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FSS2019-0032ADDITIONAL SITES CHRONOLOGY CONDITION TYPE CONTACT DATE ADDED DATE REQUIRED DATE SATISFIED STATUS REMARKS NOTES CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE ARMANDO MAGALLON 3/19/2019 3/19/2019 PLAN CHECK FEE REMOVED DUE TO MASTER PLAN APPROVAL. NO REVIEW NEEDED. NOTE ARMANDO MAGALLON 6/11/2020 6/11/2020 I WILL ADD PERMIT EXTENSION FEE AND EXTEND PERMIT FROM 4/25/2020 UNTIL 6 MONTHS FROM TODAY 6/11/2020.THE NEW EXPIRATION DATE IS 12/11/2020. NOTE KAYLI ALFORD 10/8/2019 10/8/2019 NEW MASTER PLAN SUBMITTED AND APPROVED AS FCMP2019-0007. PLAN CHECK VOIDED DUE TO MASTER PLAN APPROVAL. PERMIT APPROVED WITH PREVIOUS MASTER PLAN SUBMITTAL, FSS2018-0010 BUT NEVER ISSUED. FEES PAID & PERMIT ISSUED AS OF 10/7/19. CONDITIONS Description: ANDALUSIA / BRES2018-0407 / FIRE SPRINKLER / PLAN TYPE 24 Type: FIRE SPRINKLER Subtype: RESIDENTIAL - TRACT HOMES Status: FINALED Applied: 3/19/2019 KPI Parcel No: 764680001 Site Address: 81734 RONDA LA QUINTA,CA 92253 Approved: 3/19/2019 AMA Subdivision: TR 31681-3 Block: Lot: 84 Issued: 10/7/2019 KAL Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: 6/16/2020 KHET Valuation: $0.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: Printed: Friday, January 27, 2023 11:10:43 AM 1 of 4 Permit Details City of La Quinta PERMIT NUMBER FSS2019-0032 CONTACTS NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL APPLICANT SYMONS FIRE PROTECTION INC 12155 PAINE PL POWAY CA 92064 CATHY@SYMONSFP.CO M BILL TO SYMONS FIRE PROTECTION INC 12155 PAINE PL POWAY CA 92064 CATHY@SYMONSFP.CO M CONTRACTOR SYMONS FIRE PROTECTION INC 12155 PAINE PL POWAY CA 92064 CATHY@SYMONSFP.CO M OWNER T D DESERT DEV 81570 CARBONERAS LA QUINTA CA 0 READY TO ISSUE CHECKLIST ARMANDO MAGALLON 3/19/2019 10/7/2019 COMPLETE BUSINESS LICENSE IS SET TO EXPIRE 3/31/19. NEEDS TO BE CURRENT PRIOR TO ISSUANCE, AND FEED NEED TO BE PAID. BL CURRENT. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #CHECK #METHOD PAID BY CLTD BY Credit Card Fee 101-0000-43505 0 $3.15 $3.15 10/7/19 R54444 0001 CREDIT CARD T D DESERT DEV KAL Total Paid for Credit Card Fee: $3.15 $3.15 FIRE SPRINKLER SYSTEMS - SINGLE FAMILY DETACHED 101-0000-42421 0 $160.00 $160.00 10/7/19 R54444 0001 CREDIT CARD T D DESERT DEV KAL FIRE STAFF - PER HOUR 101-0000-42420 0.25 $40.25 $40.25 6/16/20 WEB5471 CREDIT SYMONS FIRE PROTECTION INC ECON Total Paid for FIRE FEES: $200.25 $200.25 RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 $10.00 10/7/19 R54444 0001 CREDIT CARD T D DESERT DEV KAL Total Paid for RECORDS MANAGEMENT FEE: $10.00 $10.00 Printed: Friday, January 27, 2023 11:10:43 AM 2 of 4 Permit Details City of La Quinta PERMIT NUMBER FSS2019-0032 ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 10/28/2021 JOSE DELGADO FIRE REVIEW APPLICATION.pdf FIRE REVIEW APPLICATION.pdf 0 DOC 10/7/2019 KAYLI ALFORD FIRE JOB CARD FIRE JOB CARD.doc DOC 10/7/2019 KAYLI ALFORD andalusia (004) (002).pdf andalusia (004) (002).pdf 0 BOND INFORMATION INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES OVERHEAD ROUGH PIPING KHET 10/28/2019 10/28/2019 APPROVED OVERHEAD HYRO KHET 10/28/2019 10/28/2019 APPROVED FIRE FINAL**KHET 6/16/2020 6/16/2020 APPROVED REMOTE VIDEO INSPECTION REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS NOTES 1ST PERMIT TECH (1 DAY) KAYLI PIERCE 3/19/2019 3/20/2019 3/19/2019 COMPLETE PARENT PROJECTS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #CHECK #METHOD PAID BY CLTD BY TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 $5.00 10/7/19 R54444 0001 CREDIT CARD T D DESERT DEV KAL Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 $5.00 TOTALS:$218.40 $218.40 Printed: Friday, January 27, 2023 11:10:43 AM 3 of 4 Permit Details City of La Quinta PERMIT NUMBER FSS2019-0032 ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 6/16/2020 KOHL HETRICK 19-0216 PLAN TYPE 24.pdf 19-0216 PLAN TYPE 24.pdf 1 Printed: Friday, January 27, 2023 11:10:43 AM 4 of 4 Permit Details City of La Quinta PERMIT NUMBER FSS2019-0032 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 - TRACT HOMES FSS2019-0032 81734 RONDA 764680001 ANDALUSIA / BRES2018-0407 / FIRE SPRINKLER / PLAN TYPE 24 Owner: T D DESERT DEV 81570 CARBONERAS LA QUINTA, CA 0 Applicant: SYMONS FIRE PROTECTION INC 12155 PAINE PL POWAY, CA 92064 Contractor: SYMONS FIRE PROTECTION INC 12155 PAINE PL POWAY, CA 92064 (619)588-6364 LIc. No.: 682025 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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, C10 License No.: 682025 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: AMERICAN FAMILY HOME INSURANCE COMPANY DBA AFH INS Policy Number: 5FA5WC000126800 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: FSS2019-0032 81734 RONDA 764680001 ANDALUSIA / BRES2018-0407 / FIRE SPRINKLER / PLAN TYPE 24 Owner: T D DESERT DEV 81570 CARBONERAS LA QUINTA, CA 0 Applicant: SYMONS FIRE PROTECTION INC 12155 PAINE PL POWAY, CA 92064 Contractor: SYMONS FIRE PROTECTION INC 12155 PAINE PL POWAY, CA 92064 (619)588-6364 LIc. No.: 682025 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -Detail: FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT Credit Card Fee 101-0000-43505 0 $3.15 Total Paid for Credit Card Fee: $3.15 DESCRIPTION ACCOUNT QTY AMOUNT FIRE SPRINKLER SYSTEMS - SINGLE FAMILY DETACHED 101-0000-42421 0 $160.00 DESCRIPTION ACCOUNT QTY AMOUNT FIRE STAFF - PER HOUR 101-0000-42420 0.25 $40.25 Total Paid for FIRE FEES: $200.25 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:$218.40 12155 Paine Place Poway, CA 92064 (619) 588-6364 Fax (619) 588-6805 CA Lic. #682025 October 7, 2019 Re: Andalusia lot 53022 plan type 22 and 53084 plan type 24 To Whom It May Concern, For the project listed above, I give approval for Nolan Sparks, general contractor with T.D. Desert Development to signed and pick up permits/plans for The Andalusia project. If any payment is due at the time of issuing permits Nolan is also approved to make such payments. Lot 53022 @ 81920 Andalusia Lot 53084 @ 81734 Ronda Thank you, Angela Zumaya Design Coordinator Symons Fire Protection 12155 Paine Place Poway, CA 92064 Phone: 619-588-6364 Fax: 619-588-6805 Email: angela@SymonsFP.com www.SymonsFP.com