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BCOM2016-0004
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 th usine and Professions Code, and my License is in full force and effect. License Class: License No.: 833738 Date: �Z Contractor: OWNER -BUILDER DECLA ON 1 hereby affirm under penalty of perjury that I am a mpt 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).: ' (1 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.). ( 11, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( ) I am exempt under Sec. B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Lender's Address: 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' #13700 tion, as provided for by Section 3700 of the Labor Code, for the performance k for which this permit is issued. I have and will maintain workers' compensation insurance, as required by of the Labor Code, for the performance of the work for which this permit My workers' compensation insurance carrier and policy number are: _ Policy Number: _ I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, andagree that, if I s beco subject to the workers' compensation provisions c Section 3700 th abor o e, I shall with comply with those/provisions. Date: J Applicant: WARNING: FAILURE TO SECURE WORKERS' COM PENSATIO COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT' IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2.. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state law lating t building construction, and hereby authorize representatives of this city t n r up e. above-mentioned property for inspection purposes. Date: • Signature (Applicant or Agent): �I Illlll lllli Illi I'll 57 a VOICE (760) 777-7125 7w 8-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 IF COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 2/11/2016 Application Number: BCOM2016-0004 Owner: Property Address: 79485 HIGHWAY 111 STAN BARRON- APN: 600020027 74760 HIGHWAY 111 STE 200 Application Description: BARRON /TENANT IMPROVMENT INDIAN WELLS, CA 92253 Property Zoning: Application Valuation: $15,000.00 -n I.-+ Applicant: Contractor: c o RAY ROOKER ARCHITECT GARY JONES' ELITE HOMES r e rn 49410 BRYANT CT 73-770 20TH AVE LA QUINTA, CA 92253 SKY VALLEY, CA 92241 (760)641-3765 Llc. No.: 833738 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 th usine and Professions Code, and my License is in full force and effect. License Class: License No.: 833738 Date: �Z Contractor: OWNER -BUILDER DECLA ON 1 hereby affirm under penalty of perjury that I am a mpt 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).: ' (1 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.). ( 11, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( ) I am exempt under Sec. B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Lender's Address: 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' #13700 tion, as provided for by Section 3700 of the Labor Code, for the performance k for which this permit is issued. I have and will maintain workers' compensation insurance, as required by of the Labor Code, for the performance of the work for which this permit My workers' compensation insurance carrier and policy number are: _ Policy Number: _ I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, andagree that, if I s beco subject to the workers' compensation provisions c Section 3700 th abor o e, I shall with comply with those/provisions. Date: J Applicant: WARNING: FAILURE TO SECURE WORKERS' COM PENSATIO COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT' IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2.. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state law lating t building construction, and hereby authorize representatives of this city t n r up e. above-mentioned property for inspection purposes. Date: • Signature (Applicant or Agent): d $'•"' $?S.. -xY 7./ •1 kYXk i;;Y3 a .ixi+v;,iF'f?5F Epd)'.`� '� 's"%i �e.u;Y. a'1•,c ,j "4i}'.":A£%ia'�T•F4 `s S .;.<x-£ .a >`' a..'Y'1'. C'.' f`if1,'�t.X' f�?:<F.'',i.<f L .i a"•'a< iP •-_ai';%z'i rX^ " DESCRIPTIONS X�r$ Fi ACCOUNT Tlf:.rx AMOUNTk �`�"RPAIDPiA1D,DATE : e - 35a'; ,, .. .�..•,eh:isE,c. ,. .,s .a-.µx,:,ht. a.,£,.'''r ?` .,,. -: ..,":�F: Qte!-aQ<S�w: _3 F'xe:rwzm �'=z.?��fSxE� aYx-. BSAS S61473 FEE 101-0000-20306 : 0 $1.00 $.1:00 2/10/16 { `"} ?s 3.r E ':."- - ,xgq { <>p?.,e'. �z RAID BY. frtG q METHOD ;a MR , ] 'a,""?-'may=i; s :•!':Az?' V. 4 Yya .jE�`y^ i'F:fT _a' -"..L" 5 r?. c€+E•SS`' •a,._,: a4 'iX„ '. xu'°''.�3 tt RECEIPT # CHECK;# CLTD B,Y lu x< - � 4 L WO „'h'�fvF:"e.Ew£'NP_'Ces.x.�G�"�ivY'a..�:..:.. POLSTAR LLC CHECK: :1112758. 11,68' RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA-. '. $1.00' $1.00 `kYY'# �f. 3. f.{�<v, x` W q✓ i., k'+a 1 -F ? x ws^57:,` DESCRIPhTIONM s i•.tT 'fr £ifY.-: F�8$°Y wG `f(}.en ? �.. 1' .y.j` ACCOUNTz s xi,,<Ya di' M S iF: QTY a�4yr-$A&KiaxX iw:.,: fr E y3yy{_�*[;y,^2i, �c='ke`��<;gq.V �yr`� C PAID PAID DATE- m > X� :f a �T',A # ,'L: d,'Eh1; o f X d.. 4'vxRrS •�, 5 '". ;"�AMOUNT�£ Wi k"i $ v{ :1 A`iAz NINE & F'$x NON-RESIDENTIAL, FIRST 2,000SF 101-000042403.• 0 $308.77. $108.77 2/10/16 .F±rz •-;3 '. ,�,Yt, . .acyl # N€,R, PAID. BYE .. 4 F..', .iS 'tr ..;e:si`a'n',�`C -m •-''x{, a,4'"a<<" _y "."'3.V '"r,�>? RECEIPT #��E .�a..,�r �fr`1' '£`adi-ah."ko's m #w,,,i CHECK # n, Yf°.` 4�"`Yb" T ,_3N4 • f GLTD BYm r 'S� Y s�� x.<.s:F^ .. , 3w .+«d.Yh3E`S_7YYa.� '.' POLSTAR LLC CHECK R12758 1168 RSE � ' r " , >. ^:j L`t.aa:' : 111" � ` � ACCUUNT �„�S,' sQTY ,.g.4. AMOUNT, .< ..dd,£: ��•'��.>p;f�,i;;�iii»-aia'P..G'?a'h<i"s, PAID f� RAID;DATE< >,DESCRIP,TION° ? �, ., ..;..=.a .,.-hx�,.'wx•f:.•. ^;,'ra�;,.ays._r.a; r..ntrq";�xy'„Yim>{.�.::......�.',.�'wv;ca,•.g' ',� �,...'*:% „� of R5, _44 r','�''.�_an;;x'x;;. NON-RESIDENTIAL, FIRST 2,000SF, PC .101-0000-42600 0 • ' $84.12' $84.12 2/10/16 3y - .'t xLY'x,. -.•,, ., "f :?.x PE'3 T3 h ^'. S:Y' Y",€>F=?✓r�y<a::_x{x:.aeaw. :. d s ? °§'mF r {., »9b^i .Y,'h. r, ... $� v WE °."me.£ww�w.�w�.<J3f=.SNn'4d�Y i `t, {... E CHECKe# e:r 1i ICLTD BY * . b.a:.,.:, ..,$`"<._-:"�.v:ybu<IS ,>>✓`>'r=:a5.,,Xiet.�r .s:a-9 s.s.l�kx_�'S'rr 4c_:<^' #::kL�sa tA$�ee4�''.:;.,:: r. .: h:V.9R POLSTAR LLC CHECK R12758 1168 RSE Total Paid:for'ELECTRICAL-'NEW CONSTRUCTION: $192.89 $192.89 r c; DESCRIPTION a . s PAID#DATE m�� �QAMOUNT APPLIANCE'REPAIR/ALTERATION 101-0000-42402 0.0 $12.09 $12.09 2/10/16 -'�;5� 5 %<:,�, PAID BY Cf :ve'4?'R-'ZaiRi:.<"n ., �4i, .iAh3 - '?:F h ^:a l'ih;' '��� METHODS ` .:.. ..... "S^'r--k..L RECEIPT #��aCHECK# ',;<: t -,.. _. �CLTD BYy� y�� d s i £ s : „r� 'w» ,-i"s....sT's_,C r ` t <,s,..#Fz_ .'�n_� :� ...'a :�C.i+n. POLSTAR LLC` CHECK 1112758 1168 RSE DESCRIPTION, Wt MO.% d tjSr Ams��R'i€CdrF:D 'X 3 DAtEki . t; *x Ah000N3 �ID APPLIANCE-:REPAIR/ALTERATION PC 101-000042600 , :. 0' $4:83. $4.83 _ 2/10/16 PAIDEBY i" ' YRAS w �1 p .?&<' S,x, r'�', %ct r`3' vX�%-$.d.:?�$>- l 3 i RECEIPT #, `� Cr i°'9,nI4,U?.9' ':5: �' 'i:.r_ : ,t CHECK # -- ---- -- ----------- rCiTD�BY. ..,.::i�s¢mR:s .>:s POLSTAR LLC - -CHECK F -R12758 ` .•'1168. -'RSE 1tt.. 'G4p*t s s `DES,CRIPTIONyr� v��� E-'�+%Y., '*ai ¢ ACCOUNT ` "•R?$q- *{a,E'Y '{3' J3'td. i':k' b A AMOUNT -0'E vf"v.7.xa ^q P3 ,ti;!{w+ �� PAID ?:�Y3a7 :{Y"'w+'3`$i'€iu ".. PAID DATE . S;, ,; sl';,:ato ttY:<re�,3„h ,z _at «€ s C<N,{:..{fM :i-.R;;3��.sf�<,:A.rti�'�'s+' c$'..,.: .., QT�YI' .Yr.:�£.. �i�'f?`T�,::-i�'.Fn, ,xa's, '=,.3�ts VENT FAN 101-0000-42402 0$12.09 $12:09 ,2/10/16 � N y �� ��METHOD C&JgS n 3 'i :=<,d' €�y' i"Y RECEIPT'# g,'r' Is vf' .'at€' °9 ,i(c:II. :b. CHECK # a3 ''3 y CLTD BY l:y 3 'ImPAID {BY, x Y'POLSTAR w f q ........ ".x-��`€.:,' , PR, s { LLC :CHECK 1112758 :1168 RSE ,P'.. X.{.: s >iqg .e�'s`.E'a<k DESCRIPTION;��Y prf,. "'+: n d;c +' 'sh,?bF'%' ,f'..''� +'9• r: ACCOUNT ,Y':�<a •'ih-a£'sR,.� .i: : yax, $,� '�'s nr""� ..,,n -:s# PAIDDATE v ,L -e" ,; A,- 3 ,QTY 3, .c. d.s. c.�3.__$w x•F'?4...d?3,d 3S.. Rza:.. 6.s_. ;tKs ,,;AMOUNT a,•_._mY i.,.....eedLe:4i4:iz:Ffi'�•+"?Xa`.:.¢3- ,PAID :A•7n4#Y<C<+`.`f?Ytis4 §$s ..te... r .. .si'.zs._.�rYef_.ww. VENT FAN PC 101-0000-42600 0 $4.83 $4.83 2/10/16 t'4 �' i iF'^ A} 4 �,,{n..:"' !r rk , '^fC M ,c'�• ��F���r >s '� y .{5 :. ,. -i': `e :' ._�,¢4 i.:'<.` -d' £"� f `a..e ''`F # = s !IRK,? Y, a` i x. <s:'.,�, e- -. fs.s.. CHECK # �w - 'f:.f,' "Cx CLTD BY ` 4.:c .u:{•. Yea ., . :r_.... s"? :a z < ,..�' _ RECEIPT frs �� ��ilr�,.i',wt?££,, POLSTAR LLC CHECK R12758' 1168 RSE Total Paid for MECHANICAL: $33.84 $33.84 $,.Y S'04 F,< 3'au4j DESCRIPTIO, DESCRIPTION.:�+ACCOUa�s d YF`,i"+ ;L may=: ^Sj,' 9''id� V g, !R. 0 _ ,� :.�£. �. '?TY�a'. :�!tx��''N �"/3 f(=' .".<S ,4d � ��a�,, :h`' y -'4 ff.�: f4' r&},. S'?k. £'W.�4.K�-8,•'etc€'; '!a RAID'DATE aTY�$�AMO�T, .PAID f FIXTURE/TRAP 101-0000-42401 0 $36.27 $36.27 2/10/16 h(.�-:.xe"fits"!6L;:'vr-.F,G: PAIDrBYh$�°fig Y01,51,10 '•.- ,2. g X METIiOD� " p �' 'RECEIPT#.s� E �'4€?.ef . y?^.{.-i'4-sXt.. w -m. # CLTD f3Y £ ,.,Y�a>'£�.�s�,`�- RMv 3.. v✓a�}.:'C>v ...i _ �� -' ..�` n o_ 's.a,.stu",aa3 .<Pa.i..... F..e..,<#,5:8�2,_�va� i n..v� _4_•c 4# z k .X .mss a.. :CHECK ..,3:£.£'g < .z POLSTAR LLC.. •. '' CHECK 1112758.. 1168 RSE 'F: -'�`C,r. fi' £ ...% �:5 Z:%3 SY C', % .=e*.i -<3s' '^t `F%vi' #ACCOUNT " QTnY Y i' .4Ki.d..."`»sy<,1.Y8.... r`•E4Q a<, w AMOUNT `'YcS€f'e�. •$ "i./�' .f �r<a �=✓res PAID -�9`;5:4AID y. '.: DATES ;DESCRIPfTIONt � 4 .....;An:•,°.'a't?'i !i_r.,F. '...1'y..eY: ..:. .XxYn ."."::i':i., .._.i £Y��.»SSS,£ ✓'.C.v:--.«,-%/«Pfi'.#Y.€!o�3£e",ALEX,'',4'k-'s»,-,#-'v<"ieY�b+'8,"AT,�i:!','•'aa9�i„_.:✓d�.-_£fx$.f..",x'-bA€u:?kYx,A_°.rX"+V,`,',s-_.2..9'`iS79".,tr."Y t �k....'�u,'fY%:'+}".N FIXTURE/TRAP PC 101-0000-42600 0 $36.27 $36.27 2/10/16 `ts. 3£` WPAID`BYYE.� '4.' au$"k%,'1j J:.LS'`,'FF-'Szf':. •c -v Y � .iit-: t `}P-,i�''o,.* RECEIPT # ¢a :a2,.{+w : �CLTD BY A i x .. f ,: METHOD r* - k"Mx�CHECK#f ,..: x.,< POLSTAR LLC •' CHECK R12758 1168 RSE - qq (k 9 ,...a[ .-:'.::'� it E... e ,, "'ee'�„': ^y ii 41 a e` DESCRIPTION`=�� a r a. %"•-ar : ':..,g ' y'.,.Fi,.3 Ea -.._C r'd'. t :&: Edi '.'£\ - Cn, 3 3 AMOUNT, `,;aS'.,gd,E:3�,:;5£ , a" �PAIDt f2"S=$ <3C-.� PAID DATE ,,fp¢ .-$e. RTixi:74".r$s.+ ... 4- ft`s r.0 ,•;:ei+H€>x,,`.-9E.tY'?d?F?�ct�fk.^7s:a,`,�.,.,2:z''.'^h a _�ACGQUNT�•QTIf a��.e,�,;;g.'�»i_gift'{•.,,.'n„1!°rtxYc'f`.i'£tx..:'.F�,.',-%.'asi'..X:eCF3sraA*.' nI^"'fuu tktn':i1.FI:.k..SF'vY.Saf'ak- a -';�"ss. °.`*, h�...t....i; .-..'.. ..<`.i, .rr..r, .•'<ti„5»'n GAS SYSTEM, 1-4 OUTLETS 101-0000=42401 0 $12.09 $12.09 2/10/16 PAIDBY,n4,? "`. .<,�E."'x.?atzy. hd d;. `�a '- `. «. �fVIETHOD" BAR xi .` .•Ei :K9ti%e C X--2-at_ «Y RECEIPT #44�CHECK#K� I_ s'+s�n '; ',tw ,_.n'.�r _ r'Y'om..h e :.kr a ..�� :_.�,...,_ ,rCLTDBY POLSTAR LLC •,-CHECK R12758 ,1168- RSE }' 5 ,.$,. •r t'x. (Y,,T ti.,., ...1'_•: pg,�„,;., a,}, e i :, h,t".^' ACCOUNT ACCOUNT N 6:',,ilia, QTY .%`xi AMOUNT .Y.J.�q:n`.'..?Y. '$ r PAID 4 "' PAID -DATE: :.,r.DESCRIP,TION t> � 4.., �>*,#��''. k:#, .aj •t3k�e.,... IDZZ .?'z'.0 .�`.M 7k�Y?.[us:.."..•+z..v :;± GAS SYSTEM,- 1-4 OUTLETS PC " 101-0000-42600 0 $24.17 $24.17 2/10/16 , PAIDBYi�l�"�i s �s� METHOD RECEIPT # ' CL�TD?BY �f. jt�,.1P .s.. .*:A-•. .:,. >r, ,..- ra iF .4..c... �;,'., R &Ey-7i'", .. 4.�. Kw<v y :�z 1sr35�q•�xrz,.�°�. -£ir:et;WT;,2SkN"S`.R3,;3s?cs...",�r�k. ro:` Rs'..:'.�_`C4���'f.FmC4"�"..__..: k�`v:� '�`s"iiP` ie�ikTi..� ._.CHECK£#s 'Eh�ta'etlki .,V4M1•='Y. e"rA:�� �h�:�iY�'ii�:x.x._�x POLSTAR, LLC CHECK R12758 1168 RSE .,.<. st., DESCRIPTION�� ftAtCOUNT ��; AMOUN��T� � � ss�:q. DATE - vn A. h wt.ki:,_.. ....Jv. .•n,0e_:a-.. k. C x:{.M �'. 4 '3 ,.a " 09. �' ''a QTY �TRTv'.; `_ ."�..i.E..re'. y§EhEvx vv .412 L PAID�� �.',DF-.'?4!4&x'. x. .xN.x".l`§.v r.Ss ,RAID _,•b..v¢3> .&...3r ^s."�'` WATER HEATER/VENT101-0000-42401 0 $12:09 $12.09 2/10/16 $,,yy ...P.§''S•- '- RECEIPT vh?ry??,•Sy` ;4 ✓ •;'p* a sfp.�'.y9}:•=r CLTD BY gE yy>� *F �" wMETHOD ` k.r +Q.'. ..$ 1_P'n , 'tt .Y. x #'s�CHECK# POLSTAR LLC CHECK R12758. 1168 RSE 4 ':,;.� -- 3..;.;T: ., :1 —1 q.a 'i yD.ESCRIPTIQN� 'rG '{n •y '�R" :- ,st:t �'a r %ACCUUNT " Imp '�..-;,,7�.a"ss� TYgNUR '�%`AMOUNT PAIDAPAIDDATE , : .. _ WATER HEATER/VENT PC -101-0000-42600 . ' . 0 $7.25 ; $7.25 2/10/16 x x rt x �4PAID BY' '� 'g,y '�ro4=;a`,. r< "' 0 1 .w. 6 4! F'__ Ii N&0 RECEIPT # y � -HECK`#j,'!0 ' 'CLTD BYE x a ,. :a.... :. !., a: ..":.. _} 2.v.k.: `rFar„. .,.-"vs .... �.. e. ,'..afiv _..,.J...✓tin•,�.s:�.K`F-.,".+,..s.:..;.''r�i :%i.. •n, y ., &Sxao 4+iY�-.sa .xS-."i x„Z:,ce. Axis .._,.. x ¢ ::,.,n £#'?. a'.i'c,'k;.E fiG.,'+"�X'-.=e POLSTAR LLC CHECK R12758 1168 'RSE �` ... ;..y.J' T: `-'rY':. S 3' f 4 ,x' ` �s a�w,S,�.^= DESCRIPTION ” *" a 3i'�,. 'a.; i'_'li 3 . *e`s, A, i't's '"3� '" ACCOUNT .:5*Y"e�ti, , s.� QTYAMOUNT "& 'k.: 5"Fi l?'t'3. r%'a..'.}'^5.--i,,s `c'"'xq� {i '. •" PAIOx%[ f.iK,; vr`: 'DT,-' 's;2 PAID DATE .:1 �x�y 'WATER SYSTEM INET/ALT/REP 101-0000=42401' 0 $12.09y $12.09 2/10/16 fVysya''` Y - _ XPAIDBY= 'xY.t 3 ,S'5:{.i N F-YgMETHOD '„� ..i.' ":.`{ 3 '-e:�Yg'; � � yfh i . ''f fnCHECKY#�s M `7.. !x,:_.. m,h,•�+'v*. .. n2.'a "7..fi}.. '. +; =i .@3 '.���i. n��...��t_.�i •RECEIPT# <u.0<.. ...., dtz¢?'r,” S:..:u "t.:^°k','�ray ""`i: �`m ,FcaDBY 4,":&.. ,x,M;+r ...K<.:,:E POLSTAR LLC CHECK R12758 ..1168 RSE 01 "'�, u,,tswd x..'"'..'"�C AGCOUNT�r'� W6 .S EcS1:5i"a j''$Y^ AMOUNT j'x""?. PAID .;,c%°"`"Sm",s`.,iE D DATE a ? .DESCRIPTION S . r te, ¢ ' ? : .i 4N ;. P ,,rp WATER SYSTEM INST/ALT/REP PC `'101-0000-42600 ':0 $12.09 $12.09 2/10/16 y'us C. 5: na`i _: �„ ry nom' •,,•ry. n'...<s. ?' ' ;' BY4r �..'- °ffi ..kx1d :.:,r,.�;, �x METHOD '; -s t+ RECEIPT # CHECK # t QTD BY r r PAID t; ._:,_w.,.,...., ..� „ ..s,g ���.�s<:3x,....:,c zs POLSTAR.LLC CHECK, R127S8 1168 RSE Total"Paid for PLUMBING -FEES: $152.32: $152.32:. 4.w:.,. A >Ce c'Y-'x.4 Si SCRIP,TION A xf:rur e 'k.:.: : A000UNQTYuc�AMOUNTaPAIDfi a.,.. S ' ..tai= ''f>'i'.si z i a a PAID,DATE .,sz�x� w, REMODEL, FIRST 00 SF 101-0000-42400 0 $49.31 $49.31. 2/10/16 jag - w4 CHECK(#,,��, CLBY POLSTAR.LLC CHECK R12758 '1168 RSE ,+9R..�Iat l I"OY>. N.�k,n(<';' - sf ✓.: .A �sd 4v x`,ix'w+•§,.tifr D.iE. > Y","'s7.'__. ? g 3 '•.gs.-rv. AvGAxAfrC.u..O,3�U.s-.N3f m.:.u.' MOUNT$s Y3 y�sPAbYxkPT? P'�AI-4D>rrsx,;7D:�iTAY'.TPE;'{:5',3 :YSr..C ife .kr�s?9 SL-,� ,�`„,%i6,.;_:;'V :. �m .t4fy .'.. "ycflQSoT•3{XYs("4.tx`tt`W",fJ.`,- µ.``AF&Y`YY:.2ffi 5'¢4 °r GD REMODEL; FIRST 500 SF PC 101-0000-42600 0 .. $134.88 $134.88 2/10/16 R,%;- "sE...:' :" METHOD'"xREGEIPT}}# 01t.TxJ'..`;k"mY'8S .m. 'ex;y.�,y..HJ�Pmi':vg aE°CHECK# T3#% %` e ,s. C1EI POLSTAR LLC CHECK 1112758 1168 RSE Total Paid for REMODEL: $184.19 $184.19: ;„ 4' IN."A' i ;DESCRIPTION. =3 ACCOUNT QTY AMOUNTS u, r RAID�f� €,t,::.r:s3,s x .' t PAID DATE '�r.C�..e. ..: i.: :•..: i':',..,i_s. "-•v .32-z'..4:-.....1 .<_.:xV ::,.es§$6 3-'�4.r.,L'�;! ..Y3..:f•'...'s''4".: .v�'.'�..1.?'+4+'..r.fl �'<.Yi�-Fa; i�:.•,v!'4F'`'e.Y,..t F'e. 1. ��'Tb'<Sk'iit{k SMI - COMMERCIAL' 101-0000-20308 0 $4.20. $4.20 2/10/16 PAID BY £ G ` * M9 M I10Da` RECEIPT # CHECK #a CLTD BY . E �. 1 POLSTAR LLC' CHECK R12758 1168 RSE Total Paid for STRONG MOTION. INSTRUMENTATION SMI: •. $4.20 $4.20. . Description: BARRON / TENANT IMPROVMENT Type: BUILDING, COMMERCIAL Subtype: REMODEL Status: APPROVED Applied: 1/28/2016 RSE Approved: 2/10/2016 JJO Parcel No: 600020027 Site Address: 79485 HIGHWAY 111 LA QUINTA,CA 92253 Subdivision: PM 33588 Block: Lot: 1 Issued: Lot Scl Ft: 0 Building Scl Ft: 0. Zoning: Finaled: Valuation: $15,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 PLAN CHECK PICKED UP Details: ADD NEW SHOWER TO EXISTING UNIT. TOILET, SHOWER, SINK AND NEW WATER HEATER. 2013 CALIFORNIA BUILDING CODES.' FINANCIAL INFORMATION Printed: Thursday, February 11, 2016 1:26:57 PM 1 of 3 C SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE - NOTES PLAN CHECK PICKED UP STEPHANIE KHATAMI 2/2/2016 2/2/2016 RAY ROOKER, TELEPHONE CALL JIM JOHNSON 2/2/2016 2/2/2016 CALLED RAY TO IMFORM HIM PLANS HAVE CORRECTIONS TELEPHONE CALL JIM JOHNSON 2/10/2016 2/10/2016 CALLED RAY TO INFORM HIM PLANS ARE READY TO ISSUE CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE 21P PHONE FAX EMAIL APPLICANT RAY ROOKER ARCHITECT 49410 BRYANT CT LA QUINTA CA 92253 (310)877-6287 CONTRACTOR GARY JONES' ELITE HOMES 73-770 20TH AVE SKY VALLEY CA 92241 (310)877-6287 OWNER . I STAN BARRON 74760 HIGHWAY 111 I STE 200 INDIAN WELLS CA 92253 (310)877-6287 FINANCIAL INFORMATION Printed: Thursday, February 11, 2016 1:26:57 PM 1 of 3 C SYSTEMS Printed: Thursday, February 11, 2016 1:26:57 PM 2 of 3 c SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00. 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: NON-RESIDENTIAL, 101-0000-42403 0. $108.77 $108.77 2/10/16 R127S8 1168 CHECK POLSTAR LLC RSE FIRST 2,000SF NON-RESIDENTIAL, 101-0000-42600 0 $84.12 $84.12 2/10/16 R12758 1168 CHECK POLSTAR LLC .RSE FIRST 2,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $192.89 APPLIANCE 101-0000-42402 0 $12.09 $12.09 2/10/16 R127S8 1168 CHECK POLSTAR LLC RSE REPAIR/ALTERATION APPLIANCE 101-0000-42600 0 $4.83 $4.83 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE REPAIR/ALTERATION PC VENT FAN 101-0000-42402 0 $12.09 $12.09 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE VENT FAN PC 101-0000-42600 0 $4.83 $4.83 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE Total Paid for MECHANICAL: $33.84 $33.84 FIXTURE/TRAP 101-0000-42401 0 $36.27. $36.27 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE FIXTURE/TRAP PC 101-0000-42600 0 $36.27 $36.27 2/10/16 R12758 1168. CHECK POLSTAR LLC RSE GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $12.09 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE OUTLETS GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $24.17 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE OUTLETS PC WATER HEATER/VENT 101-0000-42401 0 $12.09 $12.09 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE WATER HEATER/VENT 101-0000-42600 0 $7.25 $7.25 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE PC WATER SYSTEM 101-0000-424010 $12.09 $12.09 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE INST/ALT/REP Printed: Thursday, February 11, 2016 1:26:57 PM 2 of 3 c SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD DATE 1ST BLDG NS (1 WK) JIM JOHNSON 1/28/2016 2/4/2016 2/2/2016 BY WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $12.09 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE Total Paid for PLUMBING FEES:' $152.32 $152.32 REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $49.31 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE REMODEL, FIRST 500 SF 101-0000-42600 0$134.88 WK) $134.88 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE PC Total Paid for REMODEL: $184.19 $184.19 SMI - COMMERCIAL 101-0000-20308 0 $4.20 $4.20 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $4.20 $4.20 TOTALS: $568.44 $568.44 INSPECTIONS REVIEW TYPE. REVIEWER - SENT DATE DUE DATE. RETURNED REVIEWS :STATUS REMARKS NOTES DATE 1ST BLDG NS (1 WK) JIM JOHNSON 1/28/2016 2/4/2016 2/2/2016 REVISIONS REQUIRED 1ST PLANNING (1 PLANNING 1/28/2016 .2/4/20.16 2/2/2016 APPROVED No Comments WK) BUCKET 2ND BLDG NS (1. JIM JOHNSON 2/8/2016 2 /16/2016 2/10/2016 APPROVED WK) ' Printed: Thursday, February 11, 2016 1:26:57 PM 3 of 3 L7 L7 srsrcnns 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 th usine and Professions Code, and my License is in full force and effect. License Class: License No.: 833738 Date: �Z Contractor: OWNER -BUILDER DECLA ON 1 hereby affirm under penalty of perjury that I am a mpt 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).: ' (1 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.). ( 11, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( ) I am exempt under Sec. B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Lender's Address: 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' #13700 tion, as provided for by Section 3700 of the Labor Code, for the performance k for which this permit is issued. I have and will maintain workers' compensation insurance, as required by of the Labor Code, for the performance of the work for which this permit My workers' compensation insurance carrier and policy number are: _ Policy Number: _ I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, andagree that, if I s beco subject to the workers' compensation provisions c Section 3700 th abor o e, I shall with comply with those/provisions. Date: J Applicant: WARNING: FAILURE TO SECURE WORKERS' COM PENSATIO COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT' IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2.. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state law lating t building construction, and hereby authorize representatives of this city t n r up e. above-mentioned property for inspection purposes. Date: • Signature (Applicant or Agent): �I Illlll lllli Illi I'll 57 a VOICE (760) 777-7125 7w 8-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 IF COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 2/11/2016 Application Number: BCOM2016-0004 Owner: Property Address: 79485 HIGHWAY 111 STAN BARRON- APN: 600020027 74760 HIGHWAY 111 STE 200 Application Description: BARRON /TENANT IMPROVMENT INDIAN WELLS, CA 92253 Property Zoning: Application Valuation: $15,000.00 -n I.-+ Applicant: Contractor: c o RAY ROOKER ARCHITECT GARY JONES' ELITE HOMES r e rn 49410 BRYANT CT 73-770 20TH AVE LA QUINTA, CA 92253 SKY VALLEY, CA 92241 (760)641-3765 Llc. No.: 833738 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 th usine and Professions Code, and my License is in full force and effect. License Class: License No.: 833738 Date: �Z Contractor: OWNER -BUILDER DECLA ON 1 hereby affirm under penalty of perjury that I am a mpt 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).: ' (1 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.). ( 11, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( ) I am exempt under Sec. B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Lender's Address: 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' #13700 tion, as provided for by Section 3700 of the Labor Code, for the performance k for which this permit is issued. I have and will maintain workers' compensation insurance, as required by of the Labor Code, for the performance of the work for which this permit My workers' compensation insurance carrier and policy number are: _ Policy Number: _ I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, andagree that, if I s beco subject to the workers' compensation provisions c Section 3700 th abor o e, I shall with comply with those/provisions. Date: J Applicant: WARNING: FAILURE TO SECURE WORKERS' COM PENSATIO COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT' IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2.. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state law lating t building construction, and hereby authorize representatives of this city t n r up e. above-mentioned property for inspection purposes. Date: • Signature (Applicant or Agent): d $'•"' $?S.. -xY 7./ •1 kYXk i;;Y3 a .ixi+v;,iF'f?5F Epd)'.`� '� 's"%i �e.u;Y. a'1•,c ,j "4i}'.":A£%ia'�T•F4 `s S .;.<x-£ .a >`' a..'Y'1'. C'.' f`if1,'�t.X' f�?:<F.'',i.<f L .i a"•'a< iP •-_ai';%z'i rX^ " DESCRIPTIONS X�r$ Fi ACCOUNT Tlf:.rx AMOUNTk �`�"RPAIDPiA1D,DATE : e - 35a'; ,, .. .�..•,eh:isE,c. ,. .,s .a-.µx,:,ht. a.,£,.'''r ?` .,,. -: ..,":�F: Qte!-aQ<S�w: _3 F'xe:rwzm �'=z.?��fSxE� aYx-. BSAS S61473 FEE 101-0000-20306 : 0 $1.00 $.1:00 2/10/16 { `"} ?s 3.r E ':."- - ,xgq { <>p?.,e'. �z RAID BY. frtG q METHOD ;a MR , ] 'a,""?-'may=i; s :•!':Az?' V. 4 Yya .jE�`y^ i'F:fT _a' -"..L" 5 r?. c€+E•SS`' •a,._,: a4 'iX„ '. xu'°''.�3 tt RECEIPT # CHECK;# CLTD B,Y lu x< - � 4 L WO „'h'�fvF:"e.Ew£'NP_'Ces.x.�G�"�ivY'a..�:..:.. POLSTAR LLC CHECK: :1112758. 11,68' RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA-. '. $1.00' $1.00 `kYY'# �f. 3. f.{�<v, x` W q✓ i., k'+a 1 -F ? x ws^57:,` DESCRIPhTIONM s i•.tT 'fr £ifY.-: F�8$°Y wG `f(}.en ? �.. 1' .y.j` ACCOUNTz s xi,,<Ya di' M S iF: QTY a�4yr-$A&KiaxX iw:.,: fr E y3yy{_�*[;y,^2i, �c='ke`��<;gq.V �yr`� C PAID PAID DATE- m > X� :f a �T',A # ,'L: d,'Eh1; o f X d.. 4'vxRrS •�, 5 '". ;"�AMOUNT�£ Wi k"i $ v{ :1 A`iAz NINE & F'$x NON-RESIDENTIAL, FIRST 2,000SF 101-000042403.• 0 $308.77. $108.77 2/10/16 .F±rz •-;3 '. ,�,Yt, . .acyl # N€,R, PAID. BYE .. 4 F..', .iS 'tr ..;e:si`a'n',�`C -m •-''x{, a,4'"a<<" _y "."'3.V '"r,�>? RECEIPT #��E .�a..,�r �fr`1' '£`adi-ah."ko's m #w,,,i CHECK # n, Yf°.` 4�"`Yb" T ,_3N4 • f GLTD BYm r 'S� Y s�� x.<.s:F^ .. , 3w .+«d.Yh3E`S_7YYa.� '.' POLSTAR LLC CHECK R12758 1168 RSE � ' r " , >. ^:j L`t.aa:' : 111" � ` � ACCUUNT �„�S,' sQTY ,.g.4. AMOUNT, .< ..dd,£: ��•'��.>p;f�,i;;�iii»-aia'P..G'?a'h<i"s, PAID f� RAID;DATE< >,DESCRIP,TION° ? �, ., ..;..=.a .,.-hx�,.'wx•f:.•. ^;,'ra�;,.ays._r.a; r..ntrq";�xy'„Yim>{.�.::......�.',.�'wv;ca,•.g' ',� �,...'*:% „� of R5, _44 r','�''.�_an;;x'x;;. NON-RESIDENTIAL, FIRST 2,000SF, PC .101-0000-42600 0 • ' $84.12' $84.12 2/10/16 3y - .'t xLY'x,. -.•,, ., "f :?.x PE'3 T3 h ^'. S:Y' Y",€>F=?✓r�y<a::_x{x:.aeaw. :. d s ? °§'mF r {., »9b^i .Y,'h. r, ... $� v WE °."me.£ww�w.�w�.<J3f=.SNn'4d�Y i `t, {... E CHECKe# e:r 1i ICLTD BY * . b.a:.,.:, ..,$`"<._-:"�.v:ybu<IS ,>>✓`>'r=:a5.,,Xiet.�r .s:a-9 s.s.l�kx_�'S'rr 4c_:<^' #::kL�sa tA$�ee4�''.:;.,:: r. .: h:V.9R POLSTAR LLC CHECK R12758 1168 RSE Total Paid:for'ELECTRICAL-'NEW CONSTRUCTION: $192.89 $192.89 r c; DESCRIPTION a . s PAID#DATE m�� �QAMOUNT APPLIANCE'REPAIR/ALTERATION 101-0000-42402 0.0 $12.09 $12.09 2/10/16 -'�;5� 5 %<:,�, PAID BY Cf :ve'4?'R-'ZaiRi:.<"n ., �4i, .iAh3 - '?:F h ^:a l'ih;' '��� METHODS ` .:.. ..... 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Y, a` i x. <s:'.,�, e- -. fs.s.. CHECK # �w - 'f:.f,' "Cx CLTD BY ` 4.:c .u:{•. Yea ., . :r_.... s"? :a z < ,..�' _ RECEIPT frs �� ��ilr�,.i',wt?££,, POLSTAR LLC CHECK R12758' 1168 RSE Total Paid for MECHANICAL: $33.84 $33.84 $,.Y S'04 F,< 3'au4j DESCRIPTIO, DESCRIPTION.:�+ACCOUa�s d YF`,i"+ ;L may=: ^Sj,' 9''id� V g, !R. 0 _ ,� :.�£. �. '?TY�a'. :�!tx��''N �"/3 f(=' .".<S ,4d � ��a�,, :h`' y -'4 ff.�: f4' r&},. S'?k. £'W.�4.K�-8,•'etc€'; '!a RAID'DATE aTY�$�AMO�T, .PAID f FIXTURE/TRAP 101-0000-42401 0 $36.27 $36.27 2/10/16 h(.�-:.xe"fits"!6L;:'vr-.F,G: PAIDrBYh$�°fig Y01,51,10 '•.- ,2. g X METIiOD� " p �' 'RECEIPT#.s� E �'4€?.ef . y?^.{.-i'4-sXt.. w -m. # CLTD f3Y £ ,.,Y�a>'£�.�s�,`�- RMv 3.. v✓a�}.:'C>v ...i _ �� -' ..�` n o_ 's.a,.stu",aa3 .<Pa.i..... F..e..,<#,5:8�2,_�va� i n..v� _4_•c 4# z k .X .mss a.. :CHECK ..,3:£.£'g < .z POLSTAR LLC.. •. '' CHECK 1112758.. 1168 RSE 'F: -'�`C,r. fi' £ ...% �:5 Z:%3 SY C', % .=e*.i -<3s' '^t `F%vi' #ACCOUNT " QTnY Y i' .4Ki.d..."`»sy<,1.Y8.... r`•E4Q a<, w AMOUNT `'YcS€f'e�. •$ "i./�' .f �r<a �=✓res PAID -�9`;5:4AID y. '.: DATES ;DESCRIPfTIONt � 4 .....;An:•,°.'a't?'i !i_r.,F. 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RTixi:74".r$s.+ ... 4- ft`s r.0 ,•;:ei+H€>x,,`.-9E.tY'?d?F?�ct�fk.^7s:a,`,�.,.,2:z''.'^h a _�ACGQUNT�•QTIf a��.e,�,;;g.'�»i_gift'{•.,,.'n„1!°rtxYc'f`.i'£tx..:'.F�,.',-%.'asi'..X:eCF3sraA*.' nI^"'fuu tktn':i1.FI:.k..SF'vY.Saf'ak- a -';�"ss. °.`*, h�...t....i; .-..'.. ..<`.i, .rr..r, .•'<ti„5»'n GAS SYSTEM, 1-4 OUTLETS 101-0000=42401 0 $12.09 $12.09 2/10/16 PAIDBY,n4,? "`. .<,�E."'x.?atzy. hd d;. `�a '- `. «. �fVIETHOD" BAR xi .` .•Ei :K9ti%e C X--2-at_ «Y RECEIPT #44�CHECK#K� I_ s'+s�n '; ',tw ,_.n'.�r _ r'Y'om..h e :.kr a ..�� :_.�,...,_ ,rCLTDBY POLSTAR LLC •,-CHECK R12758 ,1168- RSE }' 5 ,.$,. •r t'x. (Y,,T ti.,., ...1'_•: pg,�„,;., a,}, e i :, h,t".^' ACCOUNT ACCOUNT N 6:',,ilia, QTY .%`xi AMOUNT .Y.J.�q:n`.'..?Y. '$ r PAID 4 "' PAID -DATE: :.,r.DESCRIP,TION t> � 4.., �>*,#��''. k:#, .aj •t3k�e.,... IDZZ .?'z'.0 .�`.M 7k�Y?.[us:.."..•+z..v :;± GAS SYSTEM,- 1-4 OUTLETS PC " 101-0000-42600 0 $24.17 $24.17 2/10/16 , PAIDBYi�l�"�i s �s� METHOD RECEIPT # ' CL�TD?BY �f. jt�,.1P .s.. .*:A-•. .:,. >r, ,..- ra iF .4..c... �;,'., R &Ey-7i'", .. 4.�. Kw<v y :�z 1sr35�q•�xrz,.�°�. -£ir:et;WT;,2SkN"S`.R3,;3s?cs...",�r�k. ro:` Rs'..:'.�_`C4���'f.FmC4"�"..__..: k�`v:� '�`s"iiP` ie�ikTi..� ._.CHECK£#s 'Eh�ta'etlki .,V4M1•='Y. e"rA:�� �h�:�iY�'ii�:x.x._�x POLSTAR, LLC CHECK R12758 1168 RSE .,.<. st., DESCRIPTION�� ftAtCOUNT ��; AMOUN��T� � � ss�:q. DATE - vn A. h wt.ki:,_.. ....Jv. .•n,0e_:a-.. k. C x:{.M �'. 4 '3 ,.a " 09. �' ''a QTY �TRTv'.; `_ ."�..i.E..re'. y§EhEvx vv .412 L PAID�� �.',DF-.'?4!4&x'. x. .xN.x".l`§.v r.Ss ,RAID _,•b..v¢3> .&...3r ^s."�'` WATER HEATER/VENT101-0000-42401 0 $12:09 $12.09 2/10/16 $,,yy ...P.§''S•- '- RECEIPT vh?ry??,•Sy` ;4 ✓ •;'p* a sfp.�'.y9}:•=r CLTD BY gE yy>� *F �" wMETHOD ` k.r +Q.'. ..$ 1_P'n , 'tt .Y. x #'s�CHECK# POLSTAR LLC CHECK R12758. 1168 RSE 4 ':,;.� -- 3..;.;T: ., :1 —1 q.a 'i yD.ESCRIPTIQN� 'rG '{n •y '�R" :- ,st:t �'a r %ACCUUNT " Imp '�..-;,,7�.a"ss� TYgNUR '�%`AMOUNT PAIDAPAIDDATE , : .. _ WATER HEATER/VENT PC -101-0000-42600 . ' . 0 $7.25 ; $7.25 2/10/16 x x rt x �4PAID BY' '� 'g,y '�ro4=;a`,. r< "' 0 1 .w. 6 4! F'__ Ii N&0 RECEIPT # y � -HECK`#j,'!0 ' 'CLTD BYE x a ,. :a.... :. !., a: ..":.. _} 2.v.k.: `rFar„. .,.-"vs .... �.. e. ,'..afiv _..,.J...✓tin•,�.s:�.K`F-.,".+,..s.:..;.''r�i :%i.. •n, y ., &Sxao 4+iY�-.sa .xS-."i x„Z:,ce. Axis .._,.. x ¢ ::,.,n £#'?. a'.i'c,'k;.E fiG.,'+"�X'-.=e POLSTAR LLC CHECK R12758 1168 'RSE �` ... ;..y.J' T: `-'rY':. S 3' f 4 ,x' ` �s a�w,S,�.^= DESCRIPTION ” *" a 3i'�,. 'a.; i'_'li 3 . *e`s, A, i't's '"3� '" ACCOUNT .:5*Y"e�ti, , s.� QTYAMOUNT "& 'k.: 5"Fi l?'t'3. r%'a..'.}'^5.--i,,s `c'"'xq� {i '. •" PAIOx%[ f.iK,; vr`: 'DT,-' 's;2 PAID DATE .:1 �x�y 'WATER SYSTEM INET/ALT/REP 101-0000=42401' 0 $12.09y $12.09 2/10/16 fVysya''` Y - _ XPAIDBY= 'xY.t 3 ,S'5:{.i N F-YgMETHOD '„� ..i.' ":.`{ 3 '-e:�Yg'; � � yfh i . ''f fnCHECKY#�s M `7.. !x,:_.. m,h,•�+'v*. .. n2.'a "7..fi}.. '. +; =i .@3 '.���i. n��...��t_.�i •RECEIPT# <u.0<.. ...., dtz¢?'r,” S:..:u "t.:^°k','�ray ""`i: �`m ,FcaDBY 4,":&.. ,x,M;+r ...K<.:,:E POLSTAR LLC CHECK R12758 ..1168 RSE 01 "'�, u,,tswd x..'"'..'"�C AGCOUNT�r'� W6 .S EcS1:5i"a j''$Y^ AMOUNT j'x""?. PAID .;,c%°"`"Sm",s`.,iE D DATE a ? .DESCRIPTION S . r te, ¢ ' ? : .i 4N ;. P ,,rp WATER SYSTEM INST/ALT/REP PC `'101-0000-42600 ':0 $12.09 $12.09 2/10/16 y'us C. 5: na`i _: �„ ry nom' •,,•ry. n'...<s. ?' ' ;' BY4r �..'- °ffi ..kx1d :.:,r,.�;, �x METHOD '; -s t+ RECEIPT # CHECK # t QTD BY r r PAID t; ._:,_w.,.,...., ..� „ ..s,g ���.�s<:3x,....:,c zs POLSTAR.LLC CHECK, R127S8 1168 RSE Total"Paid for PLUMBING -FEES: $152.32: $152.32:. 4.w:.,. A >Ce c'Y-'x.4 Si SCRIP,TION A xf:rur e 'k.:.: : A000UNQTYuc�AMOUNTaPAIDfi a.,.. S ' ..tai= ''f>'i'.si z i a a PAID,DATE .,sz�x� w, REMODEL, FIRST 00 SF 101-0000-42400 0 $49.31 $49.31. 2/10/16 jag - w4 CHECK(#,,��, CLBY POLSTAR.LLC CHECK R12758 '1168 RSE ,+9R..�Iat l I"OY>. N.�k,n(<';' - sf ✓.: .A �sd 4v x`,ix'w+•§,.tifr D.iE. > Y","'s7.'__. ? g 3 '•.gs.-rv. AvGAxAfrC.u..O,3�U.s-.N3f m.:.u.' MOUNT$s Y3 y�sPAbYxkPT? P'�AI-4D>rrsx,;7D:�iTAY'.TPE;'{:5',3 :YSr..C ife .kr�s?9 SL-,� ,�`„,%i6,.;_:;'V :. �m .t4fy .'.. "ycflQSoT•3{XYs("4.tx`tt`W",fJ.`,- µ.``AF&Y`YY:.2ffi 5'¢4 °r GD REMODEL; FIRST 500 SF PC 101-0000-42600 0 .. $134.88 $134.88 2/10/16 R,%;- "sE...:' :" METHOD'"xREGEIPT}}# 01t.TxJ'..`;k"mY'8S .m. 'ex;y.�,y..HJ�Pmi':vg aE°CHECK# T3#% %` e ,s. C1EI POLSTAR LLC CHECK 1112758 1168 RSE Total Paid for REMODEL: $184.19 $184.19: ;„ 4' IN."A' i ;DESCRIPTION. =3 ACCOUNT QTY AMOUNTS u, r RAID�f� €,t,::.r:s3,s x .' t PAID DATE '�r.C�..e. ..: i.: :•..: i':',..,i_s. "-•v .32-z'..4:-.....1 .<_.:xV ::,.es§$6 3-'�4.r.,L'�;! ..Y3..:f•'...'s''4".: .v�'.'�..1.?'+4+'..r.fl �'<.Yi�-Fa; i�:.•,v!'4F'`'e.Y,..t F'e. 1. ��'Tb'<Sk'iit{k SMI - COMMERCIAL' 101-0000-20308 0 $4.20. $4.20 2/10/16 PAID BY £ G ` * M9 M I10Da` RECEIPT # CHECK #a CLTD BY . E �. 1 POLSTAR LLC' CHECK R12758 1168 RSE Total Paid for STRONG MOTION. INSTRUMENTATION SMI: •. $4.20 $4.20. . Description: BARRON / TENANT IMPROVMENT Type: BUILDING, COMMERCIAL Subtype: REMODEL Status: APPROVED Applied: 1/28/2016 RSE Approved: 2/10/2016 JJO Parcel No: 600020027 Site Address: 79485 HIGHWAY 111 LA QUINTA,CA 92253 Subdivision: PM 33588 Block: Lot: 1 Issued: Lot Scl Ft: 0 Building Scl Ft: 0. Zoning: Finaled: Valuation: $15,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 PLAN CHECK PICKED UP Details: ADD NEW SHOWER TO EXISTING UNIT. TOILET, SHOWER, SINK AND NEW WATER HEATER. 2013 CALIFORNIA BUILDING CODES.' FINANCIAL INFORMATION Printed: Thursday, February 11, 2016 1:26:57 PM 1 of 3 C SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE - NOTES PLAN CHECK PICKED UP STEPHANIE KHATAMI 2/2/2016 2/2/2016 RAY ROOKER, TELEPHONE CALL JIM JOHNSON 2/2/2016 2/2/2016 CALLED RAY TO IMFORM HIM PLANS HAVE CORRECTIONS TELEPHONE CALL JIM JOHNSON 2/10/2016 2/10/2016 CALLED RAY TO INFORM HIM PLANS ARE READY TO ISSUE CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE 21P PHONE FAX EMAIL APPLICANT RAY ROOKER ARCHITECT 49410 BRYANT CT LA QUINTA CA 92253 (310)877-6287 CONTRACTOR GARY JONES' ELITE HOMES 73-770 20TH AVE SKY VALLEY CA 92241 (310)877-6287 OWNER . I STAN BARRON 74760 HIGHWAY 111 I STE 200 INDIAN WELLS CA 92253 (310)877-6287 FINANCIAL INFORMATION Printed: Thursday, February 11, 2016 1:26:57 PM 1 of 3 C SYSTEMS Printed: Thursday, February 11, 2016 1:26:57 PM 2 of 3 c SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00. 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: NON-RESIDENTIAL, 101-0000-42403 0. $108.77 $108.77 2/10/16 R127S8 1168 CHECK POLSTAR LLC RSE FIRST 2,000SF NON-RESIDENTIAL, 101-0000-42600 0 $84.12 $84.12 2/10/16 R12758 1168 CHECK POLSTAR LLC .RSE FIRST 2,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $192.89 APPLIANCE 101-0000-42402 0 $12.09 $12.09 2/10/16 R127S8 1168 CHECK POLSTAR LLC RSE REPAIR/ALTERATION APPLIANCE 101-0000-42600 0 $4.83 $4.83 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE REPAIR/ALTERATION PC VENT FAN 101-0000-42402 0 $12.09 $12.09 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE VENT FAN PC 101-0000-42600 0 $4.83 $4.83 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE Total Paid for MECHANICAL: $33.84 $33.84 FIXTURE/TRAP 101-0000-42401 0 $36.27. $36.27 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE FIXTURE/TRAP PC 101-0000-42600 0 $36.27 $36.27 2/10/16 R12758 1168. CHECK POLSTAR LLC RSE GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $12.09 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE OUTLETS GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $24.17 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE OUTLETS PC WATER HEATER/VENT 101-0000-42401 0 $12.09 $12.09 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE WATER HEATER/VENT 101-0000-42600 0 $7.25 $7.25 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE PC WATER SYSTEM 101-0000-424010 $12.09 $12.09 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE INST/ALT/REP Printed: Thursday, February 11, 2016 1:26:57 PM 2 of 3 c SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD DATE 1ST BLDG NS (1 WK) JIM JOHNSON 1/28/2016 2/4/2016 2/2/2016 BY WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $12.09 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE Total Paid for PLUMBING FEES:' $152.32 $152.32 REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $49.31 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE REMODEL, FIRST 500 SF 101-0000-42600 0$134.88 WK) $134.88 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE PC Total Paid for REMODEL: $184.19 $184.19 SMI - COMMERCIAL 101-0000-20308 0 $4.20 $4.20 2/10/16 R12758 1168 CHECK POLSTAR LLC RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $4.20 $4.20 TOTALS: $568.44 $568.44 INSPECTIONS REVIEW TYPE. REVIEWER - SENT DATE DUE DATE. RETURNED REVIEWS :STATUS REMARKS NOTES DATE 1ST BLDG NS (1 WK) JIM JOHNSON 1/28/2016 2/4/2016 2/2/2016 REVISIONS REQUIRED 1ST PLANNING (1 PLANNING 1/28/2016 .2/4/20.16 2/2/2016 APPROVED No Comments WK) BUCKET 2ND BLDG NS (1. JIM JOHNSON 2/8/2016 2 /16/2016 2/10/2016 APPROVED WK) ' Printed: Thursday, February 11, 2016 1:26:57 PM 3 of 3 L7 L7 srsrcnns Bin # City of La Q rein to 3s Building a Safety Division Permit # . 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Rkn V -12-d 6--- ons Building Permit Application and Tracking Sheet Project Address: 7 q Owner's Name: S �-.- A. P. Number: Address: S�F Legal Description: City, ST, Zip: Contractor: I ,I Telephone: Address: Project Description: City, ST, Zip: _ Telephone: ` ^i - 's 0 •`' :`: €-P State Lie. # : City Lie. Arch., Engr., Designer: ,f#: Address: r City, ST, Zip: { A— 7 21;3 fi�0 Telephone: D (p 7c1 State Lic. #: Name of Contact Person: z �:::- ? YP _ r P Y: < N':'= =r : �' Construction Type: Occu anc �{� V L �S o ' ' Project type circle one New Add'n Alter Repair Demo Sq. Ft.: 100 # Stories: # Units: Telephone # of Contact Person(T(p 0)z; 's Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE 9 Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"+ Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'r° Revie)v, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks_ Appr Date of permit issue School Fees, Total Permit P ces Bin li Permit Project Address: 7 $ ICit y of La Q uin td Buifding &r Safety Division 78-495 Caffe Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and T�racking Sheet �' Owner's Name:460 60L, A. P. Number: Address: —Zy 76 D y6.1 5 7t- qD 0 Legal Description: City, ST, Zip: n �''V -e Contractor: �� } Telephone: Address: Osa �ygm, Project Description: City, ST, Zip: ��.rj 11 IOCkT o& r Telephone: ���� (3 P a Q PCJ �L J State Lic. # : ` Z City Lie. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: p :;;; �"�:j.,,5:::;�;.<_';>; `'='=' "°`f`" ``` `+ " ;;:,• Construction Type: Occupancy: New Add'n Alter Repair Demo Project type (circle one): e ---------------- State Lic. #: Name of Contact Person: �.� � Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: -766-- Se> 1—C0 7.2- 'Estimated Value of Project: � a0 # Submittal Req'd APPLICANT: DO NOT WRITE BELOW THIS LINE Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss C21cs. Called Contact Person Plan Check Balance - Title 24 Calcs. Pians picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°a Revicw, ready for corrections/issue Electrical Subcontactor List Called ContactPcrson Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Jrd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. 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Series Name DHE 24 Amps Required for Unit Only (Amps) 100 Household Amperage Required (Amps) 200 Height (Inches) 14.5 Width (inches) 16.625 Depth (Inches) 4.625 Installation Services © 2016 Lowe's. All rights reserved. Lowe's and the gable design are registered trademarks of LF, LLC C &, 5 )av E PT FUR Cpl A Freedom ADA Roll -in Shower 62" x 33" Shower is ADA compliant when installed with available ADAAG accessories. 30 Year Manufacturer's Limited Warranty Model APF6233BF75 APFQ6233BF75 62" x 33" x 78 3/4" One Piece Shower 3/4" barrier free threshold with pre -leveled and reinforced shower base for easy installation Textured Floor Durable, luxurious and easy to clean gelcoat Full wood backing in walls offers strength and easy installation of accessories Accessories available: Grab bars, folding shower seat, collapsible water retainer, weighted shower curtain and rod, slide bar with handheld shower, pressure balance valve, caulkless drain Due to the nature of the materials, dimensions may vary +. 1/2-. Page I of 3 BUILDING & SAFETY DEPT. APPR® E D i FOR CON%' R CTION DATE 21pp 814 B � i Shower is ADA compliant when installed with available ADAAG accessories. 30 Year Manufacturer's Limited Warranty Model APF6233BF75 APFQ6233BF75 62" x 33" x 78 3/4" One Piece Shower 3/4" barrier free threshold with pre -leveled and reinforced shower base for easy installation Textured Floor Durable, luxurious and easy to clean gelcoat Full wood backing in walls offers strength and easy installation of accessories Accessories available: Grab bars, folding shower seat, collapsible water retainer, weighted shower curtain and rod, slide bar with handheld shower, pressure balance valve, caulkless drain Due to the nature of the materials, dimensions may vary +. 1/2-. Page I of 3 ACCESSIBILITY PROFESSIONALS www.FreedomShowers.com MODEL: APFQ6233BF75 Freedom Roll -In Shower Subm iftal Data Product (features - 62" x 33" x 78.75" - One piece shower - 3/4" barrier free threshold - Self-supporting and pre -leveled shower base eliminates mud setting - Full fiberglass encapsulated wood backing on walls - Smooth wall easy to clean gelcoat finish - 2 molded soap ledges - Textured slip -resistant floor - Center drain location Code Compliance - ADAAG - ADA - ANSI/MN Optional Accessories (factory installed) - Grab bars - Folding shower bench - Curtain rod - Slide bar with hand held shower and valve Optional Accessories (Installed at job site) - Collapsible Water Retainer - Drain - Shower Curtain 2.0" {— Factory Installed ff 3/16• Easy Base co+1£n OFN," 3/4" DUN DRAIN CORE: a- Mal. PLUS 1/Y DW x IT OIA. r1E4'FSw� 1 STWFENER(eACIcnDL LARM CU70UT VATH BMMRO offiWo m) THRESHOLD VIEW CITY OF LA BUILDING & SA! A P PPRT F" CONSTF Outlet Lomftl-- s %WV2 I. I.ne Wn 136' x 1 1/Y DIa. Grabear k,;; �.'„�-L �1 2r x 1 12' DIa. 48• Grab Har Framleee Fold up 38• HDPE Seat eo•� ]E' Wnt View sa----7 U I1 TA 'Y DEPT. V 1.-.._-W Ui :TA"ew 3,- $ 78- Top View Made in America Due to the nature of the materials, dimensions may vary +- 1/2". Page 2 of 3 JOWACCESSIBILITY PROFESSIONALS www.FreedomShowers.com MODEL: APFQ6233BF75 Freedom Roll -In Shower Submittal Data -Installation FRAMING DIMENSIONS A l:3 C D A 624 33" 1 T' 16" 10" Diameter x 1/2" Deep Recess Around Drain Core ADA Requires Finished Geioaat Floor to lie Level with Surface Top of Threshold. Install Shower in Pit • A r, • ■ or Build up Finished Floor. Steel Relnfarcad Bead of 3M 560 Threshold Polyurethane Adhesins (or equal) Threshold Detail DETAIL OF DRAIN CORE AREA 4" To 6" Diameter Drain Core Through Slab. 10" Diameter x 1/2" Deep Recess Around Core . 10" 1 `2 --14" to 6"�+ CITY OF LA QUINTA BUILDING & SAFETY DEPT. P->; PROVED FOR CONSTRUCTION �__�BY Made in America Due to the nature of the materials, dimensions may vary +- 1/2". Page 3 of 3 2" 1 �1f7`d wt r � ",q, 3l� ; &till o m