/2015
REVISIONS REQUIRED
1ST STRUC P/C RFC
STRUC TO YOUNG - DUE 2/13/15
80-785 VIA
SAMUELS
0
DOC
2/10/2015
JIM JOHNSON
MONTECITO.docx
MONTECITO.docx
NON-STRUCTURAL
JIM JOHNSON
3/25/2015
4/8/2015
4/1/2015
APPROVED
PENDING STRUC APP
NON STRUC APPROVED
STRUCTURAL
KATHRYN
3/25/2015
4/8/2015
4/13/2015
APPROVED
STRUC APPROVABLE -RETURNED ON 4/14/2015
SAMUELS
HOA LETTER 04-15-
0
DOC
1ST PW GREEN
AMY YU
4/20/2015
4/22/2015
4/20/2015
READY FOR APPROVAL
SHEET
SCHOOL FEE RECEIPT 04
SCHOOL FEE RECEIPT 04
0
DOC
4/20/2015
STEPHANIE KHATAMI
Printed: Tuesday, April 21, 2015 10:04:22 AM 7 of 7 Cg?" SYSTEMS
BOND INFORMATION
Attachment Type CREATED
'
OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED
80-785 VIA
80-785 VIA
0
DOC
2/10/2015
JIM JOHNSON
MONTECITO.docx
MONTECITO.docx
GRANT DEED 05-08-
0
DOC
4/20/2015
STEPHANIE KHATAMI
GRANT DEED 05-08-14
14.pdf
HOA LETTER 04-15-
0
DOC
4/20/2015
STEPHANIE KHATAMI
HOA LETTER 04-15-15
15. pdf
SCHOOL FEE RECEIPT 04
SCHOOL FEE RECEIPT 04
0
DOC
4/20/2015
STEPHANIE KHATAMI
-10-15
-10-15.pdf
DOC
4/20/2015
STEPHANIE KHATAMI
SUB LIST 04-20-15
SUB LIST 04-20-15.pdf
0
CONSTRUCTION DEBRIS
CONSTRUCTION DEBRIS
MANAGEMENT PLAN
0
DOC
4/20/2015
STEPHANIE KHATAMI
MANAGEMENT PLAN
80785 VIA MONTECITO
BRES2015-0028.pdf
PM10 APPROVAL 04-20-
PM10 APPROVAL 04-20-
0
DOC
4/20/2015
STEPHANIE KHATAMI
15
15.pdf
Printed: Tuesday, April 21, 2015 10:04:22 AM 7 of 7 Cg?" SYSTEMS
r
i1 Gl� P.O. BOX 1504
Building ICJ 78-495 CALLE TAMPICO
Ar1rIrPCC �r% �' � V IA M oOfILP-10M LA QUINTA, CALIFORNIA 92253
JAN 232014
APPLaMAM WWA
COMMUNITYD7EILOPMENT
owner
LACIZ ?
BUILDING: TYPE CONST.
A.P. Number ?77
I ��j��
f^r'r7CC. GRP.
V-
— 4 Io _ O 2 4
Mailing
Address
Legal Description GGT
Project Description i�1Fiw
570 1l�owErfA r LldJM4-�1
�+
i�4��C•fi �Sl�is(�L taA^Ily
AWA ION
Address
City
Zip
Tel.
Sq. Ft. -7
Size f i�S
No. No. DIN.
Stories Units
State Lic.
& Classif.
City
Lic. #
t Arch En9r , �� , Aa ' ` Q
--Desi ner r TpF/ 1. C
New Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address Tel.
Sol q1 qwe*4 6wp
X82
City
/ 5 ��I S
Zip IState
1000
Lic. # o"-*{�
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 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.
Estimated Valuation
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
(Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct,
alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for
permit to file a signed statement that he is licensed pursuant to the provisions of the Contrac-
tor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code, or that he 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).
PERMIT
[
2-5-SAMOUNTsuch
Plan Chk. Dep.
L
Plan Chk. Bal.
01, 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 Profes-
sions Code: The Contractor's License Law does not apply to an owner of property who builds or
improves thereon and who does such work himself or through his own employees, provided that
such 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 did
not build or improve for the purpose of sale).��.J
❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the
project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply`
to an owner of property who builds or improves thereon, and who contracts for such projects with
a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reasonjAN
Const.
Mech.
Electrical
j
Plumbing
16— :. .. ...
S. M.I .
Grading
Driveway Enc. ::; _
_
2 0 - u
Date owner
Infrastructure -
r. .-M'
CITYI
WORKER'S COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's
Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
� � 1.Ji 611 I ti
t d1 U�
Policy No. Company
❑Copy is filed with the city. ❑Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
TOTAL
CONTACT INFORMATION
or less).
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 Workers' Compensation Laws of California.
NAME:
PHONE:
Date Owner
NOTICE TO APPLICANT. 11 after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
ZONE: BY:
Minimum Setback Distances:
CONSTRUCTION LENDING AGENCY
Front Setback frDm Center Line
I hereby affirmthat there is a construction lending agency for the performance of the work for
which this permit is issued. (Sec. 3097, Civil Code.)
Rear Setback from Rear Prop. Line
Lenders Name
Side Street Settack from Center Line
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
Side Setback from Property Line
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 representatives of this city to enter the above-mentioned
property for inspection purposes.
FINAL DATE
Issued by:
INSPECTOR
Date Permit
Signature of applicant Date
Mailing Address
Validated by:
Validation:
"
City, State, Zip
WHITE = BUILDING DEPARTMENT YELLOW
= APPLICANT
PINK = FIMANCE
Coachella Valley Unified School District
83-733 Avenue 55, Thermal, CA 92274
(760) 398-5909 — Fax (760) 398-1224
This Box For District Use Only
DEVELOPER FEES PAID
AREA:
AMOUNT
LEVEL ONE AMOUNT:
LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
COMM/MD. AMOUNT:
DATE:
RECEIPT:
CHECK #:
MITIALS
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: Te Hidea
Owner's Name: Larry Kay/Jennifer Kessler
Project Address: 80-785 Via Monrecito, LaQuinta
Project Description: New SFD
APN: 777-400-024
Tract #:
Type of Development: Residential XXi Commercial
Total Square Feet of Building Area: 6,128
Date: April 10, 2015
Phony No. 925-250-4038
Lot #'s:
Industrial
Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under
penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer.
Dated: April 10, 2015 Sign
**********************************>«*******]*****************************
SCHOOL DISTRICT'S REQUIREMENTS FOR THE
ACCORDANCE WITH ONE OF THE FOLLOWING:
HAVE BEEN OR WILL BE SATISFIED IN
Education Code Gov. Code Project Agreement Existing Not Subject to Fee
17620 65995 Approval Prior to 1/1/87 Requirement
Note:
Number of Sq.Ft. 6128 Pursuant to AB 181 any room additions or enclosures of 500
sq. ft. or less are exempt from developer fees. Any mobile
Amount per Sq.Ft. $3.36 homes being relocated within the same school district's
Amount Collected $20590.08 jurisdiction are exempt from. developer fees.
Building Permit Application Completed: Yes/No
By: Elsa F. Esqueda, Director of Facilities and Maintenance
Certificate issued by: Laurie Howard, Secretary Signature: �jrQ��(,/1,� � i �L )Czt Gl
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the
project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these
Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to
advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other
requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this
time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of
Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up
to three (3) such extensions may be granted.
M V:c/mydocs'devfees/certificate of compliance form updated 3-2007 11/2010
PW
Lawyers Title
RECORDING REQUESTED BY:
VERSAL SETTLEMENT SERVICES
Order No. 614680848
Escrow No. 797-WM
Parcel No. 777-400-003
Al4le-TA-.Y S'r7X9z5A4'& 4� 70
AND WHEN RECORDED MAIL TO:
LARRY KAY
-7-124 OHO-AfaO
GRANT DEED
DOC # 2014-0169093
05/08/2014 02:53 PM Fees: $21.00
Page 1 of 3 Doc T Tax Paid
Recorded in Official Records
County of Riverside
Larry W. Ward
Assessor, County Clerk & Recorder.
"'This document was electronically submitted
to the County of Riverside for recording—
Receipted by: SGOMEZ
THIS LINE FOR RECORDER'S
Tq j(JNDERSIGNED GRANTOR(S) DECLARE(S) THAT DOCUMENTARY TRANSFER TAX IS $880.00 and CITY $
jL��JI computed on full value of property conveyed, or
computed on full value less liens or encXrances remaining at the time of sale.
❑ unincorporated area: La Quinta, and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Thomas R. Leonard and Linda Leonard, Trustees of The Thomas R. Leonard Family Trust dated 9-17-84
hereby GRANT(S) to Larry Kay,' a single man
the following described real property in the County of Riverside, State of California:
See Exhibit "A" attached hereto and made a part hereof.
Date April 14, 2014
The Tho . Leonard F ' y T �tdat -17-
A e.-
A�omas d, rustee By: Linda Leonard, Trustee
STATE OF CALIFORNIA }
)S.S.
COUNTY OFR't 1 K— �� }
.��� l l ale (4 , before me, 1�ir� J • l -i i.,"f- "c> M(Z- { RAIC-,
personall appeared The Thomas R. Leonard Family Trust dated 9-17-84 who proved to me o e basis of
satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and
acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted,
executed the instrument.
I certify under PENALTY OF PERJURY under the laws bf the State of California that the foregoing paragraph is
true and correct.
CZ�BIE A. HODGE
WIT SS my han official seal. / rn ' . ' Commissfon 11986637 e
co ' °'" Notory PubAc • Collrornlo 0i
Rlverslde County N
Signature (S 1) My Comm rvnlr he" 2016
Mail Tax Statement to: SAM S ABOVE or Address Noted Below
Description: Riverside,CA Document — Year.DocID 2014.169093 Page: 1 of 3
Order: v Comment:
DOC #2014-0169093 Page 3 of 3 05/08/2014 02:53 PM ¢"
EXHIBIT "A"
THE LAND REFERRED TO HEREIN IS SITUATED IN THE COUNTY OF RIVERSIDE, STATE OF
CALIFORNIA, AND IS DESCRIBED AS FOLLOWS:
PARCEL NO. 1:
LOT 57 (THE "LOT") OF TRACT NO. 29894-4, IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE,
STATE OF CALIFORNIA, AS SHOWN BY MAP ON FILE IN BOOK 351, PAGES 49 THROUGH 57,
INCLUSIVE OF MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY.
EXCEPTING THEREFROM TO GRANTOR, AND ITS SUCCESSORS AND ASSIGNS, INTEREST IN ALL
WATER, MINERALS, OIL, GAS, PETROLEUM, OTHER HYDROCARBON SUBSTANCES AND ALL
GEOTHERMAL ENERGY SOURCES IN OR UNDER SAID LAND OR WHICH MAY BE PRODUCED FROM
SAID LAND.
PARCEL NO. 2:
NONEXCLUSIVE EASEMENTS FOR ACCESS, INGRESS, EGRESS, DRAINAGE, MAINTENANCE,
REPAIRS AND FOR OTHER PURPOSES, ALL AS DESCRIBED IN THE DECLARATION RECORDED
DECEMBER 13, 2002 AS INSTRUMENT NO. 2002-745938, OF OFFICIAL RECORDS.
ASSESSOR'S PARCEL NUMBER: 777-400-003-6
%' ription:•Riverside,CA Document - Year.DocXD 2014.169093 Page: 3 of 3
+ v Comment:
DOC #2014-0169093 Page 2 of 3 05/08/2014 02:53 PM
ACKNOWLEDGMENT
State of `.A I �-troF�►�l�A )
County of
On �tI 14 Z D (`-!' before me, h.EgEtia.1 E=—� 00 1AOTAqi
(insert name and title of the officer)
personally appeared -Fokn hWP�7 � ►.lt rvv=-:o k I F�
who proved to me on the basis of satisfactoryevidence to be the person(s) whose name(s) is/are.
subscribed to the within instrument and acknowledged to me that he/she/they executed, thesame in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted; executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
BBIt A. HODGE
N a Commission #1986637 N
WITNESS my hand and official seal. u, Notary Public • Callbmla m
Riverside C Kmty N
l i \ � r� 11 (� �•� � MY Camra. E1�A�.AM 29.4016
Signa
(Seal)
Description: Riverside,CA Document - Year.DocID 2014.169093 Page: 2 of 3
Order: v Comment:
April 15, 2015
Mr. Larry Kay and Ms. Jennifer Kessler
c/o Brock Payton
8391 Beverly Blvd. #482
Los Angeles, CA 90048
Re: Lot 57D at 80775 Via Montecito
Final Design Review #2
Dear Mr. Kay and Ms. Kessler,
This letter shall serve as notification that the Hideaway Design Review Committee (DRC) reviewed your
revised final construction documents at their meeting on April 7, 2015. The project was approved subject
to the following comments being addressed during construction.
The light fixtures may be acceptable, subject to heavily seeded glass; however, a specification
sheet must be submitted (specifically for the ball and chain fixture). The specifications should
detail how the ball and chain type fixture is powered as visible cords will not be allowed.
The contractor must verify all color and material specifications, including hardscape materials,
prior to purchase and installation. The blue coping at the wet edge was approved as submitted.
As a reminder, any modification from these approved plans that is proposed on the exterior of the
home including architecture, site layout, hardscape, landscape, detailing, etc. must be submitted
to the committee for consideration prior to implementation in the field.
Please contact Brook Marshall at 760-219-8057 or by email at DRCFacilitator@gmail.com with any
questions regarding this submittal or to schedule your Pre -Construction Meeting after a Building Permit
has been obtained by the City of La Quinta. No work may commence prior to this meeting and no
temporary facilities, such as signs and fencing (with the exception of the water meter) may be brought on
site prior to the Pre -Construction Meeting being held.
Sincerely,
THE HIDEA WA Y DESIGN RE VIE W COMMITTEE
By:
Title: C4 Hyl ,c, Date: !u ls�
cc: Larrykay®pkaymetal.com
BJPayton®hotmail.com
Gustavo Magana
Mike Jeha
DRC File
Pursuant to Cal. Civil Code, any rejection by the DRC may be appealed to the Board of Directors for the Association. /f you wish to pursue an
appeal, please contact the Association's property manager directly.
Letter of Transmittal
To: City of La Quinta Today's Date: 4-13-15
78-495 Calle Tampico City Due Date: 4-8-15
La Quinta, CA 92253 Project Address: 80-785 Via Montecitc•
Attn: Kay Plan Check #: BRES 2015-0028
Submittal: ❑ 1st ❑ 4th
® 2nd ❑ 55th
❑ 3'd ❑ Other:
We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS)
Includes: # Of Descriptions:
Copies:
Includes:
❑
Structural Plans
®
1
Structural Calculations
®
1
Truss Calculations Floor
❑
and Roof
®
1
Soils Report
❑
®
1
Structural Comment List/
❑
Responses
®
1
Redlined Structural Plans
❑
❑
Redlined Structural Calcs
❑
❑
Redlined Truss Calcs
❑
❑
Redlined Soils Reports
❑
Comments: Structural content is approvable.
If you have any questions, please call.
Time = 2 HR
This Material Sent for:
❑ Your Files
❑ Your Review
❑ Checking
Other: ❑
# Of
Copies:
1
2
❑ Your Pickup
Descriptions:
Revised Structural Plans
Revised Struct. Calcs
Revised Truss
Revised Soils Report
Approved Structural Plans
Approved Structural Calcs
Approved Truss Calcs
Approved Soils Report
Other:
® Per Your Request
❑ Approval
❑ .,At the request of:
BY: Kathryn Samuels r
Palm Desert Office: ® (760) 772-5107 4 2014
Other: ❑ GTT -,
®M�°IUIVlj� IJ �rA
"Nr
CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET
PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT
Form updated & effective 9/25/2009
Green Sheet approvals are forwarded to the Building & Safety Department directly by Public Works. Please DO
NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until ALL
requirements listed below are complete. 'Incomplete applications or applications which carnot be processed will be
returned to applicant.
'l
Date: 4 111
/r/J Developer: r*(C_W-A-C71_
Tract No.: Tract Name: �l Lot No. (s): P
Address(s): 90 29, C'(%,q- 1V01V_F6Z14 DPhone Number: 25 yo 3 g
The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the
Building & Safety Department:
❑ CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4, #5 & #7 BELOW
❑ TRACT HOMES: PROVIDE ITEMS #1, #2, #3 & #5 BELOW
❑ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3, #5 & #7 BELOW
❑ WALLS, SIGNS, OTHER: PROVIDE ITEM #6 BELOW
1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad
(maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates mist be current (within 6
months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet
submittal until a Pad Elevation Certificate can be provided.
2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed
Soils Engineer. Recently rough graded residential developments which have a previously approved
geotechnical certification are exempt from this requirement.
3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots.
4. Complete the attached < 1 acre per lot or infill project Fugitive Dust Control project information form, PM10
plan & agreement or provide alternative & valid City approved PM10 plan set refereice number or hard copy
plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with
grading plans & are subject to additional requirements. A current PM10 certification number is required.
5. Attach a copy of the rough or precise grading plan to the Public Works Department showing building
locations) for pad elevation verification. AO flood zone developments will require an approved flood plain
development plan.
6. Attach supporting documentation for wall plan, monument sign, grease trap or special facility installations.
7. Complete and sign the attached water quality management plan (WQMP) exemptior form; if applicable. PW
approved building construction projects require either a WQMP or a completed WQMP exemption form.
Approved maps/plans maybe viewed at the following link: http://www.la-guinta.org/PlanC-ieck/m search.aspx
I have reviewed and confirmed the requirements listed above as presented and find the improvements to be
sufficiently complete for construction of the proposed buildings/structures/walls/signs on the subject lot(s).
Pursuant to my findings, the above project may be released for building permit issuance.
This section completed by City taff. `
Recommended by: Date: 4./-�-o/ `
Public Works Distribution: ( Green Sheet to Building & Safety
( ) Green Sheet to Planning Department
Declined for approval for reason(s) as follow(s), please correct and resubmit:
TAChecklists - Forms & Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 10-02.12.doc
City of La Quinta - PM10 Fugitive Dust Control Project Information
Construction Phase PM 10 Aareement (< 1 acre/lot or Infill Proiect)
Project Information
Project Contractor:
Project Phase
(check one)
❑ Construction
❑ Demolition
Project Name: ZCSS L
Project Tract/Lot Numbers: l
Project Street Address:
Total Acres in Active
Construction (< 1 acre per
Lot):
Anticipated Start Date: _/_/_ Anticipated Completion Date:
PM10 Contact Information
Please note: Dust control is required 24 hours a day, 7 days a week, regardless of
.construction status. Person listed below is responsible ' for dust control during
business and non -business hours.
Name:
((�-Q�
Title:
Company Name:
Mailing Address:
, J
' f3—
City, State, ZIP Code:
Primary Phone #:�
Fax #:
24 Hour Emergency
Phone#:
� v
Cell Phone #:
Email Address:
PM10 Certificate #:
�U 'tO C/,.57--
The above stated nronertv owner (or authorized renresentativel-
Shall act as his/her .acknowledgement of dust control requirements and their enforceability, pursuant to
SCAQMD Rules 403, 403.1, 401, 402, 201, 203 and PERP;
Shall constitute an Agreement to comply with all project conditions as identified in the approved dust
control plan.
Acknowledges that dust control is required twenty-four (24) hours a day, seven (7) days a week,
throughout the period of project performance, regardless of project size or status;
•:• Shall ensure that each and every contractor, subcontractor and all other persons associated with the project
shall. be in continuous compliance with all requirements of the approved dust control plan;
Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the
dust control plan are necessary;
Shall authorize representatives of City/County to enter the property- for inspection and/or abatement .
purposes;
Shall ho ar es the City/County and its representatives from liability for 'any actions related to this dust
controplan or a it unty initiated abatement activities. /
Signature of Pro erty wne or Authorized Representative Date
Building Permit Number.
Project Description: SFR
Exempt: ❑
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
Pian Submittal Datel 4/20/2015
Job Site Addressl 80785 Via Montecito
Owner's N
Number, Street, or PO
CRY, State, Postal C
Owner's Phone Nun
Owner's E -Mail Add
Project Managers
Project Managers Phone N
Project Managers E-mail A+
Builder / Contn
Number, Street or PO
City, State, Postal C
Michael Jeha Construction
80785 Via Montecito
La Quints, Ca 92253
Fax; 760-777-7011, Stephanie
Mike Jeha
925-250-4038
ieheconstrucgongbool.com
Michael Jeha Construction
53408 Via Pisa
La Quints, Ca 92253
Project Square Footage 1 6,100
City Approval By
Date of City Approval
91.1
U
Materials To Be Discarded:
Product
Tons
Trash
0 Not recyclable
Product
Tons
Asphalt
0 Recyclable
Masonry (broken)
0 Recyclable
Bdck/Block
0 Recyclable
Plaster
0 Recyclable
Cardboard
0 Recyclable
Scrap Metal
0 Recyclable
Commingled
0 Recyclable
Tile (floor)
0 Recyclable
Concrete
0 Recyclable
Tile (roof)
0 Recyclable
Drywall
0 Recyclable
Wood
0 Recyclable
Donated / Reuse'
0 Recyclable
Landscape Debris
0 Recyclable
'Describe Items
0
0
0
Totals: �R—eecycllei Trash
UJ F 0
Projected Diversion:
#DIV/Ol
1 understand it is the property owners responsibility to submit copies of weight tickets or recelpts to the District
Environmental Coordinator as time hauls occur. I hereby certify that completion, implementation and adherence of the
Debris Management Plan (DMP) for the above named project shall guarantee that at least 50% of" jobsite waste is
diverted from IandfUUng. The remaining material will be recycled or reused. I wiU divert, for recycling or re -use, remaining
materials generated from the first day of the project through the completion of the project in accordance with this plan. This
DMP Is Issued to the name of the property owner(s) and shag remain their property throughout the construction and/or
demolition project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP is still
Issued in the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the
DMP are adhered to. The property owner(s) and general contractor shag be kept informed of the diversion progress through
bi-monthly reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer
Owner / Developer / Project Manager / Superintendent Data .
Q
Vj� QtNj� fD
CITY OF LA QUINTA SUBy-CONTRAC OR LIST
JOB ADDRESS V� PERMIT NUMBER K'DCOZOWNER 5 V` -BUILDER
This form shall be posted on the job with the Building Inspection. Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this iob. Anv changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance.