BRES2015-034178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4tw 4lwQu&rw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRES2015-0341
Property Address:
81105 COLUMBUS WY
APN:
767670028
Application Description:
MADISON CLUB / FILLER RESIDENCE LOT 1
Property Zoning:
Application Valuation:
$945,008.90
Applicant:
RAP / PAR DEVELOPMENT INC
P O BOX 1455
PALM DESERT, CA 92261
INC
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury 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.
License Class: B License No.: 681590
Date Contractor / ✓
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(—) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and'the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
he or she did not build or improve for the purpose of sale.).
( ) I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions.Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
U 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 Name:
Lender's Address:
111111111111111111
45
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/25/2016
Owner:
JAMES & CAROL FILLER
Contractor:-�
RAP/ PAR DEVELOPMENT
P 0 BOX 1455
INC
PALM DESERT, CA 92261
(760)340-4216
Llc. No.: 681590
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the wor -for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by.
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: _ Policy Number: _
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Dat/ -e? % ,�6 Applicant; 6
WARNING: FAILURE TO SECURE WORKERS' COMP SATION COVERAGE IS UNLA V;: -_'L,
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, DAMAGE5AS PROVIDED FOR IN SECTION 3706 OFTHE 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 building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Dam eyY�7 Signature (Applicant or Agen / LJ/
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT QTY AMOUNT
'PAID
PAID DATE
ART IN PUBLIC PLACES - RESIDENTIAL
270-0000-43201 0 $1,862.52
$1,862.52
1/22/16
PAID BY
METHOD RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK R12301
1037
SKH
Total Paid for ART IN.PUBLIC PLACES - AIPP:. $1,862.52 $1,862.52
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HOURLY CHARGE - BLDG CITY STAFF
101-0000-42600
1
$145.00
$145.00
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HOURLY PLAN CHECK - ESG
101-0000-42600
1
$98.00
$98.00
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
Total Paid for BLDG CITY STAFF - PER HOUR: $243.00 $243.00
DESCRIPTION
ACCOUNT
QTY,
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0.
$38.00
$38.00
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $38.00 $38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - CIVIC CENTER
.252-0000-43200
0
$942.00
$942.00
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - COMMUNITY CENTERS
254-0000-43200
0
$129.00
$129.00
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF -FIRE PROTECTION
257-0000-43200
0
$433.00
$433.00
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - LIBRARIES
2S3-0000-43200
0
$344.00
$344.00
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - PARK MAINTENANCE
256-0000-43200
0
$40.00
$40.00
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - PARKS/REC
251-0000-43200'
0
$2,048.00
$2,048.00
1/22/16
• ' PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - STREET MAINTENANCE
255-0000-43200
0
$116.00
$116.00
1/22/16
PAID BY
'METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - TRANSPORTATION
250-000043200
0
$2,842.00
$2,842.00
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
Total Paid for DIF - 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
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
TEMP POWER SERVICE PC
101-0000-42600
0
$16.92
$16.92
1/22/16
PAID BY
METHOD -
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
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
$160.29
$160.29
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF, PC
101-0000-42600
0
$66.04
$66.04
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT'
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$145.03
$145.03
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE.
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$47.86
'$47.86
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $419.22 $419.22
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL PRECISE GRADING- CUSTOM
HOME LOT>7KSF
101-0000-42408
0
$36.26
$36.26
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTYI
AMOUNT
PAID
PAID DATE
RESIDENTIAL PRECISE GRADING - CUSTOM
HOME LOT >7KSF PC
101-0000-42600
0
$181.29
$181.29
1/22/16
PAID BY
METHOD -
RECEIPT # -
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
Total Paid for GRADING: $217.55 $217.55
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
CONDENSER/COMPRESSOR
101-0000-42402
0
$253.82
$253.82
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP/ PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
'PAID
PAID DATE
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$169.19
$169.19
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT..
PAID
PAID DATE
EXHAUST HOOD
101-0000-42402
0
$36.27
$36.27
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
EXHAUST HOOD PC
101-0000-42600
0
$14.49
$14.49
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FURNACE
101-0000-42402
0
$253.82
$253.82
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
.1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FURNACE PC
101-0000-42600
0
$169.19
$169.19
1/22/16
PAID BY
METHOD
RECEIPT-#
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
'1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
VENT FAN
101-0000-42402
0
$253.89
$253.89
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
VENT FAN PC
101-0000-42600
0
$101.43
$101.43
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
1112301
1037
SKH
Total Paid for. MECHANICAL: $1,252.10. $1,252.10
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$999.33
$999.33
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
'RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
Total Paid for NEW CONSTRUCTION PERMIT: $999.33 $999.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$687.64
$687.64
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT:
PAID
PAID DATE
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$1,500.00
$1,500.00
9/3/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R8969
1012
MFA
Total Paid for NEW CONSTRUCTION PLAN CHECK: $2,187.64 $2,187.64
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID •
PAID DATE
BACKFLOW DEVICE
101-0000-42401
0
$12.09
$12.09
1/22/16
PAID BY
METHOD
RECEIPT #
- CHECK #
CLTD BY.
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BACKFLOW DEVICE PC
101-0000-42600
0
$4.83
$4.83
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BUILDING SEWER
101-0000-42401
0
$12.09
$12.09
1/22/16.
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
PAID
PAID DATE
BUILDING SEWER PC
101-0000-42600
0
$12.09
$12.09
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP
101-0000-42401
0
$531.96
$531.96
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID.DATE
FIXTURE/TRAP PC
101-0000-42600
0
$531.96
$531.96
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP/ PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$36.26
$36.26
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 5+ OUTLETS PC
101-0000-42600
0
$24.17
$24.17
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
- ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
ROOF DRAIN
101-0000-42401
0
$350.61
$350.61
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC.
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
ROOF DRAIN PC
101-0000-42600
0
$350.61
$350.61
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT
101-0000-42401
0
$36.27
$36.27
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT PC
101-000042600
0
$21.75
$21.75
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID -
PAID DATE
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.09
$12.09
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #.
CLTD BY
.RAP / PAR DEVELOPMENT INC.
CHECK
R12301
1037
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.09
$12.09
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
Total Paid for PLUMBING FEES: $1,948.87 $1,948.87
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$122.85
$122.85
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $122.85 $122.85
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SINGLE FAMILY DETACHED
224-0000-20320
0
$1,837.44
$1,837.44
1/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RAP / PAR DEVELOPMENT INC
CHECK
R12301
1037
SKH
Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44
TOTALS:0.$18,063.61
Description: MADISON CLUB / FILLER RESIDENCE LOT 1
Type: BUILDING, RESIDENTIAL
Subtype: DWELLING - SINGLE Status: APPROVED -CONDITIONS
Applied: 9/3/2015 MFA
FAMILY DETACHED
Approved: 1/20/2016 JJO
Parcel No: 767670028 Site Address: 81105 COLUMBUS WY LA QUINTA,CA 92253
Subdivision: TR 33076-2
Block: Lot: 16
Issued:
Lot Scl Ft: 0
Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $945,008.90
Occupancy Type: Construction.Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
1/21/2016
Details: PLANS WERE RESUBMITTED WITH NO RESPONSES TO ALL CORRECTIONS, NOT COMPLETE.
Printed: Monday, January 25, 2016 12:07:25 PM 1 of 8 mAlffCffuu
SYSTEMS
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE COMPLETION DATE
NOTES
NOTE
JIM JOHNSON
9/15/2015
9/17/2015
NOTE
JIM JOHNSON
1/20/2016
1/21/2016
PEDING THE RETURN OF THE APPROVED PLANS FROM ESGIL
PLANS & DOCS WERE RESUBMITTED ON 1/5/2015 BUT THIS
WAS AN INCOMPLELTE RESUBMITTAL. NO STRUCTURAL
NOTE
KAY HENSEL
1/6/2016
1/6/2016
REDLINED PLANS CAME BACK AND REDLINED COMMENTS '
WERE NOT ADDRESSED. ARCHITECT & CONTRACTOR PICKED
UP ALL DOCUMENTS & PLANS AND WILL BE RESUBMITTED AT
A LATER DATE.
NOTE
MARY FASANO
1/25/2016
1/25/2016
BROUGHT IN SCHOOL FEE LETTER
NOTE
STEPHANIE GUMPERT
12/9/2015
12/9/2015
STEVE PICKED UP PLANS TO CORRECT ADDRESS
PLAN CHECK SENT TO
STEPHANIE KHATAMI
1/5/2016
1/6/2016
RESUBMITTAL SET AT PROCESSING COUNTER FOR
OUTSIDE PC
TRANSMITTAL
Printed: Monday, January 25, 2016 12:07:25 PM 1 of 8 mAlffCffuu
SYSTEMS
Printed: Monday, January 25, 2016 12:07:25 PM 2 of 8
SYSTEMS
REVISED PLANS & DOCS SENT TO ESGIL FOR 3RD REVIEW.
PLAN CHECK SENT TO
KAY HENSEL
1/8/2016
1/8/2016
ESGIL ALREADY HAD THE PREVIOUS REDLLINES. - DUE BACK
OUTSIDE PC
1/22/2016
PLAN CHECK SENT TO
STEPHANIE GUMPERT
11/23/2015
11/23/2015
OUTSIDE PC
PLAN CHECK SUBMITTAL
STEPHANIE GUMPERT
11/23/2015
11/23/2015
AMY TOOK PM10 (UNAPPROVED). SHE WILL CALL PAR
RECEIVED
ABOUT SUBMITTING A PRECISE GRADING PLAN.
PROJECT RESUBMITTED COMPLETE - SET AT PROCESSING
RESUBMITTAL
AJ ORTEGA
1/5/2016
1/5/2016
COUNTER FOR OUTSIDE STRUCTURAL REVIEW
TRANSMITTING'
LEFT VOICEMAIL FOR PAR DEV. TO SUBMIT PRECISE GRADING
TELEPHONE CALL
AMY YU
11/23/2015
11/23/2015
PLAN WITH GREEN SHEET AND TO COMPLETE THE WQMP
PORTION OF THE GREEN SHEET.
TELEPHONE CALL
JIM JOHNSON
9/17/2015
9/17/2015
CALLED PAR DEVELOPMENT TO PICK UP PLANS FOR
CORRECTIONS
TELEPHONE CALL
JIM JOHNSON
12/8/2015
12/8/2015
CALLED PAR DEVELOPMENT TO INFORM THEM THE PLANS
ARE READY FOR CORRECTIONS.
CALLED PAR DEVELOPMENT TO INFORM THEM THE PLANS
TELEPHONE CALL
JIM JOHNSON
12/8/2015
12/8/2015
ARE READY FOR CORRECTIONS. NOT COMPLETE NO
RESPONSES TO PLAN CHECK.
CONDITIONS
CONDITION DATE DATE DATE
CONTACT STATUS REMARKS NOTES
TYPE ADDED REQUIRED SATISFIED
READY TO ISSUE
JIM JOHNSON 12/4/2015 PENDING PLANS NEED TO BE SIGNED BY STEVE CORNER
CHECKLIST
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
RAP / PAR DEVELOPMENT INC
P 0 BOX 1455
PALM DESERT
CA
92261
(760)3404216
ANGIE@PAR-
DEVLOPMENT.COM
CONTRACTOR
RAP / PAR DEVELOPMENT INC
P 0 BOX 1455
PALM DESERT
CA
92261
(760)340-4216
ANGIE@PAR-
DEVLOPMENT.COM
Printed: Monday, January 25, 2016 12:07:25 PM 2 of 8
SYSTEMS
FINANCIAL .••
DESCRIPTION ACCOUNT CITY AMOUNT
PAID
PAID DATE RECEIPT# CHECK # METHOD PAID BY CLTD
BY
ART IN PUBLIC PLACES - 270-0000-43201 0 $1,862.52
$1,862.52
1/22/16 R12301 1037 CHECK RAP / PAR SKH
RESIDENTIAL
DEVELOPMENT INC
Total Paid for ART IN PUBLIC PLACES - AIPP: $1,862.52 $1,862.52
HOURLY CHARGE -
101-0000-42600
1
$145.00
$145.00
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
BLDG CITY STAFF
DEVELOPMENT INC
HOURLY PLAN CHECK -
101-0000-42600
1
$98.00
$98.00
1/22/16
R12301
1037
CHECK
RAP /PAR
SKH
ESG
DEVELOPMENT INC
Total Paid for BLDG CITY STAFF - PER HOUR: .$243.00 $243.00
BSAS SB1473 FEE
101-0000-20306
0
$38.00
$38.00
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
DEVELOPMENT INC
Total Paid for BUILDING STANDARDS ADMINISTRATION
$38.00 $38.00
BSA:.
DIF —CIVIC CENTER
252-0000-43200
0
$942.00
$942.00
1/22/16
R12301
1037
CHECK
RAP/PAR
SKH
DEVELOPMENT INC
DIF - COMMUNITY
254-0000-43200
0
$129.00
$129.00
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
CENTERS
DEVELOPMENT INC
DIF - FIRE PROTECTION
257-0000-43200
0
'$433.00
$433.00
1/22/16
R12301
1037
CHECK
RAP /PAR
SKH
DEVELOPMENT INC
DIF - LIBRARIES
253-0000-43200
0
$344.00
$344.00
1/22/16
R12301
1037
CHECK
RAP /PAR
SKH
DEVELOPMENT INC
DIF - PARK
256-0000-43200
0
$40.00
$40.00
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
MAINTENANCE
DEVELOPMENT INC
DIF - PARKS/REC
251-0000-43200•.
0
$2,048.00
$2,048.00
1/22/16
A12301
1037
CHECK
RAP / PAR
SKH
DEVELOPMENT INC
Printed: Monday, January 25, 2016 12:07:25 PM 3 of 8 �j
4,.113 SYSTEMS
Printed: Monday, January 25, 2016 12:07:25 PM 4 of 8 C
SYSTEe41S
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
DIF -STREET
255-0000-43200
0
$116.00
$116.00
1/22/16
R12301
1037
CHECK
RAP /PAR
SKH
MAINTENANCE
DEVELOPMENT INC
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$2,842.00
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
DEVELOPMENT INC
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$24.17
1/22/16
R12301
1037
CHECK
RAP /PAR
SKH
DEVELOPMENT INC
TEMP POWER SERVICE
101-0000-42600
0
$16.92
$16.92
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
PC
DEVELOPMENT INC
Total Paid for ELECTRICAL: $41.09 $41.09
RESIDENTIAL, EA
101-0000-42403
0
$160.29
$160.29
1/22/16
R12301
1037
CHECK
RAP /PAR
SKH
ADDITION 1,000SF
DEVELOPMENT INC
RESIDENTIAL, EA
101-0000-42600
0
$66.04
$66.04
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
ADDITION 1,000SF, PC
DEVELOPMENT INC
RESIDENTIAL, FIRST
101-0000-42403
0
$145.03
$145.03
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
1,000SF
DEVELOPMENT INC
RESIDENTIAL, FIRST
101-0000-42600
0
$47.86
$47.86
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
1,000SF, PC
DEVELOPMENT INC
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $419.22 $419.22
RESIDENTIAL PRECISE
RAP / PAR
GRADING - CUSTOM
101-0000-42408
0
$36.26
$36.26
1/22/16
R12301
1037
CHECK
SKH
HOME LOT >7KSF
DEVELOPMENT INC
RESIDENTIAL PRECISE
GRADING - CUSTOM
101-0000-42600
0
$181.29
$181.29
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
HOME LOT >7KSF PC
DEVELOPMENT INC
Total Paid for GRADING: $217.55 $217.55
CONDENSER/COMPRES
RAP / PAR
101-0000-42402
0.
$253.82
$253.82
1/22/16
R12301
1037
CHECK
SKH -
SOR
DEVELOPMENT INC
CONDENSER/COMPRES
101-0000-42600
0
$169.19
$169.19
1/22/16
R12301
1037
CHECK
RAP/ PAR
SKH
SOR PC
DEVELOPMENT INC
Printed: Monday, January 25, 2016 12:07:25 PM 4 of 8 C
SYSTEe41S
Printed: Monday, January 25, 2016 12:07:25 PM 5 of 8 Cg?
EFU SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
EXHAUST HOOD
101-0000-42402
0
$36.27
$36.27
1/22/16
R12301
1037
CHECK
RAP /PAR
SKH
DEVELOPMENT INC
EXHAUST HOOD PC
101-0000-42600
0
$14.49
$14.49
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
DEVELOPMENT INC
FURNACE
101-0000-42402
0
$253.82
$253.82
1/22/16
.1112301
1037
CHECK
RAP /PAR
SKH
DEVELOPMENT INC
FURNACE PC
101-0000-42600
0
$169.19
$169.19
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
DEVELOPMENT INC
VENT FAN
101-0000-42402
0
$253.89
$253.89
1/22/16
R12301
1037
CHECK
RAP/ PAR
SKH
DEVELOPMENT INC
VENT FAN PC
101-0000-42600
0
$101.43
$101.43
1/22/16
R12301
1037
CHECK
RAP/PAR
SKH
DEVELOPMENT INC
Total Paid for MECHANICAL: $1,252.10 $1,252.10
NEW CONSTRUCTION
101-0000-42400
0
$999.33
$999.33
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
PERMIT
DEVELOPMENT INC
Total Paid for NEW CONSTRUCTION PERMIT: $999.33 $999.33
NEW CONSTRUCTION
101-0000-42600
0
$687.64
$687.64
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH-
PLAN CHECK
DEVELOPMENT INC
NEW CONSTRUCTION
101-0000-42600
0
$1,500.00
$1,500.00
9/3/15
R8969
1012
CHECK
RAP/PAR
MFA
PLAN CHECK
DEVELOPMENT INC
Total Paid for NEW CONSTRUCTION PLAN CHECK: $2,187.64 $2,187.64
BACKFLOW DEVICE
101-0000-42401
0
$12.09
$12.09
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
DEVELOPMENT INC
BACKFLOW DEVICE PC
101-0000-42600
0
$4.83
$4.83
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
DEVELOPMENT INC
BUILDING SEWER
101-0000-42401
0
$12.09
$12.09
1/22/16
R12301
1037
CHECK
RAP /PAR
SKH,
DEVELOPMENT INC
BUILDING SEWER PC
101-0000-42600
0
$12.09
$12.09
1/22/16
R12301
1037
CHECK
RAP /PAR
SKH
DEVELOPMENT INC
Printed: Monday, January 25, 2016 12:07:25 PM 5 of 8 Cg?
EFU SYSTEMS
Printed: Monday, January 25, 2016 12:07:25 PM 6 of 8
SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
RAP / PAR
FIXTURE/TRAP
101-0000-42401
0
$531.96
$531.96
1/22/16
R12301.
1037
CHECK
SKH
DEVELOPMENT INC
FIXTURE/TRAP PC
101-0000-42600
0
$531.96
$531.96
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
DEVELOPMENT INC
GAS SYSTEM, 5+
101-0000-42401
0
$36.26
$36.26
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
.OUTLETS
DEVELOPMENT INC
GAS SYSTEM, 5+
101-0000-42600
0
$24.17
$24.17
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
OUTLETS PC
DEVELOPMENT INC
ROOF DRAIN
101-0000-42401
0
$350.61
$350.61
1/22/16
R12301
1037
CHECK
RAP /PAR
SKH
DEVELOPMENT INC
ROOF DRAIN PC
101-0000-42600
0
$350.61
$350.61
1/22/16
R12301
1037
CHECK
RAP /PAR
SKH
DEVELOPMENT INC
WATER HEATER/VENT
101-0000-42401
0
$36.27
$36.27
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
DEVELOPMENT INC
WATER HEATER/VENT
101-0000-42600
0
$21.75
$21.75
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
PC
DEVELOPMENT INC
WATER SYSTEM
101-0000-42401
0
$12.09
$12.09
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
INST/ALT/REP
DEVELOPMENT INC
WATER SYSTEM
101-0000-42600
0
$12.09
$12.09
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
INST/ALT/REP PC
DEVELOPMENT INC
Total Paid for PLUMBING FEES: $1,948.87 $1,948.87
SMI - RESIDENTIAL
F 101-0000-203080
$122.85
$122.85
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH
DEVELOPMENT INC
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $122.85 $122.85
SINGLE FAMILY
224-0000-20320
0.
$1,837.44
$1,837.44
1/22/16
R12301
1037
CHECK
RAP / PAR
SKH,
DETACHED
DEVELOPMENT INC
Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44
TOTALS:0.$18,063.61
Printed: Monday, January 25, 2016 12:07:25 PM 6 of 8
SYSTEMS
Printed: Monday, January 25, 2016 12:07:25 PM 7 of 8 0
srsrrnns
PARENT
PR0jECTS______
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
RETURNED
114VI IV
STATUS
REMARKSDATE
NOTES '
ETRAKIT ENABLED
3RD REVIEW
1ST BLDG NS (3 WK)
JIM JOHNSON
9/3/2015
9/24/2015
9/15/2015
REVISIONS REQUIRED
DOC
1ST BLDG STR (3
KURT CULVER
9/3/2015.
9/24/2015
9/15/2015
REVISIONS REQUIRED
WK)
TRANSMITTAL
2ND BLDG NS (2
JIM JOHNSON
11/23/2015
12/9/2015
12/8/2015
REVISIONS REQUIRED
(APPROVED)
WK)
DOC
12/1/2015
AMY YU
HOA VARIANCE
HOA Variance
2ND BLDG STR (2
0
APPROVAL
Approval.pdf
ESGIL INFORMED THE CITY THAT THE
WK)
KURT CULVER
11/23/2015
12/9/2015
12/4/2015
REVISIONS REQUIRED
STRUCTURAL CORRECTION WERE RESUBMITTED
WITH OUT CORRECTION BEING ADDRESSED.
EMAILED ANGIE AT PAR DEV. TO PROVIDE
1ST PW GREEN
AMY YU
11/24/2015
12/3/2015
11/25/2015
PENDING DOCUMENTS
WRITTEN PERMISSION FROM MADISON CLUB
SHEET
FOR THE BOULDERS AND WATERFALL SHOWN
OUTSIDE OF THE PROPERTY LINE
2ND PW GREEN
AMY YU
11/30/2015
12/7/2015
12/1/2015
READY FOR APPROVAL
SHEET
HOA VARIANCE APPROVAL ATTACHED
3RD BLDG NS (2 WK)
JIM JOHNSON
1/8/2016
1/22/2016
1/20/2016
APPROVED-
PENDING THE RETURN OF PLANS FROM ESGIL
CONDITIONS
3RD BLDG STR (2
KURT CULVER
1/8/2016
1/22/2016
1/19/2016
READY FOR APPROVAL
STRUC P/C TO ESIL - DUE BACK 1/20/16
%A
Printed: Monday, January 25, 2016 12:07:25 PM 7 of 8 0
srsrrnns
ATTACHMENTS
Attachment Type
CREATED
OWNER
DESCRIPTION
PATHNAME
SUBDIR
ETRAKIT ENABLED
3RD REVIEW
BRES2015-0341- 3RD
DOC
.1/20/2016
AJ ORTEGA
STRUCTURAL
REVIEW STRUCTURAL
0
TRANSMITTAL
TRANSMITTAL.pdf
(APPROVED)
DOC
12/1/2015
AMY YU
HOA VARIANCE
HOA Variance
0
APPROVAL
Approval.pdf
.
Printed: Monday, January 25, 2016 12:07:25 PM 7 of 8 0
srsrrnns
Printed: Monday, January 25, 2016 12:07:25 PM 8 of 8 Cps"
SYSTEMS
ATTACHMENTS
Attachment Type
CREATED
OWNER
DESCRIPTION
PATHNAME
SUBDIR
ETRAKIT ENABLED
BRES2015-0341- 1ST
1ST REVIEW NON-
DOC
9/15/2015
JIM JOHNSON
STRUCTURAL
REVIEW NON-
0
STRUCTURAL
CORRECTIONS
CORRECTIONS.docx
DOC
12/4/2015
JIM JOHNSON
SCHOOL FEES BRES2015-
SCHOOL FEES BRES2015-
0
0341.pdf
0341.pdf
BRES2015-0341- 2ND
2ND REVIEW NOW
DOC
12/8/2015
JIM JOHNSON
STRUCTURAL
REVIEW NON-
0
STRUCTURAL
CORRECTIONS
CORRECTIONS.docx
1ST REVIEW
BRES2015-0341- IST
1 DOC
9/15/2015
KURT CULVER
STRUCTURAL
REVIEW STRUCTURAL
1
CORRECTIONS
CORRECTIONSMOC
DOC
12/1/2015
STEPHANIE KHATAMI
PM10 APPROVAL 81105
PM10 APPROVAL 81105
0
COLUMBUS WAY.pdf
COLUMBUS WAY.pdf
Printed: Monday, January 25, 2016 12:07:25 PM 8 of 8 Cps"
SYSTEMS
Building �.Q' I
P.O. BOX 1504
78-495 CALLE TAMPICO
APPLICATION ONLY
� � O � �I. � I'Y1a
Address'(! s`
LA QUINTA, CALIFORNIA 92253
JOwner_ _ _ /���� r
A ylIs+- D I ler/5&4tiI n t/
n
IJ K1°S 1� ��a)
ILDING: TYPE-7CONST. OCC. GRP.
r I
Electrical
AddreMailinss
+
A.P. Number�r7D-
�a g
�
Legal Description � I Y16 `e �Gt-rY1 I�,res i Pacm
CPt�ct� �CN � 0 ��
CN
Infrastructure
Project Description
Adoss
`J
&)y_
J'ip9 9 a i
Tepo-3 46-4a 1t5,
TOTAL
State Lic.
& Classif.&g1'S�
City p�
Lic. # 01 L)4
Sq. Ft. /�
Size c1-!
No. No. Dw.
Stories I Units
Arch., Engr.,
Designer GLi- s1 er\0114 4en n
New Add ❑
Alter ❑ Repair ❑ Demolition ❑
Addressel.
17-� ga I2 DU_n1M 6l �
8
_ ^ � G_
G(al m beser-+ Z6a t/ i t#
LICENSED CONTRACTOR'S DECLARATION
I here affirm at I am licEMnduP,.f&.riSsi0C.de,
ns of Chapter 9 (commencing with Section 7000)
Of Di sio 3 o h Busineand my license is in full force and effect.
SIGNATURE DATE
OWNER-BUILUR 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
such 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).
❑ 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 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).
❑ 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 reason
Date Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self' re, or a certificate of Worker's
Compensation Insurance, or a certified copy her j, (�B .38.0 abor de.)
.47
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
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.
Date Owner
NOTICE TO APPLICANT. If, 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
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.
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.
Signature of applicant' Date
Mailing Address
City, State, Zip
I P A110 L4 13_7
Estimated Valuation i , cl^ vy, ( ' n, n j
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
'
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
CONTACT INFORMATION
NAME:
PHONE:
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback.from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE
Coaof WWchool District
83-7 1, CA 92274
(760) 398-5909 — Faxw) 398-1224
;1.41 25 20`16
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
This Box For District Use Only
DF.VF.T.OPFR FFFR PAM
AREA:
AMOUNT ..
LEVEL ONE AMOUNT:
LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
COMMAND: AMOUNT:
DATE:
.RECEIPT: -
CHECK#: -
Fl�lrTLALS
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: frhe Madison Club; Date: January 25, 2016
Owner's Name: James & Carol Filler Phone No. 760-340-4216
Project Address: 81-105 Columbus, LaQuinta
Project Description: New Single Family Dwelling
APN: 767-670-018 Tract #: Lot #'s:
Type of Development: Residential IRK Commercial
Total Square Feet of Building Area: 9,974
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: January 25, 2016 Signature:
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code
17620
Number of Sq.Ft.
Amount per Sq.Ft.
Amount Collected
Gov. Code Project
65995 Approval
9974
$3.36
$33512.64
Agreement Existing Not Subject to Fee
Prior to 1/1/87 Requirement
Note:
Pursuant to AB 181 any room additions or enclosures of 500
sq. ft. or less are exempt from developer fees. Any mobile
homes being relocated within the same school district's
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:
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.
\4V:c;mydoes!devfees/certificate of compliance farm updated 3-2007 11/2010
September 16, 2015
Mr. and Mrs. James Filler
James and Carol Filler and Sandy Investments, LLC
2964 Shook Hill Parkway
Mountain Brook, AL 35223
RE: Lot 113 at 81105 Columbus Way
Construction Document Submittal #1
Dear Mr. and Mrs. Filler:
REGEIVED
NOV 2 3 2015
CITY OF LA Quii TA
COMMUNITY DEVELOPMENT
This correspondence shall serve as notification from The Madison Club Design Review Committee ("DRC") that
your final working-drawing/construction document submittal was reviewed at the September 10, 2015 meeting. T eI
project has been_t o_approved to start construction subject to the following items being addressed prior to the
commencemenf framing at the lot.
I. There was no electrical plan submitted as typically required. Please submit for the committee's review and
record keeping.purposes.
2. The Hybrid Washingtonia palm is not consistent with the palms typically utilized at The Madison Club.
Please select an alternate palm for review and consideration.
3. Courtesy comment: There are Bismarckia palms located 8' on center under Date Palms which may not
work in the field as proposed.
4. The grading plan must include all proposed contours for a thorough plan review by the committee. In
addition, it does not appear that the driveway culvert detail was properly identified on the plans.
5. Please confirm that all drain grate elevations will work with the adjacent grades.
6. Please clarify how the 30" drop at the entry drive will work with the adjacent grades and/or correct any
potential conflicts on the grading plan.
7. A final, revised planting plan must be submitted for review.
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 prior to any lot preparation or commencement
of construction at the lot. As a reminder, you must obtain a Building Permit prior to requesting your Pre -
Construction Meeting.
Sincerely,
MADISON CL UB DESIGN REVIEW COMMITTEE
Lo
Title:
cc: Stevecomer@gmail.com
gmail.com
GM Future Designs
Par Development
DRC File
Date:
Pursuant to Cal. Civil Code, any rejection by the DRC may be appealed to the Board of Directors for the Association. If you wish to pursue an
appeal, please contact the Association's property manager so that you maybe put on the next meeting agenda.
MADISON CLUB
ARCHITECTURAL & LANDSCAPE VARIANCE REQUEST
If you are requesting a Variance to the approved Design Guidelines, please complete this
Variance Request form and return to the Madison Development Office.
APPLICANT/COMPANY:
PROPERTY OWNER:
SUBMITTAL DATE:
MADISON CLUB LOT #:
Richard Pruter / PAR Development
James & Carol Filler & Sandy Investments, LLC
July 7th, 2015 `
Lot 1B
MADISON CLUB ADDRESS: 81105 Columbus Way
To the Madison Club Design Review Committee & Madison Club Board of Directors:
I/We request your approval of the following Variance to the Design Guidelines.
Describe the specific nature of your request and explain the special circumstances applicable to the property
including size, shape, topography, location or other factors that render the strict application of the Design
Guidelines impractical and/or result in an undesirable condition. Please describe all conditions that do nor
comply frith the current Design Guidelines:
Please see the attached 3 panes for clarification We are reauestingagoroval to encroach beyond the setback on thest
side of the property. Two portions of the main house extend beyond the approved setback. The encroachment impact is
minimal as there are no neighbors along this side of the property. We thank you for your consideration.
Attached are drawings and/or exhibits describing the scope of the work being requested; types of
materials to be used are indicated on the drawings a well (if. applicable). I/We understand that
Building Permits for modifications are required by the City and that the cost of the permits and
.responsibility of obtaining the permits and subsequent observations will be borne by us.
We understand and agree that any Variance request presented in the attached plans must be approved,
in advance, by th sign Review Committee and the Board of Directors.
Signature Date of Owner or Representative Printed Property Owner Name and/or Representative
Madison Club
53-035 Meriwether Wa\'
La Quinta. CA 92253
y
i
DRC ftecon menda ' n:
U,
DRC'P,ePfeWTtative Signature
Approval. —Denied I
*****s*s****a*a*****o**+*r****u***a*r*****s**r**s**r*****a********************y******r**t
Board Decision:pproval _Denied
_ w
Madison Club
53-035 MCriwether Way
La Quinta, CA 92253
Q
9
EsGil Corporation
In Partnership witk Government for Building Safety
' s
DATE: 1/19/2016
JURISDICTION: City of La Quinta
PLAN CHECK NO.: BRES2015-0341
PROJECT ADDRESS: 81105 Columbus Way
❑ APPLICANT
pKJURIS.
❑ PLAN REVIEWER
❑ FILE
SET: III
PROJECT NAME: James & Carol Filler and Sandy Investments Single Family House
® The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
❑ The plans transmitted herewith will substantially comply with the jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff.
❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
❑ The check list transmitted herewith is for your information. The plans_ are being held at Esgil
Corporation until corrected plans are submitted for recheck.
❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person. -- '
❑ The applicant's copy of the check list has been sent to:
® EsGil Corporation staff did not advise the applicant that the plan check has been completed.
❑ EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: ------ Telephone #:
Date contacted:(b3S) Email:
Mail Telephone Fax In Person
® REMARKS: Structural review only
By: David Yao Enclosures:
EsGil Corporation
El GA E] EJ F-1 MB F] PC 1/11
9320 Chesapeake Drive, Suite 208 ♦ San Diego,'California 92123 ♦ (858) 560-1468 ♦ Fax(858)560-1576
'V
Pian Submittal
Building Permit Number.
Project Description: SFR
Exempt: ❑
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
Job Site Addressl 81105 Columbus Way
Owners Na
Number, Street, or PO
City, State, Postal 0
Owners Phone Num
Owners E -Mail Addr
Project Managers Namel Humberto Bautista
Project Managers Phone Number 760-578-6184
Project Managers E-mail Address Anoieftar-develoomentcom
Builder / Contra
Number, Street or PO
City, State, Postal C
Project Square
City Approval
Date of City Approval
Is To Be Discarded:
Product
Trash
Asphalt
Brick/Block
Cardboard
Commingled
Concrete
Drywall
Donated / Reuse`
'Describe Items
Par Development
PO Box 1455
Palm Desert 92261
Tons
19.00 Not recyclable
0.00
0.59 I Recyclable
ME- IVEL)
NOV 23 2015
CITY Or LA QUINTN
COMMUNITY DEVELORIENT
Product
Masonry (broken)
Plaster
Scrap Metal
Tile (floor)
Tile (roof)
Wood
Landscape Debris
Tons
i otais: Recycle Trash Projected Diversion:
33.4 19.0 63.7%
I understand It is the property owner's responsibility to submit copies of weight tickets or receipts to the District
Environmental Coordinator as these 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 the jobsite waste is diverted
from landfilling. The remaining material will be recycled or reused. I will 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 pian. This DMP is issued
In the name of the property owner(s) and shalt 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 co shag be kept Informed of the diversion progress through bi-monthly reports. If self -
hauling, all refO—se—m-fiteriall from th p site must be taken to an approved recycler or transfer station.
Owner / D aper /Project Manager / Su octant Date
YOUNG
... • � '` _ � e £ tl '�" 2 Eta g° � " C e � � '
ENG NEARING V �
December 29, 2015 -
Burt Hanada, Building Official - a RECEIVE®
City of La Quinta SAN Q 5 2016
Department of Building and Safety
CITY OF LA OUINTA
Re: Lot IB The Madison Club, 81-105 Columbus Way, La Ouinta, CA COMMUNITY DEVELOPMENT
Dear Mr. Hanada,
In reference to the above noted project we have reviewed the truss calculations by BMC, dated December
.29, 2015 and find them to be in general conformance with the structural plans and calculations for design
loading and layout. Review and approval of dimensions, fabrication processes, and field erecting techniques .
are not apart of this review and acceptance letter.
If you have any questions, please call.
'Sincerely, F`
Jeffrey B. Young, S.E.
Q�,�3FESS/0N .,
• `p �REv B. ro 9� _
Cv� >`F Glc �� >•
SE x4044 m ti
'MARCH. 31 2017
0C T\)
' 9rF OF C ALF ��� '
Coachella Valley Unified School District
837733 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/IND. AMOUNT:
DATE:
RECEIPT:
CHECK#:
INITIALS:
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: FIL EL R Date: June 9, 2016
Owner's Name: Phone No.
Project Address: 81-105 COLUMBUS WAY, LA QUINTA, CA 92253
Project Description: ADDITION WHILE UNDER CONSTRUCTION
APN: 767-670-028 Tract #: Lot #'s:
Type of Development: Residential XX! Commercial Industrial
Total Square Feet of Building Area: 76 SQ.FT.
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: f Signature:
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code
17620
Number of Sq.Ft.
Amount per Sq.Ft.
Amount Collected
Gov. Code Project Agreement Existing Not Subject to Fee
65995 Approval Prior to 1/1/87 Requirement
76
3.36
$255.36
Building Permit Application Completed: Yes/No
By: Jamie T. Brown, Asst. Supt., Business Services
Certificate issued by: Leticia C. Torres, Facilities Analyst
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES A" STATENIENTT 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/devrees certi 6cate of compliance 112010
0
M
EsGil Corporation
In Partnership with Government for Building Safety
DATE: April 6, 2016 0 APPLICANT
AURIS.
JURISDICTION: La Quinta ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: BRES 2015-0341 REV1 SET: I
J
/PROJECT ADDRESS: 81-105 Columbus Wy
PROJECT NAME: James & Carol Filler and Sandy Investments Single Family
House
® The plans transmitted herewith have been corrected where necessary and substantially
comply with the jurisdiction's building codes.
❑ The plans transmitted herewith will substantially comply with the jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff.
❑ The plans transmitted herewith have significant deficiencies identified on the enclosed
check list and should be corrected.and resubmitted for a complete recheck. ,
❑ The check list transmitted herewith is for your information. The plans are being held at
EsGil Corporation until corrected plans are submitted for recheck.
❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the
applicant contact person.
❑ The applicant's copy of the check list has been sent to:
® EsGil Corporation staff did not advise the applicant that the plan check has been
completed.
❑ EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted--- Telephone #:
r
Date contacted: y. ) Email:
Mail Telephone Fax In erson
® REMARKS: Structural review only.
By: Abe Doliente Enclosures: Previously approved set of plans.
EsGil Corporation
❑ GA ❑ EJ ❑ MB ❑ PC 3/30/16