FSS2019-0004ADDITIONAL SITES
CHRONOLOGY
CONTACTS
NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL
APPLICANT JD MECHANICAL FIRE INC. - BRIAN
SLOAN
82579 FLEMING WAY LA QUINTA CA 92253 KATHY@JDMENCHANI
CAL.COM
CONTRACTOR J D MECHANICAL FIRE INC 82579 FLEMING WAY
SUITE D
INDIO CA 92201 JD@JDMECHANICAL.C
O
OWNER MELDMAN FAMILY, LTD.53525 HUMBOLDT
BLVD
LA QUINTA CA 92253
CONDITION
TYPE CONTACT DATE
ADDED
DATE
REQUIRED
DATE
SATISFIED STATUS REMARKS NOTES
READY TO ISSUE
CHECKLIST
EDGAR
GONZALEZ 5/10/2019 PENDING AS BUILT DRAWINGS REQUIRED BEFORE FINAL IS
APPROVED.
CONDITIONS
Description: MENLDMAN / FIRE SPRINKLERS FOR GARAGE CONVERSION
Type: FIRE SPRINKLER Subtype: RESIDENTIAL - CUSTOM
HOMES
Status: FINALED Applied: 1/29/2019 JLIM
Parcel No: 767700018 Site Address: 53525 HUMBOLDT BLVD LA QUINTA,CA 92253 Approved: 2/5/2019 EGO
Subdivision: TR 33076-2 Block: Lot: 66 Issued: 2/7/2019 AHI
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: 10/7/2019 crw
Valuation: $0.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 4/30/2019 - FSS E GONZALEZ - "Submit as-built drawings along with field set with markups prior to final inspection request."
Printed: Friday, January 27, 2023 10:46:05 AM 1 of 3
Permit Details
City of La Quinta
PERMIT NUMBER
FSS2019-0004
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED
DATE
COMPLETED
DATE
RESULT REMARKS NOTES
OVERHEAD HYRO EGO 4/30/2019 5/10/2019 APPROVED
OVERHEAD ROUGH
PIPING EGO 4/30/2019 5/10/2019 APPROVED AS BUILT DRAWINGS REQUIRED BEFORE
FINAL IS APPROVED.
FIRE FINAL**KHET 9/12/2019 9/12/2019 DISAPPROVE
D Replace faulty pressure gauge.
FIRE FINAL**KHET 10/3/2019 10/3/2019 DISAPPROVE
D
Replaced gauge, still reading below required
static pressure. Contractor is opting for a
bucket test.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #CHECK #METHOD PAID BY CLTD
BY
FIRE PLAN REVISION
SUBMITTALS 101-0000-42420 0 $161.00 $161.00 10/2/19 R54152 1670 CHECK JD MECHANICAL FIRE
INC.AMA
FIRE SPRINKLER
SYSTEMS - SINGLE
FAMILY DETACHED
101-0000-42421 0 $160.00 $160.00 1/29/19 R43954 1473 CHECK LEONARD TWETEN JLIM
FIRE SPRINKLER
SYSTEMS - SINGLE
FAMILY DETACHED PC
101-0000-42420 0 $240.00 $240.00 1/29/19 R43954 1473 CHECK LEONARD TWETEN JLIM
Total Paid for FIRE FEES: $561.00 $561.00
RECORDS
MANAGEMENT FEE 101-0000-42416 0 $10.00 $10.00 1/29/19 R43954 1473 CHECK LEONARD TWETEN JLIM
Total Paid for RECORDS MANAGEMENT FEE: $10.00 $10.00
TECHNOLOGY
ENHANCEMENT FEE 502-0000-43611 0 $5.00 $5.00 1/29/19 R43954 1473 CHECK LEONARD TWETEN JLIM
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 $5.00
TOTALS:$576.00 $576.00
Printed: Friday, January 27, 2023 10:46:05 AM 2 of 3
Permit Details
City of La Quinta
PERMIT NUMBER
FSS2019-0004
ATTACHMENTS
Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED
DOC 2/7/2019 AARON HICKSON FIRE JOB CARD FIRE JOB CARD.doc
DOC 2/5/2019 EDGAR GONZALEZ
FSS2019-0004 -
MADISON CLUB LOT 66B
- 53-525 HUMBOLDT
BLVD. - FIRE SPRINKLER
SYSTEM TI (COA).docx
FSS2019-0004 -
MADISON CLUB LOT 66B
- 53-525 HUMBOLDT
BLVD. - FIRE SPRINKLER
SYSTEM TI (COA).docx
1
DOC 10/1/2019 KOHL HETRICK FSS2019-0004 - 1-HEAD
RECALC.pdf
FSS2019-0004 - 1-HEAD
RECALC.pdf 1
DOC 10/1/2019 KOHL HETRICK FSS2019-0004 - 2-HEAD
RECALC.pdf
FSS2019-0004 - 2-HEAD
RECALC.pdf 1
DOC 10/1/2019 KOHL HETRICK FSS2019-0004 - AS-
BUILTS - PLANS.pdf
FSS2019-0004 - AS-
BUILTS - PLANS.pdf 1
IMAGE 9/12/2019 KOHL HETRICK Existing PRV affecting
riser supply.JPG
Existing PRV affecting
riser supply.JPG 0
IMAGE 9/12/2019 KOHL HETRICK Static pressure affected
by PRV.JPG
Static pressure affected
by PRV.JPG 0
BOND INFORMATION
FIRE FINAL**KHET 10/7/2019 10/7/2019 APPROVED With Bucket Test Bucket test performed to satisfaction.
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED
DATE
STATUS REMARKS NOTES
1ST PERMIT TECH (1
DAY)
JACK LIMA 1/29/2019 1/30/2019 1/29/2019 COMPLETE
1ST FIRE (2 WK)EDGAR
GONZALEZ 1/29/2019 2/12/2019 2/5/2019 APPROVED-
CONDITIONS
2ND FIRE (1 DAY)KOHL
HETRICK
10/1/2019 10/2/2019 10/1/2019 APPROVED AS-BUILTS SEE ATTACHMENTS FOR DOCUMENTS
PARENT PROJECTS
Printed: Friday, January 27, 2023 10:46:05 AM 3 of 3
Permit Details
City of La Quinta
PERMIT NUMBER
FSS2019-0004
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
FSS2019-0004
53525 HUMBOLDT BLVD
767700018
MENLDMAN / FIRE SPRINKLERS FOR GARAGE CONVERSION
Owner:
MELDMAN FAMILY, LTD.
53525 HUMBOLDT BLVD
LA QUINTA, CA 92253
Applicant:
JD MECHANICAL FIRE INC. - BRIAN SLOAN
82579 FLEMING WAY
LA QUINTA, CA 92253
Contractor:
J D MECHANICAL FIRE INC
82579 FLEMING WAY SUITE D
INDIO, CA 92201
(760)775-6220
LIc. No.: 1020141
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
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.: 1020141
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: ACCREDITED SURETY AND CASUALTY COMPANY INC Policy Number:
1ATCA16000224
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:
FSS2019-0004
53525 HUMBOLDT BLVD
767700018
MENLDMAN / FIRE SPRINKLERS FOR GARAGE CONVERSION
Owner:
MELDMAN FAMILY, LTD.
53525 HUMBOLDT BLVD
LA QUINTA, CA 92253
Applicant:
JD MECHANICAL FIRE INC. - BRIAN SLOAN
82579 FLEMING WAY
LA QUINTA, CA 92253
Contractor:
J D MECHANICAL FIRE INC
82579 FLEMING WAY SUITE D
INDIO, CA 92201
(760)775-6220
LIc. No.: 1020141
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -Detail: 4/30/2019 - FSS E GONZALEZ - "Submit as-built drawings along with field set with markups prior to final inspection request."
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
FIRE PLAN REVISION SUBMITTALS 101-0000-42420 0 $161.00
DESCRIPTION ACCOUNT QTY AMOUNT
FIRE SPRINKLER SYSTEMS - SINGLE FAMILY DETACHED 101-0000-42421 0 $160.00
DESCRIPTION ACCOUNT QTY AMOUNT
FIRE SPRINKLER SYSTEMS - SINGLE FAMILY DETACHED PC 101-0000-42420 0 $240.00
Total Paid for FIRE FEES: $561.00
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:$576.00