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BRES2015-001978- 5 CALLE TAMPICO LA QUINIFA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2015-0019 Property Address: 54941 AVENIDA BERMUDAS APN: 774303019 Application Description: 1,207 SQ FT ADDITION Property Zoning: Application Valuation: $6,236.40 Applicant: GABRIEL RIOS 49901 CINNABAR LANE COACHELLA, CA 92236 JAN 30 20,15 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/30/2015 CITY COMMUNITY DEVELOPMENT dU_1— I pTE _ - N7 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.: 926190 D"ate: 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 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).: (_ 11, 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.). Lender's Lender's Address: :PH ARSANTO BOX 447 MINTA, CA 92253 Contractor: HUITRON CONSTRUCTION 50427 RIGO COURT COACHELLA, CA 92236 (760)457-9960 Llc. No.: 926190 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 thew rk for which this permit is issued. (zkMl 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, 1 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 shallforthwith comply with those provisions. A I y pP v—o Date: A licant: T.��o t 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 offic6s, 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 ove information is correct. I agree to comply with all city and county ordinances and s to I s relating to buildY'71 g construction, and hereby authorize representatives of this y j� nteApon the 1bi mentioned property for inspection purposes. / Date: >f —��Signature (Applicant orAgen DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY • 'AMOUNT PAID PAID DATE ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 0 $62.36 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT - QTY AMOUNT PAID PAID DATE ADDITION, 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 ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT: QTY AMOUNT PAID PAID DATE ADDITION, FIRST 100 SF PC 101-0000-42600 0 $171.14 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD-BY Total Paid forADDITION: $371.73 $0.00 DESCRIPTION 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 SMI - RESIDENTIAL 101-0000-20308 0 $0.81 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.81 $0.00 TOTALS:00 Description: 1,207 SQ FT ADDITION Type: BUILDING, RESIDENTIAL Subtype: ADDITION Status: APPROVED -CONDITIONS Applied: 1/22/2015 PJU Approved: 1/28/2015 JJO Parcel No: 774303019 Site Address: 54941 AVENIDA BERMUDAS LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 313 Lot: ST Issued: UNIT 28 CHRONOLOGY Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $6,236.40 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 1,207 SQ.FT. ADDITION INCLUDES MASTER BEDROOM, MASTER BATH & CLOSET, OFFICE CASITA, BATHROOM, LAUNDRY AND STORAGE PER 2013 CRC CODES. 196 SQ.FT. PATIO ADDITION. (E) KITCHEN AND BATH REMODEL. SERVICE CHANGE FROM 200 TO 400 AMP. ADD SQ. FT. TO EXISTING APPROVED PLANS. 108 SQ. FT. LIVING SPACE AND 3 SQ. FT. NON A/C. SPACE. Printed: Friday, January 30, 2015 8:38:39 AM1 of 3 CPMI SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES PLAN CHECK SUBMITTAL RECEIVED PHILIP JUAREZ 1/22/2015 1/22/2015 REVISION WHILE UNDER CONSTRUCTION TO BRES2014-1243 PUT ON ONE WEEK LIST PER JJ IN HOUSE. TELEPHONE CALL JIM JOHNSON 1/28/2015 1/28/2015 CALLED.GABREIL RIOS TO INFORM HIM PLANS ARE READY TO ISSUE CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT GABRIEL RIOS 49901 CINNABAR LANE COACHELLA CA 92236 (760)619-7611 CONTRACTOR HUITRON CONSTRUCTION 50427 RIGO COURT COACHELLA CA 92236 (760)619-7611 OWNER JOSEPH ARSANTO P.O.BOX 447 LA QUINTA CA 92253 (760)619-7611 Printed: Friday, January 30, 2015 8:38:39 AM1 of 3 CPMI SYSTEMS PARENT PROJECTS Printed: Friday, January 30, 2015 8:38:39 AM 2 of 3 CS? SYSTEMS FINANCIAL 1 . DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY ADDITION, EA 101-0000-42400 0 $62.36 $0.00 ADDITIONAL 500 SF ADDITION, EA 101-0000-42600 0 $17.40 $0.00 ADDITIONAL 500 SF PC ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $0.00 ADDITION, FIRST 100 SF 101-0000-42600 0 $171.14 $0.00 PC Total Paid forADDITION: $371.73 $0.00 BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING 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 SMI - RESIDENTIAL 101-0000-20308 0 $0.81 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.81 $0.00 TOTALS:00 PARENT PROJECTS Printed: Friday, January 30, 2015 8:38:39 AM 2 of 3 CS? SYSTEMS __.._..__._.___...... ._.._..---- REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE STATUS REMARKS NOTES PLANS APPROVED ADDITIONAL FT. ADDED TO NON-STRUCTURAL JIM JOHNSON 1/27/2015 1/27/2015 1/27/2015 APPROVED APPROVED EXISTING PERMIT. . Printed: Friday, January 30, 2015 8:38:39 AM 3 of 3 srsTeMs Bin (� Permit # �� d� Project Address: % � Qty of La Quinta. Buifding 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet r if Owner's Name: A. P. Number: SDI Address: ,v. Legal Description: City, ST, Zip: ),_ 6�✓ Contractor: (Telephone: ;>:;::.:;:;::...:,.; ; :•::. ; :.; Address:(�� 1 t5 Project Description: City, ST, zip:.ti �-a-i�,,�- �' 2l • Telephone: State Lic. # : City Lie. #; Arch., Engr., Designer:t e�l� Address: l.'t'1 U) 1" 7� l /L J �� ' ( Z, 1113 City., ST, Zip:C- qZ� Telephone: D ��_ ;;..�::.>:;: ''^'" ''' ^`'`' '' ""`'" ^ Construction Type: V"c cup an cy V/4f State Lic. # Project type circle one): New Add Alter. Repair Demo Name of Contact Person:I`S Sq. Ft.: 2✓ I b # Stories: *Units: ✓ Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd Rcc'd TRACMIG PERMIT FEES Plan Sets Z PIan Cheeksubmitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance. Titic 24 Calcs. 2 Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrccti ns/issue Electrical Subcontactor List Callcd ContactPcrson Plumbing Grant Decd Plans picked up S.M.I. II.O.A. Approval Plans resubmitted -Grading M HOUSE:- " Revitw, ready for corrcctions(ssuc Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of p met iss SCllool Fees c Total Permit Fees