FSS2018-0083ADDITIONAL SITES
CHRONOLOGY
CONTACTS
NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL
APPLICANT CHARLES F BROWN FIRE
PROTECTION DESIGN
21386 LILIUM COURT MORENO
VALLEY
CA 92557 CHUCK92234@AOL.CO
M
BILL TO CHARLES F BROWN FIRE
PROTECTION DESIGN
21386 LILIUM COURT MORENO
VALLEY
CA 92557 CHUCK92234@AOL.CO
M
CONTRACTOR CHARLES F BROWN FIRE
PROTECTION DESIGN
21386 LILIUM COURT MORENO
VALLEY
CA 92557 CHUCK92234@AOL.CO
M
OWNER 3 BOULDERS 45311 GOLF CENTER
STE B
INDIO CA 0
CONDITIONS
Description: CORONEL / BRES2017-0239 / FIRE SPRINKLER
Type: FIRE SPRINKLER Subtype: RESIDENTIAL - CUSTOM
HOMES
Status: FINALED Applied: 5/7/2018 RCA
Parcel No: 774084002 Site Address: 53280 AVENIDA HERRERA LA QUINTA,CA 92253 Approved: 5/8/2018 RGR
Subdivision: SANTA CARMELITA VALE LA QUINTA
UNIT 21
Block: 226 Lot: 23 Issued: 5/15/2018 RCA
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: 9/27/2018 EGO
Valuation: $0.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details:
FINANCIAL INFORMATION
Printed: Friday, January 27, 2023 9:44:20 AM 1 of 3
Permit Details
City of La Quinta
PERMIT NUMBER
FSS2018-0083
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED
DATE
COMPLETED
DATE
RESULT REMARKS NOTES
OVERHEAD ROUGH
PIPING LMI 5/23/2018 5/23/2018 DISAPPROVE
D Not ready for inspection
OVERHEAD ROUGH
PIPING
LMI 6/6/2018 6/6/2018 APPROVED OH rough and hydro
FIRE FINAL**EGO 9/27/2018 9/27/2018 APPROVED
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED
DATE STATUS REMARKS NOTES
PARENT PROJECTS
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 5/7/18 R35195 4635 CHECK C F BROWN FIRE
PROTECTION DESI SSW
FIRE SPRINKLER
SYSTEMS - SINGLE
FAMILY DETACHED PC
101-0000-42420 0 $234.00 $234.00 5/7/18 R35195 4635 CHECK C F BROWN FIRE
PROTECTION DESI SSW
Total Paid for FIRE FEES: $390.00 $390.00
RECORDS
MANAGEMENT FEE 101-0000-42416 0 $10.00 $10.00 5/7/18 R35195 4635 CHECK C F BROWN FIRE
PROTECTION DESI SSW
Total Paid for RECORDS MANAGEMENT FEE: $10.00 $10.00
TECHNOLOGY
ENHANCEMENT FEE 502-0000-43611 0 $5.00 $5.00 5/7/18 R35195 4635 CHECK C F BROWN FIRE
PROTECTION DESI SSW
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 $5.00
TOTALS:$405.00 $405.00
Printed: Friday, January 27, 2023 9:44:20 AM 2 of 3
Permit Details
City of La Quinta
PERMIT NUMBER
FSS2018-0083
ATTACHMENTS
BOND INFORMATION
1ST PERMIT TECH (1
DAY)
REYNA
CAMARENA 5/7/2018 5/7/2018 5/7/2018 COMPLETE
1ST FIRE (2 WK)RONALD
GRIESINGER 5/7/2018 5/21/2018 5/8/2018 APPROVED
Printed: Friday, January 27, 2023 9:44:20 AM 3 of 3
Permit Details
City of La Quinta
PERMIT NUMBER
FSS2018-0083
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: 1/27/2023
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
FIRE SPRINKLER/RESIDENTIAL - CUSTOM HOMES
FSS2018-0083
53280 AVENIDA HERRERA
774084002
CORONEL / BRES2017-0239 / FIRE SPRINKLER
Owner:
3 BOULDERS
45311 GOLF CENTER STE B
INDIO, CA 0
Applicant:
CHARLES F BROWN FIRE PROTECTION DESIGN
21386 LILIUM COURT
MORENO VALLEY, CA 92557
Contractor:
CHARLES F BROWN FIRE PROTECTION DESIGN
21386 LILIUM COURT
MORENO VALLEY, CA 92557
(951)712-4959
LIc. No.: 499210
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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.: 499210
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: STATE COMPENSATION INSURANCE FUND Policy Number: 9080275
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: 1/27/2023
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
FSS2018-0083
53280 AVENIDA HERRERA
774084002
CORONEL / BRES2017-0239 / FIRE SPRINKLER
Owner:
3 BOULDERS
45311 GOLF CENTER STE B
INDIO, CA 0
Applicant:
CHARLES F BROWN FIRE PROTECTION DESIGN
21386 LILIUM COURT
MORENO VALLEY, CA 92557
Contractor:
CHARLES F BROWN FIRE PROTECTION DESIGN
21386 LILIUM COURT
MORENO VALLEY, CA 92557
(951)712-4959
LIc. No.: 499210
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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
Total Paid for FIRE FEES: $390.00
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:$405.00