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BRES2015-0284omywslc�j 78-495 CALLE TAMPICO D XfvT ihtQuiam VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 v FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 2/22/2016 Application Number: BRES2015-0284 Owner: Property Address: 54135 SOUTHERN HILLS JIM &JANE HEITBR APN: 775101043 54135 SOUTEHRN 1' l Application Description: 136 SF ADDITION AND REMODEL LA QUINTA, CA 92 Property Zoning: Application Valuation: $200,000.00 SENIS r+�lJL�RYHa" Applicant: Contractor: GI}MMA� ' L Ei,jp„ s,_ r- 4 JIM & JANE HEITBRINK LARRY COIAJR DBA 7 C 54135 SOUTEHRN HILLS 48-236 VISTA DE NOPAL LA QUINTA, CA 92253 LA QUINTA, CA 92253 UWt0)J.1 (760)564-5811 Llc. No.: 594043 --------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Divisio he Bu iness and Professions Code, and my License is in full force and effect. License Class: B License No.: 594043 C Date: - � l V Contractor: OWNER -BUILDER 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).: (_ ) 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 construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's -WORKER'S COMPENSATION DECLARATION I here ifirm under penalty of perjury one ofthe following declarations: I have and will maintain a certificate of consent to self -insure for workers' come s ion, as provided for by Section 3700 of the Labor Code, for the performance of the rk far which this permit is i d. —LIJAve and will maintai o ers' compensation Insurance, as required by Secti -37 f the Labor Code, fir t performance of the work for which this permit Is issue . workers' ccmpens Insurance carrier and policy number are: Carrie Policy Number: ertlfy that In the rformance of the work for which this permit Is Issued, l shall of employ any person in any manner so as to became subject to the workers' compensation laws of California, and agree thatr0l.-IfIx ld bee subject to the workers' compensation provisions of Section 37 Labo Code, I shall forthwith comply with those provisions. Date: ——� Applicant: WARNING: FAILURE TO SECURE WORKERS' COf PENSVION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit, issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of Work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and sta I s relati g to building construction, and hereby authorize representatives of this cI y to a ter on the above-mentioned property for inspection purposes. I Date: Signature (Applicant or Agent): DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 0 $62.36 $62.36 10/14/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY COIA JR DBA 7 C'S CONSTR CHECK R10009 10657 SGU DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $17.40 $17.40 10/14/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY COIA JR DBA 7 C'S CONSTR CHECK R10009 10657 SGU DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $120.83 10/14/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY COIA JR DBA 7 C'S CONSTR CHECK R10009 10657 SGU DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, FIRST 100 SF PC 101-0000-42600 0 $171.14 $171.14 10/14/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY COIA JR DBA 7 C'S CONSTR CHECK R10009 10657 SGU Total Paid for ADDITION: $371.73 $371.73 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY CHARGE - BLDG CITY STAFF 101-0000-42600 1 $145.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BLDG CITY STAFF - PER HOUR: $145.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $8.00 $8.00 10/14/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY COIA JR DBA 7 C'S CONSTR CHECK R10009 10657 SGU Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $8.00 $8.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PATIO COVER, STD, OPEN 101-0000-42404 0 $97.17 $97.17 10/14/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY COIA JR DBA 7 C'S CONSTR CHECK R10009 10657 SGU DESCRIPTION, ACCOUNT PAID PAID DATE PATIO COVER, STD, OPEN PC 101-0000-42600 0 $95.72 $95.72 10/14/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY COIA JR DBA 7 C'S CONSTR CHECK R10009 10657 SGU Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 $192.89 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $43.50 $43.50 10/14/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY COIA JR DBA 7 C'S CONSTR CHECK R10009 10657 SGU DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $34.80 $34.80 10/14/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY COIA JR DBA 7 C'S CONSTR CHECK R10009 10657 SGU DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $49.31 10/14/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ! LARRY COIA JR DBA 7 C'S CONSTR CHECK R10009 10657 SGU DESCRIPTION ACCOUNT QTY -AMOUNT PAID PAID DATE REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 $134.88 10/14/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY COIA JR DBA 7 C'S CONSTR CHECK R10009 10657 SGU Total Paid for REMODEL: $262.49 $262.49 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $26.00 $26.00 10/14/15 PAID BY METHOD RECEIPT # -CHECK # CLTD BY LARRY COIA JR DBA 7 C'S CONSTR CHECK R10009 10657 SGU Total Paid for STRONG MOTION INSTRUMENTATION SMI: $26.00 $26.00 TOTALS:00. l7 0 W D J W 0 0 2 W m p Z a z _O H LL0 p a H to M rte! c 0 a u N 0 P: z W p Vl W (7 z O m N Q O l Cid M M l7 Z Ln 0 W 0 N a Z J a C M 0 Or 41 i Q a= Q a u v L a 2 z ¢ oC Qp O u u1 of a 0 LLI CC 0 Z Zaiy LL M J Z Q > U w i c CY m z 00 u C F Q > it C] N W a Wm Z i J 0 0 C 4AN > l7 Q a U Z J J N � W W C to W w a' a m�Q Z 0 �=0 oKp c t u cyipQ� W C W Z= � = J m rZuj 'r 1~/1 c Ll = r4 J 0 a LL LU p LU 0 Y u0 O c W Y W p~ LA LU F. 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I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin with Section 7000 of Division t e Busines and Professions Code, g } and my License is in full force and effect. License Class: B License No.: 594043 Date: IQ 4" '1 Contractor: OWNER-BUILDEj DECI1jPTION I hereby affirm under penalty of perjury tha I am empt 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 (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 construction lending agency for the.performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Na Lender's 111111111111111111111 24 VOICE(760)777- 7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/14/2015 Owner: JIM & JANE HEITBRINK 54135 SOUTEHRN HILLS LA QUINTA, CA 92253 Contractor: LARRY COIA 1R DBA 7 C'S CONSTRUCTION & M 48-236 VISTA DE NOPAL LA QUINTA, CA 92253 (760)564-5811 Llc. No.: 594043 WORKER'S COMPENSATION DECLARATION I hereb a m under penalty of perjury one of the following declarations: hn ve and will maintain a certificate of consent to self -insure for workers' com en ti as provided for by Section 3700 of the Labor Code, for the performance oft o f which this permit is is s d. J ve and will maintain orkers' compensation insurance, as required by SecEl f the Labor Code, f �e performance of the work for which this permit. is isorkers' compens -? nsurance carrier and policy number are: CarPolicy Number: rtify that in the, erformance of the work for which this permit is issued, I shaly any person in any manner so asto become subject to the workers' comlaws of California, and agree that ould bi�ome subject to the workers' compensation provisions of Section 00 of e LaCode, I shall forthwith comply with those provisions. l6yir Date: — Applicant: WARNING: FAILURE TO SECURE WORKERS' OMP SATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO. CRI IN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,004. 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 abov inf rmation is correct. I agree to comply with all city and county ordinances and sta law relati to building construction, and hereby authorize representatives of this to nter n the above-mentioned p�rooperty for inspection purposes. IF - / , /,47 Date: 1.11 1' — t ] Signature (Applicant or Agent) DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 0 $62.36 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION - ACCOUNT QTY AMOUNT . PAID PAID•DATE ADDITION, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $17.40 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY. AMOUNT PAID PAID DATE ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT : QTY AMOUNT PAID PAID DATE ADDITION, FIRST 100 SF PC 101-0000-42600 0 $171.14 $0.00 PAID BYMETHOD RECEIPT # . CHECK # CLTD BY Total Paid for ADDITION: $371.73 $0.00 DESCRIPTION 'ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $8.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $8.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PATIO COVER, STD, OPEN 101-0000-42404 0 $97.17 $0.00 PAID BY METHOD RECEIPT # CHECK # -CLTD BY DESCRIPTION 'ACCOUNT. QTY: AMOUNT PAID' PAID DATE PATIO COVER, STD, OPEN PC 101-0000-42600 0 $95.72 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY i Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $43.50 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY . DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 .0 $34.80 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT'. PAID PAID DATE REMODEL, FIRST 100 SF 161-0000-42400 0 $49.31 $0.00 PAID. BY ';�_' x � METHODS'-�e`RECEIPT4# CLTDBY� '`_Yi,<'.r"` r r:.' fiCHECK## As 441. ^ • r ¢� 4 f .A'Y ;DESCRIPTION ACCO,UNT" QTY`` � AMOUNT "01 PAID a PAID'DATE ;y E� ., :.., REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 $0.00 :. ; ➢ :.t$: Y �" sf ^ .�• 4, PAID: BY `. .F}?ro > .-�; ""„Rk 4 yy" ? f vW W17t - METHOD '.�, + `, X v.: d3.. 3 RECEIPTS#..a ,�:. - %€`-•C?F.2¢X K & CHECK#.Y L F." .,: - : z' < z ° y { x «.�#E .:' :,.. r ECLTDBY Total Paid for REMODEL: $262.49 $0.00 - ? r Q y�4 .� DESCRIPTION a 4 a � ... � � f � F ,�' A000UNT� � u �" Q TY :: � N OUNT� AMx Gry 3 � D:D ATE , � .�.�. PAID t ,PAI; SMI - RESIDENTIAL 101-0000-20308 0 $26.00 $0.00 PAID;BY # s �E CHECK #,q, � �+ ` CLTD BY ` • , ,z y = .METIiOFOr � � � RECEIPT t< Total Paid for STRONG -MOTION INSTRUMENTATION SMI: $26.00 $0.00 r 3 " r ^ • r Description: 136 SF ADDITION AND REMODEL Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED Applied: 7/27/2015 EVA Approved: 10/14/2015 SGU . Parcel No: 775101043 Site Address: 54135 SOUTHERN HILLS LA QUINTA,CA 92253 Subdivision: TR 22432-2 SEE ASSESSORS MB 769/43 Block: Lot: , 2 Issued: FOR CMS CHRONOLOGY TYPE Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $200,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 136 SF RESIDENTIAL OFFICE ADDITION, 340 SF COVERED PATIO ADDITION, REMODEL OF FAMILY ROOM, KITCHEN, MASTER BATH & CLOSET. INCLUDES MECHANICAL, ELECTRICAL & PLUMBING WORK. 2013 CODES. Printed: Wednesday, October 14, 2015 2:21:03 PM 1 of 4 0 SYS7Eiv1S ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES ROPER MORRIS 760-272-9292 CAME IN FOR CUSTOMERS NOTE PHILIP JUAREZ 8/17/2015 8/17/2015 AND REQUESTED AN UPDATE ON PLANS CALLED YOUNG THEY WERE APPROVABLE. NOTE STEPHANIE KHATAMI 9/17/2015 9/17/2015 HOA LETTER RECEIVED. PLAN CHECK PICKED UP PHILIP JUAREZ 8/19/2015 8/19/2015 PLANS PICKED UP BY JIM HIETBRINK 949-640-1754 1ST PLAN CHECK SUBMITTAL RECEIVED, 3 SETS OF PLANS, 2 PLAN CHECK -SUBMITTAL ED VASQUEZ 7/27/2015 7/27/2015 SETS OF CALCS, TITLE 24 INCLUDED AS PART OF THE PLANS RECEIVED (LAST TWO PAGES) PUBLIC COUNTER VISIT STEPHANIE GUMPERT 10/9/2015 10/9/2015 LARRY PICKED UP SCHOOL FEE LETTER RESUBMITTAL MARY FASANO 8/25/2015 8/25/2015 SENTTO PLAN CHECK KAY HENSEL 7/27/2015 7/27/2015 STRUC TO YOUNG - DUE 8/10/2015 CONSULTANT Printed: Wednesday, October 14, 2015 2:21:03 PM 1 of 4 0 SYS7Eiv1S FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #. CHECK # METHOD PAID BY NOTIFIED ROPER MORRIS THAT NON STRUCTURAL PORTION TELEPHONE CALL BURT HANADA $0.00 8/18/2015 ADDITIONAL 500 SF 8/18/2015 HAS CORRECTIONS AND STRUCTURAL WAS APPROVABLE. NOTIFIED JIM HEITBRINK - OWNER THAT PLANS ARE TELEPHONE CALL BURT HANADA 9/3/2015 9/3/2015 APPROVED AND THAT A CONTRACTOR AND HOA APPROVAL IS REQUIRED PRIOR TO PERMIT ISSUANCE. CONDITIONS CONDITION DATE DATE DATE . ..,,•- 1. 1 CONTACT,, STATUS REMARKS NOTES TYPE ADDED REQUIRED SATISFIED OUTSTANDING ITEMS PRIOR TO PERMIT ISSUANCE: HOA APPROVAL, CONTRACTOR INFORMATION. READY TO ISSUE BURT HANADA 9/3/2015 PENDING HOA LETTER RECEIVED. CONTRACTOR CHECKLIST INFORMATION STILL PENDING. SCHOOL FEE LETTER TURNED IN 10-14-15 AND CONTRACTOR INFORMATION PUT IN CONTACTS NAME TYPE NAME` ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT JIM & JANE HEITBRINK 54135 SOUTEHRN HILLS LA QUINTA CA 92253 (714)835-2800 (714)835- 2819 CONTRACTOR LARRY COIA JR DBA 7 C'S 48-236 VISTA DE LA QUINTA CA 92253 (714)835-2800 (714)835 - CONSTRUCTION & M NOPAL 2819 ENGINEER ESI/FME INC. STRUCTURAL 1800 E. 16TH STREET, SANTA ANA CA 92701 (714)835-2800 (714)835 - ENGINEER UNIT B 2819 OWNER JIM & JANE HEITBRINK 54135 SOUTEHRN HILLS LA QUINTA CA 92253 (714)835-2800 (714)835- 2819 FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #. CHECK # METHOD PAID BY .BY ADDITION, EA 101-0000-42400 0 $62.36 $0.00 ADDITIONAL 500 SF Printed: Wednesday, October 14, 2015 2:21:03 PM 2 of 4 SYSTEMS Printed: Wednesday, October 14, 2015 2:21:03 PM 3 of 4 SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY 'BY ADDITION, EA 101-0000-42600 0 $17.40 $0.00 ADDITIONAL 500 SF PC ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $0.00 ADDITION, FIRST 100 SF 101-0000-42600 0 $171.14 $0.00 PC ' Total Paid for ADDITION: $371.73 $0.00 BSAS SB1473 FEE 101-0000-20306 0 $8.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $8.00 $0.00 BSA: PATIO COVER, STD, 101-0000-42404 0 $97.17 $0.00 OPEN PATIO COVER, STD, 101-0000-42600 0 $95.72 $0.00 OPEN PC Total Paid for PATIO COVER / COVERED PORCH / LATTICE:. $192.89 $0.00 REMODEL, EA 101-0000-42400 0 $43.50 $0.00 ADDITIONAL 500 SF REMODEL, EA 101-0000-42600 0 $34.80 $0.00 ADDITIONAL 500 SF PC REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $0.00 REMODEL, FIRST 500 SF 101-0000-426000 $134.88 $0.00 PC Total Paid for REMODEL: $262.49 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $26.00 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $26.00 $0.00 TOTALS:• 0i Printed: Wednesday, October 14, 2015 2:21:03 PM 3 of 4 SYSTEMS FINAL :D PARENT PROJECTS Printed: Wednesday, October 14, 2015 2:21:03 PM 4 of 4 SYSTEMS ATTACHMENTS REVIEWS RETURNED STATUS REMARKS REVIEW TYPE REVIEWER SENT -DATE DUE DATE PATHNAME SUBDIR NOTES ... school Fee Area Cert - DATE NON-STRUCTURAL - BURT 7/27/2015 8/10/2015 8/17/2015 REVISIONS REQUIRED 1 2 WK HANADA Hills.pdf Hills.pdf DOC 8/18/2015 STRUCTURAL - 2 WK YOUNG 7/27/2015 8/10/2015 8/17/2015 READY FOR APPROVAL CORRECTION LIST ENGINEERING - CONDITION BURRTEC NON-STRUCTURAL - BURT 8/25/2015 9/8/2015 9/3/2015 APPROVED - CONSTRUCTION DEBRIS CONSTRUCTION DEBRIS 2 WK HANADA CONDITIONS PLAN.pdf Printed: Wednesday, October 14, 2015 2:21:03 PM 4 of 4 SYSTEMS ATTACHMENTS Attachment Type :: ` :.CREATED OWNER- . ' -; ' ; DESCRIPTION ` - PATHNAME SUBDIR ETRAKIT ENABLED school Fee Area Cert - school Fee Area Cert - DOC 8/18/2015 BURT HANADA 54135 Southern 54135 Southern 1 Hills.pdf Hills.pdf DOC 8/18/2015 BURT HANADA 1ST SUBMITTAL 54-135 Southern Hills - 1 CORRECTION LIST Remodel Addition.docx BURRTEC BURRTEC DOC 9/3/2015 BURT HANADA CONSTRUCTION DEBRIS CONSTRUCTION DEBRIS 1 PLAN.pdf PLAN.pdf SCHOOL FEE RECEIPT SCHOOL FEE RECEIPT DOC 9/3/2015 BURT HANADA (54135 SOUTHERN (54135.SOUTHERN 1 HILLS).pdf HILLS).pdf 1ST REVIEW - NEW CITY DOC 8/17/2015 KATHRYN SAMUELS STRUCTURAL TRANSMITTAL BRES 0 TRANSMITTAL 2015-0284 (ist).pdf DOC 9/17/2015 STEPHANIE KHATAMI HOA 54-135 Southern HOA 54-135 Southern 0 Hills Hllls-HIETBRINK.pdf Printed: Wednesday, October 14, 2015 2:21:03 PM 4 of 4 SYSTEMS UMYW nc�j Applicant: JIM & JANE HEITBRINK 54135 SOUTEHRN HILLS LA QUINTA, CA 92253 ----------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 0f of Divisio he Bu iness and Professions Code, and my License is in full force and effect. License Class: B License No.: 594043 � c Date: ^ ly Contractor: OWNER -BUILDER 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).: I ) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( I I am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's aevwvrr? - Contractor. U, . VEtOFUEh nF LARRY COIA JR DBA 7 Cr— q VEtJT 48-236 VISTA DE NOPAL LA QUINTA, CA 92253 .(760)564-5811 ` l Llc: No.: 594043 ---------------------------------------- WORKER'S COMPENSATION DECLARATION I here ffirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' com e s ion, as provided for by Section 3700 of the Labor Code, for the performance of the rk for which this permit is i d. ve and will maintai o ers' compensation insurance, as required by Secti 7 f the Labor Code, f r t performance of the work for which this permit is issue -workers' compens insurance carrier and policy number are: Carrie Policy Number: ertify that in the p "ormance of the work for which this permit is issued, I shall of employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that,. I sh uld be a subject to the workers' compensation provisions of Section 37 0 of t .e Labo Code, I shall forthwith comply with those provisions. ✓/ Date: ��—� Applicant: WARNING: FAILURE TO SECURE WORKERS' COfVIPENS$ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit. issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and sta I �s re7gn to building construction, and hereby authorize representatives of this ci to entethe above-mentioned property for inspection purposes. Date: _ �+-�=�j ^ Signature (Applicant or Agent) Twit 4v VOICE (760) 777-7125 78-495 CALLE TAMPICO D LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 2/22/2016 Application Number: BRES2015-0284 Owner: Property Address: 54135 SOUTHERN HILLS JIM & JANE HEITBR r, AL1 APN: 775101043 54135 SOUTEHRN Application Description: 136 SF ADDITION AND REMODEL LA QUINTA, CA 92 Property Zoning: 'S aw r =B jrop Application Valuation: $200,000.00 L01u u Applicant: JIM & JANE HEITBRINK 54135 SOUTEHRN HILLS LA QUINTA, CA 92253 ----------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 0f of Divisio he Bu iness and Professions Code, and my License is in full force and effect. License Class: B License No.: 594043 � c Date: ^ ly Contractor: OWNER -BUILDER 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).: I ) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( I I am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's aevwvrr? - Contractor. U, . VEtOFUEh nF LARRY COIA JR DBA 7 Cr— q VEtJT 48-236 VISTA DE NOPAL LA QUINTA, CA 92253 .(760)564-5811 ` l Llc: No.: 594043 ---------------------------------------- WORKER'S COMPENSATION DECLARATION I here ffirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' com e s ion, as provided for by Section 3700 of the Labor Code, for the performance of the rk for which this permit is i d. ve and will maintai o ers' compensation insurance, as required by Secti 7 f the Labor Code, f r t performance of the work for which this permit is issue -workers' compens insurance carrier and policy number are: Carrie Policy Number: ertify that in the p "ormance of the work for which this permit is issued, I shall of employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that,. I sh uld be a subject to the workers' compensation provisions of Section 37 0 of t .e Labo Code, I shall forthwith comply with those provisions. ✓/ Date: ��—� Applicant: WARNING: FAILURE TO SECURE WORKERS' COfVIPENS$ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit. issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and sta I �s re7gn to building construction, and hereby authorize representatives of this ci to entethe above-mentioned property for inspection purposes. Date: _ �+-�=�j ^ Signature (Applicant or Agent) �> �:Yn �• DESCRIPTION PAID DATE <z �f ,PAID ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 0 $62.36, $62.36 10/14/15 MOM= cErT: 4H{Ay�Oye,7D.3'fY �,TRt"�r.d'{ � ��.: �-' YS , C„,LsiT4 ",'l%(@*:.'� tYxtY,+.SIv'7f"�f �fRv4�, .+E.CtrEi.-I`P"'uTT"R✓#'#'�, ��W � M1."Y �.� f 91.DT. L.d;r LARRY COIA JR DBA 7 C'S CONSTR CHECK' -810009 10657. SGU t „��'�: S + � \. Ts%e`. •< ,�"L �;?2'Ca� d 4t;r::�#tis UESCRIPTION�w=r�ACCQUNT:-, AN �,f E V TY.€`�� £Y 'Y4; XR A�'3Po:.'4r# s`k'"��g § �` 111 am.* ,_ .. x Ye>f� a :_,.a. Q X14€ . ADDITION, EA ADDITIONAL 500 SF.PC 101-0000-42600 0 $17.40 ', $17.40 10/14/15 'r• x_,� � m 'Ff' � .. � a .....,�. t � � s �Y. , .i "":='� 'y z*`rixi{� �"."'*i� Ste, u�� C 1 r r x PAID BYSri s { ;'�METIiOD = 3 - � �*%'h%�'::::.s.: ;:y� £�'i+'f� � e�" 's4Y"�,,,�Y,. K,�� r E. zu CHECK #' °CLTD BYk, C� a.:......� .,,> ..�.... . LARRY COIA JR DBA 7 C'S CONSTR CHECK..,, . 810009 10657 SGU ',' 2 .i - fx.x4:..'t E�. '.' DESCRIPTION�y£ .r£�, ACCOUNT � PAID= PAID DATE:. ?, ..^ .. _ ..,. 9si :: .,:tt✓+ „ ,2.<� ... t'sx <yh.+.�'7:. i.:.t. yhs4.::..r-E,_$-•b,,"+0.`a''>b"`.�.k`f,:...: �Cie`>;f QTY,r �'.t"'; `e sAxs:XxY .:'is ADDITION, FIRST 100 SF', :• 101-0000-42400 0 $120.83 $120.83. 10/14/15 g':t'':.'R��SR LARRY COIA JRDBA 7 C'S CONSTR CHECK ' R10009 10657 SGU (`Y ...t•�'. ::: w.,..'� F 4... 6`x$t, ,e :.3 -mg'.. :.4 ,:y Y #,{.=3,.'' _ .�°.S Ki4 :R n[y': ��': :-. "f' DESCRIPTION, > : ACCQUNT p .�s'i �+ QTY d F,>. .� ti �tfi Gi`r�x'Ax �r�4 - PAID DATE' MIA AMOUNT � �, PAIQ� -Yn. ,x wrs�:,..,. r: . �'w y� r;:F:ry4",'nit ADDITION', FIRST 100 SF :PC .. 101-0000-42600 , 0 $171.14 $171.14 10/14/15 "-b;^3 &'tee£-f:d n:kxY.-}-''�r tbsf.-a'" PAID .pyy 4:.�dtB`.-.::@=ku.. .. bz:3"i'-tu<` .3 kRECEIPTS#CHECK#, �CLTDBY ;METHOD ��: �' � �� ;+�k �q� �.�:"` �a?iC,'E^.'c :ts4'f.,pArw s--.5'.�L"-S �, �� ` jy °' 'h§'.�'4..:§:l.'3 .< d.4t{a,:F:..`;. LARRY COIR JR DBA 7 C'S CONSTR. CHECK R10009 10657 SGU Total Paid for ADDITION: $371.73 $371.73 " p, DESCRIPTION„rt �� .., iQTsY�AMOUNT .gY.^iwifi-ea�{Y ,� aii ai''^6" E: X r. 3? A000UNT a��:�PAID�C� PAID;DAT `HOURLY CHARGE - BLDG CITY STAFF 101=0000-42600 1 $145.00 .$0.00 t �' ,`..✓ T+ - y5f -:. �' jF.,- 'xy EjG'':fS'y? PAID BYE x i l?'s=',� SIEYR'. .s « "%m ¢ _S° i `•4pT.._ y METHOD. :++��SS i= `h y j�RECEIPT#� CHECK # �p BY > yy ,� .✓!u"a',:£..:YYoZ?Yi 7wf..7cG'ia�V:.d.Y:...3 mom h CLTD Total Total Paidfor .BLDG -CITY STAFF - PER, HOUR:. $145.00 $0.00 .C,t ':,w.,t vz Bey •e".��8".Y"ry `$. DESCRIPTIONS !a a't•�.Ex-.3."is Y fh* `Ii to h.$@F`'""�'. "e -x t {._'�`�v."J`".p �E, xj°Yh9`£vw'•.h1 PAID #.Y'£ M1ACCOUNT ,.�Q'TxYAMOUNTr:ar3 PAIDDATE BSAS SB1473 FEEy' : 101-0000-20306 '. "0 $8.00 $8.00 10/14/15' .`.A '�s`vfi F4 PAID BYE }{ t p Y'f �„ ... , fD n�Ncv e.t.:..�Nf^f�.:i'�k. �� ETFiOD Fa'F'.l kY3....a`Q=.":..::'.'j; wf RECEIPT##�," y:. 3f'4'T'.e .`YI F' >gv'"Zl CHECK #h CiTD�BY�t 4,i ."J.:.4.z>s?a.s L4' iAiz'i'<.c°>,4tv...:fY:s"a+`..z �<..7 <:,:`.tii ..t•}'0.�3Y.t�&:.%.w`ii:;i!r�?.'.i::a,"h�:c�,"�� ,f£ +x'H, <F.v�e`:{WVatFi`".';. <, ��.�,x. rrxa s'+:}»i N.,v.Y'<':.S xx..:..tYx LARRY COIA JR DBA 7"C'S CONSTR CHECK' R10009 10657 SGU Total'Paid for BUILDING:STANDARDS ADMINISTRATION BSA:' ,. $8A0. $8.00 4 ' w.v H�' "DESCRIPTION .'ro'e#.0'"',":a:Fs-#•`' '£_ k„: 1S'�Y ' . :�f ��AMOUNT�RAID� z•. �tit�4�ACCOUNTQT�Y� r3P?oi.'cx, v-..,:.4.5',`as�d.-.. A'. ..L.,'4R .:. .:°xa.x, vxi r3 _Y ,BRE,' ,_ nxss,sa-_.r _..�Picr,v.°btf.F.. .'3�e ,a., ".a�.%.,?`»b::c4..sG, jPAIDDATE _xt-< _. PATIO COVER, STD, OPEN, 101-0000-42404. _ 0 $97.17 ' $97.17 10/14/15 PAID BY4 ""MFS `V :f.:b...aw,s: U't vP y IOD y FrE.; "'• .....' ..? ila� Y.:�P'. ay S' #y y > .t' iy - iAYS'S. a`�4 WAff K r�45 .7;:c na ,, q�BMETI �'+,:,RECEIPT # ` �CLTDyBY i LARRY COIA JR DBA 7 C'S CONSTR CHECK' 810009 10657 SGU ?.DESCRIPTION�r� n9:��Yff•N:?'3..t;5d'�`=s+SsiriA'"`.P`nny,>?.•<§,say? ''ACCOUNTS>�; fix` QTY :"AMOUNTYs y lt?" _, ,F PAID•DATE x S.;,Ba`Yx:s.,Xca.'.i';.rL.>......'',$?<.<:;:x.='s`r-.:'.,.:C�.•zs,:.�`"...�'c.»>..r....rY�V. :PAID hz.r'trt.skt PATIO COVER, STD, OPEN PC' .; 101-000042600 0 , . $95:72 $95.72 10/14/15 .4.s -x `r v. _ s„aw RECEIPT#x� eCIiECK# CLTDBY ear .._ y�PAIDrBY .��METHOD '',.. 44, ,L... :. ., fnsC �...£ f.v....;X:v=„-n.a'�:«�Xw i?1xSi..l}'•�, 'se i5Es`i`a�: am .S�i. s.-.,. £'3,v`.d1.,H", 3b'`"s:'..ss:!4,nf.':.`'uw fi�.' >€ ;'Y4.'iK'fu..k+,Y:"�'tisYiw"4�'x"e �''x" LARRY COIA 1R DBA 7 C'S CONSTR CHECK 810009 10657 SGU Total. Paid for PATIO' COVER / COVERED PORCH / LATTICE: $192.89 $192.89 ,'EI7.gT'.Ga` c" c a f DESCRIPTION;r,Rv- @'s:i '•`;_{ ,`xs[2' .;w.k"a^'" -? ACCOUNT.-, %�S v>i4.".,E.:' QTY P_ :: -' AY�:;.sw Y b.��'$ AMOUNTS: sd">,., „.;,%"3;-k<Si:;,ri' ,p.s- �¢ "aPAID i AID DATE '5.... F f.:.�5~,`..0-x°`i`•",'i�,..m. a T.'k?S=Y'.x%i.:.iu 3 F., REMODEL, EA ADDITIONAL 500 SF, 101-0000-42400 0 $43.50 $43:50 10/14/15 - .;,''PAID,° -. ,, � 'M r- Tz ;�, METHODy RECEIPT CHECK # was 6BY .x-.-:'..,__,-,..x�..f- ��_�.r ._� ,�.,..:,lt-r. #� m7-,1 � �<_ ;; z x..•f:::. fr, .,: , �CLTD` �._, :'. LARRY COIR JR DBA 7 C'S CONSTR CHECK R16009 10657' SGU ESCRIfT,O Tlp 'AIV A PAID DATE REMODEL, EA ADDITIONAL 500 SF PC 101-0000-426010 O.-- .$34.80 $34.80 10/114/15., METHODAW"�!mg` gm., CEIPTM R A XHECKiA LTD;:B S t --..-,PID'.BY A,r. To - T, X—Nm LARRY COIA JR DBA 7 C'S CONSTR CHECK R10009 10657' SGU DESCRIPTIONJx;�' W !�j�X. `�'ACCOUNT, -.2f€.-, 1E, i -45 'PAID"M w as I In UNTf4§ PPAIDDATE REMODEL, FIRST 100 Sr 101-0000-42400. 0 $49.31" $49.31 1044/15 pp `ni �PAID'BY`4�OAL-P*.! H -0CHECK WT, A, CLTM B LARRY COIA JR DBA 7 C'S CONSTR CHECK R10009. 10657 SGU RIPT F� UNT4' mnw W !A M 0 U N Tg�,'t' yy DATE DESCRIPTION N"N' 18 NOWR N N W U iU"'5R REMODEL, FIRST SOO SF PC 101-0000-426.00 0 $134.88 $134.88 10/.14/15 PAID - MET �"Iil� WW 1 R -CL D"13 NO, -%TCHECW-W'71,�,,T,- LARRY COIA JR DBA 7 C'S CONSTR CHECK R10009 .10657 SGU Total Paid for,REMODEL: $262.49 $262.49 DESCRIPTION 4 ACCOUNTS' T 11OUNT 1PAID.:DATE-, ; rAMI jAID -PE"A n SMI - RESIDENTIAL 1,01-0000-20308 0' $26.06 $26.00 10/14/15 PAIWBW,�:'!-'--';, SS ETHOWW- M Ac W-REC00, MRS CUTD, BYj LARRY COIA JR DBA 7 C'S CONSTR CHECK R10009 .10657 SGU Total Paid for STRONG.MOTION INSTRUMENTATION SMI $26.00 $26.00 0 0 11 -$861.11 :,A•TALS: 1, 06 Description: 136 SF ADDITION AND REMODEL Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: ISSUED Applied: 7/27/2015 EVA Approved: 10/14/2015 SGU Parcel No: 775101043 Site Address: 54135 SOUTHERN HILLS LA QUINTA,CA 92253 Subdivision: TR 72432-2 SEE ASSESSORS MB 769/43 Block: Lot:, 2 Issued: 10/14/2015 SGU FOR CMS Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $200,000.00 Occupancy Type: Construction Type: Expired: 4/11/2016 SGU No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 136 SF RESIDENTIAL OFFICE ADDITION, 340 SF COVERED PATIO ADDITION, REMODEL OF FAMILY ROOM, KITCHEN, MASTER BATH & CLOSET. INCLUDES MECHANICAL, ELECTRICAL & PLUMBING WORK. 2013 CODES. REVISION #1- DEPRESSED SLAB AND FOOTING WET BAR AREA. REVISED ROOF FRAMING ABOVE WET BAR. 2013 CODES. 79 0 _ j Applied to Approved Approved to Issued Printed: Monday, February 22, 2016 1:17:52 PM 1 of 6 Cff? SYSTEIv1S ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE, STAFF NAME ACTION DATE COMPLETION DATE ` NOTES . ROPER MORRIS 760-272-9292 CAME IN FOR CUSTOMERS NOTE PHILIP JUAREZ 8/17/2015 8/17/2015 AND REQUESTED AN UPDATE ON PLANS CALLED YOUNG THEY WERE APPROVABLE. NOTE STEPHANIE GUMPERT 10/14/2015 10/14/2015 SCHOOL FEE LETTER RECIEVED NOTE STEPHANIE KHATAMI 9/17/2015 .9/17/2015 HOA LETTER RECEIVED. PLAN CHECK PICKED UP PHILIP JUAREZ. 8/19/2015 8/19/2015 PLANS PICKED UP BY JIM HIETBRINK 949-640-1754 1ST PLAN CHECK SUBMITTAL RECEIVED, 3 SETS OF PLANS, 2 PLAN CHECK SUBMITTAL ED VASQUEZ 7/27/2015 7/27/2015 SETS OF CALCS, TITLE 24 INCLUDED AS PART OF THE.PLANS RECEIVED (LAST TWO PAGES) PLAN CHECK SUBMITTAL RAMSES SEVILLA 2/8/2016 2/8/2016 PLANS FOR WET BAR FOOTING & SLAB. BURT HANADA TOLD RECEIVED SK TO KEEP IN HOUSE PLAN CHECK. PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 2/8/2016 2/8/2016 REVISION RECEIVED - WET BAR FOOTING AND SLAB. RECEIVED Printed: Monday, February 22, 2016 1:17:52 PM 1 of 6 Cff? SYSTEIv1S PUBLIC COUNTER VISIT STEPHANIE GUMPERT 10/9/2015 10/9/2015 LARRY PICKED UP SCHOOL FEE LETTER RESUBMITTAL MARY FASANO 8/25/2015 8/25/2015 SENT TO PLAN CHECK KAY HENSEL 7/27/2015 7/27/2015 STRUC TO YOUNG - DUE 8/10/2015 CONSULTANT TELEPHONE CALL BURT HANADA 8/18/2015 8/18/2015 NOTIFIED ROPER MORRIS THAT NON STRUCTURAL PORTION HAS CORRECTIONS AND STRUCTURAL WAS APPROVABLE. NOTIFIED JIM HEITBRINK - OWNER THAT PLANS ARE TELEPHONE CALL BURT HANADA 9/3/2015 9/3/2015 APPROVED AND THAT A CONTRACTOR AND HOA APPROVAL IS REQUIRED PRIOR TO PERMIT ISSUANCE. TELEPHONE CALL BURT HANADA 2/19/2016 2/19/2016 CALLED 7C'S CONSTRUCTION 760-564-5811. 9AM & 10:45AM NO ANSWER. NOTIFIED OWNER MR. HEITBRINK THAT REVISION IS READY TELEPHONE CALL BURT HANADA 2/19/2016 .2/19/2016 TO BE ISSUED. COULDNOT CONTACT CONTRACTOR SO, PLEASE RELAY MESSAGE. CONDITIONS CONDITION DATE- DATE DATE TYPE CONTACT ADDED REQUIRED SATISFIED STATUS REMARKS NOTES OUTSTANDING ITEMS PRIOR TO PERMIT ISSUANCE: HOA APPROVAL, CONTRACTOR INFORMATION. READY TO ISSUE BURT HANADA 9/3/2015 10/14/2015 10/14/2015 COMPLETE HOA LETTER RECEIVED. CONTRACTOR CHECKLIST INFORMATION STILL PENDING. SCHOOL FEE LETTER TURNED IN 10-14-15 AND CONTRACTOR INFORMATION PUT IN CONTACTS NAME TYPE NAME ADDRESSI CITY 'STATE ZIP PHONE FAX EMAIL APPLICANT JIM & JANE HEITBRINK 54135 SOUTEHRN HILLS LA QUINTA CA 92253 (714)835-2800 (714)835- 2819 CONTRACTOR LARRY COIA JR DBA 7 C'S 48-236 VISTA DE LA QUINTA CA .92253 (714)835-2800 (714)835 - CONSTRUCTION & M NOPAL 2819 Printed:. Monday, February 22, 20161:17:52 PM 2 of 6 R?js' L+J SYSTEMS Printed: Monday, February 22, 2016 1:17:52 PM 3 of 6 IJCJ , SYSTEMS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL ENGINEER ESI/FME INC. STRUCTURAL 1800 E. 16TH STREET, SANTA ANA CA 92701 (714)835-2800 (714)835 - ENGINEER . UNIT B 2819 OWNER JIM & JANE HEITBRINK 54135 SOUTEHRN HILLS LA QUINTA CA 92253 (714)835-2800 (714)835- 2819 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE. RECEIPT # CHECK # METHOD PAID BY. CLTD BY. ADDITION, EA 101-0000-42400 0 $62.36 $62.36 10/14/15 R10009 10657 CHECK LARRY COIA JR DBA 7 SGU ADDITIONAL 500 SF C'S CONSTR ADDITION, 101-0000-42600 0 $17.40 $17.40 10/14/15 R10009 10657 CHECK LARRY DBA 7 SGU ADDITIONAL 5000 SF PC C'SS CONSTR O ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $120.83 10/14/15 R10009 10657 CHECK LARRY COIA JR DBA 7 SGU C'S CONSTR ADDITION, FIRST 100 SF 101-0000-42600 0 $171.14 $171.14 10/14/15 R10009 10657 CHECK LARRY COIA JR DBA 7 SGU PC C'S CONSTR Total Paid for ADDITION: $371.73 $371.73 HOURLY CHARGE - 101-0000-42600 1 $145.00 $0.00 BLDG CITY'STAFF Total Paid for BLDG CITY STAFF - PER HOUR: $145.00 $0.00 BSAS SB1473 FEE 101-0000-20306 0 $8.00 $8.00 10/14/15 R10009 10657 CHECK LARRY COIA JR DBA 7 SGU C'S CONSTR Total Paid for BUILDING STANDARDS ADMINISTRATION $8.00 $8.00 BSA: PATIO COVER, STD, 101-0000-42404 0 $97.17 I $97.17 10/14/15 R10009 10657 CHECK LARRY COIA JR DBA 7 SGU OPEN . C'S CONSTR PATIO COVER, STD, 101-0000-42600 0 $95.72 $95.72 10/14/15 R10009 10657 CHECK LARRY COIA JR DBA 7 SGU OPEN PC C'S CONSTR Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89- $192.89 Printed: Monday, February 22, 2016 1:17:52 PM 3 of 6 IJCJ , SYSTEMS Printed: Monday, February 22, 2.016 1:17:52 PM 4 of 6 C9? SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY FINAL" BLD BY REMODEL, EA 101-0000-42400 0 $43.50 $43.50 10/14/15 R10009 -10657 CHECK LARRY COIA JR DBA 7 SGU ADDITIONAL 500 SF OUTSIDE THE SCOPE OF WORK. ALL APPROVED C'S CONSTR REMODEL, EA 101-0000-42600 0. $34.80 $34.80 10/14/15 R10009 10657 CHECK LARRY COIA JR DBA 7 SGU ADDITIONAL 500 SF PC SCOPE OF WORK PERMITTED BY THE PLAN C'S CONSTR N REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $49.31 10/14/15 R10009 10657 CHECK LARRY COIA 1R DBA 7 SGU PERMIT REVISION. C'S CONSTR REMODEL, FIRST 500 SF 101-0000-426000 $134.88 10/14/15 R10009 10657 CHECK LARRY COIA JR DBA 7 SGU PC .$134.88 C'S CONSTR Total Paid for REMODEL: $262.49 $262.49 SMI - RESIDENTIAL 101-0000-203080 $26.00 $26.00 10/14/15 R10009 10657 CHECK LARRY COIA JR DBA 7 SGU C'S CONSTR Total Paid for STRONG MOTION INSTRUMENTATION SMI: $26.00 $26.00 TOTALS:00. Printed: Monday, February 22, 2.016 1:17:52 PM 4 of 6 C9? SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE. FINAL" BLD STRUCTURAL WORK HAS BEEN COMPLETED OUTSIDE THE SCOPE OF WORK. ALL APPROVED UNDERGROUND PLBG JFU 12/2/2015 12/2/2015 W/EXCEPTIO CHANGES AND ANY WORK OUTSIDE THE SCOPE OF WORK PERMITTED BY THE PLAN N MUST BE SUBMITTED FOR REVIEW AND PERMIT REVISION. Printed: Monday, February 22, 2.016 1:17:52 PM 4 of 6 C9? SYSTEMS PARENTPROJECTS REVIEWS RETURNED STATUS -MINIMUM FOOTING DEPTH NOT MET REMARKS REVIEW TYPE REVIEWER SENT DATE DUE DATE -ADDITIONAL STEEL REQUIRED AT TYPE I NOTES NON-STRUCTURAL - BURT 7/27/2015 8/10/2015 8/17/2015 AND TYPE II PAD FOOTINGS FOOTINGS JFU 2/2/2016 2/2/2016 DISAPPROVE -SUBMIT STRUCTURAL PLANS AND STRUCTURAL - 2 WK YOUNG 7/27/2015 D 8/17/2015 CALCULATIONS FOR STRUCTURAL CHANGES, ENGINEERING NEAR KITCHEN. NO FOOTING INSPECTION NON-STRUCTURAL - BURT 8/25/2015 9/8/2015 9/3/2015 MAY BE CONDUCTED UNTIL PLANS HAVE 2 WK HANADA BEEN REVISED AND APPROVED. 1ST BLDG NS (2 WK) BURT 2/8/2016 2/23/2016 2/19/2016 REAR YARD PATIO AREA AND NEW OFFICE REVISION WET BAR FOOTINGS JFU 2/3/2016 2/3/2016 PARTIALLY ADDITION ONLY. DOES NOT INCLUDE FTG & SLAB APPROVED INTERIOR STRUCTURAL CHANGES NEAR KITCHEN. SEE PREVIOUS INSPECTIONS. BLOCK WALL EXTENSION AT EQUIPMENT AREA IS NOT PER SCOPE OF WORK OF PERMIT. A SEPARATE PERMIT IS REQUIRED. FOOTINGS JFU 2/11/2016 2/11/2016 DISAPPROVE FOOTING INSPECTED AND APPROVED PER D CITY SPEC "T" FOOTING. CONTRACTOR WILL MOVE FORWARD AT.RISK, AND PROVIDE ALL NECESSARY PHOTOS OF FOOTING. PARENTPROJECTS REVIEWS RETURNED STATUS REMARKS REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE NOTES NON-STRUCTURAL - BURT 7/27/2015 8/10/2015 8/17/2015 REVISIONS REQUIRED 2 WK HANADA STRUCTURAL - 2 WK YOUNG 7/27/2015 8/10/2015 8/17/2015 READY FOR APPROVAL ENGINEERING - CONDITION NON-STRUCTURAL - BURT 8/25/2015 9/8/2015 9/3/2015 APPROVED - 2 WK HANADA CONDITIONS 1ST BLDG NS (2 WK) BURT 2/8/2016 2/23/2016 2/19/2016 APPROVED REVISION WET BAR DETAIL PLAN FOR WET BAR FOOTING & SLAB. HANADA FTG & SLAB Printed: Monday, February 22, 2016 1:17:52 PM 5 of 6 CM S YSTF. MS 6of6 C° - SYSTEMS 1 Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR. ETRAKIT ENABLED school Fee Area Cert - school Fee Area Cert - DOC 8/18/2015 BURT. HANADA 54135 Southern 54135 Southern 1 Hills.pdf Hills.pdf DOC 8/18/2015 BURT HANADA IST SUBMITTAL 54-135 Southern' Hills - 1 CORRECTION LIST Remodel Addition.docx BURRTEC BURRTEC DOC 9/3/2015 BURT HANADA CONSTRUCTION DEBRIS CONSTRUCTION DEBRIS 1 PLAN.pdf PLAN.pdf SCHOOL FEE RECEIPT SCHOOL FEE RECEIPT DOC 9/3/2015 BURT HANADA (54135 SOUTHERN (54135 SOUTHERN 1 HILLS).pdf HILLS).pdf 1ST REVIEW - NEW CITY .DOC 8/17/2015 KATHRYN SAMUELS STRUCTURAL TRANSMITTAL BRES 0 TRANSMITTAL 2015-0284 (lst).pdf HOA 54-135 Southern HOA 54-135 Southern DOC 9/17/2015 STEPHANIE KHATAMI Hills Hills-HIETBRINK.pdf 0 6of6 C° - SYSTEMS