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BRES2015-0347LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70001 of Division 3 of the Business and Profe ions Code, and my License is in full force and effect. License Class: License No.: 889021 Date: / ( Contract OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that l am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that.requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: () I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law.does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ( ) I, as. owner of the property, am exclusively contracting with licensed contractors. to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). I ) 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 foe the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: (714)997-7117 LIC. No.: 889021 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' compensatio , s provided for by Section 3700 of the Labor Code, for the performance j r rwhich this permit is issued. ave and will maintain workers' compensation insurance, as required by 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'. compensation insurance carrier and polity number are: Carrier: _ Policy Number: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should becomes je o the . workers' compensation provisions of Section 3700 of the Labor shall forthwith comply with th se p visions. Date: / Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to b015 - construction, and hereby authorize'representatives of this city to enter upon above-men/tiol o erty for inspection purposes. Date:. ( / / Signature (Applicant or Agent): 38 VOICE (7.60) 777-7125 78-495 CALLE TAMPICO D FAX FAX (760) 777-7011 LA QUINTA,. CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT (760) 777-7153 BUILDING PERMIT F,afte�.­11416/2015 Application Number: BRES2015-0347 Owner: Property Address: 58050 ARACENA 15 SARAH CATTERSON ©n7� APN: 764610007 14643 N SOMERSET CIR z Application Description: NEILSEN / OUTDOOR FIREPLACE; PIZZA OVEN, BBQ, COOKTOP, SINK GREEN OAKS, IL 92253 Property Zoning:Application Valuation: $50,000.00 �:oC3 Applicant: Contractor: GABRIEL RIOS GREG RAAB CONSTRUCTION IN 49901 CINNABAR LN 1100 W KATELLA AVENUE #H INDIO, CA 92253 ORANGE, CA 92867 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70001 of Division 3 of the Business and Profe ions Code, and my License is in full force and effect. License Class: License No.: 889021 Date: / ( Contract OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that l am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that.requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: () I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law.does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ( ) I, as. owner of the property, am exclusively contracting with licensed contractors. to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). I ) 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 foe the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: (714)997-7117 LIC. No.: 889021 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' compensatio , s provided for by Section 3700 of the Labor Code, for the performance j r rwhich this permit is issued. ave and will maintain workers' compensation insurance, as required by 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'. compensation insurance carrier and polity number are: Carrier: _ Policy Number: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should becomes je o the . workers' compensation provisions of Section 3700 of the Labor shall forthwith comply with th se p visions. Date: / Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to b015 - construction, and hereby authorize'representatives of this city to enter upon above-men/tiol o erty for inspection purposes. Date:. ( / / Signature (Applicant or Agent): -i grz 191 n m -g - AMOUNT fi W HOURLY PLAN, CHECK - YES :101-0000-42600 $10.06 $0.00 R', 301" RA7 RUN N R �'M PAIDZY ON mis"so'kia SIR; q g g gg -g - - _,0k g H tt W R R Total :Paid f0ii BLDG CITY STAFF - PER, HOUR: - $76.00 1$0.00 ^,k,63: W. 'g ON g mow AMOUNT 110, 1, M, M NN m NAWNSFVYWNtU f7 Q I•PAID`iii`T N BSAS SB1473 FEE '101-0000-20306... 0. $2.00 $0.00- k'PAID'WA M A f! THOD90. w gw 14:Q51* Iffl% z ;m IN I'M IN 7"M INW, '""m Total Paid for BUILDING STANDARDS -ADMINISTRATION BSA: - $2.00° $0.00 I'DESCRIPTONM A M_A* _Nlk, Wvi:)3, -g-ggri" n�wgr" FRAMWj 1Y QT MItAIN-Hp.-IT11-9 IT. 0� !i �$M.',RMNNN_ 1PAIDH WNDATEN, DEVICES, FIRST 20 '101-0000-42403 0 $24.17 $0.00 A�k Q r PAID BYE MN V RIN! 'iv -.v tx _,Wto, IPTION-% I W, W k4ffi 0 ge,9M, 'CCfl., ffi -4 1 M M.- PAID J5N 'PAIUWAI&Kf ,E DEVICES, FIRST.20'PC .101-0000-42600 0 $24.17 $0.00 *r ti PAID BY HOD , W; j*', W -71 I'M 114, NMCHE CW# gy 2,0!157M, 7mFZ CLTD$ Y',&-, Total Paid for ELECTRICAL: , $48.34 $0.00 `DESCRIPTIONS 8: A COUNT N X 7 &� -w` "M n. NUM. m %%4 'AID T OATEN _ - "A 1pii -AID FIREPLACE 101-0000-42400 $145.03 $0.00 % a PAID BYEP 0 0: R MR 1 4, 1.0 ON ME!` .41.0R.P.M.L.AfNitgn�1 RECEIPT-j#dq`-r A �g ��MMET "Ok IN NP144 v I mnn,.,w.TN NWWW�, 4 D tS 'C"R"I ki'l 0 .. RIM, %4"M M 0 U N T MiR A Ag, IRM i�r,,P,Kft-fm FIREPLACE PC 101-0000-42.600 0 .$217.SS :0.00 W -e4 R -�BYE 1- !, pt 01, -Wl#gig X, CExlt M�ww. w ,E Z, r Q LTD,BY Total *Paid for FIREPLACE: -,$362.58 $0.00. gg 0, "AMOUN AIV '7 'R IOU' 01"111 "MM bb W PAI -PAI MDATE,4 P:Sfm.MKA'=, Wq, R4� APPLIANCE REPAIR/ALTERATION 101-0000-42402 0' :$12.09 -'$0.001-. g- N11 THOW-1 RAR CH ECK40, - CLTWBYrQ0 nu, iifflET Jit��DESCRIPT IONM`� "M R., I x 4g'� -4 A 0 U N T 51.4,4EINO' g',P`A_1D'MATE,*f i.R V gANg'. 1.0'.11 -Al. ,TIRNPAIVT��, 3MOON ..N.M.- k iv 7.!R,.K.,73k APPLIANCE 7REPAIR/ALTERATION PC 101-0000-42600 .0; $4.83 $0.00 _Z�- 4-p. PAIMBW".. ia i gr ;gw!" C ggpiAp�q,!;­' ",4 gg t, igm� m mg. i , R Total Paid for MECHANICAL: $16.92 $0.00' A s. ,s 01 WOW C 05 -DESCRIPTION v FIXTURE/TRAP 101-0000-42401 0 $12.09'. $0.00 Mlmq wa mw�n, m q m 21� R CHECK E C K # nocilf-blyN M41 �,M'�.v sf x> :, ONS , �' DESCRIPTI ::<',-'°. :..,�".={=n re 'a:. �,i`, SRA h tea• . -� CCQUNT�r , : P,{ Elf, P�4i =,:i `,s,°w: 4=¢ , 3 ": , .ISM E£J:£ :� -EH''`l�a. "I �� P.AID-3Y 4 PAID DATE" ,..�a .%::2:v: .:.:° :4,3 `i ✓sikl i=.+..4 ,: ,.r•c,Y�•i�'. , ,. ,QTEYAMOUNT, •�,_..., L:Tws's erg._--tt4. ):fir .�... :.>sF 1-1 I" - _-`" '. 3'.x'%✓. ?"s,d4�.. .x •. ..�.?i-"d'�.J FIXTURE/TRAP PC 161-y0000-42600 0�` : „. $12:09 $0i✓s.F.0e0 �. J:%d >:. ✓..."'»r 3 . �•4»iW �' -, 0' Y �*v . rk Y 3 .n $ A 'f PAID„BY i�< „ �.':>? .... -, ..- P.. .�:tFTr<. 4g{(x wg ,x" 3' •ktl IN r:r �METHQD���RECEIPT#_..� ` 4 ,.:.":4 �"` CY.. $ 2 5A -i"�i P' " "y i'. ` . CHECKf'#GLTD BYE" L.Z:Y,,'•..�vs'.i3.fttlai...,avYt.k..;n•L:.++<239:riRe'�Y, "#,w''.3i'"",5,..•p•3kFFr�A.l��,pz:." �l'i '� ih�iFe b -�"S., ..a:... r r n:>.-n.✓#%:w?a4tr5E`�e .,71Y ,'° (•'� o<. n :i 'f< r� > Y ON�z���� Si,s' #' _x esfr.S- k': ".. r ACCOUNT �. �atx.." .. QTYrAMOUNT y ..r'3a P`'f- R "f PILL'4 S ,Ei q Y4iit-:�,1>£ .3' t �fM D PAI y&4id.:w. PAID DATE .:. RIs, �a .10 { - y; GAS SYSTEM, 1-4 OUTLETS'. 101-0000-42401 0, $12.09 ' $0.00 sf=3 PAID BY xF. METHOD�s K Yom. ta.<a ,# { ,:..x�, as f:l�v 3G`+7,F,w"y� P„vK`161101 . �_ S :> '. •{§! rye i''°e 'DESCRIPaTION'=, x«r _ ...;.. tS.. :-,a.x,.a'.b�r.fi=v�:"�"�`,�" . ° ^w �9x d QTY 4 :..,<+,�{'�•3�[�i.�@�'� �eF,. '� � PAID�PAIDD`ATE E.?`xxSt t.>E�.`,Q'l, `"".• 1��t'� .y �a�."rrr'.sz8.>[£. $ACCOUNTS .:ev 1.,.....yL�eQ?s.'.rc.i::.Y?'SYw`:�V^.4£iN:>3"F-,`jwR{Fi3'_hx:=^.4,s:k';;.:zf:� GAS SYSTEM, 1-4 OUTLETS PC > 101-0000-42600. '0 $24.17 $0.00 - u�:A:f;; PAID BY, ' y .:; ��: £; ,; a " a METHOD�� � ���•�r-���������,.. o " ' RECEIPT # � ECKs#a';�*:�:...<�sar:�4 -:��; CLTD BY'.' .,z a`.r.�{ . ` Sc.t _°e;.,re. ,;-:;T`'5e�`'.,.' ii t:.�"Y.>,�`-~i:n.�''cx >i58---�'��C DESCRIPTIO f+s*3 :[ ? rf PAID �` _PAID,DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 .0 ' , $12.09 $0.00 . 6 yslt ':S°C: =wE.. �x. `e g p a r � �k : �-<», im",4; .h45:. ;:FieH:e- ,l' ,.,;#x . •. §-Y ��� ME,N,660 0 ;: 3 .ua`."Y,' SBS :.t <v�>:�}: XY •'" ?fin 9� 3 s RECEIPT # �P �� _ a "`i: q =NE K'#' C C Dr6 {fig Y� i a'E",<4z,v�=ate: 3 M CLT ,.nS'is9X'F.....3-.""»,. i1 ,:."Fw.L �S®Yi "..$ .z ' -?:. „Z°, s ACCOUNT Q TY' "�e'.r.w1+';P l =A MOUNT. _ T C3 I'd4:=d°.X 'r'ixi` «7T.'»1':'""^.'.. '<`x.. . PAIDDATE �.. Ett`DESCRIPTION :=g ux:>'1�'' 6005z<,,`>. 1-`V , R? Irff�'mEses'aif€.fc":8 ., :iiE,09. "ani ti.8. F3' .a �'�t ° 'i :?x ". `.-Y; � ._a >:: ' .y -x .vA',3sfib: �. ° :n ,..z'.-: w?f>F ..,::.:Me WATER -SYSTEM INST/ALT/REP PC 101=0000=42600 ' 0 $12.09 a: �•5 �• PAID;BY�METHOD �' ':7 :��i'ax�"' �il�a ;:� @' ,g��-��Y'�� - �XY'�'#:;, ix:�; �';"^� -y RECEIPT# q��-'�-a: a'�-.:ham>">r CHECK.#K �'•:,r-�r�-c-<, - CLTD SY ..t.='.T......,f&'s.is`.Y,..:irssr<'"ex,.r;-xcn"'a�'.>•a;1R:�ri�-t`'-T.;' &.'t,er»",'.ST,J,e4."'s2.2C- Total Paid1or PLUMBING FEES: $84.62:: $0.00 ` S s >+DESCRIPTION. ',ON s ,.,r{ ,x.aasrw ACCOUNT€gur TY a -:AMOUNT s rni y;PAIO PAID�DATE 1x REMODEL, EA :ADDITIONAL 500 SF, 101=0000-42400 0 $21.75.. '$0:00 ria '3i" {14. r 2' `� +:s .F..=.., e"a.e'§?e<.,4:-.,br"d €, i -s: y:"$i �. METHOD P. "4�Y°:._; ':"1 ;'aY ,e-=+'�'. '' `���RECEIPT#; `:�E "s-.'9': °G v�">re a I`t`d CHECKS#> ' " m'. ,-w'4.`; ::.ee=�3,. ., CLTDBY� ,`?` d�Y4'"'..,..�,:F:a. S:S3'mS2.'E'"xv'rs"a>zas•>"?.:`s„+`,i'u?, 111,�.��a.,:�=^.=a'xtet„� :>n r..:ae� �_+„: e 4' 'r,.2°pW.- z $ADESGRIPTIONy, ,3 , r„`4 . , :. r 4is'<'X. >%e :.. ^Y e.''%+.s�'PiY'.�d fax. .. .-p-:::�.,y -,' I`= `+ `' u �,,#• :,,� .:i, 'A000UNT=��¢_ u.0""n '' r`. .✓..-ii 3<. ::{+T:�, :i .aa '�u?'' Q TY bi??Eu4kdi�` t,"' , }AMOUNTPAIO;. r k r r::+>'�:$tz'>'''F 'Ot !`i{_''4;-$; 1.VN1- #qY"", '��XS .. C MIA "y�-. p r.t`3,RS:{.' PAID=DATE. dzcC?fd Fi'. REMODEL, EA'ADDITIONAL 500 SF PC REMODEL, 101-0000-12600 0 : • $17.40' $0.•00. F PAID;BY :�`�E `° ' £ ikMETHOD "'' �i���:1 �:�', f RECEIPT #' �_CHEGK'#°CLTD`BY;":: �:t��?��..',z:?a.,i�.�'�,�.:�- M,,;m?e'�.,`'.'WW-5 ..��>.,.���+H� �>�{ ����."x'at?? x�. �:��� ::env .��a"•.�?'z?,�3s :�Zm... �ti,.w ��; T%:�.�. �,::c�a>s;•r :w�a,:asi•�a.'a" -.0 tt i ' ,- DESCRIP,.TION,: :y.�.L' ¢g• -y. '. ;€ -:C"=>�aS .i ri! i 4 r $ a -�' .:. ;ACCOUNVkk- e"`' �i'. s _ & :n. r .,wLi T'Y 3 a " ' % R Pgf "=. W` = Z�{-f .,'^'."v .. "AMOUNT �f,s { - +3�-. .. a. , 'h. ,: 1:2i :YxAt. '^ if'mif. ��a +PAID �.`� S ... 0---,> PAID,DATE: hi��.•-�'„ ,3",. 3,'.vx,:N>6v::,rFAhi:$�T�&':4..:�-'`.i-`S tSa. ,?,'fY';'-F'SW:>�=.�"�'. "i%=�"m%' 1 7:E ''*'� d w.w.T?g.:.°$f.'h�63i�<>_tie'�: REMODEL, FIRST 100 SF 101-0000.42400 0 $49.31 $0.00 .�,. Y4YS,>(ye..; 'Ir .'..-4 x, PAID,=6Y { .. _: �R.,^;.:..wd.a';'r'.s�.>'�'A,zb.';-?Ts ' x�" I;., „�r METHOD $. 9'kRR:":g:..;.'f'i ;sRECEIR114, x " r CHECK #r, ., - - rCLTU-BY , ,F;:"_`... ux. r:'c:.;.tss.... r•;, '-xtTh=. 't- ..-:;&..,;. n- of ..<.:. r } #s,' {x, a,,t'�`i A° tay3;h DESCRIPTIONtit "s<� 34< { -r' k. t {> ��ACCOUNT E:A QTY . .aE ry ��AMOUNTtf -r-'-- �E PAID PAID DATE A. frf ern'! $ .,i,:. wxS &+sas>pF:..'.w.''-xa 8 `.� f.,51 :.z<..> ,.e.:?u ."r.>KS ,..,sw"CR7"aav:;+.'...°a:>rt�1'":. REMODEL, FIRST 500 SF PC , . 161-0000-42600 0 $134:88 $0.00 ri _! - ;'zr 'Y'PAID'BY 1��' .3-8',''av ..�, a 1za # s.,�^�".• ��.+ -".- , dXr: ,.., . z,y< w' 1, ,, ; rWVp? RECEIPT#CLTDBY �� CHECK# ..::,» RAia,>a[..,d`RR >�, Total Paid for REMODEL: $223'34 $0.00 .ii; " %x{%, _a.''D'"�x `C R' '�`4�3fu :.,.,,,Y DESCRIPTION,, az.�"" s"a"„�'`. ry �-e ss�->'.'.xn.du.. $�,�=A'CCOaUNT` .1 ;k ii QTY;»AMOUNT'°" -cS�i .' "NI $';t2 §'rT^`s� kgzFAIU,;FAIDDATE. 'g, ,.,,>,..,, .. !:<.o, r ,:Y ..q ^r 'a*' �x"b�`kfP�i;"y y.{ fY,55x94.w:,P:.i';Y'N'z't$K-'...'<�v:!:Xf'ita<.: X#�'t���. 5{. T515m`�`f'auffPY.'Y .�,Y?.vW'.Fi.'>s ::Y45vk <•Px,,",�tn.&+>X:i�S. SMI -RESIDENTIAL.. 101-0000-20308 :,' 0 .$6.50 " $0.00 JL�.aSi. ..... -'Y F rW .1 .4 M, e:S., .i �?'k .at" _ ...... t •{ 9 '. v < : ff; ;IT ID BY' 6 � � , � 's, '+. u. i..4t vn t,� 4. 3-1 �$:e € T r ; METHOD i w `''�`'>`.s"'�:.»;?i, r .d'�.:;i.;ilS, �y.,e� RECEIPT r•;., ... rn„- f.. -. -,. .x _�::•...t-w ..<xfi._:...,<f...'t8;�,.rw�z�',E«s..n�:.*».<w':. ?.:<a``i i."5�' Total Paid for STRONG MOTION INSTRUMENTATION SMI: $6.50 $6.00 Description: NEILSEN / OUTDOOR FIREPLACE, PIZZA OVEN, BBQ COOKTOP, SINK Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED Applied: 9/10/2015 SKH Approved: 10/20/2015 DO Parcel No: 764610007 Site Address: 58050 ARACENA LA QUINTA,CA 92253 Subdivision: TR 31681-2 Block: Lot: 7 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $50,000.00 Occupancy Type:- Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: ADD OUTDOOR FIREPLACE, GAS PIZZA OVEN, BBQ GRILL, OUTDOOR COOKTOP AND SINK. PER 2013 CRC CODES. Printed: Monday, November 16, 2015 3:18:06 PM 1 of 4 �� CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE. COMPLETION DATE NOTES NOTE JIM JOHNSON 9/16/2015 9/29/2015 PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 9/25/2015 9/25/2015 STRUC APPROVABLE -9/24/2015 RECEIVED PLAN CHECK SENT TO STEPHANIE KHATAMI 9/10/2015 9/10/2015 OUTSIDE PC PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 9/10/2015 9/10/2015 RECEIVED TELEPHONE CALL JIM JOHNSON 9/29/2015 9/29/2015 CALLED GABRIELTO INFORM HIM OF NON STRUC CORRECTIONS, STRUC IS APPROVED. TELEPHONE CALL JIM JOHNSON 10/9/2015 10/15/2015 CALLED GABRIEL TO GIVE HIM CORRECTIONS TELEPHONE CALL JIM JOHNSON 10/20/2015 10/20/2015 TALKED TO GABERIALTO INFORM HIM PLANS ARE READY TO ISSUE. NEED HOA APPROVAL Printed: Monday, November 16, 2015 3:18:06 PM 1 of 4 �� FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY: AMOUNT CONDITIONS PAID DATE RECEIPT # CHECK # METHOD w PAID BY CLTD BY HOURLY PLAN CHECK - 101-0000-42600 1 $70.00 YES CONDITION TYPE CONTACT DATE ADDED DATE DATE REQUIRED SATISFIED STATUS 101-0000-20306 REMARKS NOTES READY TO ISSUE CHECKLIST JIM JOHNSON 10/20/2015 11/20/2015 11/16/2015 COMPLETE NEED HOA APPROVAL Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $0.00 DEVICES, FIRST 20 CONTACTS 0 $24.17. $0.00 NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT GABRIEL RIOS 49901 CINNABAR LN INDIO CA 92253 101-0000-42400 0 $145.03 CONTRACTOR GREG RAAB CONSTRUCTION INC 1100 W KATELLA AVENUE #H ORANGE CA 92867 FIREPLACE PC 101-0000-42600 OWNER SARAH CATTERSON $0.00 14643 N SOMERSET CIR GREEN OAKS IL 92253 Total Paid for FIREPLACE: $362.58 $0.00 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY: AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD w PAID BY CLTD BY HOURLY PLAN CHECK - 101-0000-42600 1 $70.00 YES $0.00 Total Paid for BLDG CITY STAFF - PER HOUR: $70.00 $0.00 BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $0.00 DEVICES, FIRST 20 101-0000-42403 0 $24.17. $0.00 DEVICES, FIRST 20 PC 101-0000-42600. 0 $24.17 $0.00 Total Paid for ELECTRICAL: $48.34 $0.00 FIREPLACE 101-0000-42400 0 $145.03 $0.00 FIREPLACE PC 101-0000-42600 0 $217.55 $0.00 Total Paid for FIREPLACE: $362.58 $0.00 APPLIANCE REPAIR/ALTERATION 101-0000-424020 $12.09 $0.00 Printed: Monday, November 16, 2015 3:18:06 PM 2 of 4 Irmw_ DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY APPLIANCE- 101-0000-42600 0 $4.83 $0.00 REPAIR/ALTERATION PC Total Paid for MECHANICAL: $16.92 $0.00 FIXTURE/TRAP 101-0000-42401. 0 $12.09 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $12.09 $0.00 GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $0.00 OUTLETS GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $0.00 OUTLETS PC WATER SYSTEM 101-0000-42401 0 $12.09 $0.00 INST/ALT/REP WATER SYSTEM . 101-0000-42600 0 $12.09 $0.00 INST/ALT/REP PC . Total Paid for PLUMBING FEES: $84.62 $0.00 REMODEL, EA 101-0000-42400 0 $21.75 $0.00 ADDITIONAL 500 SF REMODEL, . 101-0000-42600 0 $17.40 $0.00 ADDITIONAL 5000SF PC REMODEL; FIRST 100 SF 101-0000-42400 0 $49.31 $0.00 REMODEL, FIRST 500 SF 101-0000-42600. 0 $134.88 $0.00 PC Total Paid for REMODEL: $223.34 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $6.50 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: 56.50 $0.00 TOTALS:00 Printed: Monday, November 16, 2015 3:18:06 PM 3 of 4 lL_ __- FINAL" IBLD PARENT PROJECTS ATTACHMENTS REVIEWS OWNER DESCRIPTION. REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS ` REMARKS NOTES 1ST BLDG NS (2 WK) JIM JOHNSON 9/10/2015 9/24/2015 9/16/2015 REVISIONS REQUIRED NEW CITY 1ST BLDG STR (2 WK) KATHRYN SAMUELS 9/10/2015 9/24/2015 9/24/2015 READY FOR APPROVAL 0 Printed: Monday, November 16, 2015 3:18:06 PM 4 of 4 Arlpiff_._-_ ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION. PATHNAME SUBDIR ETRAKIT,ENABLED DOC 9/16/2015 JIM JOHNSON 58-050 ARACENA.docx 58-050 ARACENA.docx 0 1ST REVIEW - NEW CITY DOC 9/24/2015 KATHRYN SAMUELS STRUCTURAL TRANSMITTAL BRES 0 TRANSMITTAL 2015-0347 (ist).pdf Printed: Monday, November 16, 2015 3:18:06 PM 4 of 4 Arlpiff_._-_ I. 58.0 5 0 AgAcEtJA Bin # City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calfe Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 12-�> 20 4D Proj6ctAddre,ss: 58-050 Aracena owner's Name: Louis & Sarah Neilsen A. P. Number: - 764-610-007 Address: 58-050 Aracena Legal Description: City, ST, Zip: La QUinta, CA 92253 Contractor: Greg Rabb Telephone:/��'0 Address: Project Description: City, ST, zip: Proposed added outdoor fireplace.. Telephone: (714) 724-949 .:•.:, . Proposed outdoor gas pica oven.: State Lic.#: City Lic.9: Proposed outdoor BBQ grill Arch., Engr., Designer. Gabriel Rios Proposed outdoor cookto p p - Address; 49-901 Cinnabar Lane Proposed ouoor sinK. • City., ST, zip: Coachella CA 92253.. Telephone: 760 485-7431 State Lic. #: N/A �„ `n ;. y;cg Construction Type: �/-B Occupancy: R-3 : Project type (circle one): New Add'n eller Repair Demo Name of Contact Person: Gabriel Rios Sq. Ft.: (E) 5,1171 # Stories: 1 #Units: Telephone # of Contact Person: 760 485-7431 Estimated Value of,P-r."oject: $50,000.00 APPLICANT: DO NOT WRITE BELOW THIS LINE tl Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, reedy for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance • Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 1rd Review, ready for corrections/issue Developer Impa :t Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fe -:s ANDALUSIA .HOME OWNER ASSOCIATION August 7, 2015 Mr. & Mrs. Nielsen 58-050 Aracena La Quinta, CA 92253 RE: Outdoor Kitchen Plan for 58-050 Aracena Dear Homeowner: The Design Review Committee has approved your Architectural Improvement Request for your rear yard outdoor kitchen based on the attached drawings and paperwork and with the following changes provided by RGA Consultants. Nielsen Residence / 58-050 Aracena Outdoor kitchen addition: I 1. There is no revised planting shown on the plan, please make sure all landscaping that can be seen from the golf course, is acceptable under the DRC guidelines. 2. The pizza ovens overall height should not exceed that of the adjacent property line wall and the finish shown on the front elevation rendering should extend to all sides of the structure. 3. The fireplace structure must conform to all city setbacks and codes. Please verify that it is gas and not wood burning, a wood burning fireplace wil not be approved. The overall height of the fireplace may exceed the height of the side yard wall but as it is located behind the side yard setback and wal appear as if it is an integral part of the covered patio. All work is to be completed within ninety days of the date of this approval, unless written consent for a longer period is received. The site must be cleaned up daily, including the driveway, street and gutter. No dumping of dirt or other debris is permitted anywhere on the property. . In accordance with the Architectural Guidelines, any variations from the original application and drawings must be approved in writing by the Design Review Committee prior to commencement of work. Landscape. Improvement Application August 7, 2015 Page 2 of 2. When all work on these improvements is complete, please notify this office so that the Design Review Committee may inspect the work and sign off on the file. Please contact me if you have any questions about your application. Sincerely, A DALUSIA AT C RAL OUNTAIN ASSOCIATION ennis By y Associatio Manager For the Design Review Committee