BSPN2015-005378-495 CALLE TAMPICO U "�� VOICE (760) 777-7125
LA CIUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/18/2015
Application Number: BSPN2015-0053 44 Owner:
Property Address: 79400 STONEGATE JOHN MORGAN
APN: 776020021
Application Description: SPECIAL INSPECTION TO FINAL EXPIRED PERMIT 92253
Property Zoning:
Application Valuation:
Applicant: U II Contractor:
JOHN MORGAN U
8 2015
92253
Ciiy OF LA OUINTA
COWAUNITv DEVELOPMENT DEPARVJENT
-4 a Llc. No.:
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: License No.:
Date:
Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(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 ) 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.).
(_J 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'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: _ Policy Number:
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date:
Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 d ate laws relating to building
construction, and hereby authorize representatives o h11c Y t0 nter up1n the
above-mentioned property for inspection purposes. ' /,
i
Date: j r7 Signature (Applicant
FINANciAL) N FORMATION
DESCRIPTION, "
,,'ACCOUNT 1.5
101-0000-42404
0
$72.52 .$72.52 .11/18/15
METHODREC
E I PT,,j W2,C"ECKeW L
v
ALS _2 PIT
'JOHN MORGAN DEBIT
R10969 JFU
WM
DESCRIPTION6,',J'��, WN ACCOUNT
��U
n I'Affl=IDPDAT"El
AMOUNT
SPECIAL INSPECTION PC 1101-0000-42600
0
$181.29 $181.29 11/18/15
--— ,, in
PAID BY 41 ` �, � METH-2', A,
P
Ow
� —M. ,- , ,-, ,,
A S, 4 C LT. D'
R,
JOHN MORGAN DEBIT
R10969 JFU
Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION: $253.81 $253.81
TOTALS: $253. $253.81
Description: SPECIAL INSPECTION TO FINAL EXPIRED PERMIT
Type: SPECIAL INSPECTION Subtype: Status: APPROVED
Applied: 11/18/2015 JFU
Approved: 11/18/2015 JFU
Parcel No: 776020021 Site Address: 79400 STONEGATE LA QUINTA,CA 92253
Subdivision: TR 26524 Block: Lot: 32
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $0.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 . No. Unites: 0
Details: SPECIAL INSPECTION TO OBTAIN CONDITIONAL FINAL FOR EXPIRED BUILDING PERMIT. (REFERENCE AR -06-786) INSULATION AND
FINAL INSPECTIONS MUST BE CONDUCTED. WALL AND CEILING INSULATION MUST BE VERIFIED AT TIME OF INSULATION
INSPECTION. 2001 BUILDING CODES.
Printed: Wednesday, November 18, 2015 4:48:56 PM 1 of 2 c1P'- ---
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
JOHN MORGAN CAME TO COUNTER TO ATTEMPT TO OBTAIN
A FINAL INSPECTION FOR AN ABANDONED/EXPIRED PERMIT
PUBLIC COUNTER VISIT
JAKE FUSON
11/18/2015
FROM 2006. THIS SPECIAL INSPECTION PERMIT WAS PULLED
IN ORDER TO CONDUCT (2) INSPECTIONS - INSULATION AND
FINAL, IN ORDER TO OBTAIN A CONDITIONAL FINAL (PER
BURT HANADA).
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI CITY STATE ZIP PHONE FAX EMAIL
APPLICANT JOHN MORGAN
92253
OWNER JOHN MORGAN
92253
Printed: Wednesday, November 18, 2015 4:48:56 PM 1 of 2 c1P'- ---
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
SPECIAL INSPECTION
101-0000-42404
0
$72.52
$72.52
11/18/15
R10969
DEBIT
JOHN MORGAN .
JFU
SPECIAL INSPECTION PC
101-0000-42600
0
$181.29
$181.29
11/18/15
R10969
DEBIT
JOHN MORGAN.
JFU
Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION: $253.81 $253.81 °
Printed: Wednesday, November 18, 2015 4:48:56 PM
BOND INFORMATION
2 of 2
Bin #
Qty of La Q uln to
Building 8i Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: -e�--
Owner's Name:
A. P. Number:
Address64)t L: -
Legal Description:
Legal
City, ST, Zip: Vit ( r a
Contra c 6tor:
-
T h Z
Telephone: z
P 1 `1
Address:
Project Description:
City, ST, Zip:
57F6C/A(- 11\fcSPELjy01\J
Telephone:
MEMM
Fa►ex P / v lL /
State Lic. # :
City Lic. M
P� iv( ('r Fie-p/—t 'Q
Arch., Engr., Designer:
Address: -
City, ST, Zip:
Telephone: e:
cuPancY•
Construction TY Pe• Occupancy:
State St to Lic #•
Project type circle one): New Add'n Alter Repairair Demo
Name of Contact Person:
Sq. Ft.: ?
# Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correctionstiissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees