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BRER2017-004978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tww DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: BRER2017-0049 Owner: Property Address: 53275 AVENIDA RAMIREZ LINDSEY SCHNEIDER APN: 774081027 302 VIA NAPOLI Application Description: SCHNEIDER / RE -ROOF 80 SF: REPLACE PLYWOOD AND INST SAME TILE CATHEDRAL CII', CA 92253 Property Zoning: Application Valuation: $800.00 Applicant: D�� Contractor: PAZ CONTRACTORS COMPANY PAZ CONTRACTORS COMPANY 796 PALMYRITA AVENUE MAY y 9 2��7 796 PALMYRITA AVENUE 1 RIVERSIDE, CA 92507 RIVERSIDE, CA 92507 CITY 0.F LA QUINTA (626)712-9340 Ee)rt\( �,�� ;�i. �;t j f,ugpc�IT DEPARTMENT Lic. No.: 762337 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.: 762337 Date: 4 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 br 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 wiH 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 Lender's Address: Date: 5%19/2017 WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one cf the following declarations: I have and will maintain a certificate of consent to self -insure for workers' . compensation, as provided for by Section 37CD of the Labor Code, for the performance oft .work,for which this permit is issued. r - I.have and will maintain workers' cs3mpensation insurance, as *required by Section 3700 of the Labor Code, for the perfoomance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9160041 _ I certify that in the performance of :he work for which this permit is issued, I shall not employ any person in any manner sc as to become subject to the workers' compensation laws of California, and agree tl-at, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: S Applicant: C �-- . WARNING: FAILURE TO SECURE WORKERS' CCMPENSATION COVERAGE 15 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 thi's 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 bu" ding construction, and hereby authorize representatives of this city to r upon th bove- mentioned property for inspection purposes. Signature (Applicants Date: 5/19/2017 Application Number: BRER2017-0049 Owner: Property Address: 53275 AVENIDA RAMIREZ LINDSEY SCHNE.IDER APN: 774081027 302 VIA NAPOLI Application -Description: SCHNEIDER / RE -ROOF 80SF: REPLACE PLYWOOD AND INST SAME TILE CATHEDRAL CITY, CA 92253 Property Zoning: Application Valuation: $800.00 Applicant: Contractor: PAZ CONTRACTORS COMPANY - PAZ CONTRACTORS COMPANY, 796 PALMYRITA AVENUE 796.PALMYRITA AVENUE RIVERSIDE, CA 92507 RIVERSIDE, CA 92507 (626)712-9340 LIc. No.: 762337 Detail: REROOF - REPLACE PLYWOOD AND RE -ROOF WITH SAME TILE. 2016 CALIFORNIA ENERGY CODE. DESCRIPTION ACCOUNT QTY FINANCIAL • • BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF - FIRST 2,000.SF 101-0000-42404 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF - FIRST 2,000.SF 101-0000-42404 0 $51.68 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF.- FIRST 2,000 SF PC 101-0000-42600 0 $103.36 Total Paid for RE -ROOF: $155.04 . DESCRIPTION ACCOUNT. QTY. AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: $161.0 Bin # 00ty of La Qu►nta Building & Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 0o y q . Building Permit Application and Tracking Sheet Permit # 7 tProject:Address:-��2✓� "t Cl � M I 2 Owner's Name? \ I d5,, --Y �c t% r) e A. P. Number: 14Address, rj 3 Z �� " .4(Jel < (Vol oy'tw Legal Description: C� aCy,TZp Contractor: qq �� s C i �- %("Z t� >� Cii " -� Te le hone. P � - Address:A (A f ll lel dij ,� c WojecfDescription: Cit sip: c JurS �-� _ Oar) 4yv of P h`one: 4. t 1 P' (o ...................................... _ - 1es..� r Sta[e Lic"# 'Ci'ty_ tL c. #:_ Arch., Engr., Designer: Address: City., ST, Zip: Telephone: State Lic. #: Name of.ContaefPerson: - Construction TY O� u an Type: P cY: P Project type (circle one): New Add' n Alter Repair Demo Sq`Ft '0 # Stories: # Units: Telephone # of Contact Person: Cp fj ' Estimated Value of Project: 1350 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 Cales. Called Contact Person Plan Check Ealance 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 Iirpact Fee Planning Approval Called Contact Person A.I.P.P. .Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees