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FSS2018-0052ADDITIONAL SITES CHRONOLOGY CONTACTS NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL APPLICANT SHASTA FIRE PROTECTION INC 72120 NORTHSHORE ST #C THOUSAND PALMS CA 92276 JSTAHL@SHASTAFIRE.C OM CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE KAYLI PIERCE 2/20/2019 2/20/2019 SHASTA FIRE CALLED TO CHECK THE STATUS OF THEIR PERMIT, AS THEY NEVER CAME AND PICKED IT UP WHEN IT WAS APPROVED IN MARCH 2018. ADVISED THEM THE PLANS ARE HERE AND CAN BE PICKED UP PROVIDED THEY PAY AN EXTENSION FEE OF $40 AND PROVIDE AN EXTENSION REQUEST LETTER. NOTE KAYLI PIERCE 2/21/2019 2/21/2019 CUSTOMER PAID EXTENSION FEE AND PROVIDED EXTENSION REQUEST LETTER. EXTENDED PERMIT 6 MOS CONDITIONS Description: ALONZO / BRES2018-0018 / FIRE SPRINKLER Type: FIRE SPRINKLER Subtype: RESIDENTIAL - CUSTOM HOMES Status: FINALED Applied: 3/15/2018 RCA Parcel No: 770092007 Site Address: 78775 AVENIDA ULTIMO LA QUINTA,CA 92253 Approved: 3/21/2018 RGR Subdivision: DESERT CLUB TR UNIT 5 Block: Lot: 1 Issued: 2/21/2019 KPI Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: 7/1/2019 EGO Valuation: $0.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: Printed: Thursday, January 26, 2023 4:26:01 PM 1 of 3 Permit Details City of La Quinta PERMIT NUMBER FSS2018-0052 CONTACTS NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL BILL TO SHASTA FIRE PROTECTION INC 72120 NORTHSHORE ST #C THOUSAND PALMS CA 92276 JSTAHL@SHASTAFIRE.C OM CONTRACTOR SHASTA FIRE PROTECTION INC 72120 NORTHSHORE ST #C THOUSAND PALMS CA 92276 JSTAHL@SHASTAFIRE.C OM OWNER ALONSO RESIDENCE 78775 AVENIDA ULTIMO LA QUINTA CA 92253 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #CHECK #METHOD PAID BY CLTD BY FIRE SPRINKLER SYSTEMS - SINGLE FAMILY DETACHED 101-0000-42421 0 $156.00 $156.00 3/15/18 R33186 11483 CHECK SHASTA FIRE PROTECTION INC AMA FIRE SPRINKLER SYSTEMS - SINGLE FAMILY DETACHED PC 101-0000-42420 0 $234.00 $234.00 3/15/18 R33186 11483 CHECK SHASTA FIRE PROTECTION INC AMA FIRE STAFF - PER HOUR 101-0000-42420 0.25 $40.00 $40.00 2/21/19 R45344 11817 CHECK SHASTA FIRE PROTECTION INC KPI Total Paid for FIRE FEES: $430.00 $430.00 RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 $10.00 3/15/18 R33186 11483 CHECK SHASTA FIRE PROTECTION INC AMA Total Paid for RECORDS MANAGEMENT FEE: $10.00 $10.00 TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 $5.00 3/15/18 R33186 11483 CHECK SHASTA FIRE PROTECTION INC AMA Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 $5.00 TOTALS:$445.00 $445.00 Printed: Thursday, January 26, 2023 4:26:01 PM 2 of 3 Permit Details City of La Quinta PERMIT NUMBER FSS2018-0052 ATTACHMENTS BOND INFORMATION OVERHEAD ROUGH PIPING EGO 2/25/2019 2/25/2019 APPROVED OVERHEAD HYRO EGO 2/25/2019 2/25/2019 APPROVED FIRE FINAL**EGO 6/27/2019 7/1/2019 APPROVED REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS NOTES 1ST PERMIT TECH (1 DAY) REYNA CAMARENA 3/15/2018 3/15/2018 3/15/2018 COMPLETE 1ST FIRE (2 WK)RONALD GRIESINGER 3/15/2018 3/29/2018 3/21/2018 APPROVED PARENT PROJECTS Printed: Thursday, January 26, 2023 4:26:01 PM 3 of 3 Permit Details City of La Quinta PERMIT NUMBER FSS2018-0052 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/26/2023 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: FIRE SPRINKLER/RESIDENTIAL - CUSTOM HOMES FSS2018-0052 78775 AVENIDA ULTIMO 770092007 ALONZO / BRES2018-0018 / FIRE SPRINKLER Owner: ALONSO RESIDENCE 78775 AVENIDA ULTIMO LA QUINTA, CA 92253 Applicant: SHASTA FIRE PROTECTION INC 72120 NORTHSHORE ST #C THOUSAND PALMS, CA 92276 Contractor: SHASTA FIRE PROTECTION INC 72120 NORTHSHORE ST #C THOUSAND PALMS, CA 92276 (760)404-1350 LIc. No.: 476633 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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: C16 License No.: 476633 Date: 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.). (___) 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: 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 Section 3700 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: INSURANCE COMPANY OF THE WEST Policy Number: WSD500556211 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 of the Labor Code, I shall forthwith comply with those provisions. Date: 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 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 property for inspection purposes. Date: Signature (Applicant or Agent): Date: 1/26/2023 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: FSS2018-0052 78775 AVENIDA ULTIMO 770092007 ALONZO / BRES2018-0018 / FIRE SPRINKLER Owner: ALONSO RESIDENCE 78775 AVENIDA ULTIMO LA QUINTA, CA 92253 Applicant: SHASTA FIRE PROTECTION INC 72120 NORTHSHORE ST #C THOUSAND PALMS, CA 92276 Contractor: SHASTA FIRE PROTECTION INC 72120 NORTHSHORE ST #C THOUSAND PALMS, CA 92276 (760)404-1350 LIc. No.: 476633 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -Detail: FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT FIRE SPRINKLER SYSTEMS - SINGLE FAMILY DETACHED 101-0000-42421 0 $156.00 DESCRIPTION ACCOUNT QTY AMOUNT FIRE SPRINKLER SYSTEMS - SINGLE FAMILY DETACHED PC 101-0000-42420 0 $234.00 DESCRIPTION ACCOUNT QTY AMOUNT FIRE STAFF - PER HOUR 101-0000-42420 0.25 $40.00 Total Paid for FIRE FEES: $430.00 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS:$445.00