BDEM2016-001378-495 CALLE TAMPICO
TW�v 4 4 Q"
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BDEM2016-0013
Property Address:
52480 AVENIDA CARRANZA
APN:
713291001
Application Description:
EILEEN GORDON / DEMOLITION
Property Zoning:
Application Valuation:
Applicant:
DESERT RESTORATION
81785 TRADER PL STE A
INDIO, CA 92201
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.
Li�cen'ssee Class: B�j .jLicense No.: 833972
Da' te: 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).:
(_) 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.).
Lender's Name:
Lender's Address: r
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
�! Date: 9/16/2016
iEEOR`DON 6 2016
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Contractor:
DESERT RESTORATION
81785 TRADER PL STE A
INDIO, CA 92201
(760)345-5210
Llc. No.: 833972
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: INSURANCE COMPANY OF THE WEST Policy Number: WVE5029932
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.
�
Date: fXpplicant: "
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: ignatue(Applicant oAgent).✓/
�
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� 5
Date: 9/16/2016
Application Number: BDEM2016-0013 Owner: 4
Property Address: 52480 AVENIDA CARRANZA, GEORGE GORDON
APN: 773291001
Application Description: EILEEN GORDON / DEMOLITION 92253
Property Zoning:
Application Valuation:
Applicant: Contractor:
DESERT RESTORATION DESERT RESTORATION
81785 TRADER PL STE A 81785 TRADER PL STE A
INDIO, CA 92201 INDIO, CA 92261
(760)345-5210
Llc. No.: 833972
---------------------------------.------------------------------------------------------------
Detail: DEMOLITION OF FIRE DAMAGED SINGLE FAMILY DWELLING (1638 SF LIVING, 552 SF GARAGE). SLAB TO REMAIN AS OF ISSUANCE OF THIS PERMIT.
ENVIRANMENTAL REPORT BY TITAN ENVIRONMENTAL SOLUTIONS (SEE ATTACHMENTS) 2013 CODES.
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT
QTY
AMOUNT
Credit Lard Fee
101-0000-43505
0
$2.01
Total Paid for Credit Card Fee:
$2.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
'DEMOLITION, FULL
101-0000-42404
0
$24.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEMOLITION, FULL PC
101-0000-42600
0
$87.02
Total Paid for DEMOLITION: $111.68
Main Level
op8'm Zd/(e
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTI N
)ATEq Iii l fL BY — - ----
38-4"
48' r'
GORDON-FIRE-DEMO
AV C
4
ecurity Fence
N
11
Main Level.
9/14/2016 Pagel
Demolition of Residential Structure:
* THE INTERIOR AND EXTERIOR HOUSE (Including the contents in and around the
home) WITH EXISTING DRYWALL, WOOD FINISHES AND ALL Structural
FRAMING. AREA TO BE REMOVED AND DISPOSED OF DOWN TO GRADE,
* THE EXISTING EXTERIOR SINGLE LAYER OF ROOFING MATERIAL TO BE REMOVED
AND DISPOSED OF, INCLUDING DOORS, bathroom fixtures AND WINDOWS.
* MATERIALS REMOVED TO BE DISPOSED OF AS CONSTRUCTION DEBRIS
INCLUSIONS:
LABOR IS INCLUDED AND IS BASED ON STANDARD WAGE
* Desert Restoration is not responsible for any damage to the landscaping or concrete
slab during the demolition services.
The gas, electric and water will be turned off prior to the start of demolition. (The water
will be moved close to the main on the street for the demolition crew and used to keep
the dust down if necessary)
WILL NOT BE RESPONSIBLE TO GRADE AREA TO BE READY FOR RECONSTRUCTION
THANK YOU FOR ALLOWING SERVPRO OF INDIAN WELLS (DBA Desert Restoration) TO
ASSIST IN THIS FIRE
LOSS.
LANCE BOHN
PRODUCTION MANAGER
-
A
760.345.5210
0
Desert Restoration, Inc.
. A,, &,Www - peumip B Rmlac'iw�'
dba: SERVPRO of Palm Springs #1898 / Indian Wells #2087
81785 Trader Place Suite A
Indio, CA 92201-2092
servpro@servproiwps.com
ph: 760.345.5210 fax: 760.775.7488
Fed. ID#20-1911937 / Cont Lic # 833972
AAA Insurance
Claim # 012403828
Adjuster: Jeff Polson
Demolition of Residential Structure:
AREA
* THE INTERIOR AND EXTERIOR HOUSE WITH EXISTING DRYWALL, WOOD FINISHES AND ALL STRUCTURE
FRAMING IN THE STRUCTURE AREA TO BE REMOVED AND DISPOSED OF DOWN TO GRADE, INCLUDING
ACCESSIBLE ELECTRICAL AND PLUMBING COMPONENTS.
* THE EXISTING EXTERIOR SINGLE LAYER OF ROOFING MATERIAL TO BE REMOVED AND DISPOSED OF,
INCLUDING DOORS AND WINDOWS.
* MATERIALS REMOVED TO BE DISPOSED OF AS CONSTRUCTION DEBRIS
INCLUSIONS:
LABOR IS INCLUDED AND IS BASED ON STANDARD WAGES
DISPOSAL OF WASTE IS INCLUDED IN THIS PROPOSAL
REMOVAL IS BASED ON REGULAR CONSTRUCTION DEBRIS
REMOVAL CAN BE AMENDED OR REVISED ONLY IF THE AMOUNT OF WASTE EXCEEDS THE BUDGET
ESTIMATE FOR DISPOSAL
Removal/disposal of all content related items in and around the home.
EXCLUSIONS: -
CONSULTING, TESTING OR CLEARANCE COST - (Mr Polson will set up. Per discussion on 8/24)
PREVAILING WAGE RATES FOR LABOR
CLIENT RESPONSIBILITIES:
PROVIDE WATER AND POWER FOR THE DURATION OF THE WORK (APPROX. 5-6 DAYS)
:k Desert Restoration is not responsible for any damage to the landscaping or concrete slab during the demolition services.
WILL NOT BE RESPONSIBLE TO GRADE AREA TO BE READY FOR RECONSTRUCTION OR
{
This bill does not include permits or testing costs. Supplemental BILL will be sent if necessary.
NOTE:
THIS BID IS FOR (1) MOBILIZATION. ADDED MOBILIZATIONS WILL BE BILLED AT $1,140.00.
THANK YOU FOR ALLOWING SERVPRO OF INDIAN WELLS (DBA Desert Restoration) TO ASSIST IN THIS FIRE
LOSS. PLEASE FEEL FREE TO GIVE US A CALL IF YOU HAVE ANY QUESTIONS.
LANCE BOHN
PRODUCTION MANAGER
(760)345-5210
RECEIVED
SEP 0 9 2016
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
GORDON-FIRE-DEMO 9/9/2016 Page:2
-jgjln� Desert Restoration, Inc.
a,.awma.ae p&Roswr .'
dba: SERVPRO of Palm Springs #1898 / Indian Wells #2087
81785 Trader Place Suite A
Indio, CA 92201-2092
servpro@servproiwps.com
ph: 760.345.5210 fax: 760.775.7488
Fed. ID#20-1911937 / Cont Lic # 833972
Insured: Eileen Gordon -Fire Structure Demo
Property: 52480 Avenida Carronza
La Quinta, CA 92253
Claim Rep.: Jeff Polson
Company: AAA of Southern California
Estimator:
Lance Bohn
Position:
Production Manager
Company:
SERVPRO
Business:
81-785 Trader Place #A
Indio, CA 92201
Claim Number: 012403828
Date Contacted:
7/12/2016 10:58 AM
Date of Loss:
7/12/2016
Date Inspected:
7/12/2016 11:00 AM
Date Est. Completed:
9/8/2016 1:53 PM
Policy Number: N/A
Price List: CAPP8X JUL16
Restoration/Service/Remodel
Estimate: GORDON-FIRE-DEMO
Date Received
Date Entered
Cellular: (760) 702-4904
Business: (760) 740-5288
E-mail: Polson.Jeff@AAA-Calif.com
Business: (760) 345-5210
E-mail: lance@servproiwps.com
Type of Loss: Fire
7/12/2016 10:58 AM
8/17/201.6 1:46 PM
Qin # City of La Q urli to
Quifdfna tar Safety Division
Permit # 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
DE�I�ib� 0 t Building Permit Application and Tracking Sheet
Project Address: 5a4gc)ken" rmy)-' Owner's Name: iV
A. P. Number— Address. a y�
Legal Descriptiorf;Lo¢l, DL'%,iv J46 01Q-670 ;5ZA• °�
City,ST, Zi
CAe
Contractor:D
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Telephone:
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Address: " Tr
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Project Description:`►
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State Lic. # :W3
City Lie. #t
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Arch., Engr., Designer:
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Address:
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City, ST, Zip:
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Tele hone:
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State Lie. #:
Name of Contact Person:
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Construction T e e c an
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: a Jq # Stories: dnE # Units: N ,A
Telephone # of Contact Person:
Estimated Value of Project: 11P 30 ow O�
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Rcq'd Rec'd TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
Item
AJn unt
Structural Caics.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check B lance
Title 24 Cafes.
Plans picked up
Cos ruction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"Review, ready for correctionsfissu
Electrical
Subcontaetor List
Called Contact Pcrson /
Plumbing
Grant Deed
Plans picked u
S.M.L
II.O.A. ApprovalPlans,r
sFubniitted
Grading
IN HOUSE:-
Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
/
Called Contact Person
A.I.P.P.
Pub. Wks. APPr
Date of permit issue
Schod) Fcese
Total Permit Fees
Desert Restoration, Inc.
'F,e 6 VA— 0—ap 8 Cesiac^.w`
dba: SERVPRO of Palm Springs #1898 / Indian Wells #2087
81785 Trader Place Suite A
Indio, CA 92201-2092
servpro@servproiwps.com
ph: 760.345.5210 fax: 760.775.7488
Fed. ID#20-1911937 / Cont Lic #.833972
AAA Insurance
Claim # 012403828
Adjuster: Jeff Polson
Demolition of Residential Structure:
AREA
*'_
THE IN'T'ERIOR AND EXTERIOR HOUSE WITH EXISTING DRYWALL, WOOD FINISHES AND ALL STRUCTURE
FRAMING IN THE STRUCTURE AREA TO BE REMOVED AND DISPOSED OF DOWN TO GRADE, INCLUDING
ACCESSIBLE ELECTRICAL AND PLUMBING COMPONENTS.
* THE EXISTING EXTERIOR SINGLE LAYER OF ROOFING MATERIAL TO BE REMOVED AND DISPOSED OF,
INCLUDING DOORS AND WINDOWS.
* MATERIALS•REMOVED TO BE DISPOSED OF AS CONSTRUCTION DEBRIS
INCLUSIONS:
LABOR IS INCLUDED AND IS BASED ON STANDARD WAGES
DISPOSAL OF WASTE IS INCLUDED IN THIS PROPOSAL
REMOVAL IS BASED ON REGULAR CONSTRUCTION DEBRIS
REMOVAL CAN BE AMENDED OR REVISED ONLY IF THE AMOUNT OF WASTE EXCEEDS THE BUDGET
ESTIMATE FOR DISPOSAL
Removal/disposal of all content related items in and around the home.
EXCLUSIONS:
CONSULTING, TESTING OR CLEARANCE COST - (Mr Polson will set up. Per discussion on 8/24)
PREVAILING WAGE RATES FOR LABOR
CLIENT RESPONSIBILITIES:
PROVIDE WATER AND POWER FOR THE DURATION OF THE WORK (APPROX. 5-6 DAYS)
* Desert Restoration is' -not responsible for any damage to the landscaping or concrete slab during the demolition services.
WILL NOT BE RESPONSIBLE TO GRADE AREA TO BE READY FOR RECONSTRUCTION OR
This bill does not include permits or testing costs. Supplemental BILL will be sent if necessary.
NOTE:
THIS BID IS FOR (1) MOBILIZATION.. ADDED MOBILIZATIONS WILL BE BILLED AT $1,140.00.
THANK YOU FOR ALLOWING SERVPRO OF INDIAN WELLS (DBA Desert Restoration) TO ASSIST IN THIS FIRE
LOSS. PLEASE FEEL FREE TO GIVE US A CALL IF YOU HAVE ANY QUESTIONS.
LANCE BOHN
PRODUCTION MANAGER
(760)345-521.0
R LVED
SEP 09 2016
CITY ®FLA AUINTA .
COMMUNITY DEVELOPMENT
GORDON-FIRE-DEMO 9/9/201.6 Page:2
., La �-r-� C •
r-
MOFT
DEMOLITION PERMIT. REQUIREMENTS
The following items are required prior to the issuance of a Demolition permit.
•Two sets of -plans showing thecomplete scope of_w_ork.
• Proof of property ownership (e.g., Grant Deed).
• tL-etterfrom properly owner authoring demo(ifion wwith scope of v�iork-']
Asbestos, Report for all pre -;1979 Properties. If asbestos is present, proof of
removal by•a"lice:nsed"Asbestos'Ab'atemeiit°Contractor.
• HOA Approval, if.applicable.
• Public Works PM -10 Approval. ,
wilding ern—ent-Ap"proval.
Approva
September 08, 2016
Eileen Gordon
52480 Avenida Carranza
La Quinta, CA 92253
RE: Demo Services for property at: 52480 Avenida Carranza
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I am hereby giving authorization for Desert Restoration, Inc. to perform Demolition Services,
* THE INTERIOR AND EXTERIOR HOUSE WITH EXISTING DRYWALL, WOOD FINISHES AND
ALL STRUCTURE FRAMING IN THE STRUCTURE AREA TO BE REMOVED AND DISPOSED
OF DOWN TO GRADE, INCLUDING ACCESSIBLE ELECTRICAL AND PLUMBING
COMPONENTS.
* THE EXISTING EXTERIOR SINGLE LAYER OF ROOFING MATERIAL TO BE REMOVED AND
DISPOSED OF INCLUDING DOORS AND WINDOWS.
* MATERIALS REMOVED TO BE DISPOSED OF AS CONSTRUCTION DEBRIS
* Removal/disposal of all content related items in and around the home.
*Desert Restoration is not responsible for any damage to the landscapine or concrete slab during the
demolition services.
• i
Signed by: ,
14--
n Gordon .
w - eu
SEP � p g 2016
of 0V4jt.0VwA
a ;
i C��pAVN1'C`I .
Demolition of Residential Structure:
* THE INTERIOR AND EXTERIOR HOUSE (Including the contents in and around the
home) WITH EXISTING DRYWALL, WOOD FINISHES AND ALL Structural
FRAMING. AREA TO BE REMOVED AND DISPOSED OF DOWN TO GRADE,
* THE EXISTING EXTERIOR SINGLE LAYER OF ROOFING MATERIAL TO BE REMOVED
AND DISPOSED OF, INCLUDING DOORS, bathroom fixtures AND WINDOWS.
* MATERIALS REMOVED TO BE DISPOSED OF AS CONSTRUCTION DEBRIS
INCLUSIONS:
LABOR IS INCLUDED AND IS BASED ON STANDARD WAGE
* Desert Restoration is not responsible for any damage to the landscaping or concrete
slab during the demolition services.
The gas, electric and water will be turned off prior to the start of demolition. (The water
will be moved close to the main on the street for the demolition crew and used to keep
the dust down if necessary)
WILL NOT BE RESPONSIBLE TO GRADE AREA TO BE READY FOR RECONSTRUCTION
THANK YOU FOR ALLOWING SERVPRO OF INDIAN WELLS (DBA Desert Restoration) TO
ASSIST IN THIS FIRE
LOSS.
760.345.5210
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PRODUCTION MANAGER
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760.345.5210