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BCOM2015-00480 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BCOM2015-0048 `ter °F 4vQ*rw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Property Address: 59195 MARBELLA APN: 764200068 Application Description: ANDALUSIA GOLF COURSE COMFORT STATION Property Zoning: Application Valuation: $2,779.70 Applicant: JORGE GARCIA 42175 PANORAMA DR STE E PALM DESERT, CA 92260 NO= CCT 0 S 2015 CITY 0'r LA QUINTA COMMUNITY'DEVELOPMENT DEPARTMENT 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: c� License No.: 820801 D� Vie: J b Conttrrai!tor. OWN ER-BUILDE ECLARATION 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).:. (-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.). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'. State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I 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 construct'.on lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Lender's 02 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/8/2015 Owner: TD DESERT DEV 81570 CARBONE RAS LA QUINTA, CA 0 Contractor: SANTUCCI BUILDERS INC 72529 BEAVERTAIL STREET PALM DESERT, CA 92260 (760)578-7757 Llc. No.: 820801 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 oft ork for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Se 3700 of the Labor Code, for the performance of the work for which this permit is issu . My workers' compensation insurance carrier and policy number are: Carrier: _ Polity 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 th bor Code, I shall forthwith comply with t os provisions. ate: L C)/9/ Appli6 nt: WARNING: FAILURE TO SECURE WORKERS' L'OMPENSATION COVERAGE IS UNLA AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application ,.the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit; or cessation of Work for 180 days will subject permit.to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this cit tnteon the above -menti ned 9foperty for inspection purposes. (/ww�J[n— } Aute 491 /S SignaU' rA plicant or Agent): FINANCIAL INFORMATION DESCRIPTION ACCOUNT ' IQTY AMOUNT PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 1.75 $122.50 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY 'DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 1.75 $122.50 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BLDG CITY STAFF - PER HOUR:. $245.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID 'PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT •PAID PAID DATE PATIO COVER, DESIGNED 101-0000-42404 0 $133.43 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY' AMOUNT. PAID PAID DATE PATIO COVER, DESIGNED PC 101-0000-42600 0 $168.24 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $301.67 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401. 0 $12.09 $0.00 PAID BY METHOD RECEIPT # ' CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 a 0 $12.09 $0.00 3I-i - ,� rt S .,•e -apc <1 a - .""-:',�=�, x s 3r z RECEIPT # :r F E; d CHEC BYE CK # LTD DESCRIPTIONxR ArCCOUNTa QTY, `AMOUNT �xPAID S" .PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600. 0 $12.09 $0.00 -C�"�4€f ? c.h a x..+i rx,r�,t.•"; uy �e; "PAID BY' RECEIPT,-*E€ , '...<:: METHOD. � Y� CHECK # 4 CLTD BY n,j Total Paid for PLUMBING FEES: $72.54 $0.00 i9wF a'S sy' `•� Y'39a�€'< : n A ry a rte., n Q<, 1 .DESCRIPTION' Y a ACCOUNT' YTY` AMOUNTPAIDr m PAID DATE; SMI - COMMERCIAL 101-0000-20308 0 $0.78 $0.00 a PAID:BY u f ( METHOD IP J �? :' ECE FT CHECK # CLTD BY R x Total Paid for STRONG MOTION INSTRUMENTATION SMI:. $0.78 $0.00 • • �•• fi454 IQ5 KART36U. _ , -hilb -P, M o # Permit # 49 CJ Of Lel Qulnta ••O . Buliding at Safety Division P.O. Box 1504,"78-495 Calle Tampico 14.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet ProjectAdd.ress: M 1 (�� C� S T� ' Owner's Name:. -FD A. P. Number. _ �.. 0 68 Address: S l S10 NL -Ra Legal Description: S . — 1 K��L C.ST, Zip: Contractor: SA (.'I bJ1L Telephone: Address: 1215OA FTA.1 Project Description: City, ST, Zip: r�-M IN L, CogAE CUARK STATIN, Telephone: ?6b .578 -775 zoi5 C ac 415 ( 0 (> State Lic. # :�2 Q 84 City Lic. #; (L Arch., Eng., D=jgw:. J � Address: S A City., ST. Zip: A 92240 h. Telephone: ? .21� ; q22 �i t State Lic. #: �� r _ °"�` :rs •- Name of Contact Person: J(jf ``4�C -- Construction Type: U Occupancy: U . Project typre7(�circle one): ew Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: ^ Telephone # of Contact Person: d..� 2'11L4 Estimated Value of Project oo APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRAC.MG PERMIT FEES Plea Sets Pian Cheek submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact PersonPfau Check Balance • Titre 24 Cales. Plans picked up onstraction Flood plain plan Plans resubmitted.'. Me haeical Grading plan r Review, ready for correctionstasue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- '^' Review,' 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 Fees Description: ANDALUSIA GOLF COURSE COMFORT STATION Type: BUILDING, COMMERCIAL Subtype: AMUSEMENT Status: APPROVED Applied: 8/31/2015 PJU Approved: 10/8/2015 JJO Parcel No: 764200068 Site Address: 59195 MARBELLA LA QUINTA,CA 92253 Subdivision: Block: Lot: Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,779.70 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 9/15/2015 Details: 209 SF GOLF COURSE COMFORT STATION. THIS INCLUDES ELECTRICAL AND PLUMBING. PER 2013 CALIFORNIA BUILDING CODE __j Applied to Approved Printed: Thursday, October 08, 2015 9:27:49 AM 1 of 4r1V SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE JIM JOHNSON 9/9/2015 9/15/2015 NOTE JIM JOHNSON 10/1/2015 10/7/2015 PLAN CHECK'COMMENTS FROM CONSULTANT JIM JOHNSON 9/15/2015 9/14/2015 RECEIVED PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 10/7/2015 10/7/2015 STRUC RFC - 10/6/2015 RECEIVED PICKED UP BY JERRY SANTUCCI PICKED UP BY JERRY SANTUCCI PLAN CHECK PICKED UP ANGELICA ZARCO 9/15/2015 9/15/2015 PICKED UP BY JERRY SANTUCCI PICKED UP BY JERRY SANTUCCI Printed: Thursday, October 08, 2015 9:27:49 AM 1 of 4r1V SYSTEMS PLAN CHECK PICKED UP MARY FASANO 10/7/2015 INFORMATION 10/7/2015 PLAN CHECK SENT TO • STEPHANIE KHATAMI 9/21/2015 9/21/2015 OUTSIDE PC CLTD DESCRIPTION PLAN CHECK SUBMITTAL STEPHANIE KHATAMI PAID 9/21/2015 : RECEIPT # 9/21/2015 METHOD., PAID. BY. RECEIVED .ACCOUNT RESUBMITTAL STEPHANIE KHATAMI 10/7/2015 HOURLY PLAN CHECK - 10/7/2015 1.75 $122.50 TELEPHONE CALL JIM JOHNSON 9/15/2015 9/15/2015 CALLED JORGE GARCIA TO INFORM HIM PLANS ARE READY FOR CORRECTIONS TELEPHONE CALL JIM JOHNSON HOURLY PLAN CHECK - 10/7/2015 1.75 10/7/2015 $0.00 CALLED JORGE GARCIA TO INFORM HIM THAT THE PLANS ARE YES READY FOR 2ND CORRECTIONS TELEPHONE CALL JIM JOHNSON 10/8/2015 10/8/2015 CALLED SANTUCCI BUILDER TO INFORM THEM THE PLANS Total Paid for BLDG CITY STAFF - PER HOUR: $245.00 $0.00 ARE READY TO ISSUE. CONDITIONS CONTACTS NAME.TYPE NAME ADDRESSI CITY -STATE .. ZIP PHONE FAX `. EMAIL APPLICANT JORGE GARCIA 42175 PANORAMA DR PALM DESERT CA 92260 (760)272-9222 STE E CONTRACTOR SANTUCCI BUILDERS INC 72529 BEAVERTAIL PALM DESERT CA 92260 (760)272-9222 STREET OWNER TD DESERT DEV 81570 CARBONERAS I LA QUINTA CA 0 (760)272-9222 Printed: Thursday, October 08, 2015 9:27:49 AM 2 of 4 V? SYSTEMS FINANCIAL INFORMATION CLTD DESCRIPTION QTY AMOUNT PAID PAID DATE : RECEIPT # CHECK # METHOD., PAID. BY. .ACCOUNT . `BY: HOURLY PLAN CHECK - 101-0000-42600 1.75 $122.50 $0.00 YES HOURLY PLAN CHECK - 101-0000-42600 1.75 $122.50 $0.00 YES ' Total Paid for BLDG CITY STAFF - PER HOUR: $245.00 $0.00 Printed: Thursday, October 08, 2015 9:27:49 AM 2 of 4 V? SYSTEMS DESCRIPTION —T ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 1 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION, $1.00 $0.00 BSA: PATIO COVER, 101-0000-42404 0 $133.43 $0.00 DESIGNED PATIO COVER, 101-0000-42600 0 $168.24 $0.00 DESIGNED PC Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $301.67 $0.00 BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 BUILDING SEWER PC 101-0000-42600 0 $12.09 $0.00 FIXTURE/TRAP 101-0000-42401 0 $12.09 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $12.09 $0.00 WATER SYSTEM 101-0000-42401 0 $12.09 $0.00 INST/ALT/REP WATER SYSTEM 101-0000-42600 0 $12.09 $0.00 INST/ALT/REP PC Total Paid for PLUMBING FEES: $72.54 $0.00 SMI -COMMERCIAL 101-0000-20308 0 $0.78 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.78 $0.00 TOTALS:0.00 PARENT PROJECTS Printed: Thursday, October 08, 2015 9:27:49 AM 3 of 4 J SYS7EtitS 1ST BLDG STR (2 YOUNG 8/31/2015 9/14/2015 9/15/2015 REVISIONS REQUIRED DOC 9/9/2015 WK) ENGINEERING 59-195 MARBELLA.doc 0 DOC 10/7/2015 JIM JOHNSON 2ND BLDG NS (2 WK) JIM JOHNSON 9/21/2015 . 10/5/2015 10/1/2015 APPROVED 2ND BLDG STR (2' KATHRYN 9/21/2015 10/5/2015 10/6/2015 REVISIONS REQUIRED 2ND REVIEW - WK) SAMUELS DOC 10/6/2015 KATHRYN SAMUELS STRUCTURAL BCOM 2015-0048 KS 3RD BLDG NS (1 WK) JIM JOHNSON 10/7/2015 10/14/2015 10/8/2015 APPROVED STRUC RECHECK DONE IN HOUSE BY JIM PER COMMENTS WITH KATHRYN APPROVAL Printed: Thursday, October 08, 2015 9:27:49 AM 4 of 4 - SYSTEMS BOND INFORMATION Attachment Type CREATED ATTACHMENTS OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 9/9/2015 JIM JOHNSON 59-195 MARBELLA.doc 59-195 MARBELLA.doc 0 DOC 10/7/2015 JIM JOHNSON 59-195 MARBELLA.doc 59-195 0 MARBELLA 1.doc 2ND REVIEW - DOC 10/6/2015 KATHRYN SAMUELS STRUCTURAL BCOM 2015-0048 KS 0 (2nd).doc COMMENTS 2ND REVIEW. - NEW CITY DOC 10/6/2015 KATHRYN SAMUELS' STRUCTURAL TRANSMITTAL BCOM 0 TRANSMITTAL 2015-0048 (2nd).pdf 2ND SUBMITTAL CHECK 2ND SUBMITTAL CHECK DOC 9/21/2015 ' STEPHANIE KHATAMI LIST AND COMMENTS LIST AND COMMENTS 0 09-21-i5.pdf 09-21-15.pdf 3RD SUBMITTAL CHECKLIST AND DOC 10/7/2015 STEPHANIE KHATAMI CHECKLIST AND COMMENTS 30-7-15 0 COMMENTS 10-7-15 BCOM2015-0048.pdf BCOM2015-0048.pdf Printed: Thursday, October 08, 2015 9:27:49 AM 4 of 4 - SYSTEMS