BRES2016-034478-495 CALLE,TAMPICO ,
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:,
Property Zoning:
Application Valuation:
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BRES2016-0344
81694 RICOCHET WAY
767630019
ODONNELL / FLOOD REPAIR DRYWALL, INSULATION, CABINETS
$50,000.00
Applicant:
PULIDO CLEANING & RESTORATION INC DBA PC
PMB 427
27475 YNEZ ROAD
TEMECULA, CA 92591
I{1 DEC 13 20116 L
COMMUNIiYD OF�q QUjNTA
EV ELOPMEWDEPgRTMENT
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 Busine s and Professions Code,
and my License is in full force and effect.
Licensee/ Class: B { / License No.: 710901
Date* h Z e / �/ 4 Contractor:
OWNER -BUILDER DECLARATIO
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).:
(_) 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.).
(_) 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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/16/2016
Owner:
MICHAEL ODONNELL
P O BOX 1037
MI WUK VILLAGE, CA 922S3
Contractor:
PULIDO CLEANING & RESTORATION INC DBA PC
PMB 427
27475 YNEZ ROAD
TEMECULA, CA 92591
(951)296-9090
LIc. No.: 710901
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: OAK RIVER INSURANCE COMPANY Policy Number: PUWC708S76
-_ 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 Laborde, I shall forthwith
comply with those provisions.
Date:% d 1,' A0. Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERA 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 rel mg to building
construction, and hereby authorize representatives of this city to e7 u on the
above-mentioned property for inspection purposes. 0
Datd.6 12' 4 41160 Signature (Applicant or Agen
Application.NumbEr_. ,_.,.
B#ES2016=0344
Property Address:
81694 RICOCHET WAY
APN:
767630019
Application Description:
ODONNELL / FLOOD REPAIR DRYWALL, INSULATION, CABINETS
Property Zoning:
Application Valuation:
$50,000.00
Applicant:
PULIDO CLEANING & RESTORATION INC DBA PC
PMB 427
27475 YNEZ ROAD
TEMECULA, CA 92591
Date: 12/16/2016
Owner:
MICHAEL ODONNELL
P 0 BOX 1037
MI WUK VILLAGE, CA 92253
Contractor:
PULIDO CLEANING & RESTORATION INC DBA PC
PMB 427
27475 YNEZ ROAD
TEMECULA, CA 92591
(951)296-9090
Llc. No.: 710901
Detail: REPLACE INSULATION & DRYWALL IN AREAS MARKED ON PLANS, REPLACE CABINETS, COUNTER TOPS AS NEEDED. INSULATION SHALL BE FOR 2X4
WALLS R-13, 2X6 WALLS R-21.
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
04 FINANCIAL INFORMATION
`':::DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400
0
$136.80
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$109.44
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, FIRST 100 SF
101-0000-42400
0
$51.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, FIRST 500 SF PC
101-0000-42600
0
$141.36
Total Paid for REMODEL: $439.28
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Permit ;'
Qty of La Quit t to
Building & Safety Division
. _ 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
:?roject Address: , ( "'t
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tier's Name:
A. P. Number:
ddress: 8
Legal Description:
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tStafe,Lic. #:
City Lic. #;
Engr., Designer:
Address:
City, ST, Zip:
Telephone:
aneY.
Con tructi n Type: Occupancy:
P
State Lic. ,.
De o
mroJehPecrceotidd'n A]ter Ra i
57�of Contact Person:6L 10
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# Stories:
#Units:
(Telephone # of Contact Person: �j - j
,stimated Value of Project:
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APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT ICES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Verson
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 Lis(
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
li.O.A. Approval
Plans resubmitted
Grading
JN IiOUSr:-
'`9 Review, ready for corrections1issuc
Developer Impact Pee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. R'ks. Appr
Date orpermit issue
School lees,
Total Permit Fees
Main Level
0
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CONSTRUCTION TION HOURS
October I st - April 30
Monday - Friday: 7.'* 9 a.m. to 5:30 p.m.
Saturday: 8.190 t® 5:00 P.M.
Sun,.I y: • Nlfine
%_ovcrnm!nnt 11s.Iidays: None
Ni'Lou..diay - Frai ay: 6:GJ a.m. t® 7:00 p.m.
Satw<•day: 8:00 a.m. t® 5:00 p.m.
Sunday: None
Ho
—6' 10
60
4T
TY
OF LA QUINTA
:;GILDING & SAFETY DEPT.
APPROVED
'FOR CONST IiIUCTION
81�OQy
A RE -INSPECTION FEE OF $
WILL BE CHARGED IF THE APPROVED
PLANS AND JOB CARE ARE NOT ON
THE SITE FOR A SCHEDULED
INSPECTION
NO EXCEPTIONS!
l^M ADEQUATELY SIZED DEBRIS CONTAINER
; RECIi'' QED ON THE JOB SITE DURING ALL
i SOF CONSTRUCTION AND MUST BE
AS "NECESSARY. FAILURE TO DO SO
?e7E TIME CITY TO HAVE THE CQNTAINER y N
AT THE EXPENSE OF THiJile/
12/2/2016 Pace: l
Lu
f�
O � O
N
9®
UJ
U.
Q 9
LLJ
��
TY
OF LA QUINTA
:;GILDING & SAFETY DEPT.
APPROVED
'FOR CONST IiIUCTION
81�OQy
A RE -INSPECTION FEE OF $
WILL BE CHARGED IF THE APPROVED
PLANS AND JOB CARE ARE NOT ON
THE SITE FOR A SCHEDULED
INSPECTION
NO EXCEPTIONS!
l^M ADEQUATELY SIZED DEBRIS CONTAINER
; RECIi'' QED ON THE JOB SITE DURING ALL
i SOF CONSTRUCTION AND MUST BE
AS "NECESSARY. FAILURE TO DO SO
?e7E TIME CITY TO HAVE THE CQNTAINER y N
AT THE EXPENSE OF THiJile/
12/2/2016 Pace: l