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BRES2016-016253740 Avenida Martinez BRES2016-0162 0 D Q(u91h VOICE (760) 777-7125 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/12/2017 Application Number: BRES2016-0162 Owner: Property Address: 53740 AVENIDA MARTINEZ JAMES GILHULA ti APN: 774132012 PO BOX 14 Z 4 Application Description: JUAN HERNANDEZ/ REMODEL EUREKA, CA 92253 Z Property Zoning: D e L Application Valuation: $60,000.00 Z Applicant: Contractor: 6 D JUAN CARLOS HERNANDEZ DBA JH CONSTRUCTIO JUAN CARLOS HERNANDE BH COP TRU 5062 NOBLE ST 5062 NOBLE ST Z _o RIVERSIDE, CA 92503 RIVERSIDE, CA 92503 v a (951)634-288 Q Llc: No.: 964622 6 Z --------------------------------------------------------------------------------------------- LICENSED CONTI I hereby affirm under penalty of perjury 9 (commencing with Section 7000) of Di and my License is in full force and effeel License Class: B, C-2 License No(: Date: i Contrac' cc am licensed under pr 3 of the Business and 964626 of Chapter ons Code, 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.). ( 1, 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 td 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. . BAP.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 Na Lender's Add WORKER'S COMPENSATION DECLARATION I hecebylaffirm under penalty of perjury one of the following declarations: 7I have and will maintain a certificate of consent to self -insure for workers' compen I ion, as provided for by Section 3700 of the Labor Code, for the performance of t e ork for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Secti n 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: OLD REPUBLIC INSURANCE COMPANY Polity Number: MWC306609 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner o -as to b'e -omLi subject to the workers' compensation laws of California, and ree that, if I s Id become subject to the workers' compensation provisions Section 3700 of th Labo Code, I shall forthwith comply with those provisions. Date: " , I iI Ap • licant: WARNING: FAILURE TO SECURE WO Kz' OMPESATION 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 fFe aboveinformation s correct. I agree to comply with all city and county ordin Ees and state lav' relay /to building construction, and hereby authorize representatives of this city to enter on the above-mentioned property for inspection pu4oses. ' Date: Signature (Applica(t or Agent): Date: 1/12/2017 Application Number: BRES2016-0162 Owner: Property Address: 53740 AVENIDA MARTINEZ JAMES GILHULA APN: 774132012 PO BOX 14 Application Description: JUAN HERNANDEZ / REMODEL EUREKA, CA 92253 Property Zoning: Application Valuation: $60,000.00 Applicant: Contractor: JUAN CARLOS HERNANDEZ DBA JH CONSTRUCTIO JUAN CARLOS HERNANDEZ DBA JH CONSTRUCTIO 5062 NOBLE ST 5062 NOBLEST RIVERSIDE, CA 92503 RIVERSIDE, CA 92503 (951)63472888 Llc. No.: 964626 Detail: FIRE DAMAGE REBUILD PER 2013 CRC CODES FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES ADMINISTRATIVE STAFF 101-0000-42600 0.25 $10.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES ADMINISTRATIVE STAFF 101-0000-42600 0.25 $10.00 DESCRIPTION ACCOUNT QTY AMOUNT, HOURLY CHARGE - YES ADMINISTRATIVE STAFF 101-0000-42600 0.25 $10.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES ADMINISTRATIVE STAFF 101-0000-42600 0.25 $10.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES ADMINISTRATIVE STAFF 101-0000-42600 0.25 $10.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 4 $380.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 2 $190.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 2 $190.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 2 $190.00 Total Paid for BLDG CITY STAFF - PER HOUR: $1,000.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $3.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $3.00 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-426000 $16.92 Total Paid for ELECTRICAL: $41.09 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 .0 $12.33 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $5.08 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $210.30 DESCRIPTION ACCOUNT QTY AMOUNT APPLIANCE REPAIR/ALTERATION 101-0000-42402 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT APPLIANCE REPAIR/ALTERATION PC 101-0000-42600 0 $4.83 ' DESCRIPTION. ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $36.26 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $4.83 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 •0 $36.26 1 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-000.0-42600 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $36.27 DESCRIPTION . ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $14.49 Total Paid for MECHANICAL: $205.46 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $120.90 DESCRIPTION ACCOUNT . QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $120.90 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $7.25 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 Total Paid for PLUMBING FEES: $285.32 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $87.00 DESCRIPTION . ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $69.60 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 Total Paid for REMODEL: $340.79 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $7.80 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $7.80 i