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BRES2016-004678=495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 I T-iat 4 edi� Qum& COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 11111111111111111111 28 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/25/2016 Application Number: BRES2016-0046 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, Owner:, Property Address: 55695 PEBBLE BEACH License Class: B License No.: 921518 a work f hich this permit is issued. WILLIAM MCCUNE APN: 775130012 is issued. My workers' compensation insurance carrier and policy number are: OWNER -BUILDER DECLARATION Property Zoning: workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply wit those p visions. Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division `\ Application Valuation: $3,000.00 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (� I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. Applicant: (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. apply to an owner of property who builds or improves thereon, and who does the work a 1t �'; Contractor: GRISA ENTERPRISES INC IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose GRISA ENTERPRISES INC POBOX 1717 to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and MAR 25 2016 Ift PO BOX 1717 CATHEDRAL CITY, CA 92235 following issuance of this permit. (� I am exempt under Sec. B.&P.C. for this reason 2. Any permit issued as a result of this application becomes null and void if work is CATHEDRAL CITY, CA 92235 not commenced within 180 days from date of issuance of such permit, or cessation of CITY0FLAIDW COMMUfdfTYDEVELOPMEtJTDt AA 4AT�i b`i (760)325-2555 Llc. No.: 921518 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance License Class: B License No.: 921518 a work f hich this permit is issued. have and will maintain workers' compensation insurance, as required by Date: ' Contractor: ction 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: OWNER -BUILDER DECLARATION Carrier: _ Policy Number: _ I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5,, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply wit those p visions. 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 Date: Applicant: �, �� rL%SL—A, 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (� I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose ( ) I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (� I am exempt under Sec. B.&P.C. for this reason 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. 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 Address: 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 to enter upon the above m tioned p operty for inspection purposes. Dater Signature (Applicant or Agent): �. DESCRIPTION a< ACCQUNT OUNT"` �PAIf)�� PAID DATE=. TY AM d ,.a �,t.•: ,� -HOURLY PLAN CHECK - YES', 101-0000-42600 2 $140.00 $140.00' •3/25/16 ' �� PAIDBY MEKTHOD . `;: ;� h REOE�1P #'. CHECKS#XQ 11 CLTD BYE NATTALIE LOPEZ I DEBIT R14234 RSE fDESCRtPTION�� ;<.: CCOUNTa .. QAIVIOUNT' PAIDPAID:DATE. HOURLY PLAN CHECK -YES 101-rte0Y000-42600 1.25 $87:50 $87.50 3/25/16 J+x. 1 N ^:..max' 2P� UP �PAIBY METIiOD� .L�`>''''kKY4' RECEIPT CHECK#y ^CLTD BY NATTALIE'LOPEZ -DEBIT .: .1114234 RSE Total Paid for BLDG CITY STAFF - PER HOUR: $227.50 $227.50 DESCRIPTION AqC, UUN P :. q 1F AMUUNT PAID s'PAIDDATE BSAS SB1473•FEE 101-0000-20306 0 $1.00 $1.00 3/25/16 . I" � ''11 PA Dfi Ys: ��c�, :�:;zr,��,.,. , wE'i:�sra �, METHODrd= �'a ,f ECEIPT # �: � :, CHECKtCLTD BY NATTALIE LOPEZ DEBIT - '1114234 RSE TotaFPaid for BUILDING STANDARDS ADMINISTRATION BSA:. $1.00- �$ $1.00 kDESCRIPTION Yrv":uaY:3VUNT.1 T N, . � ACCOUNT - "FA�'?".�k'Y�� Q `l:''a+�A.t�.�"� �S „fir ., xC 4A, 'MOUNTPAIDf,�;EPAIDDATE REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 ' .$21J5 $21.75 3/25/16 Y PAID BY ME O RECEIPTd# CHECK # .�_ CLTD BYE? NATTALIE LOPEZ DEBIT.. R14234 RSE AM e' _� DESCRIPTION � �, . �.. ACCO.GNT QTalf �'r AMO NT ,PATO PA1DDATE REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 '$17.40 - $17.40• 3/25/16 _. x,. .. 3's'"ivC,.y"`-. 'W"'sc ' . > , �::.:. vim-. �l RECEIPT# CHECK'#`�CLTO ,�..g mak; BY4K NATTALIE LOPEZ - :DEBIT ' R14234 RSE T DESCR�IPTI,U � Kam AC COUNT , < TY �AMOUM � G PAID ' ,PAID DATE REMODEL, FIRST. 300 SF 101-0000-42400: 0 $49.31 $49.31 3/25/16 f SPA D BY=ec� Ow f��, METHOD Y < RECEIPT # 9 µ. fir ��CHECK #� s' h C D B M n..• ... NATTALIE LOPEZDEBIT 1114234 RSE t DESCRIPTIONS QAC NT" �QlY SAM UIYT'� N I.', MOW -REMODEL, FIRST 500 SF PC . :101-0000-42600 0 ;"$134.88 $134.88 3/25/161. PA D B" X�METIOD Rx'x.aSiYxR3✓X1i��'^,'ari!:9�*h.3<�, , 5 RE ECEC IPT#,, mm s I CHECK # `CLTDBY �NATTALIE LOPEZ DEBIT 1114234; RSE Total Paid for REMODEL: $223.34 $223.34 Q'DESCRIPTION - r,�3',. .ern �k,rsX.,',F.GY.rfi.,.Efk'ft"a ACCO NTS % " �',-!'w?Rkil•''�"+3i1.,^',�� :ic`ef. QTY AMOUNT 5,,.a,� r'. G ,i'. '�A%�45p�dW-':e:4,�r'ii PAID ` ,�[PAIMDATE Se. �.b, SMI_- RESIDENTIAL. 101-0000-20308 0 $0.50 $0.50 3/25/16 10=7 ID METHOD M w REC�EIP #.',. f�CHECK# µCLTD�BYk NATTALIE LOPEZDEBIT . A14234 RSE Total Paid for STRONG MOTION -INSTRUMENTATION SMI: $0.50' $0.50 - e Description: SHEPARD / REMOVE SOUTH WALL IN KITCHEN Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: ISSUED Applied: 2/25/2016 SKH Approved: 3/22/2016 JJO Parcel No: 775130012 Site Address: 55695 PEBBLE BEACH LA QUINTA,CA 92253 Subdivision: TR 20717-2 SEE ASSR MB 769 PGS 3134 Block: Lot: 20 Issued: 3/25/2016 RSE 3536 CHRONOLOGY TYPE Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $3,000.00 Occupancy Type: Construction Type: Expired: 9/21/2016 RSE No. Buildings: 0 No. Stories: 0 No. Unites: 0 3/8/2016 Details: REMOVE 3 FT OF KITCHEN WALL ONLY. NO ELEC. PLUMBING OR MECH. INCLUDED ALL WORK WILL BE PER 2013 CRC & CBC CODES. 26 3 „-„„I Applied to Approved Approved to Issued Printed: Friday, March 25, 2016 2:47:46 PM 1 of 4 V? SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE JIM JOHNSON 3/3/2016 3/8/2016 WAITING FOR STRUC CORRECTION TO CALL APPLICANT PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 3/7/2016 3/7/2016 STRUC RFC 3/7/2016 RECEIVED PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 3/18/2016 3/18/2016 STRUCTURAL APPROVABLE 3/17/2016 RECEIVED PLAN CHECK PICKED UP STEPHANIE KHATAMI 3/8/2016 3/8/2016 NATALIE LOPEZ PLAN CHECK SENT TO STEPHANIE KHATAMI 3/10/2016 3/10/2016 OUTSIDE PC PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 3/10/2016 3/10/2016 RECEIVED Printed: Friday, March 25, 2016 2:47:46 PM 1 of 4 V? SYSTEMS TELEPHONE CALL JIM JOHNSON 3/8/2016 3/8/2016 CALLED DAN TO INFORM HIM THE PLANS ARE FRADY FOR FINANCIAL INFORMATION CORRECTIONS TELEPHONE CALL JIM JOHNSON 3/22/2016 3/22/2016 CALLED DAN GINSA TO INFORM THEM THE PLANS ARE READY TO ISSUE. CONDITIONS CONTACTS CLTD NAME TYPE NAME •- ADDRESSI CITY STATE zip PHONE FAX EMAIL APPLICANT GRISA ENTERPRISES INC P 0 BOX 1717 CATHEDRAL CA 92235 CITY HOURLY PLAN CHECK - 101-0000-42600 2 $140.00 $140.00 CONTRACTOR GRISA ENTERPRISES INC P 0 BOX 1717 CATHEDRAL CA 92235 YES CITY HOURLY PLAN CHECK - OWNER WILLIAM MCCUNE 4482 OCEANRIDGE HUNTINGTON CA 92253 DEBIT NATTALIE LOPEZ RSE YES BEACH Printed: Friday, March 25, 2016 2:47:46 PM 2 of 4 CN? SYSTEMS FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY HOURLY PLAN CHECK - 101-0000-42600 2 $140.00 $140.00 3/25/16 R14234 DEBIT NATTALIE LOPEZ RSE YES HOURLY PLAN CHECK - 101-0000-42600 1.25 $87.50 $87.50 3/25/16 R14234 DEBIT NATTALIE LOPEZ RSE YES Total Paid for BLDG CITY STAFF -.PER HOUR: $227.50 $227.50 BSAS SB1473 FEE 7 101-0000-20306 0 $1.00 $1.00 3/25/16 R14234 DEBIT NATTALIE LOPEZ RSE Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: REMODEL, EA 101-0000-42400 0 $21.75 $21.75 3/25/16 R14234 DEBIT NATTALIE LOPEZ RSE ADDITIONAL 500 SF REMODEL, EA 101-0600-42600 0' $17.40 $17.40 3/25/16 R14234 DEBIT NATTALIE LOPEZ RSE ADDITIONAL 500 SF PC REMODEL, FIRST 100 SF. 101-0000-42400 0 $49.31 $49.31 3/25/16 R14234 DEBIT NATTALIE LOPEZ RSE Printed: Friday, March 25, 2016 2:47:46 PM 2 of 4 CN? SYSTEMS INSPECTIONS ATTACHMENTS REVIEWS Attachment Type CREATED OWNER i L� TD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY ',BY REMODEL, FIRST 500 SF 101-0000-42600 0 $134.88 $134.88 3/25/16 R14234 DEBIT NATTALIE LOPEZ RSE PC 3/10/2016 3/4/2016 REVISIONS REQUIRED JOHN THOMPSON STRUCTURAL WK) THOMPSON 0 Total Paid for REMODEL: $223.34 $223.34 SMI - RESIDENTIAL 101-0000-20308 0 $0.50 $0.50 3/25/16 R14234 APPROVED DEBIT NATTALIE LOPEZ RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.50 TOTALS: $452.34 $4S2.34 INSPECTIONS Printed: Friday, March 25, 2016 2:47:46 PM 3 of 4 0?W SYS7Eti1S ATTACHMENTS REVIEWS Attachment Type CREATED OWNER DESCRIPTION RETURNED STATUS REMARKS DOC REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE 0 NOTES 1ST BLDG NS (2 WK) JIM JOHNSON 2/25/2016 3/10/2016 3/3/2016 REVISIONS REQUIRED 1ST BLDG STR (2 JOHN 2/25/2016 3/10/2016 3/4/2016 REVISIONS REQUIRED JOHN THOMPSON STRUCTURAL WK) THOMPSON 0 COMMENTS.doc COMMENTS.doc 2ND BLDG NS (2 JIM JOHNSON 3/10/2016 3/24/2016 3/22/2016 APPROVED WK) 2ND BLDG STR (2 JOHN 3/10/2016 3/24/2016 3/17/2016 READY FOR APPROVAL WK) THOMPSON Printed: Friday, March 25, 2016 2:47:46 PM 3 of 4 0?W SYS7Eti1S ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 3/3/2016 JIM JOHNSON 55-695 PEBBLE 55-695 PEBBLE 0 BEACH.docx BEACH.docx 1ST CHECK - 1ST CHECK - DOC 3/4/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 COMMENTS.doc COMMENTS.doc Printed: Friday, March 25, 2016 2:47:46 PM 3 of 4 0?W SYS7Eti1S Printed: Friday, March 25, 2016 2:47:46 PM 4 of 4 N?sysrenns ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAMIE SUBDIR - ETRAKIT ENABLED IST CHECK - 1ST CHECK - DOC 3/4/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf 2ND CHECK - 2ND CHECK - DOC 3/17/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf PLAN CHECK PLAN CHECK DOC 3/10/2016 STEPHANIE KHATAMI CORRECTION LIST AND CORRECTION LIST AND 0 COMMENTS.3-10-16.pdf COMMENTS 3-10-16.pdf Printed: Friday, March 25, 2016 2:47:46 PM 4 of 4 N?sysrenns Iain # City of La Quin to Building 8£ Safety Division 78-495 Caffe Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: C(— 7 Owner's Name: j A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: o. P , Address: % Project Description: City, ST, Zip: alklAvzo CA� C4 A Mft R P V V Y Tele h 0 ne: /^ 3 P (1/ a S ' State Lic. # : City Lic. 9: Arch., Engr., Designer:04 Address: Z City., ST, Zip: Telephone: O Q Construction struction TY e• aneY Occupancy: P : Lic.#: V oState Project hPa �circle one) New dd'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: (,LO 'jam b Estimated Value of Projec APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted tem Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. 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 corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. Ii.O.A. Approval Plans resubmitted Grading IN ROUSE:- '"! Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees By: John W. Thompson' , YOUNG Structural Plan Review Time '= 1.25 HR qW. ENGINEERING' a e a a o a a• ,, a This. Material Sent for:' ❑ Your Files *® Per Your Request ❑ - Your Review ❑ Approval Letter of Transmittal; ❑ Y At the` request of: i Other: ❑ To: City of La Quinta Today's Date 3-17-16 , 78-495 Calle Tampico City Due Date' 3-24-16 La Quinta; CA 92253 Project Address:`- .55695 Pebble Beach Attn: Ramses Sevilla Plan Check # ' ° 1,BRES2016-0.046 Submittal:;15r: ❑ 4th i - ® 2nd ❑ rth 3'd El b .We are forwarding:' ` ®` By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: Descriptions`. Includes:` # Of Descriptions: Copies: ❑ Structural Plans. ®._ 1 " Revised Struct. Plans '-- ❑'. Structural Calculations Revised Struct. Calcs ❑ Truss Calcs : ❑ Revised Truss Calcs " ❑ Soils Report e ❑ Revised Soils Report ® 1 Structural P/C Responses ❑ Approved Structural Plans' ® 1 Redlined Structural Plans ❑ Approved, Structural Calcs ❑ . - Redlined Structural Calcs . Approved Truss Gales ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports : ❑ -'Other: Comments: Structural content is approvable: By: John W. Thompson' , Structural Plan Review Time '= 1.25 HR This. Material Sent for:' ❑ Your Files *® Per Your Request ❑ - Your Review ❑ Approval ❑ . Checking ❑ Y At the` request of: i Other: ❑ , By: John W. Thompson' , 55695 Pebble Beach, La Quinta * Electrical and plumbing affected by construction MIMMII. lea • vtn)" e� ��'`" 'a0 _gkir'\ ��t4 Ora- �� 0 JCS vitae.. VA Goo Pk -k-o Contractors Grisa Enterprises Inc Dan Grisa - 760-333-0004 PO Box 1717, Cathedral City, CA 92235 Owner: Nationwide Capital Group Chris Shepard - 949-433-7035 29222 Rancho Viejo Rd # 108, San Juan Capistrano, CA 92675