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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): uJ ¢w Z o 0 N = w � ga LL 9 QoWo � U Q z U 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� ,.r r !3 r • +9 •��, �t';'�r +�' �, ��4j .'L.r '�+�'°� "r1K, y f'd '1 r� ,�'� �9 � ��2 i �',f ,..gf'~ rt ..#'f. MW. ;i.:, , 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" y� ,.r r !3 r • +9 •��, �t';'�r +�' �, ��4j .'L.r '�+�'°� "r1K, y f'd '1 r� ,�'� �9 � ��2 i �',f ,..gf'~ rt ..#'f. MW. ;i.:, , 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.