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BRES2015-028178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4t�t -4 sl� Qumr(u COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT ,7 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: BRES2015-0281 Owner: Property Address: 54380 AVENIDA MARTINEZ NORMANN APARTMENTS APN: 774254006 1665 CARRIAGE HOUSE RD Application Description: 1,849 SF DWELLING/VB/RES-3/CLASS A-FR/13D PASADENA, CA 0 Property Zoning: Application Valuation: $118,661.50 Applicant: GABRIEL RIOS 49901 CINNABAR , 92236 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 Bin ss and Professions Code, and my License is in full force and effect. License Class: License No.: 867583 Date: �0 V Contractor: OWNER-BUILDE 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).: (_) 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 propertywho 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: Date: .10/8/2015 Contractor: ROPER MORRIS CONSTRUCTION INC 50855 WASHINGTON ST STE C-216 LA QUINTA, CA 92253 (760)272-9292 Llc. No.: 867583 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: V 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 tha if I s ul become subject to the workers' compensation provisions of Section 7 0 of he or Code, I shall forthwith comply with those provisions. Date: O ` �/ S Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSAT 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 informatiop is rrect. I agree to comply with all city and county ordinances andjstate s re tin to uilding construction, and hereby authorize representatives of thint up n above-mentioned property for inspection purposes. i Date:'b ' t S Signature (Applicant or Agent): FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $5.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $5.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $0.00 PAID BY METHOD RECEIPT If CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION d ACCOUNT QTY AMOUNT PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $0.00 PAID BY METHOD RECEIPT # 'CHECK # CLTD BY DESCRIPTION ACCOUNT QTY 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 QTY AMOUNT PAID • PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $0.00 PAID BY - METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $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 # T CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $10.16 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY 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 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: $227.71 $0.00 DESCRIPTION ACCOUNT QTY 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 QTY AMOUNT PAID PAID DATE RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT <=7KSF PC 101-0000-42600 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for GRADING: $72.52 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION T ACCOUNT QTY Y AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $60.45 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $24.15 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for MECHANICAL: $205.46 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE MULTI -SPECIES RESIDENTIAL 8.1-14 UNITS - 2015 UPDATE 101-0000-20310 0 $541.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE MULTI -SPECIES RESIDENTIAL 8.1-14 UNITS - 2015 UPDATE 101-0000-20310 0 $541.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for MULTI -SPECIES RESIDENTIAL: $1,082.00 $0.00 DESCRIPTION ACCOUNT ' QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $515.07 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for NEW CONSTRUCTION PERMIT:. $515.07 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $750.00 $750.00 7/24/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ROPER MORRIS CHECK R7978 163 PJU DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $428.36 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,178.36 $750.00 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 $132.99 $0.00 PAID BY METHOD !RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $132.99 $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 $36.27 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ROOF DRAIN PC 101-0000-42600 0 $36.27 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $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 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: $466.65 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $15.43 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for STRONG MOTION INSTRUMENTATION SMI: $15.43 $0.00 DESCRIPTION ACCOUNT . QTY 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 • •• n Description: 1,849 SF DWELLING/VB/RES-3/CLASS A-FR/13D ADDITIONAL Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED -CONDITIONS Applied: 7/24/2015 PJU FAMILY DETACHED CHRONOLOGY Approved: 9/21/2015 JFU Parcel No: 774254006 Site Address: 54380 AVENIDA MARTINEZ LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 301 Lot: 13 Issued: UNIT 27 NOTE JAKE FUSON Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $118,661.50 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NOTE Details: 1,849 SF DWELLING - LOT 13 [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2013 CALIFORNIA BUILDING CODES. PICKED UP PLANS FOR REVISIONS PLAN CHECK SENT TO 1 Applied to Approved Printed: Thursday, October 08, 2015 9:17:13 AM 1 of 6 (rffw SYS iEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE JAKE FUSON 9/16/2015 9/21/2015 READY FOR APPROVAL PENDING DOCS AND STRUCTURAL APPROVAL. NOTE MARY FASANO 8/18/2015 8/18/2015 PICKED UP PLANS FOR REVISIONS PLAN CHECK SENT TO KAY HENSEL 7/27/2015 7/27/2015 STRUC TO YOUNG -1ST CK DUE BACK 8/10/2015 OUTSIDE PC PLAN CHECK SENT TO PLANS RESUBMITTED ON 9/3/2015. PROCESSED & SENT TO OUTSIDE PC KAY HENSEL 9/4/2015 9/4/2015 YOUNG FOR 2ND STRUC P/C. PLANS SUBMITTED AT FRONT COUNTER LATE FRIDAY PLAN CHECK SUBMITTAL KAY HENSEL 7/24/2015 7/27/2015 AFTERNOON. PICKED UP FROM PHILIP'S DESK AND RECEIVED PROCESSED. PLAN CHECK SUBMITTAL MARY FASANO 8/17/2015 8/18/2015 RECEIVED Printed: Thursday, October 08, 2015 9:17:13 AM 1 of 6 (rffw SYS iEMS Permit D.etral�5 PERMIT NUMBER City of La Quinta BRES2015-0281 Printed:. Thursday, October 08, 2015 9:17:13 AM 2 of 6 L Li LJ U SYSTEMS FINANCIAL INFORMATION DESCRIPTION NOTIFIED GABRIEL RIOS (760-485-7431) THAT PLAN REVIEW TELEPHONE CALL ( JAKE FUSON PAID I 8/13/2015 BSAS SB1473 FEE I 8/18/2015 $5.00 I Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $5.00 $0.00 DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 WAS COMPLETE AND REVISIONS WERE REQUIRED. CONDITIONS, 254-0000-43200 0 $129.00 CONDITION DATE DATE DATE CONTACT 257-0000-43200 STATUS REMARKS NOTES TYPE ADDED REQUIRED SATISFIED DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 PM -30 GREEN SHEET, PROOF OF SCHOOL FEE READY TO ISSUE JAKE FUSON 9/16/2015 PENDING 256-0000-43200 0 PAYMENT, AND BURRTEC WASTE PLAN CHECKLIST REQUIRED PRIOR TO PERMIT ISSUANCE. DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT GABRIEL RIOS 49901 CINNABAR 92236 (760)485-7431 CONTRACTOR ROPER MORRIS CONSTRUCTION INC 50855 WASHINGTON LA QUINTA CA 92253 (760)485-7431 ST STE C-216 OWNER NORMANN APARTMENTS 1665 CARRIAGE HOUSE PASADENA CA 0 (760)485-7431 RD j j Printed:. Thursday, October 08, 2015 9:17:13 AM 2 of 6 L Li LJ U SYSTEMS FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY 7BY BSAS SB1473 FEE 101-0000-20306 0 $5.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $5.00 $0.00 DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $0.00 DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $0.00 DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 Printed:. Thursday, October 08, 2015 9:17:13 AM 2 of 6 L Li LJ U SYSTEMS OF7 Printed: Thursday, October 08, 2015 9:17:13 AM 3 of 6 OFLJ LJ SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY 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 RESIDENTIAL, EA 101-0000-42403 0 $24.66 $0.00 ADDITION 1,000SF RESIDENTIAL, EA 101-0000-42600 0 $10.16 $0.00 ADDITION 1,000SF, PC RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $0.00 1,000SF RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $0.00 1,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $227.71 $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 $36.26 $0.00 HOME LOT <=7KSF PC Total Paid for GRADING: $72.52 $0.00 CONDENSER/COMPRES 101-0000-42402 0 $36.26 $0.00 SOR CONDENSER/COMPRES 101-0000-42600 0 $24.17 $0.00 SOR PC FURNACE 101-0000-42402 0 $36.26 $0.00 FURNACE PC 101-0000-42600 0 $24.17 $0.00 VENT FAN 101-0000-42402 0 $60.45 $0.00 VENT FAN PC 101-0000-42600 0 $24.15 $0.00 Total Paid for MECHANICAL: $205.46 $0.00 Printed: Thursday, October 08, 2015 9:17:13 AM 3 of 6 OFLJ LJ SYSTEMS 1 Perrnit Det�alls PERMIT NUMBER - City of L -a Quinta BRES201151028, Printed: Thursday, October 08, 2015 9:17:13 AM 4 of 6 02M/SYSTEMS ' CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY MULTI -SPECIES RESIDENTIAL 8.1-14 101-0000-20310 0 $541.00 $0.00 UNITS - 2015 UPDATE MULTI -SPECIES RESIDENTIAL 8.1-14 101-0000-20310 0 $541.00 $0.00 UNITS - 2015 UPDATE Total Paid for MULTI -SPECIES RESIDENTIAL: $1,082.00 $0.00 NEW CONSTRUCTION 101-0000-424000 $515.07 $0.00 PERMIT Total Paid for NEW CONSTRUCTION PERMIT: $515.07 $0.00 NEW CONSTRUCTION 101-0000-42600 0 $750.00 $750.00 7/24/15 R7978 163 CHECK ROPER MORRIS PJU PLAN CHECK NEW CONSTRUCTION 101-0000-42600 0 $428.36 $0.00 PLAN CHECK Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,178.36 $750.00 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 $132.99 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $132.99 $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 $36.27 $0.00 ROOF DRAIN PC 101-0000-42600 0 $36.27 $0.00 WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 WATER HEATER/VENT 101-0000-42600 0 $7.25 $0.00 PC Printed: Thursday, October 08, 2015 9:17:13 AM 4 of 6 02M/SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" BLD REVIEWS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY SENT DATE DUE DATE STATUS REMARKS NOTES DATE BY WATER SYSTEM 101-0000-42401 0 $12.09 $0.00 8/17/2015 8/13/2015 REVISIONS REQUIRED SEE 1ST REVIEW NONSTRUCTURAL CORRECTIONS. 3 WK INST/ALT/REP PLANNING - 2WK GABRIEL 7/27/2015 8/17/2015 WATER SYSTEM 101-0000-42600 0 $12.09 $0.00 PEREZ INST/ALT/REP PC STRUCTURAL -2 WK YOUNG 7/27/2015 8/17/2015 8/17/2015 REVISIONS REQUIRED ENGINEERING Total Paid for PLUMBING FEES: $466.65 $0.00 SMI - RESIDENTIAL' 101-0000-20308 0 $15.43 $0.00 2ND BLDG NS (2 JAKE FUSON 9/3/2015 9/18/2015 9/16/2015 APPROVED Total Paid for STRONG MOTION INSTRUMENTATION SMI: $15.43 $0.00 SINGLE FAMILY 224-0000-203200 $1,837.44 $0.00 DETACHED Total Paid for TUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS:•• INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" BLD Printed: Thursday, October 08, 2015 9:17:13 AM 5 of 6 Cg? SY57fM5 PARENT REVIEWS RETURNED REVIEW TYPE REVIEWER SENT DATE DUE DATE STATUS REMARKS NOTES DATE NON-STRUCTURAL - JAKE FUSON 7/27/2015 8/17/2015 8/13/2015 REVISIONS REQUIRED SEE 1ST REVIEW NONSTRUCTURAL CORRECTIONS. 3 WK PLANNING - 2WK GABRIEL 7/27/2015 8/17/2015 8/6/2015 APPROVED COVE CHECK PEREZ STRUCTURAL -2 WK YOUNG 7/27/2015 8/17/2015 8/17/2015 REVISIONS REQUIRED ENGINEERING 2ND BLDG NS (2 JAKE FUSON 9/3/2015 9/18/2015 9/16/2015 APPROVED WK) Printed: Thursday, October 08, 2015 9:17:13 AM 5 of 6 Cg? SY57fM5 2ND BLDG STR (2 KATHRYN 9/3/2015 9/18/2015 9/18/2015 READY FOR APPROVAL WK) SAMUELS Printed: Thursday, October 08, 2015 9:17:13 AM 6 of 6 L.sU &KrsreMs BOND INFORMATION Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED BRES2015-0281- 1ST 1ST REVIEW - REVIEW - DOC 8/18/2015 JAKE FUSON NONSTRUCTURAL 0 NONSTRUCTURAL CORRECTIONS CORRECTIONS.pdf 1ST REVIEW - BRES 2015-0281 KS DOC 8/17/2015 KATHRYN SAMUELS STRUCTURAL (lst).doc 0 COMMENTS 1ST REVIEW - NEW CITY DOC 8/17/2015 KATHRYN SAMUELS STRUCTURAL TRANSMITTAL BRES 0 TRANSMITTAL 2015-0281 (lst).pdf 2ND REVIEW - NEW CITY DOC 9/18/2015 KATHRYN SAMUELS STRUCTURAL TRANSMITTAL BRES 1 TRANSMITTAL 2015-0281 (2nd).pdf DEBRIS PLAN 10-08- DEBRIS PLAN 10-08- DOC 10/8/2015 STEPHANIE KHATAMI 15.pdf 15.pdf 0 Printed: Thursday, October 08, 2015 9:17:13 AM 6 of 6 L.sU &KrsreMs p P.O. BOX 1504 Building �� _ �E I�(1 Aey NE;478-495 CALLE TAMPICO Address � `-LPFQUINTA, CALIFORNIA 92253 APPLICATION ONLY Owner d BUILDING: TYPE CONST. A. Number Legal Description %J� Project D script OCC. GRP. A\tAAVL� Mailing' Address �, `City Zip 3 Tel. Contractor Ct j Address City Zip Tel. Sq. Ft. No. Size Stories No. Dw. Units State Lic. & Classif. City Lic. # Arch., Engc, Designer Newx Add ❑ Alter ❑ Repair ❑ Demolition ❑ Addres Tel' -,;L6 LAA mt,LJJ I 5-1n, I Lic. # — LICENSED CONTRACTOR'S DECLARATION I hereby affirm 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. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, 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 ($500). OI, 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). ❑ 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 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). 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 Code, 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 Estimated Valuation �• �, �p PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL CONTACT INFORMATION NAME: PHONE: AMOUNT 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: Validated by: — Validation: YELLOW = APPLICANT Date Permit PINK = FINANCE CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road Date: 10/8/2015 La Qunita, CA 92253 No.: 15-00040-1 (760)771-8515 Owner: Normann Apartments Address: City: Type: Single Family Residential Lot # Street No. 54380 Comments: Street Name Avenida Martinez Email: Jurisdiction; La Quinta Tract #: Sq. Feet 1849 APN 774-254-006 . JN��IEp S � a : Cy0 ten,6 Alu p�E$ r RAN AMIRAGE C r -in WELLS', y f6=.pAIMDESERT; �y � INU. :.COACCXXENU... e� 7� o •>°�` ony Permit No. 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 owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fess imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $3.36 X 1849 S.F. or $6,212.64 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/Bank of America - Roper Morris Check No.: 1295703583 Bank Name/Recipient of Certificate Telephone: Funding: Residential By Dr. Gary Rutherford Superintendent Fee Collected/ Exempted by: ron Gil v y ` Amount Due: $6,2'12.64 Origina(Payment(s)-Rec'd: $0.00 New Paymment Rei -d:`1 $6,21264 Ov /Under: _ $'0'_ .00 NOTICE: Pursuant to Government Code Section 66020 d)(1), this will serve de ify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run fro the date on whichilding or installation permit for this project is issued, or from the date on which those amounts are paid to the Districts) or to another public entity ai zed to collect them on the District('s) behalf, whichever is earlier. Notice to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL. .'v,. LIST OF REVIEWS gg MMI I A SENT DATE e; t0 EAREMARKS Review Group: BLDG 1ST (3WK) Y. 7/27/2015 8/17/2015NON-STRUCTURALOSTRUCTURA� - 3 BUILDING BUCKET WK ik, I Ex . M, 7/27/2015 8/17/2015 PLANNING 2WK GABRIEL PEREZ COVE CHECK /27/- 8/ 6/2015 4 il P,".4a-xi moi' MR 8/17/2015 STRUCTURAL 2 Wk 7/27/2015 YOUNG G ENGINEERIN .......... ........ ... A 20.15%. 1 6f. CRWYSMMS Printed: Thursday, 06 August,