BRES2015-0056r.
�
78-495 CALLE TAMPICO Q.�i
D VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/25/2015
Application Number:
BRES2015-0056 .
Owner:
Property Address:
56118 BALTUSROL
56118
APN:
775360018
806 SINGING HEIGHTS DR
Application Description:
REVISION TO 640SF ADDITION PERMIT BRES2014-1231
EL CAJON, CA 92253
Property Zoning:
Application Valuation:
Applicant:
Contractor:
LENCH DESIGN STUDIO, INC. FEB 2 5 2015
BRAUCKMANN INC
P.O. BOX 450
50855 WASHINGTON STREET
LA QUINTA, CA
CITY OF LA QUINTA
NUMBER 227
COMMUNITYDEVELOPMENTDEPARThtENT
LA QUINTA, CA 92253
(760)972-8092
Llc. No.: 781834
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Ch
9 (commencing with Section 7000) of Division 3 of the Business and Prof orts�
and my License is in full force and effect.
('License Class: B,( License No.: 781834
'v Date: Z 2 �+ �� Contractor:
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 r
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for it
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
( ) 1, 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 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.).
(_J 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 Na
Lender's Address:
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: _
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 sh orthwith
comply with t ose /pro;sns.
Date: 7 Applicant:
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 u on the above-
mentioned o/pen for inspection purposes.
gate: �J �� Signature (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT' QTY
AMOUNT
PAID PAID DATE
HOURLY PLAN CHECK - YES 101-0000-42600
1
$70.00
$0.00
PAID BY METHOD ` "
- RECEIPT.#
CHECK # CLTD BY
Total Paid for BLDG CITY STAFF - PER HOUR:.
TOTALS:00
$70.00
$0.00
$0.00
Description: REVISION TO 640SF ADDITION PERMIT BRES2014-1231
Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED
Applied: 2/18/2015 SKH
Approved: 2/24/2015 JJO
Parcel No: 775360018 Site Address: 56118 BALTUSROL LA QUINTA,CA 92253
Subdivision: TR 28961 Block: Lot: 28
Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $0.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
PLAN CHECK SUBMITTAL
RECEIVED
Details: REVISION TO 640SF ADDITION PERMIT BRES2014-1231
SQ. FT. WAS CAHNGED TO SHOW 499 SQ. FT. A/C ADDITION AND 141 SQ. FT. NON A/C PATIO STORAGE AREA.
FINANCIAL INFORMATION
Printed: Wednesday, February 25, 2015 10:08:05 AM 1 of 2
ff?&V.'YS TEMS
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE NOTES
PLAN CHECK SUBMITTAL
RECEIVED
KAY HENSEL
2/18/2015
2/18/2015
SUBMITTAL RECEIVED AT FRONT COUNTER BY SK. REVISION
TO BRES2014-1231
CONDITIONS
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
NAME TYPE
NAME
ADDRESSI
APPLICANT
LENCH DESIGN STUDIO, INC.
P.O. BOX 450
LA QUINTA
CA
(760)578-1077
CONTRACTOR
BRAUCKMANN INC
50855 WASHINGTON
STREET
LA QUINTA
CA
92253
(760)578-1077
OWNER
56118
806 SINGING HEIGHTS
DR
EL CAJON
CA
92253
(760)578-1077
FINANCIAL INFORMATION
Printed: Wednesday, February 25, 2015 10:08:05 AM 1 of 2
ff?&V.'YS TEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
. RECEIPT #
CHECK #.
METHOD
PAID BY
CLTD
BY
HOURLY PLAN CHECK -
101-0000-42600
1
$70.00.
$0.00
YES
Total Paid.forBLDG CITY STAFF - PER HOUR: $70.00 $0.00
TOTALS:0• $0.00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT : REMARKS
NOTES
FINAL"
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Wednesday, February 25, 2015 10:08:05 AM 2 of 2
' CI?SYS7EMS