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BRES2015-037478-495 CALLE TAMPICO C]] `� D 4 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2015-0374 Property Address: 55142 SUMMER LYNN CT APN: 767860033 Application Description: MONTERRA / TM32742 / LOT 33 / PHASE 1 / PLAN 1AR 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 �Date: 9�;fiContractor: /,/� OWNER -BUILDER DECLARASM 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 ) 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 Owner: MONTERRA PROP 55075 MONROE ST LA QUINTA, CA 0 VOIC 760) 777-7125 (760) 777-7011 INSPECT NS (760) 777-7153 Date: 9/23/2015 Contractor: WOODBRIDGE PACIFIC GROUP LLC 27285 LAS RAMBLC:S SUITE #230 MISSION VIEJO, CA.92691 (949)348-8162 Llc. No.: 963887 WORKER'S COMPENSATICAI DECLARATION I hereby affirm under penalty of perjury one of tie 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 offor which this permit is issued. have and will maintain workers' compensation insurance, as required by Section 00 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 37CO of the Labor Code, I shall forthwith comply with those provisions. Date: O Applicant: 1)rgh�en WARNING: FAILURE TO SECURE WORKERS' COM DENSAIaCOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA_ PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR ILI SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWI EDGEMENT IMPORTANT: Application is hereby made to the (suilding Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this applica- ion is made, each person at whose request and for whose benefit work is performec 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 Ci:y 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 issiance of such permit, or cessation of work for 180 days will subject permit to cancellaifion. 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 ordina-ices 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: / Signature (Applicant or Agent): FINANCIAL INFORMATION 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 METHODRECEIPT # = 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 r - ACCOUNT QTY AMOUNT ':PAID PAID DATE: DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $0.00 PAID BY, METHOD RECEIPT # - 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 ; y , DESCRIPTION' ' `' ACCOUNT ;QTY" ., s AMOUNT, r .riPAID . `' s '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 -_ =i PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 PAID BY '-' METHOD = ;: RECEIPT # CHECK .# : • CLTD BY, ". DESCRIPTION ACCOUNT t. QTY AMOUNT; • = PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $0.00 PAID BY METHOD E r =,=RECEIPT # - CHECK #'. CLTD BY DESCRIPTION ,p ACCOUNT. QTY AMOUNT ` ' . PAID _ PAID DATE DIF -TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 r PAIDFBY ►�' METHOD :' RECEIPT.# CHECK # CLTD BY Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID.DATE, TEMP POWER SERVICE 101-0000-42403 0 $24.17 $0.00 PAID BY, METHOD RECEIPT;# CHECK # CLTD BY Total Paid for ELECTRICAL: $24.17 $0.00 DESCRIPTION " ACCOUNT QTY AMOUNT• PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $36.99 $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 ' 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 - ., ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 PAID BY METHOD _ RECEIPT # CHECK # CLTD BY, f DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $72.52 $0.00 PAID BY. METHOD _ ': ; RECEIPT # CHECK #'' CLTD BY Y' .DESCRIPTION `'ACCOUNT (' QTY'. AMOUNT ' PAID -PAID DATE VENT FAN 101-0000-42402 0 $96.72 $0.00 PAID BY, r � •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 #. T. CLTD BY , Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00 $0.00 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: $588.291 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT r' PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,000.00 $0.00 PAID BY METHOD : RECEIPT # _ =. CHECK # CLTD BY DESCRIPTION' '„ ACCOUNT.. QTY, AMOUNT-- PAID r ; PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $248.12 $0.00 -t,-'PAID BY. METHOD RECEIPT # •CHECK # ; CLTD BY Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,248.12 $0.00 DESCRIPTION -ACCOUNT CITY 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 _ 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 # k, 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 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 SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $0.00 PAID BY`,- METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $302.24 $0.00 DESCRIPTION' ' " �' ACCOUNT'S '`;r a QTY'' ,. AMOUNT- .' :F- PAID.` PAID' SMI - RESIDENTIAL 101-0000-20308 0 $27.45 $0.00 ` PAID BY ` ` i. Y _,. :' .'�METHOQ y €: 1 _v. + ' RECEIPT ., CHECK # CLTD-BY r r Total Paid for STRONG MOTION INSTRUMENTATION SMI: $27.45 $0.00 ;bESCRIP.TION '`: , k ,, ` , �" H ,� >ACCOUNT _ { "QTY AMOUNT ' «its PAID PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $0.00 PAID BY - :' ",-.,-METHOD " �,' RECEIPT # , ` CHECK # ''' CLTD BY , r ♦ Total Paid for TUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS:00 r r 4 . r � r ♦ r 1 � . r r 4 . r Description: MONTERRA / TM32742 / LOT 33 / PHASE 1 / PLAN 1AR Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED Applied: 9/9/2015 SKH FAMILY DETACHED Approved: 8/7/2015 JJO Parcel No: 767860033 Site Address: 55142 SUMMER LYNN CT LA QUINTA,CA 92253 Subdivision: TR 32742 Block: Lot: 33 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 Details: 3,180 FT DWELLING - PLAN 3AR, LOT 33 [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2013 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION Printed: Wednesday, September 23, 2015 5:18:53 PM 1 of 4 1 C SYSTEMS ADDITIONAL CHRONOLOGY CONDITIONS CONTACTS NAME TYPE t "NAME •. ADDRESSl CITY - STATE ZIP' ' _ , PHONE -.� t, r FAX- EMAIL t - APPLICANT HELTON DEFORD & ASSOCIATES 17411 IRVINE BLVD, TUSTIN CA 92780 dave@heltondeford.co STE. 0 rn ARCHITECT HANNOUCHE ARCHITECTS 20250 SOUTHWEST NEWPORT CA 92660 samir@hannouchearch ACACIA STREET BEACH itects.com CONTRACTOR WOODBRIDGE PACIFIC GROUP LLC 27285 LAS RAMBLAS MISSION VIEJO CA 92691 SZABALA@WOODBRID SUITE #230 GEPACIFIC.COM OTHER HELTON DEFORD & ASSOCIATES 17411 IRVINE BLVD, TUSTIN CA 92780 dave@heltondeford.co STE. 0 m OWNER MONTERRA PROP 55075 MONROE ST LA QUINTA CA 0 FINANCIAL INFORMATION Printed: Wednesday, September 23, 2015 5:18:53 PM 1 of 4 1 C SYSTEMS � 2.� .J.ti fits - �„ eA } .F,� ,. : � 5 r PVT J � v •-�� r t PAID DATE 7. RECEIPT #- CHECK # METHOD - PAID BY , : ,€ CLTD ART IN PUBLIC PLACES - 270-0000-43201 0 $27.90 $0.00 ylrawitq"? DESCRIPTION ACCOUNT ;QTY . , AMOUNT " s 'tPAID PAID DATE 7. RECEIPT #- CHECK # METHOD - PAID BY , : ,€ CLTD 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 , 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 0 $344.00 $0.00 DIF - PARK 256-0000-43200 0 $40.00 $0.00 MAINTENANCE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 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 TEMP POWER SERVICE 101-0000-42403 0 $24.17 $0.00 Total Paid for ELECTRICAL: $24.17 $0.00 RESIDENTIAL, EA 101-0000-42403 Q $36,99 $0.00 ADDITION 1,0009E RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $0.00 11000SF Total Paid for ELECTRICAL - NEW CONSTRUCTION: $182.02 $0.00 Printed: Wednesday, September 23, 2015 5:18:53 PM 2 of 4 iv*t VK -� � � { • k� .. �s • Via' +" � • '� � � Y• � f' - , }_ :_..� 1 AN I t r.ZOOM r-e"',"�"a4^+,-�..e7�m+"`;a � '� zl:.t�r-.n .'� '^.�Y�b-.,' :,T•^SZr"ic�a_,`� 1#-'_ n 'i:.... j��i+�`�".. DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT,# # METHOD PAID BY CLTD `'CHECK BY'r' 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 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 Printed: Wednesday, September 23, 2015 5:18:53 PM 3 of 4 Cfl ` srsrEMs a L BOND IF INFORMATION Details PERMIT NQMBEK'�,_ • . atC VA 115 • Oyu +.� • •037 . DESCRIPTION ACCOUNT;, ,QTY AMOUNT PAID ` ` _t PAID DATE RECEIPT # CHECK # METHOD ' PAID BY ; LTD BY;.. 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 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:0• INSPECTIONS PARENT PROJECTS RFVIEWS - RETURNED . " STATUS REMARKS REVIEW TYPE REVIEWER._ SENT DATE DUE DATE DATE NOTES'' ._.. y Printed: Wednesday, September 23, 2015 5:18:53 PM 4 of 4 CRSYSTEMS it BOND IF INFORMATION ATTACHMENTS Printed: Wednesday, September 23, 2015 5:18:53 PM 4 of 4 CRSYSTEMS it