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BRES2015-037378-495 CALLE TAMPICO i x C� 0 D �NtiMCl/ LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2015-0373 Property Address: 55122 SUMMER LYNN CT APN: 767860032 Application Description: MONTERRA / TM32742 / LOT 32 / PHASE 1 / PLAN 1B Property Zoning: Application Valuation: $211,159.30 Applicant: HELTON DEFORD & ASSOCIATES 17411 IRVINE BLVD, STE. 0 TUSTIN, CA 92780 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: B License No.: 963887 Dater Contractors OWNER -BUILDER DECLAR 1 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 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: /VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/23/2015 Owner: MONTERRA PROP 55075 MONROE S7 LA QUINTA, CA 0 Contractor: WOODBRIDGE PACIFIC GROUP LLC 27285 LAS RAMBLAS SUITE #230 MISSION VIEJO, CA 92691 (949)348-8162 Llc. No.: 963887 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate Df consent to self -insure for workers' compensation, as provided for by Section 3700 -)f the Labor Code, for the performance of tfor which this permit is issued. ave and will maintain workers' conpensation insurance, as required by Section of the Labor Code, for the perforn-ance 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 tl• a work for which this permit is issued, I shall not employ any person in any manner so a.: 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: r Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSA ON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINPL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IPV SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOW-EDGEMENT 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 C ty 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 is!uance of such permit, or cessation of work for 180 days will subject permit to cancella-ion. I certify that I have read this application and stat-_ 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 pro pert r inspection purpo!-es. Date: h Signature (Applicant of Agent): FINANCIAL .• 1. DESCRIPTION - '; ACCOUNT QTY AMOUNT PAID PAID DATE ART IN PUBLIC PLACES -RESIDENTIAL 270-0000-43201 0 $27.90 $0.00 PAID BY ' METHOD RECEIPT # CHECK # CLTD BY Total Paid for ART IN PUBLIC PLACES - AIPP: $27.90 $0.00 DESCRIPTION " ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $9.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY. Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $9.00 $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 ., ACCOUNTQTY 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 # z CHECK # CLTD BY DESCRIPTION rACCOUNT,QTY, AMOUNT y ", PAID ,'F'x 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 #" u, CLTD'BY DESCRIPTION '. r 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 ,Y PAID' ,:" •PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $0.00 PAID,BY ; `- METHOD RECEIPT # - ' ` CHECK #'.'•" Z. � CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT - PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 PAID BY ..A . METHOD, ; GRECEIPT # ., }; =. CHECK # CLTD BY' Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 DESCRIPTION ACCOUNT QTY' , _i, AMOUNT, PAID PAID DATE TEMP POWER SERVICE 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD , , ' .° ' a• RECEIPT # CHECK # . = CLTD BY Total Paid for ELECTRICAL: $24.17 $0.00 DESCRIPTION, r, ACCOUNT QTY AMOUNT = PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $36.99 $0.00 PAIDBY . 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. Total Paid for ELECTRICAL - NEW CONSTRUCTION: $182.02 $0.00 �. DESCRIPTION ..` ACCOUNT QTY AMOUNT '" _ PAID PAID DATE RESIDENTIAL PRECISE GRADING -TRACT HOME 101-0000-42408 0 $133.43 $0.00 PAID BY - METHOD - RECEIPT # CHECK # CLTD BY Total Paid for GRADING: $133.43 $0.00 DESCRIPTION _ ACCOUNT QTY AMOUNT PAID '" PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $72.52 $0.00 PAID BY ' ' METHOD .; RECEIPT # CHECK # `CLTD BY' DESCRIPTION'.: i ACCOUNT QTY I AMOUNT = '-PAID PAID DATE' EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 PAID BY METHOD RECEIPT # = CHECK # , CLTD BY: DESCRIPTION - -. ' .;ACCOUNT QTY AMOUNT PAID ;; PAID DATE FURNACE 101-0000-42402 0 $72.52 $0.00 PAID BY "r METHOD RECEIPT # _ ;" CHECK # CLTD BY. " DESCRIPTION. "ACCOUNT QTY AMOUNT." PAID = PAID DATE VENT FAN 101-0000-42402 0 $96.72 $0.00 PAID BY METHOD' •RECEIPT # = CHECK # - •.. CLTD BY ; Total Paid for MECHANICAL: $253.85 $0.00 DESCRIPTION 'ACCOUNT QTY, 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# CLTDBY.' Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00 $0.00 r DESCRIPTION ACCOUNT QTY AMOUNT :' PAID.- PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $588.29 $0.00 PAID BY METHOD RECEIPT # = CHECK # CLTD BY Total Paid for NEW CONSTRUCTION PERMIT: $588.29 $0.00 .DESCRIPTION ACCOUNT '' QTY 7- AMOUNT - PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,000.00 $0.00 PAID BY METHOD RECEIPT #` CHECK # CLTD BY- '• :DESCRIPTION 1ACCOUNTQTY AMOUNT - PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $248.12 $0.00 PAID.BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,248.12 $0.00 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 3 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 FIXTURE/TRAP 101-0000-42401 0 $217.62 $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 # ' _ ", CH E CK # CLTD BY ,DESCRIPTION' ACCOUNTQTY, AMOUNT. PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD ; . r -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 a i Total Paid for PLUMBING FEES: $302.24 $0.00 'DESCRIPTION -' +-`t' aez N r .� ACCOUNT �l ,- QTY -AMOUNTT, =:;. PAID �• PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $27.45 $0.00 PAID BY . ` "; %" METHOD ;4 , F - RECEIPT'# CHECK # x ',, CLTD BY' Total Paid for STRONG MOTION INSTRUMENTATION SMI: $27.45 $0.00 r °IDESCRIPTION..' 1'1'ACCOUNT ,k; QTY AMOUNT_ f PAID e- PAID DATE: SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $0.00 r PAID BY. .. ' w , METHOD ' : ,;RECEIPT #.yE CHECK ,# + . " CLTD BY ; Total Paid for TUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS:•0 a i a Description: MONTERRA / TM32742 / LOT 32 / PHASE 1 / PLAN 1B Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED Applied: 9/9/2015 SKH FAMILY DETACHED Approved: Parcel No: 767860032 Site Address: 55122 SUMMER LYNN CT LA QUINTA,CA 92253 Subdivision: TR 32742 Block: Lot: 32 Issued:' Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $211,159.30 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 STAFF NAME, Details: 3,180 FT DWELLING - PLAN 16, LOT 32 [VB/RES-3/CLASS A-FR/13D) THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2013 CALIFORNIA BUILDING CODES. Printed: Wednesday, September 23, 2015 5:31:37 PM 1 of 5 CB? - SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE ^ : STAFF NAME, -„ ACTION DATE COMPLETION DATE, ,' NOTES E-MAIL JIM JOHNSON 5/29/2015 5/29/2015 NOTE JIM JOHNSON 2/18/2015 2/18/2015 NOTE JIM JOHNSON 7/7/2015 8/7/2015 RESUBMITTAL AJ ORTEGA 4/7/2015 4/8/2015 TELEPHONE CALL JIM JOHNSON CONDITIONS CONTACTS NAME TYPE NAME •' ADDRESSI CITY STATEZIP ;PHONE • FAX t EMAIL APPLICANT HELTON DEFORD & ASSOCIATES 17411 IRVINE BLVD, STE. 0 TUSTIN CA 92780 dave@heltondeford.co - m Printed: Wednesday, September 23, 2015 5:31:37 PM 1 of 5 CB? - SYSTEMS a uTx OF'tt�'' Printed: Wednesday, September 23, 2015 5:31:37 PM 2 of 5 CRSYSTEMS FINANCIAL INFORMATION _ r CLTD DESCRIPTION ACCOUNT QTYAMOUNT 'NAMETYPE , NAME` „ „ ADDRESSI CONTACTS , CITY. STATE,' E. ZIPPHONE - FAX. ARCHITECT HANNOUCHE ARCHITECTS 20250 SOUTHWEST ACACIA STREET NEWPORT BEACH CA 92660 samir@hannouchearch itects.com CONTRACTOR WOODBRIDGE PACIFIC GROUP LLC 27285 LAS RAMBLAS SUITE #230 MISSION VIEJO CA 92691 0 $942.00 SZABALA@WOODBRID GEPACIFIC.COM OTHER HELTON DEFORD & ASSOCIATES 17411 IRVINE BLVD, STE. 0 TUSTIN CA 92780 DIF - COMMUNITY 254-0000-43200 dave@heltondeford.co m OWNER MONTERRA PROP 55075 MONROE ST LA QUINTA CA 0 CENTERS Printed: Wednesday, September 23, 2015 5:31:37 PM 2 of 5 CRSYSTEMS FINANCIAL INFORMATION _ r CLTD DESCRIPTION ACCOUNT QTYAMOUNT PAID PAID DATE RECEIPT # . . CHECK # METHOD PAID BY ?;BY ART IN PUBLIC PLACES - 270-0000-43201 0 $27.90 $0.00 RESIDENTIAL Total Paid for ART IN PUBLIC PLACES - AIPP: $27.90 $0.00 BSAS SB1473 FEE 101-0000-20306 0 $9.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $9,00 $0.00 r 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 256-0000-43200 0 $344.00 $0.00 DIF - PARK 0 $40.00 $0.00 MAINTENANCE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 DIF - STREET 255-0000-432000 $116.00 $0.00 MAINTENANCE Printed: Wednesday, September 23, 2015 5:31:37 PM 2 of 5 CRSYSTEMS Printed: Wednesday, September 23, 2015 5:31:37 PM 3 of 5 OrsrsreMs 4 CLTD DESCRIPTION ACCOUNT "QTY AMOUNT PAID .PAID DATE' RECEIPT #. CHECK # METHOD PAID BY. 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 Total Paid for ELECTRICAL: $24.17 $0.00 RESIDENTIAL, EA 101-0000-42403 0 $36.99 $0.00 ADDITION 1,000SF RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $0.00 - 1,000SF Total Paid for ELECTRICAL - NEW CONSTRUCTION: $182.02 $0.00 RESIDENTIAL PRECISE GRADING - TRACT 101-0000-42408 0 $133.43 $0.00 HOME Total Paid for GRADING: $133.43 $0.00 CONDENSER/COMPRES 101-0000-42402 0 $72.52 $0.00 SOR EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 FURNACE 101-0000-42402 0 $72.52 $0.00 VENT FAN 101-0000-42402 0' $96.72 $0.00 Total Paid for MECHANICAL: $253.85 $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 $588.29 $0.00 PERMIT Total Paid for NEW CONSTRUCTION PERMIT: $588.29 $0.00 Printed: Wednesday, September 23, 2015 5:31:37 PM 3 of 5 OrsrsreMs 77, 77 CL DESCRIPTION f ' .ACCOUNT-' . QTY T 'AMOUNT PAID PAID DATE RECEIPT #, CHECK # METHOD PAID BY ,.BY NEW CONSTRUCTION 101-0000-42600 0 $1,000.00 $0.00 - - PLAN CHECK NEW CONSTRUCTION 101-0000-42600 0 $248.12 $0.00 PLAN CHECK Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,248.12 $0.00 BACKFLOW DEVICE 101-0000-42401 0 $12.09 $0.00 BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 FIXTURE/TRAP 101-0000-42401 0 $217.62 $0.00 GAS SYSTEM, 5+ 101-0000-42401 0 $36.26 $0.00 OUTLETS WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 WATER SYSTEM 101-0000-42401 0 $12.09 $0.00 INST/ALT/REP Total Paid for PLUMBING FEES: $302.24. $0.00 SMI - RESIDENTIAL 101-0000-20308 1 0 $27.45 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $27.45 $0.00 SINGLE FAMILY 224-0000-203200 $1,837.44 $0.00 DETACHED Total Paid for TUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS:00 • SEQID INSPECTION TYPE ` ^ INSPECTOR ° SCHEDULED [COMPLETED RESULT' ;' REMARKS NOTES ` = t"_z 3 .. DATE DATE 0 FINAL" PARENT PROJECTS Printed: Wednesday, September 23, 2015 5:31:37 PM 4 of 5 Cg SYSTEMS A >a OF REVIEW TYPE,` z REVIEWER SENT DATE" DUE DATE RETURNEDp:STATUS BOND �jREMA R' .�_ t..�z;ir NOTES:' ;. DATE �t xK «: • � �,.�_�.. _� KATHRYN - STRUCTURAL SAMUELS KATHRYN STRUCTURAL SAMUELS PLANNING JAY WUU PUBLIC WORKS AMY YU NON-STRUCTURAL - JIM JOHNSON 2 WK KATHRYN STRUCTURAL -2 WK SAMUELS Printed: Wednesday, September 23, 2015 5:31:37 PM 5 of 5 CR SYSTEMS BOND INFORMATION ATTACHMENTS Printed: Wednesday, September 23, 2015 5:31:37 PM 5 of 5 CR SYSTEMS