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BRES2016-013278-495 CA LLE- TAMPICO Ct 0 D ''i �rwNllCl/ LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2016-0132 Property Address: 79914 DANDELION DR APN: 604491002 Application Description: BROWN / BATHROOM REMODEL Property Zoning: of th k for which this permit is issued. have and will maintain workers' compensation insurance, as required by Application Valuation: $5,000.00 Applicant: n 3700 of the Labor Code, the performance of the work for which this permit SMITH & SONS CONSTRUCTION INC. 9416 WILSON RANCH ROAD PHELAN, CA 92371 Carrier: _ Policy Number: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 LICENSED CONTRACTOR'S DECLARATION I WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter Date: 5/27/2016 Owner: and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance CORDYN BROWN of th k for which this permit is issued. have and will maintain workers' compensation insurance, as required by �- Date:Contractor: 79914 DANDELION DR .5 n 3700 of the Labor Code, the performance of the work for which this permit LA QUINTA, CA 92253 is issued. My workers' compensation insurance carrier and policy number are: OWNER -BUILDER DECLARATION Carrier: _ Policy Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a Er-.a Contractor: comply with those provisions. Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 Business SMITH & SONS CONSTRUCTIO9416 of the and Professions Code) or that he or she is exempt therefrom and the Date: I� Applican WILSON RANCH ROAD permit subjects the applicant to a civil penalty of not more than five hundred dollars PHELAN, CA 92371 ($500).: AND SHALL SUBJECT AN EMPLOYER. TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (909)885-2220 ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation; will do the work, and the structure is not intended or offered for sale. Llc. No.: 810,322 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTOR'S DECLARATION I WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance License Class: B License No.: 810322 �..,' of th k for which this permit is issued. have and will maintain workers' compensation insurance, as required by �- Date:Contractor: Seco for .5 n 3700 of the Labor Code, the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: OWNER -BUILDER DECLARATION Carrier: _ Policy Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions. Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 Business p� —� of the and Professions Code) or that he or she is exempt therefrom and the Date: I� Applican 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 WARNING: FAILURE TO SECURE WORKERS' COM 4NSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER. TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ( 11, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation; will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE; (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to . within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose (_) I, as owner -of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (� I am exempt under. Sec. . B.&P.C. for this reason 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. 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 Lender's Address: I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the 0 above-mentioned property for inspection purposes. 1 Date: A Signature (Applicant or Agent DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT. PAID PAID.DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00. $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $0.00 -PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $24.18 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $9.66 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for MECHANICAL: $33.84 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-000042401 0 $48.36 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $48.36 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $120.90 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID �. PAID DATE REMODEL, EA ADDITIONAL 5.00 SF 101-0000-42400 0 $21.75 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID 'PAID DATE' REMODEL,.EA ADDITIONAL 500 SF PC 101-0000-42600 ' 0 $17.40 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT - QTY- AMOUNT, PAID PAID DATE REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY :DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 $0.00 4 PAID BY METHOD RECEIPT # CHECK # CLTD BY . Total Paid for REMODEL: $223.34 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI _ RESIDENTIAL 101-0000-20308 0 $0.65 •$0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.65 $0.00 TOTALS:•• Description: BROWN / BATHROOM REMODEL Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED Applied: 5/9/2016 SKH Approved: 5/26/2016 JJO Parcel No: 604491002 Site Address: 79914 DANDELION DR LA QUINTA,CA 92253 Subdivision: TR 24197-2 Block: Lot: 2 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $5,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 RAMSES SEVILLA Details: REMODEL BATHROOM, DELETE TUB AND ENLARGE SHOWER, REPLACE SINKS, NEW CACINETS, REPLACE FAUCETS, REPLACE FANSAND FAN LIGHTS PER 2013 CRC AND CPC. Printed: Friday, May 27, 2016 10:27:43 AM 1 of 3 CRIfflySTEMS ADDITIONAL CHRONOLOGY TYPE STAFF NAME CHRONOLOGY ACTION DATE COMPLETION DATE NOTES PLAN CHECK PICKED UP RAMSES SEVILLA 5/23/2016 5/23/2016 RESUBMITTAL STEPHANIE KHATAMI 5/25/2016 5/25/2016 TELEPHONE CALL JIM JOHNSON 5/17/2016 5/17/2016 called George martin to inform him the plans are ready for corrections TELEPHONE CALL JIM JOHNSON 5/26/2016 5/26/2016 CALLED GEORGE MARTIN TO INFORM HIM THE PLANS ARE READY TO ISSUE CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT. SMITH & SONS CONSTRUCTION INC. 9416 WILSON RANCH ROAD PHELAN CA 92371 Printed: Friday, May 27, 2016 10:27:43 AM 1 of 3 CRIfflySTEMS ZIP PHONE FAX EMAIL NAMf°TYPE, < , ,, � """"NAME `- . _ ADDR ESSi CITY STATE _ ' CONTRACTOR SMITH & SONS CONSTRUCTION INC. 9416 WILSON RANCH PHELAN CA 92371 ROAD OWNER CORDYN BROWN 79914 DANDELION DR LA QUINTA CA 92253 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID CLTD PAID DATE RECEIPT CHECK # METHOD PAID BY ,# BY BSAS SB1473 FEE 101-0000-20306 0. $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $0.00 1,000SF RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $0.00 1,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $0.00 VENT FAN 101-0000-42402 0 $24.18 $0.00 VENT FAN PC 101-0000-42600 0 $9.66 $0.00 Total Paid for MECHANICAL: $33.84 $0.00 FIXTURE/TRAP 101-0000-42401 0 $48.36 $0.00 FIXTURE/TRAP PC. 101-0000-42600 0 $48.36 $0.00 WATER SYSTEM 101-0000-42401 0 $12.09 $0.00 INST/ALT/REP WATER SYSTEM 101-0000-42600T07 $12.09 $0.00 INST/ALT/REP PC Total Paid for PLUMBING FEES:. $120.90 $0.00 REMODEL, EA 101-0000-424000 $21.75 $0.00 NAL ADDITIO500 SF Printed: Friday, May 27, 2016 10:27:43 AM 2 of 3 EFEIF sysrrnas INSPECTIONS PARENT PROJECTS REVIEW TYPE ,.., NT DA,. REVIEWER SE TE :........ ....... DUE DATE ;R'ETURNED,,,,,,, REVIEWS ,,,5�`ATIJ.. ,,..,,.. S REM"..._........ ARKS NOTES GATE CL DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY REMODEL, EA 101-0000-42600 0 $17.40 $0.00 WK) ADDITIONAL 500 SF PC REMODEL, FIRST 100 SF 101-0000-42400 0. $49.31 $0.00 REMODEL, FIRST 500 SF 101-0000-42600 0 $134.88 $0.00 PC Total Paid for REMODEL: $223.34 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $0.65 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.65 $0.00 TOTALS:•0 INSPECTIONS PARENT PROJECTS REVIEW TYPE ,.., NT DA,. REVIEWER SE TE :........ ....... DUE DATE ;R'ETURNED,,,,,,, REVIEWS ,,,5�`ATIJ.. ,,..,,.. S REM"..._........ ARKS NOTES GATE 1ST BLDG NS (1 WK) JIM JOHNSON 5/9/2016 5/16/2016 5/17/2016 REVISIONS REQUIRED 2ND BLDG NS (1 JIM JOHNSON 5/25/2016 6/2/2016 5/26/2016 APPROVED WK) Printed: Friday, May 27, 2016 10:27:43 AM 3 of 3 .;. SYSTEMS Uw l l r t r 59„ - 21" 15" T, r 84 r V 15' 25" -- 431 ' — 45"t 15 rr 18 2 -- J W\rfl w s� L9 CITY OF LA QUINTA BUILDING & SAFETY DEPT. 6o" PROVE® FOR ONSTRUCTION —�� 1536 U B PS 33 V � V J �"$��1., V .0B 3 U. WMW+m�.�1 :R�1�c���-►���'� . 1~ �F�uS �. � �te� C.c�����s Q 22" --15"" -14 4 _ rco . co Ile C✓' � %fes ° N C9 0 J. ® � f �;�-_�tif�;' �1�F.i � .%'�i.�sy ,r :i`.?.� .�.., a1 � ..�:�....z... t ': ,•L. � ,; Lr::�::icJ (` V ;k1 \)e 14 fr 1 Q err 14" 0 5 r c M .i tt40"91odz C. -OT -S9 LX�Sir,vS� wA�0o(A) p GFI 4 �4 tr `�' CITY OF LA QUANTA BUILDING & SAFETY DEPT, x o APPROVE w .FOR CONSTRUCTI N � f§� 's . r DATE BY m ► fm 1 • � n W uJ N�U j r g }o LL 0 Lu Z 0 i •y. Construction is NOT PERMITTED on the following Code Holidays: New Year's Day Dr. Martin Luther King Jr. Day President's Day Memorial Day Independence Day Labor Day Veteran's Day Thanksgiving Day Christmas Day "AN ADEQUATELY SIZED DEBRIS CONTAINER IS REQUIRED OJOB ON AND MUSTALL BE PHASES OFC CONSTRUCTION EMPTIED AS NECESSARY, FAILURE TO DO SO MAY CAUSE THE Ci f'( TO HAVE THE CONTAINER "!MPED AT THE F —,',ISE OF THE OVVNER/ ?r;CTOR." A RE -INSPECTION FEE OF $ 17,2. 5 2 - WILL WILL BE CHARGED IF THE APPROVED PLANS AND 10B CAR[* ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION NO EXCEPTIONS! CONS'TRUC'TION HOURS ()ctober 1st - April 30 l,Jonday - Friday. 0 a0m .m. to ®0:30 p p.m. to Saturday: S3� n4 Say : Novae Gove, vert Code Holidays: None 1 i .ay st _ September 30th %,,xdt ayr - Friday: 5:00 a.m. to 7:00 p.m. 8:00 a.m. to 5:00 p.m. Rlaidgyr: Norge .n 3ernment Code Holidays: None