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BRES2015-0218k\ I r 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 4 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2015-0218 Property Address: _ 78014 LAGO DR APN- 658270035 Application Description: FLETCHER RESIDENCE / REMODEL ADD FIREPLACE Property Zoning: Application Valuation: $12,000.00 Applicant: MIKE DURKTON 202 SAVAGE DR CATHEDRAL CITY, CA 92234 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: B License No.: 505442 Da`te� ` �C (� Contrctor. C.� Vf 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.). 9 Lender's Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/9/2015 Owner: PATTY FLETCHER 78014 LAGO DR LA QUINTA, CA 92253 Contractor: MARK DURKTON CONSTRUCTION INC 202 SAVAGE DRIVE CATHEDRAL CITY, CA 92234 (760)578-4940 Llc. No.: 505442 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I -have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy Number:_ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. A Date:& -1 J UK pplicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this.application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned property for inspection purposes. Date: or Agentli FINANCIAL INFORMATION •. : DESCRIPTION '.ACCOUNTQTY AMOUNT PAID PAID DATE' BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 6/9/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY MARK DURKTON CONSTRUCTION INC CHECK MR182 2799 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00' $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIREPLACE 101-0000-42400 0 $145.03 $145.03 6/9/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY MARK DURKTON CONSTRUCTION INC CHECK MR182 2799 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIREPLACE PC 101-0000-42600 0 $217.55 $217.55 6/9/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY MARK DURKTON CONSTRUCTION INC CHECK MR182 2799 MFA Total Paid forFIREPLACE: $362.58 $362.58 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE _GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $12.09 6/9/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY MARK DURKTON CONSTRUCTION INC CHECK MR182 2799 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $24.17 6/9/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY MARK DURKTON CONSTRUCTION INC CHECK MR182 2799 MFA Total Paid forPLUMBING FEES: $36.26 $36.26 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $1.56 $1.56 6/9/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY MARK DURKTON CONSTRUCTION INC CHECK MR182 2799 MFA Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $1.56 $1.56 40 Description: FLETCHER RESIDENCE / REMODEL ADD FIREPLACE Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: ISSUED Applied: 6/9/2015 MFA Approved: 6/9/2015 MFA Parcel No: 658270035 Site Address: 78014 LAGO DR LA QUINTA,CA 92253 Subdivision: TR 4418 & INT COMMON AREA Block: Lot: 10 Issued: 6/9/2015 MFA Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $12,000.00 Occupancy Type: Construction Type: Expired: 12/6/2015 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME TYPE Details: ADD FIREPLACE PER 2013 CALIFORNIA BUILDING CODE ADDRESSI CITY Applied to Approved Approved to Issued FINANCIAL INFORMATION Printed: Tuesday, June 09, 2015 7:58:37 AM 1 of 3srszEMs CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT MIKE DURKTON 202 SAVAGE DR CATHEDRAL CA 92234 CITY CONTRACTOR MARK DURKTON CONSTRUCTION 202 SAVAGE DRIVE CATHEDRAL CA 92234 INC CITY . OWNER PATTY FLETCHER 78014 LAGO DR LA QUINTA CA 92253 FINANCIAL INFORMATION Printed: Tuesday, June 09, 2015 7:58:37 AM 1 of 3srszEMs INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS' NOTES FINAL" BLD CLTD _ DESCRIPTION " ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 6/9/15 MR182 2799 CHECK MARK DURKTON MFA CONSTRUCTION INC Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: FIREPLACE 101-0000-42400 0. $145.03 $145.03 6/9/15 MR182 2799 CHECK MARK DURKTON MFA. CONSTRUCTION INC FIREPLACE PC 101-0000-42600 0 $217.55 $217.55 6/9/15 MR182 2799 CHECK MARK DURKTON MFA CONSTRUCTION INC Total Paid forFIREPLACE: $362.58 $362.58 GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $12.09 6/9/15 MR182 2799 CHECK MARK DURKTON MFA OUTLETS CONSTRUCTION INC GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $24.17 6/9/15 MR182 2799 CHECK MARK DURKTON MFA OUTLETS PC CONSTRUCTION INC Total Paid forPLUMBING FEES: $36.26 $36.26 SMI - RESIDENTIAL 101-0000-20308. 0 $1.56 $1.56 6/9/15 MR182 2799 CHECK MARK UCTIONURKTN MFA CONSTRUCTION INC Total Paid forSTRONG MOTION INSTRUMENTATION SMt $1.56 $1.56 $401.40 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS' NOTES FINAL" BLD Printed: Tuesday, lune 09, 2015 7:58:37 AM 2 of 3 C1 SYSTEMS Bin # City of LaQ uinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit # Project Address: l ta- L �� 0 Q � - Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor:M . Telephone;hone: e4l Address: OZ �_.. P VAC b Project Description: ?-IF— City, ST, Zip: Telephone:-44 Sa 41 4o State Lic. # : D 4• tJ 4" Z City Li c. #: f 22 Arch., Engr., Designer: f Address: City., ST, Zip: Telephone: h one: Construction on TYP e• Occupancy: Y• a St to Lic. # Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: k Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 9�o o G, +a 41 4o Estimated Value of Project: Z, APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Caics. Reviewed, ready for corrections Plan Check Deposit Truss Caics. 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 corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue Schodl Fees Total Permit Fees