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BRES2017-0138
78-495 CALLE TAMPICO D XP LA'QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT' BUILDING PERMIT Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED Application Number: BRES2017-0138 Property Address: 52425 AVENIDA JUAREZ APN: 773242023 Application Description: STORBO/2,238 SF DWELLING/VB/RES-3/CLASS A-FR/13D Property Zoning: Application Valuation: Applicant: $149,338.10 "" �---- 0 ; A_ � JOSEPH BIRDSELL P 0 BOX,630 f OCT 0 y 2 17 L_ LA QUINTA, CA 92247 ' CJTYOF� t cOrfrauhiryD, QUINTA ----` t:JELQpAlEt4TDEPARTCIENT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comLS7g with Section 7000) of Divisio o e Business and Professions Code, and my Licin full force and effect. Licens: License No.: 81 2 Date:`l I Contrac r: OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any City or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: {_ I; as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (—) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State* License Law.). ' I ) 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 Addre: VOICE (760) 777-7125 FAX -(760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/9/2017 Owner: DICK & JAN STORBO Contractor: JOSEPH BIRDSELL POBOX630.- LA QUINTA, CA 92247 (760)409-7070 Llc. No.: 81129= WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one oa the following declarations: _ 1 have and will maintain a certificate of consent to self -insure for workers' conloRsation, as provided for by Section 3700 of the Labor Code, for the performance ofM.3700 k for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Se of the Labor Code, for the perfor-mance of the work for which this permit is issued. My workers' compensation insurance t-arrier and policy number are: Carrier: STATE COMPENSATION INSURANCE FOND Policy Number: 9118059 _ 1 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 t i should become subject to the workers' compensation provisions of Se 'o 3700 f the Labor Code, I shall forth th comply with those provisions. D�:_�� ,pplicant: WARNING: FAILURE TO SECURE WORKERS' C MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINMAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COSTOF 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 tF* applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its otFicers, 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 1 have read this application and staff 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 th city to enter upon the abov� mentioned property for inspection purposes. Date: 10/9/2017 Application Number: BRES2017-0138 Owner: Pro;**rty'Address:, ",.-*?`•�«l °52425 AVENIDXJUAREZ DICK & JAN STORBO APN: 773242023 Property Zoning: Application Valuation: $149,338.10 Applicant: Contractor: JOSEPH BIRDSELL JOSEPH BIRDSELL P 0 BOX 630 P 0 BOX 630 LA QUINTA, CA 92247 LA QUINTA, CA 92247 (760)409-7070 Llc. No.: 811293 Detail: 2,238 SF DETAHCHED SINGLE FAMILY DWELLING - [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2016 CALIFORNIA BUILDING CODES. _DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 0.5 $76.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES ADMINISTRATIVE STAFF 101-0000-42600 0.25 $10.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 2 $190.00 Total Paid for BLDG CITY STAFF - PER HOUR: $276,00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $6.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $6.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - CIVIC CENTER 252-0000-43200 0 $942.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - FIRE PROTECTION 257-0000.-43200 .0 $433.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - LIBRARIES 253-0000-43200 0 $344.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600' 0 $17.73 Total Paid for ELECTRICAL: $43.06 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,O00SF 101-0000-42403 , 0 $26.52 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $10.92 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $156.04 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,900SF, PC I 101-0000-42600 I 0 I $51.49 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $244.97 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT>7KSF 101-0000-42408 0. $76.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT>7KSF PC 101-0000-42600 0 $190.00 Total Paid for GRADING: $266.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $76.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $50.66 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $5.07 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $76.00 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $50.66 . DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $63.35 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $25.35 Total Paid for MECHANICAL: $359.76 DESCRIPTION ACCOUNT QTYAMOUNT AMOUNT MULTI SPECIES RESIDENTIAL 0-8 UNITS - 2017 UPDATE 101-0000-20310 I 0 $1,245.00 Total Paid for MULTI -SPECIES RESIDENTIAL: $1,245.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-02400 0 $566.54 Total Paid for NEW CONSTRUCTION PERMIT: $566.54 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $750:00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $397.68 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,147.68 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE PC 101-0000-42600 0 $5.07 DESCRIPTION ACCOUNT. QTY .AMOUNT BUILDING SEWER 101-000042401 0 $25.33 y DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER PC .101-0000-42600 .0 $17.73 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $164.71 DESCRIPTION ACCOUNT. QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $164.71 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $39.01 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN 101-0000-42401 0 $25.34 DESCRIPTION ACCOUNT I QTY AMOUNT ROOF DRAIN PC 101-0000-42600 0 $25.34 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $7.60 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.67 Total Paid for PLUMBING FEES: $551.53 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $19.41 I. Total Paid for STRONG MOTION INSTRUMENTATION SMI: $19.41 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 DESCRIPTION ACCOUNT QTY AMOUNT SINGLE FAMILY DETACHED 224-0000-20320 0 1 . $1,837.44 Total Paid for TUMF - RESIDENTIAL: $1,837.44 S2-0(1-- oi?> Lz, .4 aep " P.O. BOX 1504 APPLICATION ONLY Building -2- ` 78-495 CALLE TAMPICO Address A11SA( CIA �J v'� � LA OUINTA, CALIFORNIA 92253 Owner ` e 1:17 V2 BUILDING: TYPE CONST. `J (� OCC. GRP. Mailing �r A.P. Number 7 Address City Zi Tel. C, A Contractor `V:7 I Address ptj I 3 City Zip Tel. State Lie. City & Classif. 8� t Lic. # Designer Address Tel. City Zip State Lic. # LrC IS£D CONTRACTOR'S DECLARATION i I hereby sf i 1� am li� ed under provisions a4[Chapt�r-9 icommancing with Section 7000) of Oivlslun Elf 9usin and Pr fees&Code;'mylioonsa is in full force and effect - OWNER -BUILDER DECLARATION I hereby affirm that i am exempt from the Contractor's Ucarrse Lnw for the following reason: (Sec. 7031.5, business andPratessforrs Coda: Any city or county which requires aparinrtto construct, sitar, improve, demolish, or repair artyslruclum, riorto Ih Isswar ce also requires the applicant lbr such mif to file a signed statement thel he is li arrsod.Pursuant to the provisions of the conrtac- for's License Law, Chapter 8 (oommoncing wish Saclion 7000) of ElMs7on 3 of The Husiness and Professions Code, of that he fs exempt therefrom, and the basis for the alleged exemption. Any vlalaliun of Section 7031.5 by any applicant fur a parmrit subjects the applicanf to a civil penalty of hat mere than five hundred dollars ($500). ©1, as owner of the property, or my employees with wages as their sole compermill pn, will do the work, and. the structures not intended or offered for sale: (Sac. 7044, 6usirress and P(ofa5- sions Cade: The Currtractor's License Law does not apply to an owner of property who tue'ids of Improves thereorr and who does such work himself or through his own employees, provided !fret such improvements are not intended are adored tar sale. ff, however, the buffdrng or fmpfovamenl Is sold wilhln one year of completion, the ownof-builder wit? have the burden of proving thathe dfd not build or improve for the purpose of sale). ❑ I, as owner of the property, am excklsively conhactIng with licensed contractors 10 construct the project (Sec, 7044, Suzinass and Proresaiorrs Code: 77re Contractor's U,canse Law does not apply to an owner OF property who buflds or improvaS thereon, and who contracts for such projects wttr a conbEcfarfs) licensed pursuanr to the Caatraclnr's License Law.) ❑ I am exempt under Sec. B. & P.C. for this reason WORKER'S COMPENSATION DECLARATION I 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 ($100) 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., it, after making this Certificate of Exemption you should become subjeef to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this pormff 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 ttils appli>raton and state that the above information is correct. I agree to comply wlth all city and county ordinancus and scale. laws relating to building consirucflan, and hereby authorize reprosentailves of this city to enter the above -mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT Legal Description . Project Description Sq. Ft. •2.2-12e No. No. Dw. 1 Size `� Stories Unify Newly Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure I f r TOTAL t CONTACT INFORMATION NAME: PHONE: ZONE: BY:_ Minimum Setback Distances: FINAL DATE Issued by: Validated by: Validation: YELLOW = APPLICANT Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line INSPECTOR Date Permit PINK = FINANCE Date: 9/1/2017 No.: 17-00722-1 Owner: Dick & Jan Storbo Address: City: Type: Single Family Residential Lot # Street No. $2425 Comments: CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 0 47950 Dune Palms Road Y a La Quinta, CA 92253 (760)771-8515 U r� Email: Jurisdiction: La Quinta Tract #: Street Name Sq. Feet APN Permit No. Avenida Juarez 2238 773-242-023 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking eating, or sanitation) or replacement mobile homes. It has been determined that the above -named uwner is'exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility Tess imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $3.48 X 2238 S.F. or $7,788.24 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in the proposed project may now be issued. Fees Paid By: CC/Wells Fargo - Dick Storbo Bank Name/Recipient of Certificate By Scott L. Bailey Superintendent Fee Collected/ Exempted 13f. Sharo Check No.: 7234703923 Telephone: Funding: Residential Certificate Fees Due: $7,788.24 Original Payment(s) Rec'd: $0.00 New Payment Rec'd: $7,788.24 Over/Under: $0.00 NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve ❑ n ify you that the 90-day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. Notice to Building Department: THIS DOCUMENT VALIr1UlIEV%TH EMBOSSED SEAL. F? SEP 0 8 2016 CITY OF LA QUINTA COMMUNITY DEVELOPMENT V PINY Q b' C'1 N � c� i cn ooa� f l ike � �b •vtoi I r -, LGriRa I � � I $ � v 8Z �' 1 �z I b fl Zvi -CEO VZU c 0 ZI y c I av°°-t y o�Z f a of � �o z �O 0 tTi-°6O Yet L6O-OVO Vax fZR�C° c� �. ai, ►. OO Ot !! 21 Ly CO 0 � zagl �-- o ,e•ee oars t*•' � ! wm R w sbt o — I At+A $ °L fZ pl °t $ 9 st iZ L6ObzAvart FR jw 6 OZ l h} 6 bl fl ff GL m I � o r a Ort !2 zf Lr� ^ 8 9 �i1 � s OL 61 o� OD m �a � L6DbZ0 dNl x+¢ a I D Q CI Or ...� yt O FYIsoy LGO-OZO ►2�t - e m4a x d �z a a o s Y racer on vc r.r 2tti=x R A ,I�$ si La QZ L Z a EWD M s ' Building Permit Number: Project Desaripdon: SFR yExempt: ❑ (Materials mey contain hazardous wastes and are notsuhjeotto recyci€ng provisions) Construction Debris Management Plan Plan submittai Dat it 8/21/2017 JobsbAddressl 52425 Avenida Juarez owners Name Richard & Janice Storbo Number, Street, or Po Box P.O. Box 1642 City, stale, Posm€ Code Le Quanta, CA. =47 Owners Phone Number c/o Owner's E-Mail Address birdsellbu€lders a ca I'm1ectmanagoesNamel Joe Birdsell Project Managers Phone Number 760-409-7070 Pro]ect Manager9-E—ma]I.Addrsss birdsellbui€ders all.com Builder/ Gantractorl Birdsall Builders Number, SbwtorPOBoxl P.O. Box 630 City, State, Postal Codel La Quints, CA. 92247 Project Square Footage I Approx. 2,200 square feet City Approval By Renado GouldlocX-❑ECIBurrtac waste Date of City Approval &I fig Materials To Be Discarded: Product Tons T ra h 9.00 Not recyclable Product Tons Asp ft 0.00 Recyclable Masonry (broken) 0.00 Recyclable BriddB k 0.00 Recydable Plaster 2.60 Recyclable Cardboard 0.00 Recyclable Scrap Metal 0.00 Recyclable Commingled 0.00 Recyclable Tile (floor) 0,22 Recyclable Concrete 9.25 Recyclable Tile (roof) 0.31E Recyclable Drywall 1.15 Recyclable Wood 3.75 Recyc€ab€e Donated / Reuse' 0.00 Recyclable Landscape Debris 0.00 Recyclable *Describe Items Totals: Recycle Trash Projected Diversion: t 17.2 9.0 65.8'2°!a I understand It Is the property owners responsibility to submit copies of weight tickets or receipts to the ❑!strict Environmental Coordinator as these hauls occur. I hereby certify that completlon, implemantallon and adherence of the ❑ebr€s Management Plan (❑MP) tortha above named project shall guarantee that at least 65% of the jobstte waste Is diverted from iandtilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining mate Hats generated from the first day of the project through the completion of the project in accordance with this plan. This DMP is issued In the name of the perty ownerls) and shall remain their property throughout the construction and/or damoli on project A contra ctorse gas agent of the owner may obtain a DMP for the owner. However, the DMP Is sbit Issued in the name of the property � ner(s) and the owner retains legal responsib lllty for ensuring that the pmvlslons of the DM are adhered to. The property owners) and general contractor shall be kept informed of the diversion progress through bi-morrtit reports. 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