BRES2016-003078-495 CALLE TAMP VOICE (760) 777-7125
ICO D
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number:
BRES2016-0030
Owner:
Property Address:
78930 LA PALMA DR
CHRISTINA BARTLETT
G
APN:
6Q4161003
Application Description:
Property
BARLETT/ADDITION TO LIVING AREA
92253
-y
^�
Zoning:
m O
-n
Application Valuation:
$74,786.40
0
�
fJ
Cis
Applicant:
Contractor:
zt
`' E�
JORGE CONTRERAS
CHRISTINA AND DAN BA
74818 VELICE WAY
PALM DESERT, CA 92260
78930 LA PALMA
LA QUINTA, CA 92253
m
(760)343-1262
Llc. No.:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: License No.:
.Date
Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires.a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis'for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
�,^�y�{y� I as owner of the property, or my employees with wages as their sole
cbfnpensation, 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
<11 onstruct 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:: — 1% Oviner# Ja/lV
V
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's
Lender's
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: _
QaL I certify that in the performance of the work for which this permit is issued, I
shall of 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: J'f —63—^ 14 Applicant /
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as.a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit; or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances 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: q " f �— 14 Signature (Applicant or Agent): D 0,.1 -9
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY
AMOUNT .
PAID'
PAID DATE
ADDITION, EA ADDITIONAL 500 SF
101-0000-42400
0
$249.44
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
ADDITION, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$34.80
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
ADDITION, FIRST 100 SF
101-0000-42400
0
$241.66
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
ADDITION, FIRST 100 SF PC
101-0000-42600
0
$171.14
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ADDITION: $697.04 $0.00
DESCRIPTION
ACCOUNT,
QTY
AMOUNT
PAID
PAID DATE
HOURLY PLAN CHECK'- YES
101-0000-42600
3.5
$245.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION '
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HOURLY PLAN CHECK - YES
101-0000-02600
1.5
$105.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HOURLY PLAN CHECK - YES
101-0000-42600
1.25
$87.50'
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HOURLY PLAN CHECK - YES
101-0000-42600
1
$70.00
$0.00
PAID BY
= METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for BLDG CITY STAFF - PER HOUR: $507.50 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$3.00
$0.00
PAID BY.
METHOD
:RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$3.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $6.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID ' `
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF
101-0000-42403
0
$24.66
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION.
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF, PC
101-0000-42600
0
$5.08
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION.:
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST•1,000SF
101-0000-42403
0
$290.06
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
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: $367.66 $0.00
DESCRIPTION
ACCOUNT
QTY
= AMOUNT
PAID
PAID DATE
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
$24.18
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
'PAID DATE
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$4.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
EXHAUST HOOD
101-0000-42402
0
$24.18
$0.00
PAID BY _
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
VENT FAN
101-0000-42402
0
$24.18
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION.
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
VENT FAN PC
101-0000-42600
0
$4.83
$0.00
PAID BY
METHOD*
RECEIPT•#
CHECK #
CLTD BY
Total Paid for MECHANICAL: $87.03 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP
101-0000-42401
0
$120.90
$0.00
'PAID BY
METHOD
;RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP PC
101-0000-42600
0
$60.45
$0.00
PAID BY
METHOD
-RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$24.18
$0.00
PAID BY
METHODRECEIPT
#
CHECK #
CLTD BY•
DESCRIPTION.
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 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
$24.18
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
ROOF DRAIN PC
101-0000-42600
0
$12.09
$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
$24.18
$0.00
PAID BY
METHOD
RECEIPT # .
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
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: $302.24 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
REMODEL; EA ADDITIONAL 500 SF
101-0000-42400
0
$43.50
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$17.40
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION"'
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
REMODEL, FIRST 100 SF
101-0000-42400
0
$98.62
$0.00
PAID BY ;:
.` METHOD
RECEIPT #CHECK
#
CLTD BY
DESCRIPTION
ACCOUNT:
QTY
AMOUNT `'
PAID
PAID DATE
REMODEL, FIRST 500 SF PC
101-0000-42600
0
$134.88
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for REMODEL: $294.40 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
.301-0000-20308
0
$9.72
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD.BY
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $9.72 • $0.00
TOTALS:• •0
Description: BARLETT / ADDITION TO LIVING AREA
Type: BUILDING, RESIDENTIAL Subtype: ADDITION Status: APPROVED -CONDITIONS
Applied: 2/8/2016 RSE
Approved: 4/14/2016 JJO
Parcel No: 604161003 Site Address: 78930 LA PALMA DR LA QUINTA,CA 92253
Subdivision: TR 23269 Block: Lot: 68
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $74,786.40 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
2/24/2016
Details: REM / ADD DEMO 105.6 SQ. FT. BALCONY AND REBUILD 1ST FLOOR 478 SQ: FT. AND 2ND FLOOR 224 SQ. FT. AND REMODEL
KITCHEN PER 2013 CRC CODES. HOME IS NOT FIRE SPRINKLED.
DOUBLE FEE WILL BE ASSESSED FOR STARTING WORK WITHOUT A PERMIT. WORK WAS HAULTED BY CODE ENFORCEMENT 3 /29/16
Printed: Friday, April 15, 2016 4:22:08 PM 1 of 7
sysrrnns
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE COMPLETION DATE
NOTES
NOTE
JIM JOHNSON
2/23/2016
2/24/2016
NOTE
JIM JOHNSON
3/17/2016
3/16/2016
NOTE
JIM JOHNSON
4/11/2016
4/14/2016
CAN YOU PLEASE PRODUCE THE SCHOOL FEE LETTER?
NOTE
STEPHANIE KHATAMI
4/15/2016
4/15/2016
NEEDS DEBRIS MANAGEMENT - HOLD INSPECTIONS UNTIL
IT'S RECEIVED.
PLAN CHECK COMMENTS
FROM CONSULTANT
JIM JOHNSON
4/15/2016
4/15/2016
RECEIVED
PLAN CHECK COMMENTS
FROM CONSULTANT
KAY HENSEL
2/24/2016
2/24/2016
STRUC RFC 2/24/2016
RECEIVED
Printed: Friday, April 15, 2016 4:22:08 PM 1 of 7
sysrrnns
PLAN CHECK COMMENTS
FROM CONSULTANT
KAY HENSEL
3/14/2016
3/14/2016
STRUC RFC 3/14/2016
RECEIVED
PLAN CHECK COMMENTS
FROM CONSULTANT
KAY HENSEL
3/28/2016
3/28/2016
STRUC RFC 3/28/2016
RECEIVED
PLAN CHECK PICKED UP
RAMSES SEVILLA
3/17/2016
3/17/2016
PLAN CHECK PICKED UP
STEPHANIE KHATAMI
2/24/2016
2/24/2016
JORGE CONTREREAS
PLAN CHECK SENT TO
RAMSES SEVILLA
2/8/2016
2/8/2016
OUTSIDE PC
PLAN CHECK SENT TO
RAMSES SEVILLA
3/21/2016
3/21/2016
OUTSIDE PC
PLAN CHECK SUBMITTAL
RAMSES SEVILLA
2/8/2016
2/8/2016
RECEIVED
PLAN CHECK SUBMITTAL
RAMSES SEVILLA
3/3/2016
3/3/2016
RECEIVED
PLAN CHECK SUBMITTAL
RAMSES SEVILLA
3/21/2016
3/21/2016
RECEIVED
TELEPHONE CALL
JIM JOHNSON
2/24/2016
2/24/2016
CALLED JORGE CONTRERAS TO INFORM HIM PLANS ARE
READY FOR CORRECTIONS
TELEPHONE CALL
JIM JOHNSON
3/16/2016
3/16/2016
called Jorge to inform him the plans still have struc
corrections
TELEPHONE CALL
JIM JOHNSON
3/29/2016
3/29/2016
CALLED JORGE TO INFORM HIM THE PLANS ARE READY FOR
3RD CORRECTIONS
TELEPHONE CALL
JIM JOHNSON
4/15/2016
4/15/2016
CALLED JORGE TO INFORM HIM PLANS ARE READY TO ISSUE
CONDITIONS
CONDITION. DATE DATE DATE
CONTACT STATUS REMARKS NOTES
TYPE ADDED REQUIRED SATISFIED
READY TO ISSUE JIM JOHNSON 2/23/2016 2/23/2016 PENDING WAITING FOR PLANS TO BE RETURNED FROM
CHECKLIST JOHN THOMPTSON
Printed: Friday, April 15, 2016 4:22:08 PM 2 of 7 J,,,
sysrrnns
Printed: Friday, April 15, 2016 4:22:08 PM 3 of 7 c
SYS7EhiS
FINANCIAL
I ADVISED CALLER OF.SCHOOL FEE LETTER,
READY TO ISSUE
JIM JOHNSON
2/23/2016
2/23/2016
ACCOUNT
PENDING
AMOUNT
PAID
SUBLIST (ALL IT REQUIRES) AND DEBRIS PLAN.
CHECKLIST
CHECK #
METHOD
PAID BY
CLTD
BY
ADDITION, EA
SCHOOL LETTER RECIEVED
0
$249.44
CONTACTS
NAME TYPE
NAME. ADDRESSI
CITY STATE
ZIP PHONE FAX EMAIL
APPLICANT
JORGE CONTRERAS 74818 VELICE WAY PALM DESERT CA
92260
CONTRACTOR
CHRISTINA AND DAN BARLETT 78930 LA PALMA LA QUINTA CA
92253
OWNER
CHRISTINA BARTLETT
92253
101-0000-42600
Printed: Friday, April 15, 2016 4:22:08 PM 3 of 7 c
SYS7EhiS
FINANCIAL
INFORMATION
DESCRIPTION
ACCOUNT
QTY .
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
ADDITION, EA
101-0000-42400
0
$249.44
$0.00
ADDITIONAL 500 SF
ADDITION, EA
101-0000-42600
0
$34.80
$0.00
ADDITIONAL 500 SF PC
ADDITION, FIRST 100 SF
101-0000-42400
0
'$241.66
$0.00
ADDITION, FIRST 100 SF
101-0000-42600
0
$171.14
$0.00
PC
Total Paid for ADDITION: $697.04 $0.00
HOURLY PLAN CHECK -
101-0000-42600
3.5
$245.00
$0.00
YES
HOURLY PLAN CHECK -
101-0000-42600
1.5
$105.00
$0.00
YES
HOURLY PLAN CHECK -
101-0000-42600
1.25
• $87.50
$0.00
YES
HOURLY PLAN CHECK -
101-0000-42600
1
$70.00
$0.00
YES
Total Paid for BLDG CITY STAFF - PER HOUR: $507.50 $0.00
BSAS SB1473 FEE
101-0000-20306
0.
$3.00
$0.00
Printed: Friday, April 15, 2016 4:22:08 PM 3 of 7 c
SYS7EhiS
DESCRIPTION
ACCOUNT
CITY
_.. _ .-- -
AMOUNT
- -- -- -. _ __ ..
PAID
_ _.
PAID DATE
RECEIPT #
_
CHECK #.
._.
METHOD
PAID BY
CLTD
.
__ _,
BY
BSAS SB1473 FEE
101-0000-20306
0
$3.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$6.00 $0.00
BSA:
RESIDENTIAL, EA
101-0000-42403
0
$24.66
$0.00
ADDITION 1,000SF
RESIDENTIAL, EA
101-0000-42600
0.
$5.08
$0.00
ADDITION 1,000SF, PC
RESIDENTIAL, FIRST
101-0000-42403
0
$290.06
$0.00
1,000SF
RESIDENTIAL, FIRST
101-0000-42600
0
$47.86
$0.00
1,000SF, PC
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $367.66 $0.00
APPLIANCE
101-0000-42402
0
$24.18
$0.00
REPAIR/ALTERATION
APPLIANCE
101-0000-42600
0.
$4.83
$0.00
REPAIR/ALTERATION PC
EXHAUST HOOD
101-0000-42402
0
$24.18
$0.00
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$0.00
VENT FAN
101-0000-42402
0
$24.18
$0.00
VENT FAN PC
101-0000-42600
0
$4.83
$0.00
Total Paid for MECHANICAL: $87.03 $0.00
FIXTURE/TRAP
101-0000-42401
0
$120.90
$0.00
FIXTURE/TRAP PC
101-0000-42600
0
$60.45
$0.00
GAS SYSTEM, 1-4
101-0000-42401
0
$24.18
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-426000
$24.17
$0.00
OUTLETS PC
Printed: Friday, April 15, 2016 4:22:08 PM 4 of 7
SYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
ROOF DRAIN
101-0000-42401
0
$24.18
$0.00
ROOF DRAIN PC
101-0000-42600
0
.$12.09
$0.00
WATER SYSTEM
101-0000-42401
0
$24.18
$0.00
INST/ALT/REP
WATER SYSTEM .
101-0000-42600
0
$12.09
$0.00
INST/ALT/REP PC
Total Paid for PLUMBING FEES: $302.24 $0.00
REMODEL, EA
101-0000-42400
0
$43.50
$0.00
ADDITIONAL 500 SF
REMODEL, EA
101-0000-42600
0
S17,40
$0100
AUDI I IUNAL SUU SE PL
REMODEL, FIRST 100 SF
101-0000-42400
0
$98.62
$0.00
REMODEL, FIRST 500 SF
101-0000-42600
0
$134.88
$0.00
PC
Total Paid for REMODEL: $294.40 $0.00
T -SMI.- RESIDENTIAL
101-0000-20308
0
$9.72
$0.00
Total Paid for STRONG MOTION INSTRUMENTATION SMI:' $9.72 $0.00
TOTALS:00
INSPECTIONS
PARENT PROJECTS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
RETURNED
REVIEWS
STATUS
REMARKS
NOTES
DATE
1ST BLDG NS (2 WK)
JIM JOHNSON
2/8/2016 -2/23/2016
2/17/2016
REVISIONS REQUIRED
1ST BLDG STR (2•
JOHN
2/8/2016
2/23/2016
2/22/2016
REVISIONS REQUIRED
SEND PLANS, STRUC COUNTS AND TRUSS
WK)
THOMPSON
CALCULATIONS DUE BACK 2/23/16
Printed: Friday, April 15, 2016 4:22:08 PM 5 of 7 C
SYSTEMS
2ND BLDG NS (2.
JIM JOHNSON
3/3/2016
. 3/17/2616
3/10/2016
APPROVED
PATHNAME
SUBDIR
WK)
.DOC
2/17/2016
JIM JOHNSON
78-930 LA PALMA
78-930 LA PALMA
0
2ND BLDG STR (2
JOHN
3/3/2016
3/17/2016
3/14/2016
REVISIONS REQUIRED
DOC
WK)
THOMPSON
78-930 LA PALMA
78-930 LA PALMA
0
3RD BLDG STR (1
JOHN
3/21/2016
3/28/2016
3/28/2016
REVISIONS REQUIRED
WK)
THOMPSON
DOC
2/22/2016
JOHN THOMPSON
STRUCTURAL
[STRUCTURAL - 1 WK
JOHN
4/6/2016
4/13/2016
4/12/2016-
READY FOR APPROVAL
COMMENTS.doc
COMMENTS.doc
THOMPSON
1ST REVIEW -
1ST REVIEW -
Printed: Friday, April 15, 2016 4:22:08 PM 6 of 7
sysrcnes
:• • INFORMATION
Attachment Type
CREATED
OWNER
ATTACHMENTS
DESCRIPTION
PATHNAME
SUBDIR
ETRAKIT ENABLED
.DOC
2/17/2016
JIM JOHNSON
78-930 LA PALMA
78-930 LA PALMA
0
DR.docx
DR.docx
DOC
3/29/2016
JIM JOHNSON
78-930 LA PALMA
78-930 LA PALMA
0
DR.docx
DR 1.docx
IST REVIEW -
IST REVIEW -
DOC
2/22/2016
JOHN THOMPSON
STRUCTURAL
STRUCTURAL
0
COMMENTS.doc
COMMENTS.doc
1ST REVIEW -
1ST REVIEW -
DOC
2/22/2016
JOHN THOMPSON
STRUCTURAL
STRUCTURAL
0
TRANSMITTAL.pdf
TRANSMITTAL.pdf
2ND CHECK -
2ND CHECK. -
DOC
3/13/2016
JOHN THOMPSON
STRUCTURAL
STRUCTURAL
0
COMMENTS.doc
COMMENTS.doc
2ND CHECK -
2ND CHECK -
DOC
3/13/2016
JOHN THOMPSON
STRUCTURAL
STRUCTURAL
0
TRANSMITTAL.pdf
TRANSMITTAL.pdf'
3RD CHECK -
3RD CHECK -
DOC
3/28/2016
JOHN THOMPSON
STRUCTURAL
STRUCTURAL
0
COMMENTS.doc
COMMENTS.doc
Printed: Friday, April 15, 2016 4:22:08 PM 6 of 7
sysrcnes
Printed: Friday, April 15, 2016 4:22:08 PM 7 of 7
SYSTEMS
ATTACHMENTS
Attachment Type
CREATED
OWNER
DESCRIPTION
PATHNAME
SUBDIR
ETRAKIT ENABLED
3RD CHECK -
3RD CHECK.-
HECK-DOC
DOC
3/28/2016
JOHN THOMPSON
STRUCTURAL
STRUCTURAL
0
TRANSMITTAL.pdf
TRANSMITTAL.pdf
4TH CHECK -
4TH CHECK -
DOC
4/12/2016
JOHN THOMPSON
STRUCTURAL
STRUCTURAL
0
TRANSMITTAL.pdf
TRANSMITTAL.pdf
DOC
4/14/2016
RAMSES SEVILLA
LA PALMA SCHOOL
LA PALMA SCHOOL
1
FEE.pdf
FEE.pdf
DOC
4/14/2016
RAMSES SEVILLA
SCHOOL FEES LA
SCHOOL FEES LA
1
PALMA.
PALMA.pdf
TRANSMITTAL FROM
TRANSMITTAL FROM
DOC
4/14/2016
STEPHANIE KHATAMI
OUTSIDE PLAN CHECK 4-
OUTSIDE PLAN CHECK 4-
0
14-16 LA PALMA.pdf
14-16 LA PALMA.pdf
Printed: Friday, April 15, 2016 4:22:08 PM 7 of 7
SYSTEMS
YOUNG
• ENGINEERING
o n ®. a
8
Letter of Transmittal
�.
To: City of La Quinta Today's Date
78-495 Calle Tampico City Due Date:
" . 4-13-16 i
La Quinta,.CA 92253 Project Address:,- .f. 78930 La Palma Drive ;
•
Attn: " Ramses Sevilla,- Plan Check M
BRES2016-0030
Submittal: V
® 4EE,
❑ ,3rd
❑ Other:
We are forwarding: ® a By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup
Includes Descriptions: 'Includes: # Of ° Descriptions: '
Copies:
❑ Structural Plans' ' '
1 Revised Struct. Plans (S3,
SD1 dated 4-4-16) s
. Structural Calculations
ElRevised Struct. Calcs -
® 1 .- Truss Calcs
® 1,' Revised Truss Calcs.(dated
_
t 44-16)
' ❑ Soils Report
ElRevised Soils Report
® 1 Structural P/C Responses
11Approved Structural Plans
Z. 3 • • Redlined Structural'Plans -.
❑ r 'Approved Structural Calcs
❑ Redlined Structural Calcs
❑ Approved Truss Calcs _
' ❑ ' Redlined Truss_ Calcs
❑ Approved Soils Report- y"
' ❑ Redlined Soils Reports
❑ Other:
' Comments: Structural content is. approvable." Plan sheets S3 and SDI dated 4-4-16 are approvable and shall replace
r -the corresponding, sheets in the 3rd submittal set dated 3-21-16.
r `
No structural calculations were resubmitted, the 3rd submitted structural calculations are approvable.—
"Structural Plan Review Time = 1.0 HR
T-hi's Material Sent` for?'
` ❑ ` Your Files. r
®- Per Your Request
` ❑ Your Review "
'❑ ., 'Approval
.❑ Checking-
❑, '.At the request of.
Other: ❑
r By: John W.'Thompson
CEIV
Office ®�� •(760) 772-5107
sx ®' .
.' Other.: Qf"
APR
.IlY
,OF LA QUIWA
'
COMMUNITY D!WgjbPME
Plan Submittal
Building :Permit. Number..
Project Description: SFR
Exempt -.O
(Materials may contain'hazardous wastes and
are not,subject to recycling provlsloris)
Construction Debris Management. Plan
Job SIte:Address
Owners.Name
=.Number, Street, or PO;Boz
City,ate, Postai[Code
Owner's -Phone. Number
:.Ovines s E=Mail Address
J'Froject Manager`s Name
QrojectMaiiagers Phone Number
;Froject;Managers E-mail Address
Builder / Contractor
_ Number, Street or_PO..Box
City, State,:Postal Code
Project square Footage
City Approval By
Date of City Approval
78930 La.Palma
Dan. Bartlett
PO' Box 463
Thousand. Palms, CA 9227.6
Dan Bartlett
760-250=4554
Russ Clarke Construction
75101 .Sego Lane:Suite H
Palm Desert, Ca. 92211
478
Materials, To Be Discarded:
.0.00
Product '
Tons
Trash
0.00
Not recyclable'
Asphalt
0.00
Recyclable
Brick/Block
0.00
Recyclable
Cardboard
0.00
Recyclable
Commingled
0.00
Recyclable:
Concrete
0.00
Recyclable
Drywall
0.00
Recyclable
Donated / Reuse"
0.00
Recyclable
*Describe Items
Totals: Recycle Trash
0.0 0.0
Product Tons
Masonry.(broken)
Plaster
Scrap Metal
Tile: (floor)
Tile (root)
Wood
Landscape pebris
.0.00
Recyclab
Recyclab
Recyclab
Recyclab
Recyclab
Recyclab
Recyclab
0:00
0.00
0.00
0.00
0.00
0:00
Projected Diversion:
#DIV/0!
I understand.it is the property owner's responsibility to submit copies of weight tickets or receipts to the District
Environmental coordinator as these hauls' occur. I hereby certify that completion, implementation and adherence oftheDebris Management Plan (DMP) for the .above named project shall guarantee that at least 506/o of the jobsite waste is
diverted from landfilling: The remaining material will be recycled or reused. I wiii divert, for recycling or re -use, remaining
materials.generated from the first day of the project through the:completion of the projecHn accordance; with this plan. This
DMP is issued in the name of the property..owner(s) and shall remain their property throughoufthecconstruction and/or
demolition project. A contractor serving as agent of the owner may obtain :a DMP for the, owner. However, the DMP is still
issued in the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the
bDMP are adhered to. The property owner(s) and general contractor shall be: kept informed of the diversion progress'through
i-monthly reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer
0 A 1b ��1 3 A � 16
Owner / Developer / Project Manager / Superintendant Date
P.O. BOX 1504
LA QUINTA, CALIFORNIA 92247-1504 BUILDING &"SAFETY DEPARTMENT -
78 -495 CALLS TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253• FAX (760) 777=7011"
PROPERTY OWNER'S PACKAGE
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the. builder of the property
improvements specified at 7 8- P 3 0 La Pc 1 nnA
We are providing you with an Owner -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.
W1. 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. I, 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.
OP6 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.
06 3. I understand as an "Owner -Builder" I arr 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.
p4. I understand Contractors are required by law to be licensed and bonded in California and to list their license
uts and contracts'. numbers on
5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
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
glSvernment, 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.
w7. I understand under California. Contractors' State License Law, an owner -Builder who builds single-family residential
ScItures 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.