BCOM2019-003978-495 CALLE TAMPICO Tit!t OltD "i Quba
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: BUILDING COMMERCIAL/OTHER NON-RESIDENTIAL
Application Number:
BCOM2019-0039
Property Address:
81748 RONDA
APN:
764690046
Application Description:
Property Zoning:
ANDALUSIA / 417SF COMFORT STATION LE 11
Application Valuation:
$150,000.
Applicant:
0
0
NOLAN SPARKS - T D DESERT
DEVELOPM ITEpOVT JI6I SIZOAS
81570 CARBONERAS
��'11VV ��
LA QUINTA, CA 92253
�� QF �QU► K ",
DESIGN � WL6PME� D AR
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
(commencing with Section 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect,
tfcense Class: _ License No.:
Ca 1
OWNER -BUILD R D ATION l
I hereby affirm under penalty of perjury that am exempt from the CoTode:Any
te
License Law for the following reason (Sec. 7031.5, Business and Profescity or county that requires a permit to construct, alter, improve, demr 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
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 N
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/15/2019
Owner:
Andalusia Country Club Llc
LA QUINTA, CA 0
Contractor:
NATIONAL MORTGAGE & LAND COMPANY
300 EAGLE DANCE CIRCLE
PALM DESERT, CA 92211
(760)772-7227
Llc. No.: 288130
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 k for
whic rmit is issued.
I hav will in orke ' compensation insurance, as required by
Section the bo ode, for the pe formance of the work for which this permit is
y rs' compensation insurance carrier and policy number are:
Policy Number:
that in the performance of the work for which this permit is issued, I
not employ ny person in any manner so as to become subject to the workers'
compensation laws of California, and agree ' should become subject to the
workers' compensation provisions of en 3700 the Labor Code I shall forthwith
comply with hose ovisions.
D
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 st ting to building
construction, and hereby authorize representatives of city to enter pan the above -
mentioned pro erty r inspection purposes.mk_
' (Applicant or C91'
FINANCIAL
DESCRIPTION
INFORMATION
ACCOUNT
QTY
AMOUNT
101-0000-42600
($99.00)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HOURLY CHARGE - INTERWEST STRUCTURAL PLAN REVIEW
101-0000-42600
1
$99.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HOURLY CHARGE - INTERWEST STRUCTURAL PLAN REVIEW
101-0000-42600
0
$26.00
Total Paid for BLDG CITY STAFF - PER HOUR: $26.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$6.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $6.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
Credit Card Fee
101-0000-43505
0
$2.25
Total Paid for Credit Card Fee: $2.25
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, FIRST 2,000SF
101-0000-42403
0
$120.07
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, FIRST 2,000SF, PC
101-0000-42600
0
$92.86
Total Paid for ELECTRICAL - NEW CONSTRUCTION 2018: $212.93
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SERVICES
101-0000-42403
0
$26.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SERVICES PC
101-0000-42600
0
$13.34
Total Paid for ELECTRICAL 2018: $40.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
VENT FAN
101-0000-42402
0
$53.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
VENT FAN PC
101-0000-42600
0
$21.36
Total Paid for MECHANICAL 2018: $74.72
DESCRIPTION
ACCOUNT
QTY
AMOUNT
MULTI -SPECIES COMM/INDUSTRIAL - 2019 UPDATE
101-0000-20310
0
$2,364.40
Total Paid for MULTI -SPECIES COMM/INDUSTRIAL - 2019 UPDATE: $2,364.40
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NEW CONSTRUCTION PERMIT 2018
101-0000-42400
0
$597.25
Total Paid for NEW CONSTRUCTION PERMIT 2018: $597.25
DESCRIPTION
ACCOUNT QTY AMOUNT
NEW CONSTRUCTION PLAN CHECK 2018
101-0000-42600 0 $1,211.76
Total Paid for NEW CONSTRUCTION PLAN CHECK 2018: $1,211.76
DESCRIPTION ACCOUNT
QTY
AMOUNT
PLAN CHECK DEPOSIT - ADDITION/REMODEL 101-0000-42600
1
$125.00
Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BACKFLOW DEVICE
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BACKFLOW DEVICE PC
101-0000-42600
0
$5.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BUILDING SEWER
101-0000-42401
0
$26.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BUILDING SEWER PC
101-0000-42600
0
$18.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$160.08
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$160.08
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$8.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$13.34
Total Paid for PLUMBING 2018: $432.22
DESCRIPTION
ACCOUNT
QTY
AMOUNT
101-0000-42600
($21.00)
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE - MAJOR
101-0000-42416
0
$21.00
Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - COMMERCIAL
101-0000-20308
0
$42.00
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $42.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
101-0000-42600
($5.00)
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $0.00
Bin
City of La Quiver
Bumirlg &, Safev, Dikw
P.0. 64x 1504, 79 495 U(e Tampico
-Qdn4 C4 92253 - (760) 777-7012
` La Building Permit Application and Tracking Sheet
Per,,nit ;r
Project Address: $ ( �( 4�4 1 M LOwner's
Naive:
A- P. Number. 6 4 Cc � I O ?j $
Addr=: er5
Legal Description: (rL 3 to I -- �o ^�
City, 5T, Zip:ja
I$
Contractor. /� �Ie1+tX +th o� i ate �(/r,vr
ast
Telephone:
2'rt7f ECt D65CFiiltlan:
Adda:.ss: ss v ` ' % rt
City, ST, Zip: :_¢='� _ =� 7 j
��� Co ✓ •tg S ti�0
State Lie. # : Zr $ � t 3 0 _
Arch, Bngr., Designer•. Pe kac Ck
City #sic. #: �G� 9
Address: 314 ( 60,M40 C 4
o .• �sco
City, ST, zip: J o s h C4 rS f tdt., 0 C+ 9 Z& 7
Telephone: 7 2 ?j z.�
State tic. #:C M1 2
Construction Type: Occupancy:
Project type (circle are): 10 Add'n Alter Repair Demo
Name of Contact Person: :' _ r:
' L Sq. Ft.: # Stories:./ Units:
Telephone of Contact Person:
Estimated Value of Noject: r�� G' a o
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Reed TRACMG
PERT§MFEES
Plan Sets
Plan Check submitted
item Amount
Structural Cale&
Reviewed, ready for correctives
Plan Ckcck Deposit
Truss talcs.
Called Contact Person
Plan Check Balance
Titre 24 Cales.
Plans picked up
Construction
Flood plain plus
Plans resubmitted
Mechanical
Grading plan
Z� Review, ready for cerrectionsl'mue
Elettrical
Sabcontattor List
Called Contact Person
Plumbing
Grant Deed
Plans pierced op
S-M.L
H.Q.A. Approval
Plans resubmitted
Grading
vi HOUSE:-
'^` Review, ready for eorrectiooslissae
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks, Appr
Date of permit issue
School Fees
Total Permit Fees
achella Valley Unified School District
83-733 Avenue 55, Thermal, CA 92274
(760) 398-5909 — Fax (760) 398-1224
Project Name: Sunrise LQ
Owner's Name:
Project Address:
Project Description
Sunrise LQ
This Box For District Use Only
DEVELOPER FEES PAID
AREA:
AMOUNT
LEVEL ONE AMOUNT:
LEVEL TWO AMOUNT:
MITIGATION AMOUNT: I
COMM/IND. AMOUNT:
DATE:
RECEIPT:
CHECK #:
INITIALS
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Andalusia
81748 Ronda La Quinta, CA
APN: 764-690-046
Comfort Station at Hole 11
Tract #:
Date: November 14, 2019
Phone No.
Lot #'s:
Type of Development: Residential Commercial XX Industrial
Total Square Feet of Building Area: 417 sq. ft.
Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under
penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer.
�f
Dated: _4I % Signature:
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code
17620
Number of Sq.Ft.
Amount per Sq.Ft.
Amount Collected
417
$0.61
*************************
E BEEN OR WILL BE -SATISFIED IN
Gov. Code Project Agreement Existing Not Subject to Fee
65995 Approval Prior to 1/1/87 Requirement
Note: RECEIVED
$254.37
Building Permit Application Completed: Yes/No
By: Larry Moen, Director of Facilities
Certificate issued by: Leticia Torres, Facilities Analyst
NOV 15 2019
CITY OF LA
DESIGN AND DEVEL09
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires at this District provide (1) a written notice to the
project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90-day period to protest the imposition of these
Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to
advise you that the 90-day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other
requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this
time or in whole or in part prior to issuance of a Certificate or Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of
Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up
to three (3) such extensions may be granted.
�•L',`ctrl�cln �Je,f ��,r�erlili�_ulc�.f�_i�;;iphrnc� !��nn u�nta�d ?-�h(.�% 11/2010
Plan Submittal
Building Permit Number:
Project Description: SFR
Exempt:
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
11 /6/2019
Job Site Address) 81748 Ronda La Quinta, CA 92253
Owner's N
Number, Street, or PO
City, State, Postal C
Owner's Phone Nur
Owner's E-Mail Add
Project Manager's
Project Manager's Phone N
Project Manager's E-mail A,
Builder / Contri
Number, Street or PO
City, State, Postal C
Andalusia Country Club, LLC
81570 Carboneras
La Quinta, CA 92253
760 408 0106
4n,1) afks ir)andal�si���c,�g_rn
Nolan Sparks
760 408 0106
r.s , orksrrr{_�n f ,fLr, Iacc_coni
National Mortgage and Land Company
81570 Carboneras
La Quinta, CA 92253
Project Square Footage 417
RECEIVED
NOV 15 2019
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
Approval By Burrtec
Date of City Approval
Materials To Be Discarded:
Product
Tons
Trash
1.50
Not recyclable
Product
Tons
Asphalt
0.00
Recyclable
Masonry (broken)
0.00 Recyclable
Brick/Block
0.00
Recyclable
Plaster
0.00 Racyclable
Cardboard
0.10
Recyclable
Scrap Metal
0.50 Recyclable
Commingled
0.00
Recyclable
Tile (floor)
0.05 Recyclable
Concrete
2.00
Recyclabte
Tile (roof)
0.06 Recyclable
Drywall
0.20
Recyclable
Wood I
0.75 Recyclable
Donated / Reuse*
0.00
Recyclable
Landscape Debris
0.00 Recyclable
*Describe Items
Totals: Recycle Trash
3.7 1.5
Projected Diversion:
70.93%
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 of the
Debris Management Plan (DMP) for the above named project shall guarantee that at least 65% of the jobsite waste is diverted
from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining materials
generated from the first day of the project through the completion of the project in accordance with this plan. This DMP is
issued in the name of the property owner(s) and shall remain their property throughout the construction 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 DMP are
adhered to. The property owner(s) and general contractor shall be kept informed of the diversion progress through bi-monthly
reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer station.