BRES2015-019378-495 CALLE TAMPICO T 0 D Xfv
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRES2015-0193 Owner:
Property Address: 81788 COUPLES CT TIM MC GOURTY
APN: 764060060 2313 OVERLAND RD
Application Description: PALMS / MC GOURTY / SINGLE FAMILY DWELLING BOISE, ID 83705
Property Zoning:
Application Valuation: $294,965.20
Applicant:
JODY JONES DEVELOPMENT CORPORA
78-060 CALLE ESTADO
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: 8 License No.: 987962
,p
D® �5 Contractor
OWNER- ILDER D CLARATION
I hereby affirm under penalty of perjury that I m 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 Address:
15
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
JODY JONES DEVELOPMENT
78-060 CALLE ESTADO
LA QUINTA, CA 92253
(760)285-8712 (760)285-8712
Llc. No.: 987962
Date: 10/16/2015
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WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
oft a work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
S 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:
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
commp,ly with those provisions.
Date: 10116145 Applican 75'COMPENSATION
44=
WARNING: FAILURE TO SECURE WORKE 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.
1 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 Agent):
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE
ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201
0 $237.41 $0.00 ,
PAID BY METHOD
RECEIPT # CHECK # CLTD BY
Total Paid for ART IN PUBLIC PLACES - AIPP: $237.41 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$12.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $12.00 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
DIF - COMMUNITY CENTERS
254-0000-43200
0
$129.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
.DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
DIF -LIBRARIES
253-0000-43200
0
$344.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
DIF - PARK MAINTENANCE
256-0000-43200
0
$40.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
DIF - STREET MAINTENANCE
255-0000-43200
0
$116.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$0.00
PAID BY
METHOD
RECEIPT # T
CHECK #
CLTD BY
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
t
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
TEMP POWER SERVICE PC
101-0000-42403
0
$16.92
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $41.09 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF
101-0000-42403
0
$49.32
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF, PC
101-0000-42600
0
$20.32
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$145.03
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$47.86
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY '
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $262.53 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RESIDENTIAL PRECISE GRADING - CUSTOM
HOME LOT >7KSF
101-0000-42408
0
$36.26
$0.00
PAID BY
METHOD •
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RESIDENTIAL PRECISE GRADING - CUSTOM
HOME LOT>7KSF PC
101-0000-42600
0
$181.29
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for GRADING: $217.55 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
CONDENSER/COMPRESSOR
101-0000-42402
0
$108.78
$0.00
PAID BY
METHOD~�
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$72.51
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
EXHAUST HOOD
101-0000-42402
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
FURNACE
101-0000-42402
0
$108.78
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
FURNACE PC
101-0000-42600
0
$72.51
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
VENT FAN
101-0000-42402
0
$72.54
$0.00
PAID BY
METHOD
RECEIPT#
CHECK#
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
VENT FAN PC
101-0000-42600
0
$28.98
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for MECHANICAL: $481.02 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
MULTI -SPECIES RESIDENTIAL 0-8 UNITS -
2015 UPDATE
101-0000-20310
0
$1,301.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$634.77
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for NEW CONSTRUCTION PERMIT: $634.77 $0.00
DESCRIPTION
ACCOUNT
-QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$1,000.00
$1,000.00
5/12/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
JONES DEVELOPMENT
CHECK
R6005
1803
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$353.08
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,353.08 $1,000.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BACKFLOW DEVICE
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BACKFLOW DEVICE PC
101-0000-42600
0
$4.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BUILDING SEWER PC
101-0000-42600
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP
101-0000-42401
0
$253.89
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP PC
101-0000-42600
0
$253.89
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 5+ OUTLETS PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
ROOF DRAIN
101-0000-42401
0
$48.36
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
ROOF DRAIN PC
101-0000-42600
0
$48.36
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT
101-0000-42401
0
$24.18
$0.00
PAID BY
METHOD
RECEIPT # ,
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT PC
101-0000-42600
0
$14.50
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PLUMBING FEES: $768.89 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$38.35
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $38.35 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
SINGLE FAMILY DETACHED
224-0000-20320
0
$1,837.44
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for TUMF - RESIDENTIAL: $1,837.44 $0.00
TOTALS:• $1,000.00
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TAMBuilding5 r7�b 78-495 CALLE TAMPICO
Address LA QUINTA, CALIFORNIA 92253
l I M M U -40U ZTY
Mailing
Address
CityZip
ISS_ 83705
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APPLICATION ONLY
BUILDING: TYPE CONST. YO * OCC. GRP. n 1
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A.P. Number f(4 " o(o ` D� •'
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Project Description N EEN 51 N G Lr= 154±1 1 Ly
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State Lic. City
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Designer r E Eu o o ZA
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City State
>ESEQ,Tj-r,<eZqZZ40
Lic. #
E ACns of C DECLARATION
I hereby affirm I a license oder provisions of Chapter 9 (commencing with Section 7000)
of Division 3 he B siness an si s Code, and my license is in full forge anq effect.
- OWNER -BUILDER DECLARATION
I
I hereb affirm that 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,
alter, 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 of 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not.more than five hundred dollars (5500).
❑ 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 Profes-
sions Code: The Contractor's License Law does not apply to an owner of 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 of completion, the owner -builder will have the burden of proving that he did
not build or improve for the purpose of sale).
0 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 of property who builds or improves thereon, and who contracts for such projects with
a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's
Compensa'on Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. f�ompany�L(•dTE Cd H P 1 wl 5_
'Copy is filed with the c tyT ❑ 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 (5100) 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.
Date Owner
NOTICE TO APPLICANT.. If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Cade, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
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.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
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.
Signature of applicant Date
Mailing Address
City, State, Zip
WHITE = BUILDING DEPARTMENT
Sq. Ft.
Size 33-11
No. I No. Dw.
Stories Units
Newy Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
—ism 000 • co _ r
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
i
t
TOTAL
CONTACT INFORMATION
NAME:
PHONE:
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE 'INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
YELLOW = APPLICANT
PINK = FINANCE
Description: PALMS / MC GOURTY / SINGLE FAMILY DWELLING
Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED
Applied: 5/12/2015 SKH
FAMILY DETACHED
Approved: 8/3/2015110
Parcel No: 764060060 Site Address: 81788 COUPLES CT LA QUINTA,CA 92253
Subdivision: PM 34766 Block: Lot: 2
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $294,965.20 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
PENDING STRUC CORRECTIONS
Details: NEW SFD HOME THIS PERMIT DOES NOT INCLUDE POOL SPA, BLOCKWALLS, DRIVEWAY APPROACHES, FIRE PIT, BBQ OR WATER
FEATURES. HOME IS FIRE SPRINKLED PER 2013 CRC CODES.
Printed: Friday, October 16, 2015 2:56:04 PM 1 of 7 O
SY57EMS
AlDbITIONAL
CHRONOLOGY
CHRONOLOGY TYPE•` is
' STAFF. NAME
'ACTION DATE ? , COMPLETION DATE- ` .• NOTES _
NOTE
JIM JOHNSON
5/27/2015
6/9/2015
PENDING STRUC CORRECTIONS
NOTE
JIM JOHNSON
7/29/2015
8/3/2015
NOTE
JIM JOHNSON
7/31/2015
8/3/2015
STRUC BACK ON 7/31- APPROVABLE
PLAN CHECK COMMENTS
FROM CONSULTANT
JIM JOHNSON
6/9/2015
6/8/2015
RECEIVED
PLAN CHECK COMMENTS
FROM CONSULTANT
KAY HENSEL
7/31/2015
7/31/2015
STRUC APPROVABLE 7/31/2015
RECEIVED
PLAN CHECK PICKED UP
STEPHANIE KHATAMI
6/9/2015
6/9/2015
PLAN CHECK SENT TO
KAY HENSEL
7/15/2015
7/15/2015
OUTSIDE PC
Printed: Friday, October 16, 2015 2:56:04 PM 1 of 7 O
SY57EMS
PLAN CHECK SENT TO
SENT TO YOUNG.
OUTSIDE PC
STEPHANIE KHATAMI
5/12/2015
5/12/2015
SENT TO YOUNG.
PLAN CHECK SUBMITTAL
RECEIVED
STEPHANIE KHATAMI
S/12/2015
5/12/2015
,
STRUC TO YOUNG - DUE BACK 7/28/2014. 2ND P/C
RESUBMITTAL
PHILIP JUAREZ
7/14/2015
7/14/2015
TELEPHONE CALL
AJ ORTEGA
10/13/2015
10/13/2015
SEE ENTRY AT CONDITIONS - UPDATED APPLICANT OF
STATUS OF PROJECT APPROVAL
TELEPHONE CALL
JIM JOHNSON
6/9/2015
6/9/2015
CALLED JODY JONES TO INFORM THEM PLANS ARE READY
FOR CORRECTIONS
TELEPHONE CALL
JIM JOHNSON
8/3/2015
8/3/2015
CALLED TIM SCOTT TO REVISE TITLE -24 AND PUT CORRECT
ADDRESS ON NEW COPIES.
CONDITIONS
ki!'?3:c
.CONDITION
S�
'g.•w'f`. A _,*X°
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-7it�?;.,, _T �:*.'H %$^'�''C f= �•-zk _,2;. `Y�- 'S c'8`�`,�"! "` a''. `r�',t- .>,1.#'tj.n `.'
..??.REMARKS �, �.s:F.
.r#cCONTACTi?
-�
ry
0"
;ADDED z., ti:REQUIRED
,ty.•:STATUS�r.;•;a
SATISFIED:2=,
_ <.t- .•'y4 x'•� ;'NOTES
„:TYPED;y�a�
. •,. 'n3 ..'�.��,.z.:
..-.
4
....�._ a... :x
.: '�� :Lf-.c:?.. •..s . i:,,. _ :L^<Cezoi:�',r .,n,�
NEED NEW TITLE -24 WITH CORRECT ADDRESS,
GRANT DEED, PM10, AND BURRTEC WASTE
MANAGEMENT AND SCHOOL FEE LETTER
SUBMITTED UPDATED ENERGY, GRANT,
BURRTEC, SCHOOL FEE AND HOA APPROVAL -
LAST OUTSTANDING ITEM IS PM 10/GREEN
SHEET APPROVAL
READY TO ISSUE
CHECKLIST JIM JOHNSON
8/3/2015 10/16/2015
10/16/2015
COMPLETE
FOUND UPDATED GEOTECHNICAL REPORT,
REVIEWED WITH BRIAN AND IS READY FOR
APPROVAL - ORIGINALLY SENT PAM WITH JODY
JONES DEVELOPMENT AWAY WITH INCOMPLETE
GREEN SHEET SUBMITTAL', PHONED OFFICE THAT
THE INFORMATIN WAS FOUND AND SHE ONLY
NEED THE PRECISE GRADING PLAN FOR
APPROVAL.
Printed: Friday, October 16, 2015 2:56:04 PM . 2 of 7 C 'YSTEMS
NAME.TYPEV
NAME .,
INFOkMATION
DESCRIPTION . ACCOUNT QTY' AMOUNT.PAID
ADDRESSI. , '
CONTACTS
CITY
_ STATE
ZIP ;
PHONE..
.;FAX'
EMAIL
APPLICANT
JODY JONES DEVELOPMENT
CORPORA
78-060 CALLE ESTADO
LA QUINTA
CA
92253
(208)869-3200
Total Paid for ART IN PUBLIC PLACES - AIPP: $237.41 $0.00
BSAS SB1473 FEE
CONTRACTOR
JODY JONES DEVELOPMENT
CORPORA
78-060 CALLE ESTADO
LA QUINTA
CA
92253
(208)869-3200
OWNER
TIM MC GOURTY
2313 OVERLAND RD
BOISE
ID
83705
(208)869-3200
$0.00
FINANCIAL
INFOkMATION
DESCRIPTION . ACCOUNT QTY' AMOUNT.PAID
PAID;DATE
.RECEIPT,# CHECK # METHOD, PAID BY CLTD
- �.
BY
ART IN PUBLIC PLACES -
270-0000-43201 0 $237.41
$0.00
RESIDENTIAL
Total Paid for ART IN PUBLIC PLACES - AIPP: $237.41 $0.00
BSAS SB1473 FEE
101-0000-20306
0
$12.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $12.00 $0.00
BSA:
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$0.00
DIF - COMMUNITY
254-0000-43200
0
$129.00
$0.00
CENTERS
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$0.00
DIF - LIBRARIES
253-0000-43200
0
$344.00
$0.00
DIF - PARK
256-0000-43200
0
$40.00
$0.00
MAINTENANCE
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$0.00
DIF - STREET
255-0000-43200
0
$116.00
$0.00
MAINTENANCE
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$0.00
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$0.00
Printed: Friday,.October 16, 2015 2:56:04 PM 3 of 7 C—RRWI
SYSTEMS
gq
kIptI6
- •
4--_ 77--?
'CLTW I
DESCRIPTION
QTY �i
A
PAID DATE,
RECEIPT-#;
�"ZWIEU#!j
-METHOD
D BY -
BY,,
TEMP POWER SERVICE
101-0000-42403
0
$16.92
$0.00
PC
Total Paid for ELECTRICAL: $41.09 $0.00
RESIDENTIAL, EA
101-0000-42403
0
$49.32
$0.00
ADDITION 1,000SF
.RESIDENTIAL, EA
101-0000-42600
0
$20.32
$0.00
ADDITION 1,000SF, PC
RESIDENTIAL, FIRST
101-0000-42403
a
$145.03
$0.00
1,000SF
RESIDENTIAL, FlR�101-0000-42600
0
$47.86
$0.00
1,000SF, PC
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $262.53 $0.00
RESIDENTIAL PRECISE
GRADING - CUSTOM
101-0000-42408
0
$36.26
$0.00
HOME LOT >7KSF
RESIDENTIAL PRECISE
GRADING - CUSTOM
101-0000-42600
0
$181.29
$0.00
HOME LOT >7KSF PC
Total Paid for GRADING: $217.55 $0.00
CONDENSER/COMPRES
101-0000-42402
0
$108.78
$0.00
SOR
CONDENSER/COMPRES
101-0000-42600
0
$72.51
$0.00
SOR PC
EXHAUST HOOD
101-0000-42402
0
$12.09
$0.00
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$0.00
FURNACE
101-0000-42402
0
$108.78
$0.00
FURNACE PC
101-0000-42600
0
$72.51
$0.00
VENT FAN
101-0000-42402
0
$72.54
T $0.00
Printed: Friday, October 16, 2015 2:56:04 PM 4 of 7 CIRWI SYSTEMS
Printed: Friday, October 16, 2015 2:56:04 PM 5 of 7
SYSTEMS
CLTD
DESCRIPTION'
ACCOUNT •, :'
QTY
AMOUNT
,PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
K
BY,
VENT FAN PC
101-0000-42600
0
$28.98
$0.00
Total Paid for MECHANICAL: $481.02 $0.00
MULTI -SPECIES
RESIDENTIAL 0-8 UNITS
101-0000-20310
0
$1,301.00
$0.00
- 2015 UPDATE
Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00 $0.00
NEW CONSTRUCTION
'
101-0000-424000
1
$634.77
$0.00
T
PERMIT
Total Paid for NEW CONSTRUCTION PERMIT: $634.77 $0.00
NEW CONSTRUCTION
101-0000-42600
0
$1,000.00
$1,000.00
5/12/15
R6005
1803
CHECK
JONES DEVELOPMENT
SKH
PLAN CHECK
NEW CONSTRUCTION
101-0000-42600
0
$353.08
$0.00
PLAN CHECK
Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,353.08 $1,000.00
BACKFLOW DEVICE
101-0000-42401
0
$12.09
$0.00
BACKFLOW DEVICE PC
101-0000-42600
0
$4.83
$0.00
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
BUILDING SEWER PC
101-0000-42600
0
$12.09
$0.00
FIXTURE/TRAP
101-0000-42401
0
$253.89
$0.00
FIXTURE/TRAP PC
101-0000-42600
0
$253.89
$0.00
GAS SYSTEM, 5+
101-0000-42401
0
$36.26
$0.00
OUTLETS
GAS SYSTEM, 5+
101-0000-42600
0
$24.17
$0.00
OUTLETS PC'
ROOF DRAIN
101-0000-42401
0
$48.36
$0.00
ROOF DRAIN PC
101-0000-42600
0
$48.36
$0.00
Printed: Friday, October 16, 2015 2:56:04 PM 5 of 7
SYSTEMS
DESCRIPTION
ACCOUNT
' QTY
Y AMOUNT -
PAID. -
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
6/2/2015
6/8/2015 REVISIONS REQUIRED
NON-STRUCTURAL
JIM JOHNSON 5/12/2015
6/2/2015
5/27/2015 REVISIONS REQUIRED
BY
WATER HEATER/VENT
101-0000-42401
0
$24.18
$0.00
WATER HEATER/VENT
101-0000-42600
0
$14.50
$0.00
PC
WATER SYSTEM
101-0000-42401
0
$12.09
$0.00
INST/ALT/REP
WATER SYSTEM
101-0000-42600
0
$12.09
$0.00
INST/ALT/REP PC
Total Paid for PLUMBING FEES: $768.89 $0.00
SMI -RESIDENTIAL
101-0000-20308
0
$38.35
$0.00
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $38.35 $0.00
SINGLE FAMILY
224-0000-20320
0
$1,837.44
$0.00
DETACHED
Total Paid for TUMF - RESIDENTIAL: $1,837.44 $0.00
TOTALS:$1,000.00
'REVIEW TYPE
_
_
REVIEWER SENT DATE.
DUE DATE
REVIEWS
RETURNED,
STATWS
DATE
-REMARKS
NOTES
STRUCTURAL
YOUNG 5/12/2015
ENGINEERING
6/2/2015
6/8/2015 REVISIONS REQUIRED
NON-STRUCTURAL
JIM JOHNSON 5/12/2015
6/2/2015
5/27/2015 REVISIONS REQUIRED
FIRE
FIRE BUCKET 6/18/2015
7/2/2015
Printed: Friday, October 16, 2015 2:56:04 PM 6 of 7
SYSTEMS
NON-STRUCTURAL-
BOND INFORMATION
Attachment Type CREATED
OWNER
JIM JOHNSON
7/14/2015
7/28/2015
7/29/2015
APPROVED
5/27/2015
JIM JOHNSON
2 WK
81-788 COUPLES
0
COURT.docx
STRUCTURAL - 2 WK
KATHRYN
7/14/2015
7/28/2015
7/31/2015
READY FOR APPROVAL
81-788 COUPLES
81-788 COUPLES
SAMUELS
COURT.docx
COURT 1.docx
1ST PW GREEN
BRYAN
10/15/2015
10/22/2015
10/16/2015
APPROVED
0
SHEET
MCKINNEY
0193.pdf
0193.pdf
Printed: Friday, October 16, 2015 2:56:04 PM 7 of 7 1? SYSTEMS
BOND INFORMATION
Attachment Type CREATED
OWNER
ATTACHMENTS
DESCRIPTION
PATHNAME
SUBDIR
ETRAKIT ENABLED
DOC
5/27/2015
JIM JOHNSON
81-788 COUPLES
81-788 COUPLES
0
COURT.docx
COURT.docx
DOC
7/30/2015
JIM JOHNSON
81-788 COUPLES
81-788 COUPLES
0
COURT.docx
COURT 1.docx
DOC
8/28/2015
JIM JOHNSON
SCHOOL FEES BRES2015-
SCHOOL FEES BRES2015-
0
0193.pdf
0193.pdf
2ND REVIEW -
NEW CITY
DOC
7/30/2015
KATHRYN SAMUELS
STRUCTURAL
TRANSMITTAL BRES
0
TRANSMITTAL
2015-0193 (2nd).pdf
DOC
10/16/2015
STEPHANIE KHATAMI
PM10 APPROVAL 10-16-
PM10 APPROVAL 10-16-
0
15
15.pdf
Printed: Friday, October 16, 2015 2:56:04 PM 7 of 7 1? SYSTEMS
Letter of Transmittal
To: City of La Quinta - Today's Date:'
, . 7-30-15 .
78-495 Calle Tampico City Due Date:.
7-28-15
La Quinta, CA 92253 Project Address: 81788 Couples Court
Attn: Kay Plan Check #r
BRES 2015-0193
f Submittal: ❑ 1St
IF 4th
® 2nd
❑ 55th'
❑' 3'd`
❑ Other:
We are forwarding: ® By.Messenger❑ ' °p`; By Mail (Fed Ex or UPS) - ❑ Your Pickup
Includes: # Of Descriptions::: Includes:' # Of .,Descriptions:
Copies:'
Copies:
❑ .Structural Plans
® A Revised Structural Plans
® 1 Structural Calculations �.°j
®- 1 Revised Struct. Calcs
-Truss Calculations Floor
® 1
❑, s Revised Truss
and Roof
® 3 Soils Report ;-
❑ ` Revised Soils Report
f Structural Comment List/,
® 1
❑ `'` Approved Structural -Plans
Responses
® 1 Redlined Structural Plans`
❑ Approved Structural' Calcs
❑ Redlined Structural,Calcs ''.❑
'.:' Approved Truss Calcs
❑ Redlined Truss Calcs
❑ ,� Approved Soils Report
❑ Redlined Soils Reports
❑ . X • 'Other:
Comments: Structural content is approvable.
-I
VL_
If you have any questions, please -call.
JUL 3 1
Time =.75 HR
This M i f,o
DEVELOPMENT
a.t e r a,l; S e n t. r
COMMUNITY
ElYour Files -
®` Per Your Request'
❑ Your ReviewApproval'
❑*
❑ Checking
❑ ;= '_At the request of:
Other:❑ �:
}
By:,`Kathryn Samuels
,
Palm Desert Office.:, ®, , (760) 772-5107
Other: ❑ .
}
--I-
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
DEVELOPER FEES PAID
AREA:
AMOUNT
LEVEL ONE AMOUNT:
LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
COMMAND. AMOUNT:
DATE:
RECEIPT:
CHECK #:
INITIALS
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: he� Palmm
Owner's Name: Tim McCourty
Project Address: 81-788 Couples Court
Project Description:
APN: 764-060-060
Date: October 13, 2015
Phone No.
Type of Development: Residential Commercial nr`T 1 3 W6strial
CITY QF IA QUINTA
Total Square Feet of Building Area: 3,337 ENT
CO
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: October 13, 2015 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
Note:
Number of Sq.Ft. 3337 Pursuant to -AB 181 any room additions or enclosures of 500
sq. ft. or less are exempt from developer fees. Any mobile
Amount per $ homes being relocated within the same school district's
Amount Colleectedctad $111212 12.32 jurisdiction are exempt from developer fees.
Building Permit Application Completed: Yes/No
By: Elsa F. Esqueda, Director of Facilities and Maintenance
Certificate issued by: Laurie Howard., Secretary Signature:
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.
M V:c/mydocs/devfees/cellificate of compliance l'onn updated 3-2007 11/2010
RECORDING REQUESTED BY
Ticor Title Compnny of California
AND WHEN RECORDED MAIL TO:
Tim McGourty
3736 E. ZALDIA
MERIDIAN, LD 83642
Dy.
ORDER NO.: 00288560 -035 -SSI
ESCROW NO.: 00288560 -035 -SNS
RECEIVED"'
OCT 13;2015
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
GRANT DEED
THE UNDERSIGNED GRANTOR(s) DECLARE(s) Documentary Transfer Tax is S 184.25 City Tax is $ 0.00
Ounincorporated area X computed on full value of interest or property conveyed, or
X the City of La Quinta O full value less value of liens or encumbrances remaining at the
time of sale
Parcel No. 764-060-060-3 TRA:020-208
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Ronald R. Loynds, Trustee of that certain Declaration Trust, dated October 27, 1998, as to an uninvited 50% interest and
Elvirn H. Beverman Living Trust, as to an undivided 50% interest as tenants in common
hereby GRANT(s) to
Tim McGourty, An Unmarried Man
the following real property in the City of La Quints County of Riverside, State of California:
SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF
Dated: January 4. 2015
Ron d R. Loynds, Trustee of that certain Declaration Elvira H. Beverman Living Trust
ust, sited October 27, 1998
Ronald R. Loynds, ru tee ENira H. Beverman, Trustee
MAIL TAX STATEMENTS AS DIRECTED ABOVE
Page 1
aRANMEE