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BRES2016-016178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 �A Tity 4 4 Qa"(v DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2016-0161 Property Address: 52505 MERIWETHER WY APN: 767690025 Application Description: MADISON CLUB / SMOLINSKY RESIDENCE / NEW SFD Property Zoning: Application Valuation: $940,693.60 Applicant: SOUTH WEST CONCEPTS, INC.' 78115 CALLE ESTADO, SUITE 105 LA QUINTA, CA 92253 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.: 915336 eDafe:�C7 �� C Contractor: 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 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.). (1 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS(760)777-7153 Date: 8/12/2016 Owner: ALAN B. SMOLINISKY di to � O tiw z� N � j Contractor: DISCOVERY Bi11LDER CALIF O.RRIA INC DBA DB 14605 N 73RV-STREET_D o SCOTTSDALE, AAS266 . (480)624-I20� o Llc. No.: 915336 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 Sec4on 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: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy Number: YJUB282D7797 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 s become subject to the workers' compensation provisions of Section 3 of the abor Code, I shall forthwith comply with those provisions. 11Z Date: IZ %4 Applica : WARNING: FAILURE TO SECURE WO KERS' 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 state laws relating to building construction, and hereby authorize representatives of this city nter on the above-mentioned property for inspection purposes.% n ✓r / _ Date: Z- Signature (Applicant or Ag t r ~ Date: 8/12/2016 Application Number: BRES2016-0161 Owner: Property Address: 52505 MERIWETHER WY ALAN B. SMOLINISKY APN: 767690025 Property Zoning: Application Valuation: $940,693.60 Applicant: Contractor: SOUTH WEST CONCEPTS, INC. DISCOVERY BUILDERS CALIFORNIA INC DBA DB 78115 CALLE ESTADO,"SUITE 105 14605 N 73RD STREET LA QUINTA, CA 92253 SCOTTSDALE, AZ 85260 (480)624-5200 ---.------------------------------------------------------------------------------------------ Llc. No.: 915336 Detail: 6,408 SF SFD, 1,852 SF GARAGE, 1,691 SF COV. PATIO: R3 OCCUPANCY TYPE VB CONSTR. W/ FIRE SPRINKLERS.PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA, FIRE PIT & DRIVEWAY APPROACH. 2013 CODES, FINANCIAL •• • DESCRIPTION ACCOUNT QTY AMOUNT ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $976.46 Total Paid for ART IN PUBLIC PLACES - AIPP: $976.46 DESCRIPTION ACCOUNT QTY AMOUNT BSAS'SB1473 FEE 101-0000-20306 0 $24.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $24.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - CIVIC CENTER 252-0000-43200 0 $942.00 • DESCRIPTION ACCOUNT QTY AMOUNT DIF -COMMUNITY CENTERS 254-0000-43200 0 $129.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - FIRE PROTECTION 257-0000-43200 0 $433.00- 433.00DESCRIPTION DESCRIPTION ACCOUNT QTY AMOUNT DIF - LIBRARIES 253-0000-43200 0 $344.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF.- PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF- SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT POWER APPARATUS 101-0000-42403 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT POWER APPARATUS PC 101-0000-42600 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT SERVICES 101-0000-42403 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT -SERVICES PC 101-0000-42600 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $16.92 Total Paid for ELECTRICAL: $125.69 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $110.97 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $45.72 • DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-00.00-42403 0 $145.03 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,OOOSF, PC 101-0000-42600 0 $47.86 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $349.58 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF 101-0000-42408 0 $36.26 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF PC 101-0000-42600 0 $181:29 Total Paid for GRADING: $217.55 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $181.30 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $120.85 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $4.83 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $145.04 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $96.68 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $181.35 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $72.45 Total Paid for MECHANICAL: $814.59 DESCRIPTION ACCOUNTQTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $800.53 Total Paid for NEW CONSTRUCTION PERMIT: $800.53 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $2,000.00 Total Paid for NEW CONSTRUCTION PLAN CHECK: $2,000.00 - DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $411.06 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $289.70 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 DESCRIPTION ACCOUNT QTY. AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $24.18 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $14.50 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 Total Paid for PLUMBING FEES: $848.23 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $76.78 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $76.78 DESCRIPTION ACCOUNT QTY AMOUNT SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 Total Paid for TUMF - RESIDENTIAL: $1,837.44 Coachella Valley Unified School District ' 8s-733 Avenue 55, Thermal, CA 92274 4 (760) 398-5909 — Fax (760) 398-1224 Project Name: _ Owner's Name: Project Address: This Box For District Use Only DF.VFI.(')PF.R FF.F.S PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMMAND. AMOUNT: DATE: RECEIPT: CHECK #: INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Alan B. Smolinsky Date: AT Discovery Builders California, Inc. / T -Star 111 Phone No. 52-505 Meriwether Way, La Quinta, CA 92253 Project Description: Supplemental Cooling of Garage Only (Will remain for Garage Use Only) APN: 767700018 Type of Development: Tract #: Residential Commercial XXI Total Square Feet of Building Area: 1,852 SQ. FT. Lot #'s: 1 17, 2017 760-393-5286 Industrial 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 o behalf of the owner/developer. Dated: .:1Z /I Signature: *************************************************14********************* SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN. ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) _ Education Code 17620 Number of Sq.Ft. Amount per Sq.Ft. Amount Collected Gov. Code Project Agreement Existing Not Subject to Fee 65995 Approval Prior to 1/1/87 Requirement 1,852 EXEMPT $0 Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Note-,, ._ CERTIFICATE OF PREPAID SQUARE FOOTAGE Previous Sq.Ft. balance X3,337.04 [,Less Sq.Ft. this certificate New Sa.Ft. balance As of 04/17/17 Certificate issued by: Leticia Torres, Facilities Analyst Si Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires biaLods 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 of 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. M V:r/mydacs/dei l'ces`ecriiticalc ofcompliance :fixm updated 3-2007 11/2010