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BRES2015-041578-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tihr4 4Qabtrw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2015-0415 Property Address: 81930 MOUNTAIN VIEW LN APN: 767480012 Application Description: THE ESTATES /OWENS RESIDENCE /SFD Property Zoning: Application Valuation: $414,520.40 Applicant: LARRY OWENS 81960 MOUNTAIN VIEW LN 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) 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 yISS ).: I, as owner of the property, or my employees with wages as their sole ompensation, wilr 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 joheAr she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors 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 th ontractors' State LicenseLa ) am exempt under Sec. B.&P.C. for this reason Date:Z Z / Own CONST CTION 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: Owner: LARRY OWENS P O BOX 6416 LA QU I NTA, CA 0 61 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/29/2016 AX a Contra r EB 29 2016 CfTYOFLAQUIWA CO'MMUNI.TYDEVELQDitiEk?TDFPARTkiEPJT Llc. No.: 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: 2 Z / Applica 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 and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: Signature (Applicant or Age FINANCIAL INFORMATION DESCRIPTION ACCOUNT' QTY AMOUNT PAID PAID DATE ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $536.30 •$536.30 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE Total Paid for ART IN PUBLIC PLACES - AIPP: $536.30 $536.30 DESCRIPTION ACCOUNT QTY* AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $17.00 $17.00 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $17.00 $17.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 2S2-0000-43200 0 $796.00 $796.00 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT, QTY AMOUNT PAID PAID DATE DIF - COMMUNITY CENTER 254-0000-43200 0 $129.00 $129.00 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT. QTY' AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $366.00 $366.00 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD. BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $40.00 2/29/16 PAID BY' METHOD RECEIPT #. CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 25S-0000-43200 0 $116.00 $116.00 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 2/29/16 PAID BY METHOD RECEIPT #" CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE Total Paid for DIF - SINGLE FAMILY ATTACHED: $6,681.00 $6,681.00 DESCRIPTION ACCOUNT QTY AMOUNT: PAID PAID DATE TEMP POWER SERVICE 101-0000-42403 0 $24.17 $24.17 2/29/16 PAID BY :METHOD. RECEIPT #.. , CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE TEMP POWER SERVICE PC 101-0000-42600 0 $16.92 $16.92 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE Total Paid for ELECTRICAL: $41.09 $41.09 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $98.64 $98.64 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK 1113374 1062 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $40.64 $40.64 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $145.03 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY AMOUNT: PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $47.86 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD*BY LARRY OWENS CHECK R13374 1062 RSE Total Paid for ELECTRICAL - NEW CONSTRUCTION: $332.17 $332.17 DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT>7KSF 101-0000-42408 0 $36.26 $36.26 2/29/16 PAID BY `METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY., AMOUNT PAID PAID DATE RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF PC 101-0000-42600 0 $181.29 $181.29 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK 1113374 1062 RSE Total Paid for GRADING: $217.55 $217.55 DESCRIPTION ACCOUNT QTY • AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $181.30 $181.30 2/29/16 PAID BY METHOD RECEIPT#. CHECK # " CLTD BY " LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION - ACCOUNT. QTY AMOUNT. PAID, PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $120.85 $120.85 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK 1111374 1062 RSE DESCRIPTION ACCOUNT ' QTY AMOUNT PAID PAID DATE EVAPORATIVE COOLER 101-0000-42402 0 $36.27 $36.27 2/29/16 PAID BY METHOD RECEIPT'# CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION. ACCOUNT : QTY AMOUNT. PAID PAID, DATE. EVAPORATIVE COOLER PC 101-0000-42600 0 $36.27 $36.27 2/29/16 PAID BY METHOD RECEIPT,# CHECK # CLTD BY. LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $24.18 $24.18 2/29/16 PAID BY METHOD - RECEIPT#" CHECK # ` CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $9.66 $9.66 2/29/16 PAID BY METHOD,- RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374. 1062 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000=42402 0 $181.30 $181.30 2/29/16 PAID BY METHOD .' RECEIPT # " " : CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT: QTY .AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $120.85 $120.85 2/29/16 PAID BY METHODRECEIPT # CHECK # • CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY. AMOUNT PAID PAID:DATE VENTFAN 101-0000-42402 0 $132.99 $132.99 2/29/16 PAID BY METHOD RECEIPT # CHECK # -CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT - QTY :' AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $53.13 $53.13 2/29/16 PAID BY METHOD " . - RECEIPT4, CHECK # CLTD.BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL HEATER 101-0000-42402 0 $49.42 $49.42 2/29/16 PAID BY METHOD RECEIPT* CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY AMOUNT •- PAID PAID DATE WALL HEATER PC 101-0000-42600 0 $24.18 $24.18 2/29/16 PAID BYMETHOD RECEIPT # CHECK #. CLTD BY LARRY OWENS CHECK R13374 1062 RSE Total Paid for MECHANICAL: $970.40 $970.40 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2015 UPDATE 101-0000-20310 0 $1,301.00 $1,301.00 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00 $1,301.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $701.97 $701.97 2/29/16 PAID BY METHOD.. RECEIPT # CHECK # CLTD BY. LARRY OWENS CHECK R13374 1062 RSE Total Paid for NEW CONSTRUCTION PERMIT:. $701.97 $701.97 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,400.00 $1,400.00 10/28/15 PAID BY METHOD RECEIPT # CHECK #' CLTD BY LARRY OWENS CHECK R10343 1042 SGU DESCRIPTION ACCOUNT QTY AMOUNT 'PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $82.36 $82.36 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,482.36 $1,482.36 DESCRIPTION ACCOUNT-.. QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE. 101-0000-42401 0 $12,09 $12.09 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $4.83 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT , QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $398.97 $398.97 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42606 0 $398.97 $398.97 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY , LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 $36.26 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, S+ OUTLETS PC 101-0000-42600 0 $24.17 $24.17 2/29/16 PAID BY METHOD RECEIPT'# CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SEPTIC SYSTEM 101-0000-42401 0 $12.09 $12.09 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SEPTIC SYSTEM PC 101-0000-42600 • 0 $4.83 $4.83 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT. QTY AMOUNT . PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $36.27 $36.27 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $21.75 $21.75 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION 'ACCOUNT QTY AMOUNT PAID' PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $12.09 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE DESCRIPTION ACCOUNT QTY . AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $12.09 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY ' LARRY OWENS CHECK R13374 1062 RSE Total Paid for PLUMBING FEES: $974.41 $974.41 DESCRIPTION ACCOUNT QTY AMOUNT. PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $53.89 $53.89 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $53.89 $53.89 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $1,837.44 2/29/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LARRY OWENS CHECK R13374 1062 RSE Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44 TOTALS: $15,146.58 $15,146.58 Description: THE ESTATES / OWENS RESIDENCE / SFD Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED Applied: 10/28/2015 SGU FAMILY ATTACHED Approved: 2/10/2016 JJO Parcel No: 767480012 Site Address: 81930 MOUNTAIN VIEW LN LA QUINTA,CA 92253 Subdivision: TR 26769 Block: Lot: 12 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $414,520.40 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: NEW 5896 SQ. FT. SFD. THIS PERMIT DOES NOT INCLUDE POOL SPA, BLOCK WALLS, DRIVEWAY APPROACH, FIRE PIT, BBQ OR WATER FEATURE. HOME IS FIRE SPRINKLED PER 2013 CRC CODES Printed: Monday, February 29, 2016 3:57:41 PM 1 of 9 O LYEWr sysTEms ADDITIONAL CHRONOLOGY CHRONOLOGY.TYPE STAFF NAME ACTION DATE, COMPLETION DATE NOTES EMAILED TERRIE OWWENS TO PICK UP GREEN SHEET E-MAIL AMY YU 12/10/2015 12/10/2015 REDLINES ON PRECISE GRADING AND HYDROLOGY. REDLINES PLACED IN STEPHANIE'S INBOX NOTE JIM JOHNSON 2/8/2016 2/10/2016 NOTE STEPHANIE GUMPERT 12/11/2015 12/11/2015 OWENS PICKED UP GREEN SHEET AND PRECISE GRADING PLAN FOR CORRECTIONS. NOTE STEPHANIE GUMPERT 12/28/2015 12/28/2015 TERRI OWENS BROUGHT IN GREEN SHEET AND I PUT IT IN THE FILE. NOTE STEPHANIE KHATAMI 2/8/2016 2/8/2016 1 WAS ADVISED BY GABRIEL THAT THEY STILL HAVE A COUPLE OF OUTSTANDING ITEMS THAT WILL BE SUBMITTED LATER. MR. OWENS PROUGHT IN REVISED SHEET S71 AND REVISED ' OFFICE MEETING JIM JOHNSON 2/9/2016 2/9/2016 FTG PAD CALCS FOR LAST CORRECTION. CALLED JOHN THOMPSON TO VARIFY CORRECTION RESPONSES. Printed: Monday, February 29, 2016 3:57:41 PM 1 of 9 O LYEWr sysTEms PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 1/13/2016 1/13/2016 STRUC READY FOR CORRECTIONS 1/12/2016 RECEIVED PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 2/5/2016 2/5/2016 STRUC RFC ON 2/4/2016 - BACK TO OFFICE ON 2/5/2016 RECEIVED PLAN CHECK PICKED UP STEPHANIE GUMPERT 11/20/2015 11/20/2015 PLAN CHECK PICKED UP STEPHANIE KHATAMI 1/14/2016 .1/14/2016 LARRY OWENS PLAN CHECK SENT TO RAMSES SEVILLA 1/25/2016 1/25/2016 SEND_TO YOUNG DUE BACK 2/8/16 OUTSIDE PC PLAN CHECK SENT TO STEPHANIE GUMPERT 10/28/2015 10/28/2015 SENT TO YOUNG. DUE BACK 11-19-15 OUTSIDE PC PLAN CHECK SUBMITTAL STEPHANIE GUMPERT 10/28/2015 10/28/2015 RECEIVED PLAN CHECK SUBMITTAL STEPHANIE GUMPERT 12/30/2015 12/30/2015 RECEIVED GREEN SHEET ITEMS ONLY 1. GEOTECHNICAL REPORT RESUBMITTAL ANGELICA ZARCO 12/23/2015 12/23/2015 2. REVISED PRECISE GRADING PLAN 3. HYDROLOGU REPORT 4. PC COMMENTS WITH RESPONSES TELEPHONE CALL JIM JOHNSON 11/20/2015 11/20/2015 CALLED LARRY OWENS TO INFORM HIM THE PLANS ARE READY FOR CORRECTIONS CONDITIONS CONDITION DATE DATE DATE CONTACT STATUS REMARKS NOTES TYPE ADDED REQUIRED SATISFIED , HEALTH DEPT APPROVED SEPTIC SYSTEM 2500 READY TO ISSUE GAL UNIT. FIRE DEPT APPROVED FIRE SPRINKLER JIM JOHNSON 1/13/2016 2/12/2016 COMPLETE SYSTEM, HOA AND SCHOOL FEE LETTER IN CHECKLIST FOLDER, SEE NOTES AMY YU PW GREEN SHEETS. GRADING PLAN NOT SIGNED Printed: Monday, February 29, 2016 3:57:41 PM 2 of 9 SYSTEMS READY TO ISSUE I JIM JOHNSON I 1/13/2016 I I 2/12/2016 I COMPLETE I I APPLICANT BROUGHT 5 UEIPER GNED GRADING PLAN; CHECKLIST IN Printed: Monday, February 29, 2016 3:57:41 PM 3 of 9' c7SYSTEti1S FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $536.30 $536.30 2/29/16 R13374 1062 CHECK LARRY OWENS RSE Total Paid for ART IN PUBLIC PLACES - AIPP: $536.30 $536.30 BSAS SB1473 FEE 101-0000-20306 77FTT $17.00 $17.00 2/29/16 R13374 1062 CHECK LARRY OWENS RSE Total Paid for BUILDING STANDARDS ADMINISTRATION $17.00 $17.00 BSA: DIF -.CIVIC CENTER 252-0000-43200 0 $796.00 $796.00 2/29/16. R13374 1062 CHECK LARRY OWENS RSE DIF -COMMUNITY CENTER 254-0000-43200 0 $129.00 $129.00 2/29/16 R13374 1062 CHECK LARRY OWENS RSE DIF - FIRE PROTECTION 257-0000-43200 0 $366.00 $366.00 2/29/16 R13374 1062 CHECK LARRY OWENS RSE DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 2/29/16 R13374 1062 CHECK LARRY OWENS RSE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $40.00 2/29/16 R13374 1062 CHECK LARRY OWENS RSE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 2/29/16 R13374 1062 CHECK LARRY OWENS RSE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $116.00 2/29/16 R13374 1062 CHECK LARRY OWENS RSE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 2/29/16 R13374 1062 CHECK LARRY OWENS RSE Total Paid for DIF - SINGLE FAMILY ATTACHED: $6,681.00 $6,681.00 TEMP POWER SERVICE 101-0000-42403 0 $24.17 $24.17 2/29/16 R13374 1062 CHECK LARRY OWENS RSE Printed: Monday, February 29, 2016 3:57:41 PM 3 of 9' c7SYSTEti1S Printed: Monday, February 29, 2016 3:57:41 PM 4 of 9 i _ sysrrnis CLTD DESCRIPTION ACCOUNT. CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY TEMP POWER SERVICE 101-0000-42600 0 $16.92 $16.92 2/29/16 R13374 1062 CHECK LARRY OWENS RSE PC Total Paid for ELECTRICAL: $41.09 $41.09 RESIDENTIAL, EA 101-0000-42403 0 $98.64 $98.64 2/29/16 R13374 1062 CHECK LARRY OWENS RSE ADDITION 1,000SF RESIDENTIAL, EA 101-0000-42600 0 $40.64 $40.64 2/29/16 R13374 1062 CHECK LARRY OWENS RSE ADDITION 1,000SF, PC , RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $145.03 2/29/16 R13374 1062 CHECK LARRY OWENS RSE 1,000SF RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $47.86 2/29/16 R13374 1062 CHECK LARRY OWENS RSE 1,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $332.17 $332.17 RESIDENTIAL PRECISE GRADING - CUSTOM 101-0000-42408 0 $36.26 $36.26 2/29/16 R13374 1062 CHECK LARRY OWENS RSE HOME LOT >7KSF RESIDENTIAL PRECISE GRADING - CUSTOM . 101-0000-42600 0 $181.29 $181.29 2/29/16 R13374 1062 CHECK LARRY OWENS RSE HOME LOT >7KSF PC Total Paid for GRADING: $217.55 $217.55 CONDENSER/COMPRES 101-0000-42402 0 $181.30 $181.30 2/29/16 R13374 1062 CHECK LARRY OWENS RSE SOR CONDENSER/COMPRES 101-0000-42600 0 $120.85 $120.85 2/29/16 R13374 1062 CHECK LARRY OWENS RSE SOR PC EVAPORATIVE COOLER 101-0000-42402 0 $36.27 $36.27 2/29/16 R13374 1062 CHECK LARRY OWENS RSE EVAPORATIVE COOLER 101-0000-42600 0 $36.27 $36.27 2/29/16 R13374 1062 CHECK LARRY OWENS RSE PC EXHAUST HOOD 101-0000-42402 0 $24.18 $24.18 2/29/16 R13374 1062 CHECK LARRY OWENS RSE EXHAUST HOOD PC 101-0000-42600 0 $9.66 $9.66 2/29/16 R13374 1062 CHECK LARRY OWENS RSE Printed: Monday, February 29, 2016 3:57:41 PM 4 of 9 i _ sysrrnis Printed: Monday, February 29, 2016 3:57:41 PM 5 of 9 C SYSTf: tits CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID GATE RECEIPT # CHECK # METHOD PAID BY BY FURNACE 101-0000-42402 0 •$181.30 $181.30 2/29/16 R13374 1062 CHECK LARRY OWENS RSE FURNACE PC 101-0000-42600 0 $120.85 $120.85 2/29/16 R13374 1062 CHECK LARRY OWENS . RSE VENT FAN 101-0000-42402 0 $132.99 $132.99 2/29/16 R13374 1062 CHECK LARRY OWENS RSE VENT FAN PC 101-0000-42600 0 $53.13 $53.13 2/29/16 R13374 1062 CHECK LARRY OWENS RSE WALL HEATER 101-0000-42402 0 $49.42 $49.42 2/29/16 R13374 1062 CHECK LARRY OWENS RSE' WALL HEATER PC 101-0000-42600 0 $24.18 $24.18 2/29/16 R13374 1062 CHECK LARRY OWENS RSE Total Paid for MECHANICAL: $970.40 $970.40 MULTI -SPECIES RESIDENTIAL 0-8 UNITS 101-0000-20310 0 $1,301.00 $1,301.00 2/29/16 R13374 1062 CHECK LARRY OWENS RSE -2015 UPDATE Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00 $1,301.00 NEW CONSTRUCTION 101-0000-42400 0 $701.97 $701.97 2/29/16 R13374 1062 CHECK LARRY OWENS RSE PERMIT Total Paid for NEW CONSTRUCTION PERMIT: $701.97 $701.97 NEW CONSTRUCTION 101-0000-42600 0 $1,400.00 $1,400.00 10/28/15 R10343 1042 CHECK LARRY OWENS SGU PLAN CHECK NEW CONSTRUCTION 101-0000-42600 0 $82.36 $82.36 2/29/16 R13374 1062 CHECK LARRY OWENS RSE ' PLAN CHECK Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,482.36 $1,482.36 BACKFLOW DEVICE 101-0000-42401 0 $12.09 $12.09 2/29/16 R13374 1062 CHECK LARRY OWENS RSE BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $4.83 2/29/16 R13374 1062 CHECK LARRY OWENS RSE FIXTURE/TRAP 101-0000-42401 0 $398.97 $398.97 2/29/16 R13374 1062 CHECK LARRY OWENS RSE FIXTURE/TRAP PC 101-0000-42600 0 $398.97 $398.97 2/29/16 R13374 1062 CHECK LARRY OWENS RSE GAS SYSTEM, 5+ 101-0000-42401 0 $36.26 $36.26 2/29/16. R13374 1062 CHECK LARRY OWENS RSE OUTLETS GAS SYSTEM, 5+ 101-0000-42600 0 $24.17 $24.17 2/29/16 1113374 1062 CHECK LARRY OWENS . RSE OUTLETS PC Printed: Monday, February 29, 2016 3:57:41 PM 5 of 9 C SYSTf: tits INSPECTIONS REVIEWS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY DATE 1ST BLDG NS (3 WK) JIM JOHNSON 10/28/2015 11/19/2015 11/20/2015 BY SEPTIC SYSTEM 101-0000-42401 0 $12.09 $12.09 2/29/16 R13374 1062 CHECK LARRY OWENS RSE SEPTIC SYSTEM PC _ 101-0000-42600 0 $4.83 $4.83 2/29/16 R13374 1062 CHECK LARRY OWENS RSE WATER HEATER/VENT 101-0000-42401 0 $36.27 $36.27 2/29/16 R13374 1062 CHECK LARRY OWENS RSE WATER HEATER/VENT 101-0000-42600 0 $21.75 $21.75 2/29/16 R13374 1062 CHECK LARRY OWENS RSE' PC WATER SYSTEM 101-0000-42401 0 $12.09 $12.09 2/29/16 R13374 1062 CHECK LARRY OWENS RSE INST/ALT/REP WATER SYSTEM 101-0000-42600 0 $12.09 $12.09 2/29/16 R13374 1062 CHECK LARRY OWENS RSE INST/ALT/REP PC Total Paid for PLUMBING FEES: $974.41 $974.41 SMI - RESIDENTIAL 101-0000-20308 0 $53.89 $53.89 2/29/16 R13374 1062 CHECK LARRY OWENS RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI:' $53.89 $53.89 SINGLE FAMILY 224-0000-20320 0 $1,837.44 $1,837.44 2/29/16 R13374 1062 CHECK LARRY OWENS RSE DETACHED Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44 TOTALS: INSPECTIONS Printed: Monday, February 29, 2016 3:57:41 PM 6 of 9 i�fA`�■ Imo- 7' . �Ll U V LJ SYSTEiMS REVIEWS RETURNED REVIEW TYPE REVIEWER SENT DATE DUE DATE STATUS REMARKS NOTES DATE 1ST BLDG NS (3 WK) JIM JOHNSON 10/28/2015 11/19/2015 11/20/2015 REVISIONS REQUIRED 1ST BLDG STR (3 JOHN 10/28/2015 11/19/2015 11/17/2015 REVISIONS REQUIRED WK) THOMPSON FIRE JACQUELINE 12/2/2015 12/16/2015 12/7/2015 APPROVED- GARCIA CONDITIONS Printed: Monday, February 29, 2016 3:57:41 PM 6 of 9 i�fA`�■ Imo- 7' . �Ll U V LJ SYSTEiMS 1ST PW GREEN SHEET 2ND PW GREEN SHEET• Permit Details PERMIT NUMBER City of La Quinta BRESw20115t041=5 AMY YU 12/10/2015 12/17/2015 12/10/2015 REVISIONS REQUIRED AMY YU 112/23/20151 1/5/2016 1 1/5/2016 1 PENDING DOCUMENTS 2ND BLDG NS (2 I JIM JOHNSON 112/30/2015 I 1/15/2016 I 1/14/2016 I REVISIONS REQUIRED WK) 2ND BLDG STR (2 I JOHN 112/30/2015 I 1/15/2016 I 1/8/2016 I REVISIONS REQUIRED WK) THOMPSON 1. Please have engineer sign and stamp the hydrology report. 2. Please revise the Tract No. on top of the plan. 3. Please show bearing and distances on the property lines. 4. Please revise to show City Standard 221 on construction note #1. S. Please label the retention basin on the south side. 6. Please install drywell. in basins for nuisance water per COA. 7. Please show stoop for door leading outside. 8. Please provide Soils Report and fill in the Soils Report information in grading note #1. 9. Please show earthwork quantities and if there are any over excavation recommended by the Soils Report. 10. Please show lot size and disturbed area: WDID number is required if disturbed area is over 1 acre. CALLED LARRY OWENS TO SUBMIT SIGNED PRECISE GRADING PLANS •CALLED LARRY OWENS TO HAVE SOILS ENGINEER SIGN THE PRECISE GRADING PLAN ALSO. PRECISE GRADING PLAN ON AMY'S DESK REVISIONS TO TRUSS CALCULATIONS REQUIRED WITH RESUBMITTAL. JT 1-8-16 3RD BLDG NS (2 WK) JIM JOHNSON 1/25/2016 2/8/2016 1/26/2016 APPROVED 3RD BLDG STR (2 JOHN 1/25/2Q16 2/8/2016 2/4/2016 APPROVED WK) THOMPSON 3RD PW GREEN AMY YU 2/11/2016 2/18/2016 2/11/2016 READY FOR APPROVAL PAD CERT, COMPACTION REPORT, AND GREEN SHEET SHEET ATTACHED. Printed: Monday, February 29, 2016 3:57:41 PM 7 of 9 SYSTEiviS Printed: Monday, February 29, 2016 3:57:41 PM 8 of 9 SYSTEMS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 2/11/2016 AMY YU SLADDEN ENGINEERING 1766_001.pdf 0 COMPACTION REPORT DOC 11/20/2015 JIM JOHNSON 81-930 MOUNTAIN PAD CERT 2-3-16.docx 0 VIEW.docx DOC 11/20/2015 JIM JOHNSON SCHOOL FEES BRES2015- SCHOOL FEES BRES201S- 0 0415.pdf 041S.pdf 1ST REVIEW.- 1ST REVIEW - DOC 11/17/2015 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 COMMENTS.doc COMMENTS.doc 1ST REVIEW - 1ST REVIEW - DOC 11/17/2015 JOHN THOMPSON STRUCTURAL SOIL STRUCTURAL SOIL 0 REQUIRMENTS.pdf REQUIRMENTS.pdf 1ST REVIEW - 1ST REVIEW - DOC 11/17/2015 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf 2ND REVIEW - 2ND REVIEW - DOC 1/8/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf 2ND REVIEW - 2ND REVIEW - DOC 1/8/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 COMMENTS.doc COMMENTS.doc 3RD REVIEW - 3RD REVIEW - DOC 2/4/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf 3RD REVIEW - 3RD REVIEW - ' DOC 2/4/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 COMMENTS.pdf COMMENTS.pdf . DOC 2/3/2016 MARY FASANO PAD CERT 2-3-16.pdf 81930 MTN VIEW 0 BRES2015-041S.pdf Printed: Monday, February 29, 2016 3:57:41 PM 8 of 9 SYSTEMS Printed: Monday, February 29, 2016 3:57:41 PM 9 of 9 C SYSTFti1S ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 12/30/2015 STEPHANIE GUMPERT GRANT DEED.pdf GRANT DEED.pdf 0 DOC 12/30/2015 STEPHANIE GUMPERT SUB LIST.pdf SUB LIST.pdf 0 DOC 12/30/2015 STEPHANIE GUMPERT DEBRIS MANAGEMENT DEBRIS MANAGEMENT 0 PLAN.pdf PLAN.pdf DOC 2/18/2016 STEPHANIE KHATAMI PM10 APPROVAL 2-11- PM10 APPROVAL 2-11- 0 16 16.pdf Printed: Monday, February 29, 2016 3:57:41 PM 9 of 9 C SYSTFti1S r. Tdf 4 4auhrw P:O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE (760)777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building et has bee subr4i}ted in yo}y�r name listing yourself as the builder of the property improvements•specified'at�� O /%%40,=1 V lelu Li16�,T We are providing you with anOwner-Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signer you understand or verify this information. .fJ 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" /building permit that erroneously implies that the property owner is providing his or her own labor and material personally. 1, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. 3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. A. I understand Contractors are required by law to' be licensed and bonded in California and to list their license numbers on ts and contracts. 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. 6. I understand if"I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to.serious financial risk. mkn 7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or .all of the work is performed under contract with a licensed general building Contractor. Z8Z8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any . or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. 9. I understand I may obtain more information regarding my -obligations as an "employer" from the Internal Revenue Service, the United States Small.Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1- 800-32 1 -CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. 10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party 'legally, and financially responsible for proposed construction activity at the following address: 11. I agree that, as the party legally and fmancially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as.well as employers. 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and. wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of property owne Date: Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign; and file. the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Tel No Address of Authorized Agent: I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy_ Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: �5 2o�s-0 yes Cv PO. BOX 1504 APPLICATION ONLY Buildingc� Low 78-495 CALLE TAMPICO Address.. iS 1"q � n in Qlua C in Vi LA QUINTA, CALIFORNIA 92253 ( BUILDING: TYPE CONST.c 301-A Fr CC. GRR A.P. Number :Z (a -7 - y g ` - Q ) 2L — L Legal Description Lof I al L ,%+q+mss at Li . uin+e. Project Description Mailing Address �' 9:1c c7 ou n ci i e f --e_ City +6 Zip 84.�.S Tel. Conti ctor Address %I CityTel " LQ In kG 41pa<_3 State Lit. & Classif. City Lic. # Arch., Engr., Designer 63 ; S New f7/ Add ❑ Alter ❑ Repair ❑ !Demolition ❑ Address Tel. CityZip se ip as 1,0 State Lic. #C _14 q IR LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisi 3 the BuCness ofessions Code, and my license is in f II force and effect. SIGNATURE - DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city, or county which requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions o/ the Contrac- tor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7037.5 by any applicant for a permit subjects the applicant to a civil penalty o/ not more than five hundred dollars ($500). Estimated Valuation Q (� e) a PERMIT AMOUNT Plan Chk. Dep. - Plan Chk. Bal. 111, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner o/ property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year o/ completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner o/ property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 0 1 am exempt under Sec. B. & P.C. for this reason Const. Mech. Electrical Plumbing S. M. 1. Grading Driveway Enc. Date owner Infrastructure WORKER'S COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑Copy is filed with the city. ❑Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($700) valuation or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to Workers' Compensation Laws of California. TOTAL Q CONTACT INFORMATION 1 riTP' NAME: �1 C)J- un � le �Q PHONE: 1 s tINI Date Owner NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. ZONE: BY: Minimum Setback Distances: CONSTRUCTION LENDING AGENCY Front Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) • Rear Setback from Rear Prop. Line p Lender's Name Side Street Setback from Center Line Lender's Address This is a buildingSide permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. Property Setback from Pro Line I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter the above-mentioned property for inspection purposes. FINAL DATE INSPECTOR Issued by: Date Permit Signature of applicant Date Mailing Address Validated by: Validation: City, State, Zip WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE ,Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DFVF.i.nPF.R FF.F.S PAID AREA: AMOUNT ... - . . LEVEL ONE AMOUNT: - LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMMAND. AMOUNT: DATE: - - RECEIPT: CHECK #: - -LS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: ffhe_Estates_at La uinta Date:January 20, 2016 Owner's Name: Larry Owens Phone No. Project Address: 81-930 Mountain View, LaQuinta Project Description: New Single Family Dwelling with Casita APN: 767-480-012 Tract #: Lot #'s: Type of Development: Residential XX Commercial Industrial Total Square Feet of Building Area: 5,896 Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer: Dated: January 20, 2016 Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement. Existing Not Subject to Fee. 17620 65995 Approval -Prior to 1/1/87 Requirement Number of Sq.Ft. 5896 Amount per Sq.Ft. $3.36 Amount Collected $19810.56 Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of: Facilities and Maintenance Note: Pursuant to AB 181 any room additions or enclosures of 500 sq. ft. or less are exempt'from developer fees. Any mobile homes being relocated within the same school district's jurisdiction are exempt from developer fees.. Certificate issued by: ' Laurie Howard, Secretary Signature: AJ,1_41 k_1a&Wa'A' NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period. in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date.of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted.. A4V:chnydocs!devi'ees/certificate of compliance Farm upckued 3-2007 11/2010 :. M DOC . # 2012=0264829 RECORDED AT THE REQUEST OF 06/08/2012 08:00 AM Fees: $15.00 �►- CHICAGO TITLE COMPANY _ Page 1 of 1 Doc T Tax Paid . Recorded in Official Records RECORDING REQUESTED BY County of Riverside _ Larry W. Ward , ' Assessor, County Clerk & Recorder AND WHEN RECORDED MAIL TO: The Owens Family Trust dated Dec. 11, 1998 ' P. (i.. BOX 6416 "This document was electronically submitted La Qu i nta , CA 92248 n to the County of Riverside for recording— Receipted by:,TVERBA Space Above This Line for Recorder's Use Only - A.P.N.: 767,480-0112-9 TRA #: p _ (2 �J'- Order No:: 126031086-H55 • Escrow No.: 16492 -FIS w "^ - GRANT DEED" THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $*plllSuant to Section 11932 R & T Code t Tcomputed on full value of property conveyed, ormputed on full value less value of liens or encumbrances remaining at time of sale,incorporated area; ( X ] City of La Ouinta , and . FOR'A' VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, Wells Fargo Bank, N. A. ` hereby GRANT(S) to The Owens Family Trust dated Dec. 11, 1995 ; LARRY =S OWENS AND TERRI L o OWENS : r TRUSTEES the following described property, in the City of La Quinta; County of Riverside State of California; ' Lot 12 of Tract 26769, in the City of La Quinta, County of Riverside, State of California, asper map recorded in • Book 235, Page(s) 40 and 41 inclusive of Maps, in the office of the County Recorder of said County. . .:. ells Fargo B - ank.N. � . , - . - . • = ���®. .-- . ,. B ' 0 2015 y' DEC 3 , Matthew Norment, Ass't Vice President ' QUINTA CITY OF VEIApMENT Document Date: _May 22, 2012 -� COMMUNIT/ DE " -- STATE OF.TBXAS )SS COUNTY OF, BEXAR . ) on Junto 1;201 e . .. off 0.. , before , a notary public in and tate for said s, personally appeared iii who proved to me' on the basis of satisfactory evidence to be the person(s) whose name(s) Ware subscribed to . the • within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(res), and that by his/her/their signature(s) on the instruntent the person(s), or the entity upon' behalf of . which the person(s) acted, executed the instrument. , I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my d and official se , Signa ture40k;E1 k6- 00ROTHY BONONCMU _ . NOTARY PUBLIC eap STATE OF TEXAS ' MY COMM. EMP 03131113 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below