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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