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BRES2015-017578-495 CALLE TAMPICO VOICE (760) 777-7125FAX LA QUINTA, CALIFORNIA 92253 (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/2/2015 Application Number: BRES2015-0175 Owner: Property Address: 55900 PEBBLE BEACH ROBERT MOORE APN: 775130019 184 SAND HILL CIR Application Description: Property Zoning: MOORE RESIDENCE/REMODEL MENLO PARK, CA 92253 Application Valuation: $5,000.00 j17 Applicant: Contractor: =� ea , G ROB PITCHFORD RAWLINGS CUSTOM CONTRACTING IN 77622 COUNTRY CLUB DR PO BOX 3216 _ PALM DESERT, CA 92211 PALM SPRINGS, CA 92263 N t� (760)322-8788 .y Lic. No.: 746930 --------------------------------------------------------------------------------------------- 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.: 746930 Date: Contractor: i% 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 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).: (_) 1, 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 lendingagency 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' compens tion, as provided for by Section 3700 of the labor Code, for the performance of the rk for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Secti 700 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 o e Labor Code, I shall forthwith comply with/dos provisions. Date: G 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 ab�e�,*Vinno n ' correct. I agree to comply with all city and county ordinances and stag building construction, and hereby authorize representatives of this ci the above- mentioned prop rty for inspection purposes. Date:Signature (Applicant or Ag FINANCIAL INFORMATION DESCRIPTION- ACCOUNT.' ;QTY AMOUNT-, ...: PAID. PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 0.75 $52.50 $0.00 d PAID BY METHOD �, '' '' ° . ` RECEIPT # CHECK # CLTD BY Total Paid for BLDG CITY STAFF - PER HOUR: $52.50 $0.00 „ DESCRIPTION -ACCOUNT QTY-' , • AMOUNT PAID 4PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD'. RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION _ ACCOUNT. QTY . 'AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BYY, ,METHOD RECEIPT # .. CHECK # CLTD BY DESCRIPTION' ACCOUNTQTY' AMOUNT' PAID PAID.DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY .:,METHOD, RECEIPT # CHECK # "CLTD BY Total Paid for ELECTRICAL: $48.34 $0.00 DESCRIPTION' ACCOUNT . QTY1 AMOUNT!_ - PAID PAID DATE' SMI - RESIDENTIAL 101-0000-20308 0 $0.65 $0.00 PAID BY'` -; ,6. 'METHOD -RE CEIPT# CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.65 $0.00 DESCRIPTION ...ACCOUNTQTY° 'AMOUNT PAID PAID DATE DOOR/WINDOW, REPLACE FIRST 7 101-0000-42400 0 $60.91 $0.00 PAID BY' . '7 YMETHOD .._ RECEIPT #" CHECK # :.CLTD BY '' :• DESCRIPTION - , ACCOUNT.` Y M _ QTY AMOUNT PAID .: , •• PAID DATE DOOR/WINDOW, REPLACE, FIRST 7 PC 101-0000-42600 0 $110.22 $0.00 -PAID BY xe ° METHOD r RECEIPT,#'•CHECK # CLTD BY Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $171.13 $0.00 TOTALS:0i J Pe' em t Details PERMIT NUMBER _ City of La Q uinta� ' BRE5263:1 y75 .::. Description: MOORE RESIDENCE/REMODEL Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED Applied: 4/29/2015 MFA Approved: 5/15/2015 JJO Parcel No: 775130019 Site Address: 55900 PEBBLE BEACH LA QUINTA,CA 92253 Subdivision: TR 20717-2 SEE ASSR MB 769 PGS 3134 Block: Lot: 27 Issued: 3536 CHRONOLOGYzTYPE.; Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $5,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites:.0 KAY HENSEL Details: REMOVE SLIDING DOOR AND REPLACE WITH ACCORDIAN DOORS. 2013 CALIFORNIA BUILDING CODE. ADDITIONAL CHRONOLOGY CHRONOLOGYzTYPE.; <' STAFF NAME - __ '� ACTION DATE .... _.. _ tin COMPLETION DATE °NOTES E 1, NOTE KAY HENSEL 4/29/2015 4/29/2015 PLAN CHECK COMMENTS FROM CONSULTANT RECEIVED - KAY HENSEL 5/15/2015 5/15/2015 STRUC APPROVABLE 5/14/2015 PLAN CHECK SUBMITTAL RECEIVED MARY FASANO 4/29/2015 4/29/2015 SENT TO PLAN CHECK -- COONSULTANT KAY HENSEL • r 4/29/2015 4/29/2015 STRUC TO YOUNG - DUE BACK 5/13/2015 TELEPHONE CALL JIM JOHNSON 5/15/2015 5/15/2015 CALLED DENISE FROM THE FLYING BUTTRESS TO INFORM HER PERMIT IS READY TO ISSUE CONDITIONS Printed:. Tuesday, June 02, 2015 11:26:14 AM r 1 of 3 C } SYS rEMS a `T�•G '�OF'Ftn' Printed: Tuesday, June 02, 2015.11:26:14 AM 2 of 3 COTWsYSTEMS FINANCIAL INFORMATION f CLTO 'METHOD. y 'PAID DESCRIPTION ` ACCOUNT QTY AMOUNT CONTACTS PAID DATE RECEIPT # CHECK # BY' -��. �. NAME�TYPE "; '' _ �T`NAME °' ADDRESS1 CITY ^STATE ZIP PHONE .. FAX . . EMAIL • - , $52.50 $0.00 BSAS SB1473 FEE 101-0000-20306 0 $1.00 ,a.. APPLICANT ROB PITCHFORD 77622 COUNTRY CLUB PALM DESERT CA 92211 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: DR DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 CONTRACTOR RAWLINGS CUSTOM CONTRACTING PO BOX 3216 PALM SPRINGS CA 92263 101-0000-42600 0 $24.17 $0.00 IN Total Paid forELECTRICAL: $48.34 OWNER ROBERT MOORE 184 SAND HILL CIR I MENLO PARK CA 92253 Printed: Tuesday, June 02, 2015.11:26:14 AM 2 of 3 COTWsYSTEMS FINANCIAL INFORMATION f CLTO 'METHOD. y 'PAID DESCRIPTION ` ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # BY' -��. �. By HOURLY PLAN CHECK - 101-0000-42600 0.75 $52.50 $0.00 YES Total Paid for BLDG CITY STAFF -.PER HOUR: $52.50 $0.00 BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 Total Paid forELECTRICAL: $48.34 $0.00 ' SMI - RESIDENTIAL 101-0000-20308 0 $0.6S $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.65 $0.00 DOOR/WINDOW, 101-0000-42400 0 $60.91 $0.00 REPLACE FIRST 7 DOOR/WINDOW, 101-0000-42600 0 $110.22 $0.00 REPLACE, FIRST 7 PC Total Paid for WINDOW/SLIDING GLASS $171.13 $0.00 DOOR/FENESTRATION: TOTALS:00 Printed: Tuesday, June 02, 2015.11:26:14 AM 2 of 3 COTWsYSTEMS Permit Details PERMIT NUMBER _ City of La Quinta BRES20115� 1'�1 �1lr�►Ii. A6 •i Bin # a City. of La Quinta Building 8i Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit # Project Address: ^5-(�M Owner's Name: P)��0 A. P. Number: Z7� ( c) D ( Address: Lj -Doo T— Legal Description: (,'07- 7i 20717—Z City, ST, Zip: c,44. Contractor: �U`-' 1 Telephone: � � P �� .......................:................. Address: Project Description: City, ST, Zip: Q E- e5,c—i c-�x6.i7 &7c..AU h Telephone: one: State Lic. #:.�7 1 q (0- l 3-(D City Lic. lC "r Designer: �� ��� CC Address: -627 City., ST, ZiPT- /� i� Tel h e one: 20 6` .. ... Con tructi s on Type: ccu P Occupancy: P Y: Lic. #. Pr Project nPa (circle one):: New Add'n Alter Repairair Demo Name of Contact Person: Q55 TT::t Sq. Ft.:# Stories: I # Units: Telephone # of Contact Person b O �-46 2 �� Estimated Value of Projec DD APPLICANT: DO NOT WRITE BELOW THIS LINE It Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees . Total Permit Fees 1�3.�� If you have Any questions, please call. q` ciF LA _nfur_N Time = .75 HR This Material Sent for? -❑ Your Files ® Per Your Request d ❑ '• Your Review ❑ Approval •' ❑ Checking ❑ At the request of: Other: ❑ . BY: Kathryn Samuels Palm Desert Office; ® - (760) 772-5107 Other ❑ ' F' 4 YOUNG tig ENGINEERING °`y ° ° a W. A"', 0 - ' Letter of Transmittal To: City of La Quinta Today's Date: 5-14-15 78-495.Calle Tampico City Due Date: 5-13-15 . La Quinta, CA 92253 Project Address: 55-900 Pebble Beach Attn: Kay Plan Check #: a, BRES 2015-0175 Submittal: tai, 4 t - ❑ 2nd ❑ •5th M aro ❑ Other. z We are forwarding: ® By Messenger' ❑ By Mail (Fed Ex or UPS) ❑ ` Your Pickup Includes: # Of Descriptions: Includes: `' # Of Desc-iptions; , Copies: ,�. ' Copies: ® 1 Structural Plans ❑ Revised Structural Plans ® 1 Structural Calculations ❑ Revised Struct. Calcs 'El Truss Calculations Floor El Revised Truss and Roof ❑ Soils Report ❑ Revised Soils Report . ❑ Structural Comment List ❑ - Approved Structural Plans ❑ Redlined Structural Plans E], Approved Structural Calcs ❑ Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report ' El Redlined Soils Reports ❑ _ �. 6, 0fher: Comments: Structural content is approvable. If you have Any questions, please call. q` ciF LA _nfur_N Time = .75 HR This Material Sent for? -❑ Your Files ® Per Your Request d ❑ '• Your Review ❑ Approval •' ❑ Checking ❑ At the request of: Other: ❑ . BY: Kathryn Samuels Palm Desert Office; ® - (760) 772-5107 Other ❑ ' F'