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BRES2014-1247- own 78-495 CALLE TAMPICO ; LA QUINTA, CALIFORNIA 92253 Titr 4 4 Q" COMMUNITY DEVELOPMENT BUILDING PERMIT Application Number: BRES2014-1247 Property Address: 77895 AVENIDA MONTEZUMA APN:, 773101005 Application Description: STORM DAMAGE REMODEL Property Zoning: ' Application Valuation: $3,000.00 Applicant: CADD WORKS INC . 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 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: License No.: :LIC -0108710 Date: 12 ' 10' 2414-- Contr or: ll— ©l) � �iS f O N C . 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: V . E (760) 777-7125 D (U X (760) 777-7011 A IS (760) 777-7153 DEC 10 201.4 ie: 12/10/2014 wn r. CITY OF LA QUINTA l °MENIT DEPARTMENT 112 E CHAPMAN AVE STE E ORANGE, CA 92253 Contractor: CADD WORKS INC 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 (760)272-5180 Llc. No.: :LIC -0108710 WORKER'S COMPENSATION DECLARATION 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 issue workers' compensation insurance carrier and policy number are: Card Policy Number: er: 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 37 0 of the Labor Code, I shall forthwith comply With thoser�prrovisions. Date:. ��. I0 Appli i WARNING: FAILURE TO SECURE WORKERS' COMP NSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES 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 la s relating to building construction, and hereby authorize representatives of this city to nter upon the above- mentioned property for inspection purposes. Date: V1 ature (Applicant ;Xgent Description: STORM DAMAGE REMODEL Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: SUBMITTED Applied: 12/10/2014 MFA Approved: Parcel No: 773101005 Site Address: 77895 AVENIDA MONTEZUMA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 133 Lot: 9 Issued: NO 14 Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $3,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: REPLACE DRYWALL UP TO 2' HIGH,.WALLS AND AFFECTED AREAS. PER 2013 CALIFORNIA BUILDING CODE ADDITIONALL _ ... SITES Printed: Wednesday, December 10, 2014 12:17:45 PM 1 of 2 SYSTEMS ui Z r s= v • 6 Detail's :Ofa-® ' � _ REVIEWER RETURNED, � .STATUS REMARKS �T h s REVIEW TYPES: .SENT DATE s DUE DATEa :, t DATE = • s. NOTES w .s b *� BOND INFORMATION ATTACHMENTS 1, Printed: Wednesday, December 10, 2014 12:17:45 PM 2 of 2 SYSTEMS Bint City of La Quinta Building 8L Safety Division P.O..Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permi `( � -�-69 Project Address: -'7-799,c;- A uv --w i A- K0 •- Owner's Name: U C A-&- . C, t /�- . A. P. Number: Address:ffl.",T4)Es3 1 Wq yeZOM4 Legal Description: City, ST, Zip: LA Contractor: or • C�� CNo S I N c Telephone: Address: 31415 . Cq;L5�- M aetie Project Description: D(L "�k City, ST, zip: ` W, U S ,,�'N()PA VA �1T1 St Telephone: 0 2 2s 3 9 � 2 S r i9 0 �' Af'E• -AAEA- State Lic. # : 1 City Lie. #: Gl.G,.:.DaMA 0M AW,�C,n. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: :•:r:::� ::.�;j�.:::.:F:±;<•i:±rte•>:;::.::::.�::}::}::�+':p:"' Construction Type:. Occupancy: State Lic. Project type circle one : New Add'n Altcr a air Demo Name of Contact Person: R(OCA PZ O Sq. Ft:: # Stories:. • # Units: Tele hone #,of Contact Person: P �(p0 2,� s �� Estimated Value of Project: hyo APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Reyiew, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. -Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees r