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BRES2019-0555
DESIGN & DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type: Permit Number: Property Address: APN: Legal Description Property Zoning: Valuation: Building Residential BRES2019-0555 80800 VIA PORTOFINO 777150003 Lot 129 MB 327/56 TR 29894-2 RL, 129 $388,790.10 Declaration / Acknowledgement BUILDING PERMIT athita CALIFORNIA PHONE (760) 777-7125 WWW.LAQUINTACA.GOV APPLIED DATE: 12/30/2019 ISSUED DATE: 07/14/2020 Owner: 1112 E WASHINGTON AVE LLC - RICHMAN BRY 80800 VIA PORTOFINO, LA QUINTA, CA 92253 Applicant: RYAN THOMAS 80135 VIA VALEROSA, LA QUINTA, CA 92253 Contractor: OWNER BUILDER PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE FOLLOWING: LICENSED CONTRACTOR OR OWNER -BUILDER DECLARATION (1 or 2) 1) They are licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and the referenced License is in full force and effect, or; 2) That they are exempt from the Contractors' State License Law for the reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or she is exempt from licensure by a valid exemption. [Section 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 Contractors' State License Law (Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code] 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).) a) As owner of the property, or my employees with wages as their sole compensation, will do all of or portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, 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 it was not built or improved for the purpose of sale.). b) As owner of the property, will be exclusively contracting with licensed c) Are exempt from licensure under the Contractors' State License Law. As an Owner -Builder, they acknowledge that, except for their personal residence in which they must have resided in for at least one year prior to completion of the improvements covered by this permit, they cannot legally sell a structure built as an owner -builder if it has not been constructed in its entirety by licensed contractors. It is understood that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application was submitted at the following Web site: http://www.leginfo.ca.gov/calaw.html. DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If applicable) A construction lender will be used for completion of the improvements covered by this permit and the name and information of which is on file for public inspection during the regular business hours of the public entity. Failure of the applicant to indicate the construction lender on the application does not relieve that person of the requirement to give the construction lender preliminary notice from that duty. WORKERS' COMPENSATION DECLARATION (1, 2 or 3) 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. 1) Has and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2) Has 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. 3) Certifies that, in the performance of the work for which this permit is issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. NOTICE TO APPLICANT (1, 2 and 3) 1) Each person upon whose behalf this application was made, each person at whose request and for whose benefit work is being 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 360 days from date of issuance of such permit, or if cessation of work for 180 days will subject permit to cancellation. On or after January 1, 2019, every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 12 months after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period of 12 months after the time the work is commenced. 3) Certified that they read the application and state that the information provided is correct. 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. IMPORTANT: An Application for Permit was made to the Building Official, subject to the conditions and restrictions set forth at the time of application, which is now hereby an Issued Permit. If any part of the information being supplied on this permit is inaccurate or untrue, please contact the City of La Quinta at (760) 777-7125 immediately for correction. Printed: 3/21/25 11:14 am Page 1 of 6 BUILDING PERMIT Permit Type: Permit Number: Property Address: Building Residential BRES2019-0555 80800 VIA PORTOFINO Use of Permit THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D *** CASITA) [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT BUILDING CODES. #III# THOMAS / 4,370SF DWELLING/VB/RE THOMAS / 4,370SF DWELLINGNB/RES-3/CLASS A-FR/13D *** Construction Details Residential Work Type Dwelling - Single Family Detached Patio Square Footage 767 Code Edition Number of Units Number of Flag or Light Pole(s)? Number of Forced Air Furnace(s) Number of Exhaust Hood(s) Number of Water Heater(s) Number of Gas Outlet(s) General Plan Lot Number 2016 1 0 4 1 2 10 LDR 129 THOMAS / 4,370 SF DWELLING (3,900SF MAIN DWELLING + 470SF INCLUDE POOL, SPA, BLOCK WALLS OR BBQ. 2016 CALIFORNIA S-3/CLASS A-FR/13D *** REVISION 1 - STRUCTURAL UPDATES. #III# REVISION 2 - TRUSS MANUFACTURER CHANGE. Conditioned Square 4370 Garage Square 1327 Footage Footage Fire Sprinkler Square 5697 Construction Type V-B Footage Number of Floors 2 Number of Bedrooms 4 Building/Unit R-3: 1 & 2 Family Grading Required? Yes, New Dwelling Occupancy Dwellings, U: Utility/Misc Classification(s) Structures New Electrical Square 5697 Temporary Power Yes Footage Service? Number of 4 Number of Ventilation 8 Condenser(s) Fan(s) Number of Plumbing 29 Number of Roof Drains 4 Fixtures/Traps Water System Install Yes Back Flow Prevention Yes or Alteration? Device? Sewer Connection? Yes Zoning RL City Limits Lot Size Within La Quinta Limits 2152.23 Subdivision Name Legal Description TR 29894-2 Lot 129 MB 327/56 TR 29894-2 Valuation Details Sq Ft Value Printed: 3/21/25 11:14 am Page 2of6 BUILDING PERMIT Permit Type: Permit Number: Property Address: Building Residential BRES2019-0555 80800 VIA PORTOFINO Financial Information Invoice No. INV-00007904 Fee Re -Inspection Fee INV-00008273 Credit Card Convenience Fee PERMIT-BRES2019-055 5 Total for Invoice INV-00007904 Total for Invoice INV-00008273 TECHNOLOGY ENHANCEMENT FEE DIF - LIBRARIES BACKFLOW DEVICE PC FURNACE PC HOURLY CHARGE - CITY BUILDING STAFF FIXTURE/TRAP BUILDING SEWER PC BUILDING SEWER BSAS SB1473 FEE TEMP POWER SERVICE RESIDENTIAL - CUSTOM HOME >7KSF FIXTURE/TRAP PC WATER SYSTEM INST/ALT/REP PC RECORDS MANAGEMENT FEE - MAJOR NEW CONSTRUCTION PLAN CHECK 2019 DIF - FIRE PROTECTION RESIDENTIAL, FIRST 1,000SF DIF - STREET MAINTENANCE ROOF DRAIN PC NEW CONSTRUCTION PERMIT 2019 CONDENSER/COMPRESSOR PC DIF - PARKS/REC HOURLY CHARGE - CITY BUILDING STAFF NEW CONSTRUTION - SINGLE FAMILY RESIDENTIAL CONDENSER/COMPRESSOR RESIDENTIAL - CUSTOM HOME >7KSF PC RESIDENTIAL, EA ADDITIONAL 1,000SF PC VENT FAN PC RESIDENTIAL, EA ADDITIONAL 1,000SF DIF - CIVIC CENTER ROOF DRAIN EXHAUST HOOD EXHAUST HOOD PC GAS SYSTEM, 5+ OUTLETS PC TEMP POWER SERVICE PC WATER SYSTEM INST/ALT/REP GAS SYSTEM, 5+ OUTLETS DIF - COMMUNITY CENTERS CHANGE OF CONTR/ARCH/OWNER PROCESSING DIF - PARK MAINTENANCE SMI - RESIDENTIAL DIF - TRANSPORTATION Fee Amount Amount Paid $87.53 $87.53 $87.53 $2.19 $2.19 $2.19 $2.19 $5.00 $5.00 $344.00 $344.00 $5.37 $5.37 $107.32 $107.32 $80.50 $80.50 $389.18 $389.18 $18.78 $18.78 $26.83 $26.83 $16.00 $16.00 $26.83 $26.83 $40.25 $40.25 $389.18 $389.18 $13.42 $13.42 $21.00 $21.00 $1,820.21 $1,820.21 $433.00 $433.00 $161.00 $161.00 $116.00 $116.00 $53.68 $53.68 $2,794.96 $2,794.96 $107.32 $107.32 $2,048.00 $2,048.00 $80.50 $80.50 $161.00 $161.00 $161.00 $161.00 $201.25 $201.25 $28.20 $28.20 $42.96 $42.96 $68.45 $68.45 $942.00 $942.00 $53.68 $53.68 $13.42 $13.42 $5.37 $5.37 $26.83 $26.83 $18.78 $18.78 $13.42 $13.42 $40.25 $40.25 $129.00 $129.00 $111.71 $111.71 $40.00 $40.00 $50.54 $50.54 $2,842.00 $2,842.00 Printed: 3/21/25 11:14 am Page 3 of 6 BUILDING PERMIT Permit Type: Permit Number: Property Address: Building Residential BRES2019-0555 80800 VIA PORTOFINO RESIDENTIAL, FIRST 1,000SF PC ART IN PUBLIC PLACES - RESIDENTIAL PLAN CHECK/PERMIT EXTENSION PROCESSING TUMF 2018 - SINGLE FAMILY DWELLING WATER HEATER/VENT VENT FAN WATER HEATER/VENT PC BACKFLOW DEVICE FURNACE PLAN CHECK DEPOSIT - RESIDENTIAL Total for Invoice PERMIT-BRES2019-0555 $53.13 $471.97 $111.71 $2,310.00 $26.84 $107.36 $16.10 $13.42 $161.00 $1,200.00 $53.13 $471.97 $111.71 $2,310.00 $26.84 $107.36 $16.10 $13.42 $161.00 $1,200.00 $18,519.72 $18,519.72 Grand Total for Permit $18,609.44 $18,609.44 Workflow / Inspections Workflow Step / Action Name Inspections v.1 Action Type Start Date End Date 12/30/2019 0:00 FINAL** v.1 Inspection GAS LINE/TEST v.2 Inspection GAS LINE/TEST v.1 Inspection TEMP USE OF PERM PWR v.4 Inspection TEMP USE OF PERM PWR v.3 Inspection TEMP USE OF PERM PWR v.2 Inspection TEMP USE OF PERM PWR v.1 Inspection SHOWER PAN v.3 Inspection SHOWER PAN v.2 Inspection SHOWER PAN v.1 Inspection DRYWALL NAIL v.1 Inspection INSULATION v.1 Inspection LATH v.1 Inspection ROUGH ELEC v.2 Inspection ROUGH MECH v.2 Inspection FRAMING v.2 Inspection ROUGH PLBG v.2 Inspection OVERHEAD ROUGH PIPING v.1 Inspection ROUGH MECH v.1 Inspection ROUGH PLBG v.1 Inspection FRAMING v.1 Inspection ROUGH ELEC v.1 Inspection OKAY TO WRAP v.2 Inspection OKAY TO WRAP v.1 Inspection ROOF NAIL v.1 Inspection FLOOR NAIL v.1 Inspection TEMPORARY POWER v.1 Inspection SLAB v.3 Inspection FOOTINGS v.4 Inspection Printed: 3/21/25 11:14 am Page 4 of 6 BUILDING PERMIT Permit Type: Permit Number: Property Address: Building Residential BRES2019-0555 80800 VIA PORTOFINO FOOTINGS v.3 Inspection SLAB v.2 Inspection FOOTINGS v.2 Inspection SLAB v.1 Inspection FOOTINGS v.1 Inspection SEWER CONNECTION v.1 Inspection UNDERGROUND PLBG v.1 Inspection Deferred Submittals v.1 07/02/2024 8:16 Linked Solar Permit v.1 Create Sub Permit Linked Fire Sprinkler Permit v.1 Create Sub Permit 07/02/2024 8:16 07/12/2024 16:32 Application Completeness Check v.1 Confirm Fees Paid v.1 Generic Action Submittal Document Verification v.1 Generic Action Plan Check v.1 Building Major Review v.1 Receive Submittal Permit Issuance v.1 Contractor / Owner -Builder Information v.1 Generic Action Verify & Invoice Fees v.1 Generic Action Ready to Issue v.1 Generic Action Verify Fee Payment & Issue Permit v.1 Generic Action Print, Attach, and Email Building Permit v.1 Create Report Inspections - Do Not Pour Concrete Until Approved v.1 Setbacks v.1 Inspection Underground Plumbing v.1 Inspection Water Line v.1 Inspection Footing v.1 Inspection Slab v.1 Inspection Inspections - Cover No Work Until Approved v.1 Roof Nail v.1 Inspection Okay to Wrap v.1 Inspection Framing v.1 Inspection Rough Electrical v.1 Inspection Rough Mechanical v.1 Inspection Rough Plumbing v.1 Inspection Rough Fire Clearance v.1 Generic Action Shower Pan v.1 Inspection Insulation v.1 Inspection Drywall Nail v.1 Inspection Exterior Lath v.1 Inspection Gas Test v.1 Inspection Sewer Connection v.1 Inspection Inspections - Masonry v.1 Inspections - Electrical for Meter Release v.1 Temporary Power v.1 Inspection Printed: 3/21/25 11:14 am Page 5 of 6 BUILDING PERMIT Permit Type: Permit Number: Property Address: Building Residential BRES2019-0555 80800 VIA PORTOFINO Inspection Inspections - Final v.1 04/09/2024 16:29 07/30/2024 15:11 Final Fire v.1 Inspection 07/05/2024 11:22 07/30/2024 10:51 Final Building v.1 Inspection 04/09/2024 16:29 04/10/2024 14:03 Final Building v.2 Inspection 07/10/2024 17:14 07/12/2024 11:50 Final Building v.3 Inspection 07/15/2024 16:55 07/16/2024 12:25 Final Building v.4 Inspection 07/17/2024 17:19 07/18/2024 13:38 Final Building v.5 Inspection 07/30/2024 15:11 07/30/2024 15:11 Certificate of Occupancy v.1 07/30/2024 15:12 07/30/2024 15:12 Certificate of Occupancy v.1 Create Report 07/30/2024 15:12 07/30/2024 15:12 Inspections Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be valid. It shall be the duty of the owner or the owners authorized agent to cause the work to remain visible and able to be accessed for inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of any material required to allow inspection. It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this code. Certificate of Occupancy A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid. Service Utilities A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by the building official. Printed: 3/21/25 11:14 am Page 6 of 6 PERMIT INSPECTION HISTORY REPORT (BRES2019-0555) FOR CITY OF LA QUINTA Permit Type: Building Residential Work Class: Building Residential Status: Finaled Owner: Application Date: 12/30/2019 Parcel 777150003 Issue Date: 07/14/2020 Address: 80800 VIA PORTOFINO LA QUINTA, CA 92253 Expiration Date: 1112 E WASHINGTON AVE LLC Contractor: Scheduled Actual Date Start Date Inspection Type Inspection No. 12/09/2020 12/18/2020 07/30/2025 OWNER BUILDER Description: THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ THOMAS / 4,370 SF DWELLING (3,900SF MAIN DWELLIN( + 470SF CASITA) [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR BBQ. 2016 CALIFORNIA BUILDIN( CODES. #III# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 1 - STRUCTURAL UPDATES. #III# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 2 - TRUSS MANUFACTURER CHANGE. Applicant: Inspection Status Primary Inspector RYAN THOMAS Reinspection Required? Complete Sewer Connection DCL:201208045444 Approved Duane Clayton 0793 Underground DCL:201208045444 Approved Duane Clayton Plumbing 0794 Footing 12/28/2020 Footing Slab DCL:201217042435 Partially Approved Kirk Kirkland 0829 No Complete No Complete No Incomplete NOTES Created By TEXT Created Date Kirk Kirkland Template at grade beam 3 total 12/18/2020 DCL:201222043836 0447 Not Ready Jake Fuson NOTES Created By TEXT No Complete Created Date Jake Fuson BOLTS AND SLAB REINFORCMENT NOT YE IN PLACE AND CONSTRUCTION DESIGN APPEARS TO HAVE BEEN CHANGED. NEW STEEL COLUMNS ADDED AND CONCRETE SUBCONTRACTOR'S PLANS DO NOT MATC CITY'S APPROVED PLANS. PROVIDE REVISED PLANS, COMPLETE CONSTRUCTION, AND RECALL WHEN READY. 12/28/2020 DCL:201222043836 Not Ready Jake Fuson No Complete 0448 NOTES Created By TEXT Created Date Jake Fuson SEE SLAB INSPECTION NOTES. 12/28/2020 12/30/2020 March 26, 2025 78-495 Calle Tampico Page 1 of 12 PERMIT INSPECTION HISTORY REPORT (BRES2019-0555) Permit Type: Building Residential Work Class: Building Residential Status: Finaled Owner: Application Date: 12/30/2019 Issue Date: 07/14/2020 Expiration Date: 1112 E WASHINGTON AVE LLC Contractor: Scheduled Actual Inspection Type Inspection No. Date Start Date Footing Slab 01/04/2021 Footing Slab 07/30/2025 OWNER BUILDER Parcel Address: Description: Applicant: Inspection Status Primary Inspector 777150003 80800 VIA PORTOFINO LA QUINTA, CA 92253 THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D *** THOMAS / 4,370 SF DWELLING (3,900SF MAIN DWELLIN( + 470SF CASITA) [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALL OR BBQ. 2016 CALIFORNIA BUILDIN( CODES. #1f1# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 1 - STRUCTURAL UPDATES. #III# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 2 - TRUSS MANUFACTURER CHANGE. RYAN THOMAS Reinspection Required? Complete JFU:201229035225 Disapproved Jake Fuson No Complete 0131 NOTES Created By TEXT Created Date Jake Fuson -FORM CERTIFICATION REQUIRED -THE LENGTH OF THE SHEAR WALL AT NORTH OF BUILDING ALONG GRIDLINE 9 I: NOT OER PLAN, SUBCONTRACTOR SAYS PLANS HAVE CHANGED BUT ARE NOT REFL3CTED IN REVISION 1 PLANS. RECONSTRUCT OER PLAN OR PROVIDE RI WITH FOR STAMP -SSTB2O'S AT ALL HDU5 AND HTT5 H9KD DOWNS MUST BE REPLACED WITH SSTB2, PER HOLD DOWN DETAILING. 12/30/2020 JFU:201229035225 Disapproved Jake Fuson No Complete 0132 NOTES Created By TEXT Created Date Jake Fuson SEE FOOTING INSPECTION NOTES. 12/30/2020 JFU:201230035712 0244 JFU:201230035712 0245 02/03/2021 Temporary Power JAN:210202042405 1126 Approved Kirk Kirkland Approved Kirk Kirkland Approved Duane Clayton No Complete No Complete No Complete NOTES Created By TEXT Created Date Duane Clayton - RELEASE SENT TO IID AND SUPERINTENDENT. RECEIPT OF RELEASE RECEIVED AND FORWARDED TO SUPERINTENDENT. 02/03/2021 March 26, 2025 78-495 Calle Tampico Page 2 of 12 PERMIT INSPECTION HISTORY REPORT (BRES2019-0555) Permit Type: Building Residential Work Class: Building Residential Status: Finaled Owner: Application Date: 12/30/2019 Issue Date: 07/14/2020 Expiration Date: 1112 E WASHINGTON AVE LLC Contractor: Scheduled Actual Date Start Date Inspection Type Inspection No. 02/11/2021 Floor Nail 03/10/2021 DCL:210210042841 0862 07/30/2025 OWNER BUILDER Parcel Address: Description: Applicant: Inspection Status Primary Inspector Approved Duane Clayton Roof Nail DCL:210309042543 Approved Duane Clayton 0683 NOTES Created By 777150003 80800 VIA PORTOFINO LA QUINTA, CA 92253 THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ THOMAS / 4,370 SF DWELLING (3,900SF MAIN DWELLIN( + 470SF CASITA) [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALL OR BBQ. 2016 CALIFORNIA BUILDIN( CODES. #1fI# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 1 - STRUCTURAL UPDATES. #III# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 2 - TRUSS MANUFACTURER CHANGE. RYAN THOMAS Reinspection Required? No No Complete Complete Complete TEXT Created Date Duane Clayton - FOR APPROVED TRUSSES REQUIRED. 03/10/2021 ALTERNATE TRUSS MANUFACTURER UTILIZED, NO CHANGES IN LAYOUT NOTE DURING INSPECTION. Duane Clayton - STATUS UPDATED TO APPROVED. SEE APPROVED REVISED TRUSSES IN ATTACHMENTS. 04/26/2021 04/27/2021 Okay to Wrap DCL:210426044901 Canceled Julio Anaya 1064 05/06/2021 Okay to Wrap DCL:210505051638 Approved Duane Clayton 1046 05/13/2021 No No Complete Complete NOTES Created By TEXT Created Date Duane Clayton - SEE ATTACHMENTS FOR STRUCTURAL OBSERVATION. 05/06/2021 Framing JAN:210513073637 Disapproved Duane Clayton No Complete 0018 March 26, 2025 78-495 Calle Tampico Page 3 of 12 PERMIT INSPECTION HISTORY REPORT (BRES2019-0555) Permit Type: Work Class: Building Residential Building Residential Status: Finaled Owner: Application Date: 12/30/2019 Issue Date: 07/14/2020 Expiration Date: 1112 E WASHINGTON AVE LLC Contractor: Scheduled Actual Date Start Date Inspection Type Inspection No. 07/30/2025 OWNER BUILDER Inspection Status Parcel Address: Description: Applicant: Primary Inspector 777150003 80800 VIA PORTOFINO LA QUINTA, CA 92253 THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ THOMAS / 4,370 SF DWELLING (3,900SF MAIN DWELLIN( + 470SF CASITA) [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALL OR BBQ. 2016 CALIFORNIA BUILDIN( CODES. #1fI# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 1 - STRUCTURAL UPDATES. #III# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 2 - TRUSS MANUFACTURER CHANGE. RYAN THOMAS Reinspection Required? Complete NOTES Created By TEXT Created Date Duane Clayton - FIRE DEPARTMENT OVERHEAD ROUGH INSPECTION AND APPROVAL REQUIRED. - NAIL PROTECTION REQUIRED AT CASITF EQUIPMENT CLOSET AND AT SOUTHEAST GARAGE. - PROVIDE RODENT PROOFING AT SOUTHEAST GARAGE, WEST WALL. - DROP DUCT TO DROP CEILING AT MASTI CLOSET. - COMPLETE STAIRWAY INSTALLATION. - COVER ALL HVAC SUPPLY AND RETURN REGISTERS. - SECURE ROUGH ELECTRICAL AT BUTLER'S PANTRY. - COMPLETE GAS PIPING VENT AT EXTERIOR KITCHEN WALL. - PROVIDE DRAFT STOPPING AT EACH SIC OF UPSTAIRS SLIDER DOOR AND AT FIREPLACE. - PROVIDE RECEPTACLE FOR UPSTAIRS FAU CLOSET. 05/13/2021 Rough Electrical JAN:210513073637 0019 Rough Mechanical JAN:210513073637 0020 Disapproved Duane Clayton Disapproved Duane Clayton No No Complete Complete March 26, 2025 78-495 Calle Tampico Page 4 of 12 PERMIT INSPECTION HISTORY REPORT (BRES2019-0555) Permit Type: Building Residential Work Class: Building Residential Status: Finaled Owner: Application Date: 12/30/2019 Issue Date: 07/14/2020 Expiration Date: 1112 E WASHINGTON AVE LLC Contractor: Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Complete Date Start Date Required? 07/30/2025 OWNER BUILDER Parcel Address: Description: Applicant: 777150003 80800 VIA PORTOFINO LA QUINTA, CA 92253 THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ THOMAS / 4,370 SF DWELLING (3,900SF MAIN DWELLIN( + 470SF CASITA) [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALL OR BBQ. 2016 CALIFORNIA BUILDIN( CODES. #1fI# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 1 - STRUCTURAL UPDATES. #III# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 2 - TRUSS MANUFACTURER CHANGE. RYAN THOMAS Reinspection Rough Plumbing JAN:210513073637 Disapproved Duane Clayton No Complete 0021 06/14/2021 FIRE - OH Rough KAL:210609124544 Disapproved Kohl Hetrick No Complete Piping (RES) 0610 NOTES Created By TEXT Created Date Kohl Hetrick The piping supplying and connecting the Casita is required to be with approved materials. Above -ground portion located in the wall stub up is PVC and direct connected to Orange CPVC pipe. PVC is appropriate for underground portions only. Replace with copper or steel. "Okay to start insulation and drywall all areas except the portion need to observe the corrected piping installation. 06/14/2021 06/15/2021 Framing DCL:210614043503 Approved Kirk Kirkland No Complete 0371 Rough Electrical DCL:210614043504 Approved Kirk Kirkland No Complete 0372 Rough Mechanical DCL:210614043504 Approved Kirk Kirkland No Complete 0373 Rough Plumbing DCL:210614043504 Approved Kirk Kirkland No Complete 0374 07/08/2021 Exterior Lath AMOR:2107070425 Approved Allen Morgenroth No Complete 47271 07/14/2021 Insulation AMOR:2107130425 Approved Duane Clayton No Complete 58787 March 26, 2025 78-495 Calle Tampico Page 5 of 12 PERMIT INSPECTION HISTORY REPORT (BRES2019-0555) Permit Type: Work Class: Building Residential Building Residential Status: Finaled Owner: Application Date: 12/30/2019 Issue Date: 07/14/2020 Expiration Date: 1112 E WASHINGTON AVE LLC Contractor: Scheduled Actual Date Start Date Inspection Type Inspection No. 08/18/2022 10/28/2022 11/15/2022 11/17/2022 02/09/2023 Drywall Nail Shower Pan JAN:220817044849 1110 DCL:221027045039 1196 07/30/2025 Parcel Address: Description: OWNER BUILDER Applicant: Inspection Status Primary Inspector Approved Duane Clayton Disapproved Bill Lakes 777150003 80800 VIA PORTOFINO LA QUINTA, CA 92253 THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ THOMAS / 4,370 SF DWELLING (3,900SF MAIN DWELLIN( + 470SF CASITA) [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR BBQ. 2016 CALIFORNIA BUILDIN( CODES. #1fI# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 1 - STRUCTURAL UPDATES. #III# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 2 - TRUSS MANUFACTURER CHANGE. RYAN THOMAS Reinspection Required? Complete No Complete No Complete NOTES Created By TEXT Created Date Bill Lakes No water at master bath shower. Filled with water and recall inspection. remove drain at other shower pan and full of debris not draining. Need to check all shower pans verify no debris and recall inspection. 10/28/2022 Shower Pan DCL:221114050138 1020 Disapproved Bill Lakes No Complete NOTES Created By TEXT Created Date Bill Lakes All showers are not under test with water need to fill and recall inspection. 11/15/2022 Shower Pan Approved Bill Lakes Temp Use of DCL:230208051442 Disapproved Bill Lakes Permanent Power 0907 DCL:221116051709 1699 No No Complete Complete March 26, 2025 78-495 Calle Tampico Page 6 of 12 PERMIT INSPECTION HISTORY REPORT (BRES2019-0555) Permit Type: Work Class: Building Residential Building Residential Status: Finaled Owner: Application Date: 12/30/2019 Issue Date: 07/14/2020 Expiration Date: 1112 E WASHINGTON AVE LLC Contractor: Scheduled Actual Date Start Date Inspection Type Inspection No. 02/14/2023 02/21/2023 07/30/2025 Parcel Address: Description: OWNER BUILDER Applicant: Inspection Status Primary Inspector 777150003 80800 VIA PORTOFINO LA QUINTA, CA 92253 THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ THOMAS / 4,370 SF DWELLING (3,900SF MAIN DWELLIN( + 470SF CASITA) [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALL OR BBQ. 2016 CALIFORNIA BUILDIN( CODES. #1fI# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 1 - STRUCTURAL UPDATES. #III# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 2 - TRUSS MANUFACTURER CHANGE. RYAN THOMAS Reinspection Required? Complete NOTES Created By TEXT Created Date Bill Lakes Sub panel in garage no dead front need hall 02/09/2023 labeling for panel. Need light for left side mechanical room front of casita. Remove screw at subpanel left front side of casita Cap off wire nut loose wires inside panel. label panel better to clarify lights to wear so that I can verify GFI/arc fault breakers. Verify vacancy sensors and bathrooms garage is etc. Also verify dimmers throughout. sheathing for Romax wiring needs to penetrate into box minimum quarter of an inch. Wire nut off all loose wires in subpanel at garage. Master bed ceiling need to wire nut off at fan box. Call closets 70 ft.b2 or larger need vacancy occupancy sensor. Bathroom light for all lay faucets box. Living room/family room need to wire nut off ceiling fan box wiring. Kitchen island need receptacles for appliances and wire nut off wires. need the torque wrench for main feeds coming in. Correct items on list required for electrical release other items will review at final. Temp Use of DCL:230213044609 Permanent Power 0822 Temp Use of JAN:230217050819 Permanent Power 0705 Canceled Bill Lakes Disapproved Bill Lakes No No Complete Complete March 26, 2025 78-495 Calle Tampico Page 7 of 12 PERMIT INSPECTION HISTORY REPORT (BRES2019-0555) Permit Type: Work Class: Building Residential Status: Owner: Building Residential Finaled Application Date: 12/30/2019 Issue Date: 07/14/2020 Expiration Date: 1112 E WASHINGTON AVE LLC Contractor: Scheduled Actual Date Start Date Inspection Type Inspection No. 02/23/2023 07/30/2025 Parcel Address: Description: OWNER BUILDER Applicant: Inspection Status Primary Inspector 777150003 80800 VIA PORTOFINO LA QUINTA, CA 92253 THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ THOMAS / 4,370 SF DWELLING (3,900SF MAIN DWELLIN( + 470SF CASITA) [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALL OR BBQ. 2016 CALIFORNIA BUILDIN( CODES. #1fI# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 1 - STRUCTURAL UPDATES. #III# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 2 - TRUSS MANUFACTURER CHANGE. RYAN THOMAS Reinspection Required? Complete NOTES Created By TEXT Created Date Bill Lakes For Inspection need access to all areas of house(casita locked). Need all panel fronts removed to verify all wiring bonding grounding etc. for temp use power. Need to torque Maine lugs at panels for all large feeder wires. These are items required at final below. Need light for left side mechanical room front at casita. label panel better to clarify lights to wear so that I can verify GFI/arc fault breakers. Verify vacancy sensors and bathrooms garage is etc. Also verify dimmers throughout. sheathing for Romax wiring needs to penetrate into box minimum quarter of an inch. All closets 70 ft or larger need vacancy occupancy sensor. Bathroom light for all lay faucets need recep box. Kitchen counter requires receptacle outlets every 4'2 feet to the left 2 feet to the right coverage. Or under cabinet strip will work also. Kitchen island need receptacles for counter. Correct items on list required for electrical release other items will review at final. 02/21/2023 Temp Use of DCL:230222052359 Permanent Power 0841 Approved Bill Lakes No Complete March 26, 2025 78-495 Calle Tampico Page 8 of 12 PERMIT INSPECTION HISTORY REPORT (BRES2019-0555) Permit Type: Work Class: Building Residential Building Residential Status: Finaled Owner: Application Date: 12/30/2019 Issue Date: 07/14/2020 Expiration Date: 1112 E WASHINGTON AVE LLC Contractor: Scheduled Actual Date Start Date Inspection Type Inspection No. 03/14/2023 04/03/2023 04/17/2023 04/10/2024 04/10/2024 March 26, 2025 07/30/2025 Parcel Address: Description: OWNER BUILDER Applicant: Inspection Status Primary Inspector 777150003 80800 VIA PORTOFINO LA QUINTA, CA 92253 THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ THOMAS / 4,370 SF DWELLING (3,900SF MAIN DWELLIN( + 470SF CASITA) [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALL OR BBQ. 2016 CALIFORNIA BUILDIN( CODES. #1fI# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 1 - STRUCTURAL UPDATES. #III# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 2 - TRUSS MANUFACTURER CHANGE. RYAN THOMAS Reinspection Required? Complete NOTES Created By TEXT Created Date Bill Lakes These are items required at final below. Please verify Kaseeta sub panel feeder wires. Casita verify light and receptacle for AC unit. Attic access. Need light for left side mechanical room front at casita. label panel better to clarify lights to wear so that I can verify GFI/arc fault breakers. Verify vacancy sensors and bathrooms garage is etc. Also verify dimmers throughout. sheathing for Romax wiring needs to penetrate into box minimum quarter of an inch. All closets 70 ft or larger need vacancy occupancy sensor. Bathroom light for all lay faucets need recep box. Kitchen counter requires receptacle outlets every 4'2 feet to the left 2 feet to the right coverage. Or under cabinet strip will work also. Kitchen island need receptacles for counter. Correct items on list required for electrical release other items will review at final 02/23/2023 Gas Line/Test Gas Line/Test Final Building Final Building DCL:230313043238 0980 JAN:230331041654 0564 JAN:230414042932 0514 IBLD-018020-2024 Disapproved Bill Lakes Approved Duane Clayton Canceled Duane Clayton Disapproved Edward Ghera 78-495 Calle Tampico No No No Yes Complete Complete Complete Complete Page 9 of 12 PERMIT INSPECTION HISTORY REPORT (BRES2019-0555) Permit Type: Building Residential Work Class: Building Residential Status: Finaled Owner: Application Date: 12/30/2019 Issue Date: 07/14/2020 Expiration Date: 1112 E WASHINGTON AVE LLC Contractor: Scheduled Actual Date Start Date Inspection Type Inspection No. Checklist Item 07/30/2025 OWNER BUILDER Parcel Address: Description: Applicant: Inspection Status Primary Inspector 777150003 80800 VIA PORTOFINO LA QUINTA, CA 92253 THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ THOMAS / 4,370 SF DWELLING (3,900SF MAIN DWELLIN( + 470SF CASITA) [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALL OR BBQ. 2016 CALIFORNIA BUILDIN( CODES. #1fI# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 1 - STRUCTURAL UPDATES. #Ill# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 2 - TRUSS MANUFACTURER CHANGE. RYAN THOMAS Reinspection Required? Complete COMMENTS Approved Correction -PENDING FIRE FINAL AND HERS VERIFICATION -VACANCY SENORS REQUIRED IN BATHROOMS, LAUNDRY AND LIVING SPACES WITHOUT LUTRON SWITCHES -MISSING OUTLETS IN KITCHEN ISLAND -GFCI OUTLETS UNDER SINKS -GFCI PROTECTION REQUIRED AT COUNTER HEIGHT ALL SINKS -MISSING SMOKE DETECTORS IN MAIN HOUSE -CHECK ALL EXHAUST FANS -ALL EXTERIOR HOSE BIBS REQUIRE ANTISIPHON VALVES 07/12/2024 07/12/2024 Final Building IBLD-024135-2024 Disapproved (with Duane Clayton fee) Comments: NO ACCESS. SEE SITE PICTURE IN ATTACHMENTS. Reinspection of IBLD-018020-2024 Checklist Item No Yes Complete COMMENTS Approved Correction NO ACCESS TO DWELLING INTERIOR FOR FINAL BUILDING INSPECTION. SEE PREVIOUS INSPECTION CORRECTIONS BELOW. -PENDING FIRE FINAL AND HERS VERIFICATION -PROVIDE AUTOMATICALLY ILLUMINATED ADDRESS NUMBERS. -VACANCY SENORS REQUIRED IN BATHROOMS, LAUNDRY AND LIVING SPACES WITHOUT LUTRON SWITCHES -MISSING OUTLETS IN KITCHEN ISLAND -GFCI OUTLETS UNDER SINKS -GFCI PROTECTION REQUIRED AT COUNTER HEIGHT ALL SINKS -MISSING SMOKE DETECTORS IN MAIN HOUSE -CHECK ALL EXHAUST FANS -ALL EXTERIOR HOSE BIBS REQUIRE ANTISIPHON VALVES No March 26, 2025 78-495 Calle Tampico Page 10 of 12 PERMIT INSPECTION HISTORY REPORT (BRES2019-0555) Permit Type: Work Class: Building Residential Building Residential Status: Finaled Owner: Application Date: 12/30/2019 Issue Date: 07/14/2020 Expiration Date: 1112 E WASHINGTON AVE LLC Contractor: Scheduled Actual Date Start Date Inspection Type Inspection No. 07/30/2025 Parcel Address: Description: OWNER BUILDER Applicant: Inspection Status Primary Inspector 777150003 80800 VIA PORTOFINO LA QUINTA, CA 92253 THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ THOMAS / 4,370 SF DWELLING (3,900SF MAIN DWELLIN( + 470SF CASITA) [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALL OR BBQ. 2016 CALIFORNIA BUILDIN( CODES. #1fI# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 1 - STRUCTURAL UPDATES. #III# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 2 - TRUSS MANUFACTURER CHANGE. RYAN THOMAS Reinspection Required? Complete 07/17/2024 Final Fire IFIRE-023821-2024 Approved Lucero Iniguez No Complete Comments: RECEIVED SIGNED CONTRACTOR'S MATERIAL AND TEST CERTIFICATE FOR ABOVEGROUND PIPING 071724 Checklist Item COMMENTS Approved 07/16/2024 07/16/2024 Final Building IBLD-024421-2024 Disapproved Julio Anaya Yes Reinspection of IBLD-024135-2024 Checklist Item COMMENTS Complete Approved Correction NO ACCESS TO DWELLING INTERIOR FOR FINAL BUILDING INSPECTION. SEE PREVIOUS INSPECTION CORRECTIONS BELOW. -PENDING FIRE FINAL AND HERS VERIFICATION -PROVIDE AUTOMATICALLY ILLUMINATED ADDRESS NUMBERS. -VACANCY SENORS REQUIRED IN BATHROOMS, LAUNDRY AND LIVING SPACES WITHOUT LUTRON SWITCHES -MISSING OUTLETS IN KITCHEN ISLAND -GFCI OUTLETS UNDER SINKS -GFCI PROTECTION REQUIRED AT COUNTER HEIGHT ALL SINKS -MISSING SMOKE DETECTORS IN MAIN HOUSE -CHECK ALL EXHAUST FANS -ALL EXTERIOR HOSE BIBS REQUIRE ANTISIPHON VALVES 07/18/2024 07/18/2024 Final Building IBLD-024588-2024 Disapproved Edward Ghera Reinspection of IBLD-024421-2024 Checklist Item No Yes Complete COMMENTS Approved Correction PENDING HERS VERIFICATION No 07/30/2024 07/30/2024 Final Building IBLD-025418-2024 Approved Edward Ghera Reinspection of IBLD-024588-2024 No Complete March 26, 2025 78-495 Calle Tampico Page 11 of 12 PERMIT INSPECTION HISTORY REPORT (BRES2019-0555) Permit Type: Work Class: Building Residential Building Residential Status: Finaled Owner: Application Date: 12/30/2019 Issue Date: 07/14/2020 Expiration Date: 1112 E WASHINGTON AVE LLC Contractor: Scheduled Actual Date Start Date Inspection Type Inspection No. 07/30/2025 Parcel Address: Description: OWNER BUILDER Applicant: Inspection Status Primary Inspector 777150003 80800 VIA PORTOFINO LA QUINTA, CA 92253 THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ THOMAS / 4,370 SF DWELLING (3,900SF MAIN DWELLIN( + 470SF CASITA) [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALL OR BBQ. 2016 CALIFORNIA BUILDIN( CODES. #1fI# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 1 - STRUCTURAL UPDATES. #Ill# THOMAS / 4,370SF DWELLING/VB/RES-3/CLASS A-FR/13D """ REVISION 2 - TRUSS MANUFACTURER CHANGE. RYAN THOMAS Reinspection Required? Complete March 26, 2025 78-495 Calle Tampico Page 12 of 12 0 • - atigra CALIFORNIA Disclosures & Forms for Owner -Builders Applying for Construction Permits iMPORTANT7 l4OTl E TO PROPERTY OW R Dear Property Owner: An application for a building per4tos been submitted in your name listing yourself as the improvements specified at Q trice P, C We are providing you with an Owner -Builder Acknowledgment and n�formatiion erific tiio aware of your responsibilities and possible risk you may incur by having this permit issued in y Owner -Builder. We will not issue a building permit unlit you have read, initialed your un provision, signed, and returned this form to us at our official address indicated. cannot execute this notice unless you, the property owner, obtain the prior approval of the pe OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DI CT!ONS: Read and initial each statement below to signify you understand or verify this in I understand a frequent practice of unlicensed persons is to have the property ow Buil•' building permit that erroneously implies that the property owner is providing his material personally. I, as an Owner -Builder, may be held liable and subject to serious financi sustained by an unlicensed person and his or her employees while working on my prop insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Bui try limits of my insurance coverage for injuries to workers on my property. 2. I understand building permits are not required to be signed by property owners unless e construction and are not hiring a licensed Contractor to assume this responsibility. 3. I understand as an "Owner -Builder" I am the responsible party of record on the per f�rotect myself from potential financial risk by hiring a licensed Contractor and having th ame instead of my own. 4. 1 understand Contractors are required by law to be licensed and bonded in California a ers on permits and contracts. l understand if I employ or otherwise engage any persons, other than California licen tal value of my construction is at least five hundred dollars ($500), including labor an. co idered an "employer" under state and federal law. . I understand if I am considered an "employer" under state and federal law, I must regis fede : government, withhold payroll taxes, provide workers' compensation disability insuran unemployment compensation for each "employee." I also understand my failure to abide by th • to serious financial risk. 7. I understand under California Contractors' State License Law, an Owner -Builder wh ntial structures cannot legally build them with the intent to offer them for sale, unless al! licensed subcontractors and the number of structures does not exceed four within any calen is performed under contract with a licensed general building Contractor. 8. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, t an inancial or personal injuries sustained by any subsequent owner(s) that result from ar defects in the workmanship or materials. uilder of the property Form to make you ur name as the erstanding of each agent of the owner itting authority. ormation. er obtain an "Owner r her own labor and I risk for any injuries rty. My homeowner's • er and am aware of they are responsible t. I understand that 1 permit filed in his or to list their license ed Contractors, and materials, I may be er with the state and , and contribute to laws may subject builds single-family ork is performed by ar year, or all of the y be held liable for latent construction Page 3 of 4 49. 1 understand I may obtain more information regarding my obligations as an "employer" from the Internal Re ue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. 1 also understand I may contact the California Contractors' State e Board (CSLB) at 1-800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed ctors. 0. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that am the party legally and financially responsible for proposed construction activity at the following address: k IA 110 4of ; r.0 1.-.04 LA , CA q a.5 11. I agree that, as the party legally and financially responsible for this proposed construction activity, i will by all applicable laws and requirements that govem Owner -Builders as well as employers. 2_ I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the o ation 1 have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of Property Owner. ' Date: 6 • 30 — a a a 0 fuorter :1M E Wc45%‘;n5kov A,e,_ LLG (Z/Agin'matlna i alembic Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION,QEAGENT,TQ AC DAPE,QQERTY_OWN _ BEHALF Excluding the Notice to Property Owner, the execution of which 1 understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work):NEW 7148 SF. RESIDENCE AND GARAGES LOCATED AT 80800 VIA PORTOFINO, LA QUINTA, 92253 Project Location or Address: 80800 V IA PORTOFINO LA QUINTA CA 92253 Name of Authorized Agent:_RICHARD DIAZ PRIMELLES/RDP ARCHITECTURE Phone:310-866-3750_/424-268-7523 Address of Authorized Agent: _2219 MAIN STREET SUITE 206 SANTA MONICA, CA 90405 I declare under penalty of perjury that i am the property owner for the address listed above and 1 personally Oiled out the above information and certify its accuracy_ Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the properly owner's signature. Signature of Property Owner: Date: b•3©.. F E I ISO ENGINEERING, inc. P.O. Box 12980 Palm Desert, CA 92255 (760) 346-8015 www.feiro.net December 31, 2020 City of La Quinta Public Works Department P.O. Box 1504 La Quinta, CA 92247-1504 Re: Form Certification: Address: 80-800 Via Portofino Tract Map No. 29894-2 Lot No. 129 APN: 777-200-018 To whom it may concern, This letter will serve to state that we field checked the pad elevation and building forms for the above project and found them to be: Plan Elevation Field Elevation F.F. 1014.50 1014.49 Pad 1014.0 1014.0 Plan Setback Left 10.00 Rear 29.11' Right 10.00' Front 20.00' Measured Setback 9.88' 29.10' 10.05' 19.95' If you have any questions, please call me at (760) 346-8015. Respectfully, je Ron Feiro R:\AutoCAD\Projects\109T-002 Via Portofino - Lot 129\Certifications\La Quinta\Pad, Form, Setbacks\109t-002 Via Portofino, Pad, FF, tDacKs.aoc December 31, 2020 Page 2 Summit Structural Engineering 902 Baycolt Way PO Box 2618 McCall, ID 83638 Cell (208) 315-4102 Office (208) 634-8148 Fax (208) 630-5079 April 6, 2021 Ryan Thomas Attn: Ryan and Christina Thomas Subject: Casa De Los Osos Structural observation 80-800 Via Portofino, Hideaway La Quints, CA 92253 Dear Ryan, Per your request, we visited the subject job site on April 6, 2021 to perform a structural observation. While we were at the job site, we found several omissions and deviations from the plans_ All missing items were installed and verified while we were at the jobsite, and at that time we found the structure to be in general compliance with the structural design concept. If you have any questions, please give me a call. Yours truly, SUMMIT STRUCTURAL ENGINEERING Benjamin Herbst, P.E. BH g:1My Documents120191jobfileslRT-65416541field2(cert).doc Residential, Commercial, Industrial, Land Development 'edit ot 44lbrw COMMUNITY DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 (760) 777-7012 FAX (760) 777-7011 CERTIFICATION OF BUILDING AREA STREET ADDRESS OF JOB: 80-800 VIA PORTOFINO APN: 777-150-003 DESCRIPTION OF WORK: NEW SINGLE FAMILY DWELLING SQUARE FOOTAGE: 4,370 S.F. OWNER'S NAME: BEAR FAMILY HOLDINGS LLC For questions regarding this letter, please call: City of La Quinta Permit Center (760) 777-7012 Coachella Valley Unified School District 83-733 Avenue 55 P 0 Box 847 Thermal, CA 92274 (760) 398-5909 Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 CITY OF LA QUINTA BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE DATE06/15/2020 BY IF Please note: This letter verifies conditioned square footage. Please call your School District to verify school fees, requirement for cashier's check or money order and hours of operation. ta.,62tiliffei ,fd,, DE ERr - PERMIT # r d,E5? C�lG ` 0SS-S-re.NI PLAN LOCATION: Project Address: ogvv V.1 ti 'Di Id tint) Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN#: 111 KO 00 S1-1 New c0.)je rc `Ir t0.�? Applicant Name: Vxyg VA ,\�/ 1-\0l ,l iAy S Address: Q()'35 Viet VLFlQ/vSel City, ST, Zip: Lc, (2,„,,ks , (A G2 ZS 3 Telephone: -bo 611 Z 1- o'-1 Email: U i ,...v., n y.,y`l�/,rk a Valuation of Project $ l BUJ, dud Contractor Name: 01'4'W / 2j.1a Pam• New SFD Construction: Address: UU\35 V v. �/` 41�N5 Conditioned Space L{Zj• Q SF City, St, Zip - /� , „,, (A 1Z2_5'c L Garage 1")2.-/" SF Telephone: .lb() C--1- Z 1- Dy Patio/Porch S SF Email: tic e i11 ` W°Et( Zr1� Fire Sprinklers S SF State Lic: City Bus Lic: Arch/Eng Name: U�nrii) 5 rc.1 Construction Type: Occupancy: Address: fr, 6,_,y 26Jg Cue_ ISc/Co/t Grading: 3 �, City, St, Zip Mae,((' p> 01-36 v Telephone: zog -- 6 3 Li _ u / 1,/ y �/ U Bedrooms: Stories: # Units: Email: State Lic: (65U `43 City Bus Lic: Property Owner's Name: RPAZ 6 sn.,,' f 14out,n3.5 New Commercial / Tenant Improvements: Address: tuI D is 5 Viq V 1e Total Building SF City, ST, Zip Ly ( (24 f L4 e 2 -3 Construction Type: Occupancy: Telephone: ' Lbo 40 2 lc-nr.1 Email: ('•i 4,1( blvv,11in/0ri• GJr'-7 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 Building Permit Number: Project Description: SFR Exempt: (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan Plan Submittal Date Job Site Address Owner's Name Number, Street, or PO Box City, State, Postal Code Owners Phone Number Owner's E-Mail Address Project Manager's Name Project Manager's Phone Number Project Manager's E-mail Address Builder / Contractor Number, Street or PO Box City, State, Postal Code Project Square Footage Approval By Burrtec Date of City Approval 80800 Via Portofino Bear Family Holdings LLC 80135 Vua Valerosa La Quinta, CA 92253 7609727504 ryan@tjmillwork.com Ryan Thomas 7609727504 ryan(a timillwcuk.corn Owner Builder 80135 Via Valerosa La Quinta, CA 92253 4,370 RECEIVED DEC 3 0 2019 C1T( OF LA QUINTA DESIGN AND DEVELOPMENT DEPARTMENT Materials To Be Discarded: Product Tons Trash Asphalt Brick/Block Cardboard Commingled Concrete Drywall Donated / Reuse* *Describe Items 16.50 Not recyclable 0.00 Recyclable 0.00 Recyclable 1.20 Recyclable 0.00 Recyclable 22.00 Recyclable 2.30 Recyclable 0.00 Recyclable Product Masonry (broken) Plaster Scrap Metal Tile (floor) Tile (roof) Wood Landscape Debris Tons Recyclable Recyclable Recyclable Recyclable Recyclable Recyclable Recyclable 0.00 5.50 0.00 0.50 0.60 8.30 0.00 Totals: Recycle Trash 40.4 16.5 Projected Diversion: 71.00% 1 I understand it is the property owner's responsibility to submit copies of weight tickets or receipts to the District Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the Debris Management Plan (DMP) for the above named project shall guarantee that at least 65% of the jobsite waste is diverted from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining materials generated from the first day of the project through the completion of the project in accordance with this plan. This DMP is issued in the name of the property owner(s) and shall remain their property throughout the construction and/or demolition project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP is still issued in the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP are adhered to. The property owner(s) and general contractor shall be kept informed of the diversion progress through bi-monthly reports. If self -hauling, at refuse material from this project site must be taken to an approved recycler or transfer station. L(-r Jwner 1 Developer / Project Manager / Superintendent Date Construction Debris Management Plan Summary of Requirements As of January 1, 2017, The Green Building Standards Code (CALGreen) requires that the construction of most new structures in the State of California comply with sections 4.408 and 5.408 of the code in accordance with Assembly Bill 939 requiring that no more than 35% of jobsite waste be disposed of as trash at local land fill sites and transfer stations. Exceptions may be made for certain projects under certain conditions. The City of La Quinta is committed to the highest level of environmental respect, to conserving our precious natural resources and setting an example to provide for a better world for generations to come. Recycling helps keep reusable resources out of landfills and will also reduce disposal costs. IMPORTANT: Burrtec Waste & Recycling Services is the City's franchise hauler. If you choose to self -haul any recyclables or trash, you must provide copies of all weight tickets and/or receipts from the transfer station, landfill, or recycler as the job progresses. Clean-up companies and other haulers are not permitted to haul waste or recyclables from the City of La Quinta. Self -haul weight tickets should be submitted to: Renado Gouldlock, District Environmental Coordinator - rgouldlock@burrtecdesert.com, or faxed to (760) 340-0417, or mailed to: 41575 Eclectic Street, Palm Desert, CA. 92260. TRAVIS INDUSTRIES NOUSE OF FIRE Travis Industries, Inc. — 12521 Harbour Reach Drive -- Mukilteo, WA 98275 To: Christine Thomas Date: 1 July 2020 Pages: 1 Subject: DaVinci Fireplace is a Direct Vent Fireplace Thank you for your email regarding the DaVinci Custom Fireplace TM we manufacture. These gas fireplaces are listed to the ANSI Z21.50-2014 standard using a power vent to expel flue products. The exhaust system uses listed B-Vent to route the exhaust to the power vent (see manual for details). Combustion air is supplied to the fireplace through 6" or 8" ducting. The DaVinci fireplace meets the definition of both a direct vent system (closed) and a sealed combustion unit because it uses outside air for combustion and vents exhaust products outside. Quoting from the standard, ANSI Z21.50-2014/CSA 2.22-2014 page 36, direct vent gas fireplaces use, "...a vent -air intake terminal for installation outdoors, constructed such that all air for combustion is obtained from the outdoor atmosphere and all flue gases are discharged to the outdoor atmosphere". I hope this answers any questions you may have regarding this fireplace. If you have any further questions or concerns, please do not hesitate to contact us. Sincerely, Benny Barber Customer Service/Technical Support Manager Travis Industries, Inc. (425) 609-2500 b.barber@travisindustries.com Page 1 of 1 Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Usc Only DEVELOPER FEES PAID AREA AMOUNT LEVEL ONE AMOUNT LEVEL TWO AMOUNT MITIGATION AMOUNT COMM/IND AMOUNT DATE. RECEIPT CHECK ll INITIALS CERTIFICATE OF COMPLIANCE `` (California Education Code 17620) Project Nam: (tear Family Holdings LLC Owner's Name: Bear Family Holdings LLC ^: D;trt Address: 80-800 Via Portofino, La Quinta, CA 92253 Date: June 29, 2020 Phone No. 760-347-4246 Project Description: I Single Family Dwelling APN: 777450403 Tract #: Lot #'s: Type of Development: Residential XX Commercial Industrial Total Square Feet of Building Area: 4,370 sq. ft. 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 on behalf of the owner/developer. Dated: , /50 / 2(] Signature: ***♦*******************************►**********If************************ 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 Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Note: Number of Sq.Ft. 4,370 Amount per Sq.Ft. $3.79 Amount Collected $16,56230 Building Permit Application Completed: Yes/No By: Larry Moen, Director of Facilities Certificate issued by: Leticia Torres, Facilities Analyst Signatur NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES -AND STATF,MNT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this 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 sene 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. \1\ ,'m%d di%1i% .chi1l. ale odinmldcinir Irnni upd.1 id ;-2211117 11/2010 ot iAginrw COMMUNITY DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 (760) 777-7012 FAX (760) 777-7011 CERTIFICATION OF BUILDING AREA STREET ADDRESS OF JOB: 80-800 VIA PORTOFINO APN: 777-150-003 DESCRIPTION OF WORK: NEW SINGLE FAMILY DWELLING SQUARE FOOTAGE: 4,370 S.F. OWNER'S NAME: BEAR FAMILY HOLDINGS LLC For questions regarding this letter, please call: City of La Quinta Permit Center (760) 777-7012 Coachella Valley Unified School District 83-733 Avenue 55 P 0 Box 847 Thermal, CA 92274 (760) 398-5909 Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 CITY OF LA QUINTA BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE DATE06/15/2020 BY 7F Please note: This letter verifies conditioned square footage. Please call your School District to verify school fees, requirement for cashier's check or money order and hours of operation. .............. ...... BU • but=a:. &ut"' • NeiE3i;RI•Oiert: iert*:.:`:::... Lis a ft'ingFieck Berke(eY Barbara G. Knox .' ..:.:: ..... ;::: Cerei:fi cl5 i(7si' sTaxe".......... ......::.:3a:rttiirg;:TtiisrAresksate air tine:'1•C$ 2022......... .......... , city of LiQuinta uz1di Department .......... 7 S:Cai;fe.Tariipi i.. Qufnta :C .92253:. 00::t'ra Po ear.Building Department: . .................. , CA 92253!. office represents :Ai ce;DeCiere the Administrator Or the Esta : .rzsti e::Ke yl one:'Thomas ("Estate") See the attached Letters:Testamentary and Order.: Pro ate.: ;111i0, Estate owns: t ie' asset :cr e ?v sc i ; as Beat'. a ri �. o ... I� hich `tuirn......... owes:the real property located at: 80LP;i0 Via Portofino, La Quints, CA 92253, This' ro ei- has . p p been;...sold::to;Ricer;B t d;escrowis:due::to lose:ciitJune::j. ;::2 2;;:: l en.ese#ovv:isi `se :: Iea p then transfer the.owner builder gettbitthat:was;;issued inn tl us:pry per y to chm .B .. as ., t to ,new eo rnet o die property ht v i cornpiet Cite project;and u xaaately close:the permit Further. please.pro�v de to the new,owner access: the electroxuc: p its.:: >:'..:::: •::... ...:::.::........ . ... Tis:lett .-:has: been:read emu: fad ;.and approved:as:.to. fo Dates: ved by the Adrni iistrator:ofthe :Estate . h ........... . :truly:: yoif 1:.,.: .... : .. ................... .............. •itee: eC3erccj:; Acr..:i. ins or... 73200 5( r'a>etl;Si Ste'9 ..:.' ?aert» aiifor ua 9.Z260:' .• ........:, :.:,... f;;{76i3}34i7 003: ........ CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS PERMIT NUMBER OWNER BUILDER This form shall be posted on the iob with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Trade-/ Classification Contractor State Contractor's License Workers Compensation Insurance IllareflEMI Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date License Number Exp. Date ixx/xx/xx) (xxxx) (xx/xx/xx) CONCRETE (C-5) MASONRYFRAMING PLUMBING (C-36) LATH, PLASTER (C-35) DRYWALL (C-9) ELECTRICAL (C-10) ROOFING (C-39) SHEET METAL (C-43) FLOORING (C-15I INSULATION- SEWAGE 6 =EMI CERAMIC TILE (C-54) IIIIIIIMIIIIMIIIIIIIIIII CABINETS (C-6) FENCING (C-13) LANDSCAPING (C-27) POOL (C-53) Jimenez Special Inspections Building Permit No. : DAILY REPORT OF INSPECTION 79-735 Oxford Dr. Indio Ca. 92203 760-250-0884 Fax 760-636-5706 Date of Inspection: 12-22-20 Project Name: Casa de Los Osos Job No.: 673-20 Project Address: 80800 Via Portofino La Quints Ca Architect: Structural Engineer: Summit Structural Engineer General Contractor : Ryan Thomas Const. Sub Contractor: RU Welding TYPE OF INSPECTION: Concrete Masonry Steel Epoxy Others Welder, Welding Operators & Certification Numbers: Description of Work Inspected: Shop welding Column 2A 1 A 1 B Column to base plate, saddle to column and studs As per plan SD4 detail 1, 25, and SD5 detail 25 Inspection of completed welds for size type length location and appearance As per plan and code D1.1 Satisfactory Ryan@tjmillwork.com I hereby certify that I have inspected all of the above reported work, unless ortherwise noted, and to the best of my ability I have found this work to comply with the approved plans, specifications & applicable building laws. Final report issued at project completion. Inspector's Name Will Jimenez Certification No. 5096154 Inspector's Signature All inspections based on a minimum of 4 hours: over 4 hours will be 8 hours minimum Contractor's Representative Sladden Engineering 45090 Golf Center Parkway, Suite F, Indio, CA 92201 (760) 863-0713 6782 Stanton Avenue, Suite C, Buena Park, CA 90621 (714) 523-0952 450 Egan Avenue, Beaumont, CA 92223 (951) 845-7743 www.Sladdenengineeting.com June 17, 2020 Mr. & Mrs. Ryan & Christine Thomas 73399 El Paseo, Suite 101 Palm Desert, California 92260 Project: Proposed Custom Residence 80-800 Via Portofino The Hideaway - Lot 129 La Quinta, California Subject: Foundation Plan Review Project No. 544-20020 20-06-322 BRES2019-0555 CITY OF LA QUINTA BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE DATE07/13/2020 By F 4,370SF S.F.D. Ref: Geotechnical Update prepared by Sladden Engineering dated January 15, 2020; Project No. 544-20020, Report No. 20-01-020 In accordance with your request, we have reviewed the Foundation Plans and Details prepared by Summit Structural Engineering for the proposed custom residence to be constructed at 80-800 Via Portofino within The Hideaway development in the City of La Quinta, California. Based on our review, it is our opinion that the recommendations provided in the above referenced Geotechnical Update as well as the previous geotechnical reports have been properly incorporated into these plans. If you have questions regarding this memo or the referenced report, please contact the undersigned. Respectfully submitted, SLADDEN ENGINEERING Brett L. Anderson Principal Engineer Letter/nh ,9oOESsiOA, BRED L. % DERSON AN . tp No. G45389 411 p� GINEERING*. � NEE T9TE OF CAS-�F� , Copies: 2 / Mr. & Mrs. Ryan & Christine Thomas 1 / Summit Structural Engineering Sladden Engineering www.Sladdenengineering.com P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT (760) 777-7012 FAX (760) 777-7011 Considering Becoming an Owner -Builder? Important information you need to know BEFORE pulling your permit! The term "Owner -Builder" can mean three different things: "Owner as Worker", "Owner as Contractor" or "Owner as Employer" Understand each has Benefits or Risk, and it is possible to combine them! Hiring a California Licensed Contractor means you do not personally perform any of the construction work, the permit is not taken out in your name, you are not personally responsible for the construction and you are not an Owner -Builder. Instead, you become a "Customer" and California law provides you the benefit of protection from poor workmanship, failure to finish the job and financial risk due to worker injury. Benefit/Risk: Highest Benefits and the Least amount of Risk Owner -as -Worker is a type of Owner -Builder where you personally perform the construction work, the permit is taken out in your name and you are personally responsible for the construction management, knowledge, workmanship, and completion of the job. You benefit by not paying others to perform this work for you and your risk depends on your own ability to complete the job successfully. Benefit/Risk: Possible Benefit with Low Financial Risk Owner -as -Contractor is a type of Owner -Builder where you personally act as your own General Contractor, the permit is taken out in your name and you hire California licensed sub -contractors to perform portions of the construction work. WARNING: The benefit of protection provided by law when you hire only California licensed sub -contractors can turn to serious financial risk if you hire unlicensed contractors to perform any of the work. Benefit/Risk: Possible Benefit and Significant Financial Risk Owner -as -Employer is a type of Owner -Builder where you pay any unlicensed individual to perform any construction work valued at more than $500.00, the permit is taken out in your name and you are personally responsible for their employment requirements, supervision, performance, safety and welfare while on your property. WARNING: Cost savings benefit can turn to serious financial risk if you fail to deduct payroll taxes or provide workers compensation insurance for each worker. Benefit/Risk: Possible Benefit with Significant Financial Risk (Health and Safety Code Section 19827) The California Legislature declares an "urgent and statewide public interest in assuring" that contractors comply with Contractors' License Law, Business and Professions Code and Workers' Compensation Insurance requirements to ensure property owners are informed about, and protected from the following when improving their property as Owner -Builders: Fraudulent representations • Liability for worker's injuries • Liability for material and labor costs unpaid by contractors • Licensing requirements • Employers tax liabilities Over 20,000 consumer complaints are filed each year. Many complaints relate to owner/builder projects and include workmanship and workers' compensation issues Homeowners suffer financial harm due to defective workmanship and injured employees. Following are alarming examples of what has occurred with Owner -Builder permits: Example 1: Homeowner received insurance money to rebuild burned -down home. • Owner/Builder permit pulled to rebuild structure. • Unlicensed contractor built substandard structure — must be torn down and replaced. • Estimated financial injury is $225,000. • Additional financial injury - IRS threatened to tax insurance payout if house not completed by the end of the year. Example 2: Brother-in-law had active license but filed an exemption from Workers Comp. • Owner -Builder hires brother-in-law to install a new roof. ■ Employee falls and sustains multiple spinal and extremity fractures as well as a head injury and remains in a coma to this day. ■ The Owner -Builder, who has sold the home, is now a defendant in a lawsuit for reimbursement for benefits paid to the injured worker. Example 3: Employee of contractor without Workers Comp is hired by Owner -Builder to install septic system and suffers injury that results in permanent disability. • The Owner -Builder did not have a homeowner's insurance policy on the house against which to submit a claim. • The Owner -Builder is now a defendant in a lawsuit for reimbursement for benefits paid to the injured worker. Did you know — unlicensed persons frequently have the property owner obtain an "Owner -Builder" building permit which erroneously implies that the property owner is providing his or her own labor and material personally? Did you know — your homeowner's insurance may not provide coverage for injuries sustained on your property by an unlicensed contractor and his/her employees? Did you know — if you are considered an "employer" under state and federal law, you must register with the state and federal government, withhold payroll taxes, provide workers compensation and disability insurance and contribute to unemployment compensation for each "employee"? Did you know — that if you fail to abide by these laws you may be subjected to serious financial risk? OWNERS BEWARE AND CONSIDER THE RISK BEFORE ACCEPTING FULL RESPONSIBILITY FOR YOUR CONSTRUCTION PERMIT ce, seeiQdarw P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT (760) 777-7012 FAX (760) 777-7011 PROPERTY OWNER'S PACKAGE Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at 80800 VIA PORTOFINO LA QUINTA CA, 92253 We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. 3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. 6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. 7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. 9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1- 800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. 10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following address: 80800 VIA PORTOFINO 11. I agree that, as the party legally and fmancially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of property owner Date: Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: RTIFICATE OF OCCUPANCY DESIGN AND DEVELOPMENT DEPARTMENT This Certificate is issued pursuant to the requirements of Chapter 1 Section R110 of the California Residential Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 80800 VIA PORTOFINO Use Classification: Building Residential Permit No.: BRES2019-0555 Occupancy Group: U: Utility/Misc Type of Construction: V-B Land Use Zone: RL Structures/ R-3: 1 & 2 Family Dwellings Code Edition: 2016 By: Edward Ghera Date: 7/30/2024 12: 00:OOAM Building Official: AJ ORTEGA alitra GEM of the DESERT — Sprinkler Installed: YES Sprinkler Required: YES Owner of Building: 1112 E WASHINGTON AVE LLC - RICHMAN BRY Address: 80800 VIA PORTOFINO City, ST, ZIP: LA QUINTA, CA 92253 POST IN A CONSPICUOUS PLACE