BRES2015-0018rf -
78-495,CALLE TA;MPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BRES2015-0018
COMMUNITY DEVELOPMENT DEPARTMENT
Property Address:
45055 SPRINGBROOK CT CT
APN:
604291007
Application Description:
REPAIR VEHICLE IMPACT GARAGE
Property Zoning:
Application Valuation:
$3,400.00
Applicant:
DANROY CORP DBA DANIEL'S
D K I
73-950 DINAH SHORE DRIVE
SUITE 302
PALM DESERT, CA 92211
LICENSED CONTRACTOR'S DECLARATION
SAN 2 0 815
CITY OF LA WWA LA t
COMMUNITY DMQPMENT DEPARTMENT
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: C33, B. C-9. C15 License No.: 581149
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).:
(_) 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.).
(_) 1, 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/20/2015
LEWIS
SPRING BROOK CT
NTA, CA 92253
Contractor:
DANROY CORP DBA DANIEL'S D K I
73-950 DINAH SHORE DRIVE
SUITE 302
PALM DESERT, CA 92211
(760)320-2128
Llc. No.: 581149
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: _
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 37,90 of the Labor CAft I shall forthwith
comply with those provisions. %
Date: !% AppIicrt G
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 informkion 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 citho enter upon t above
mentioned property for inspection purposes.
Date:"? ��� Signature (Applicant of Agent):
1
'PAID., °�
'PAID DATE
FINANCIAL INFORMATION
DESCRIPTIONS `� ACCOUNT '° ` ''
.QTY t °•AMOUNT
B_ SAS SB1473 FEE 101-0000-20306
0 $1.00
$0.00
.PAID BYTr•�.METHOD• ¢`'
` "RECEIPT#- ;�'
��'�CHECK #.'.�
dib 13Y
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00. $0.00
.. DESCRIPTION ,
>; ACCOUNT
QTY:
AMOUNT:'
',PAID .,>. `,
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
PAID BY ," t'�"
METHOD'
_� RECEIPT #'CHECK
#
CLTD BY
DESCRIPTION, ,x
, . ACCOUNT
QTY'
AMOUNT
-PAID
PAID DATE
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17,
$0.00
PAID BY
,` METHOD „`.
RECEIPT # 4. -
CHECK # '"
CLTD BY
Total Paid for ELECTRICAL: $48.34 $0.00
-, DESCRIPTION. �s. -
t -ACCOUNT
QTY
AMOUNT=
PAID DATE -
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
,RECEIPT #
CHECK #
'CLTD BY x
" , "DESCRIPTION:
ACCOUNT „
CiTY
' AMOUNT -
PAID , • :
PAID DATE.
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
$0.00
4PAID BY, et:� ?
�'IVIETHOD.
RECEIPT#�-�. "
CHECK
'CLTD BY
J
Total Paid for PLUMBING FEES: $36.26 $0.00
"DESCRIPTION =;'.
ACCOUNT
QTY
AMOUNT
,PAID
PAID DATE
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400.
0
$21.75
$0.00
. PAID BY �` -�
w�,:A' METHOD -
RECEIPT#..
_ CHECK #
CLTD BY
_DESCRIPTION
'. ,�- ,, ACCOUNT. _ i .
QTY,
'PAID .�
PAID.DATE�
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$17.40
$0.00
PAID BY"
"'METHOD
RECEIPT #',
CHECK .# _•
CLTD BY '
DESCRIPTION j,., l`
'-ACCOUNT<`
QTY
AMOUNT
PAID t.-
''PAID DATE
REMODEL, FIRST 100 SF ' -
101-0000-42400
0
$49.31
$0.00
• . `> _PAID.BY =
METHOD.:
RECEIPT #
CHECK # :.F�,`
CLTD BY
DESCRIPTION, ,��� `, •
ACCOUNT-
QTY4
AMOUNT
s•PAIR�
PAID DATE:
REMODEL, FIRST 500 SF PC
101-0000-42600
0
$134.88
$0.00
,PAID BY' ' �`
,. METHOD
RECEIPT #
CHECK #
CLTDxBY'
Total Paid forREMODEL: $223.34 $0.00
1
r F'�a `• DESCRIPTION
--� -�r
-.AMOUNT i
PAID a v
, PAIU DATE
z
SMI -'-RESIDENTIAL
101-0000-20308
0
$0.50
$0.00
PAID BY, # �
METHOD �' `
' e RECEIPT # �1 ? •�
°ry {CHECK #,
' CLTD BY .'.
. h : �
_r.
L Y ��.x
'. Total Paid forSTRONG MOTION INSTRUMENTATION SMI ,$0.50 $0.001,'
'r " ; pDESCRIPTION'
ACCOUNTS
:QTY
`AINIOUNT '°";
F ��
PAID
PAID DATE
t�Y
DOOR/WINDOW, NEW, FIRST 1
101-0000-42400
0
$60.91
$0.00..
PAID. BY '� �'
�,
4 �� METHOD a
"
' RECEIPT #
x
,
w` CHECK #;;;
CLTD BY"
,
ACCOUNT,�x -'
..QTYrA.
AMOUNT,
PAID DATE.
,DESCRIPTION`
DOOR/WINDOW, NEW, FIRST 1 PC%
101-0000-42600
0
$59.46
$0.00
t BY e
' '� METHOD :: r
i RECEIPT #
CHECK #
CLTD.BI(
;PAID
y
i
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $120.37 $0.00
TOTALS:00
r
•
y
,
1..
+
Description: REPAIR VEHICLE IMPACT GARAGE
CONDITIONS
Type: BUILDING, RESIDENTIAL
Subtype: REMODEL Status: APPROVED
Applied: 1/20/2015 MFA
Approved: 1/20/2015 MFA
Parcel No: 604291007. Site Address: 45055 SPRINGBROOK CT CT LA QUINTA,CA 92253
Subdivision: TR 23995-1
Block: Lot: 7
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $3,400.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 •
No. Stories: 0 No. Unites: 0
9'..'.`�
Details: REPAIR VEHICLE IMPACTED GARAGE INCLUDING ELECTRICAL AND PLUMBING PER 2013 CALIIFORNIA BUILDING CODE
CHRONOLOGY
CONDITIONS
CONTACTS
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APPLICANT DANROY CORP DBA DANIEL'S D K 1
73-950 DINAH SHORE
PALM DESERT
CA
92211
(760)772-1823
DRIVE
CONTRACTOR DANROY CORP DBA DANIEL'S D K 1
73-950 DINAH SHORE
PALM DESERT
CA
92211
(760)772-1823
DRIVE
OWNER JAMES LEWIS
45055 SPRING BROOK
LA QUI NTA
CA
92253
(760)772-1823
CT
FINANCIAL INFORMATION
Printed: Tuesday, January 20, 2015 12:45:10 PM 1 of 3
SYSTEMS
6P
T
Total Paid forBUILDING STANDARDS ADMINISTRATION
DEVICES, FIRST 20
101-0 00-42403
0
$24.17
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
Total Paid for ELECTRICAL: $48.34 $0.00
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$0.00
OUTLETS PC
Total Paid forPLUMBING FEES: $.36.26 $0.00
REMODEL, EA
101-0000-42400
0
$21.75
$0.00 -
ADDITIONAL 500 SF
REMODEL, EA
101-0000-42600
0
$17.40
$0.00
,ADDITIONAL 500 SF PC
REMODEL, FIRST 100 SF
101-0000-42400
0
$49.31
$0.00
REMODEL, FIRST 500 SF
101-0000-42600
$134.88.
$0.00
Total Paid forREMODEL: $223.34 $0.00
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.50 $0.00
DOOR/WINDOW, NEW,
101-0000-42400
0
$60.91
$0.06
FIRST 1
DOOR/WINDOW, NEW,
101-0000-42600
0
$S9.46
$0.00
FIRST 1 PC
Total Paid forWINDOW/SLIDING GLASS $120.37 $0.00
Printed: Tuesday, January Dl2O151Z:4S:1OPK8' 2of3 i
______ ____
TOTALS:. $429.81 $0.00' . t
Printed: Tuesday, January 20, 2015 12:45:10 PM 3 of 3 C
SY57E1+15
Cid •� of La Uinta. r "� �' •�
in t'/
Bink-
00 Permit #
`Project Address: Cj6
Y 'Quin
Bui/ding 8L Safety Division
P.O: Box 1504, 78-495 Calle Tampico . '
b Quinta, CA 92253 - (760) 777-7012
.r
Building Permit_ Application and "Tracking. Sheet
Owner's Name:
A. P. Number: •
-Addres
V�
Legal Description:
• 1
_C�ty, S i>eVi t ` ��j� ;
ntract-r y.���
Co o. Lf'�� • �w1 ti f v "�
-c hn•
'T is o e. Q
�� Z -2 ' U
Address:
Pro— ject.Deseription:
City, ST, Zip:.
Tele ho nc- )' Z
P Z6o
.......................:........................
r ,
Statc Lica #:
City Li,. M
Aich., Engr., Designei: u j
Address: �'
City., ST, Zip: . l ��,6v-k
Tele hon .
•i?�:hii �iS :: i.�.�:::: iii4:
«<;<:;is;::;:>;.>:;;;.i:.ii:;:•i:<•
...........................................
Construction Type:' Occupancy
.
State Lic. #: G I D �(/ �
1
w Add'n Alter Repair Demo
Project type (circle one): New p {
-Name of Contact Person: �rl�/C�
/
Sq'. Ft.: - .
# Stories:
Units:
Telephone#,'ofContact Person: �•
•QQ
jEsfi edValueTfPioject
APPLICANT: DO NOT WRITE BELOW THIS LINE �..
#
.Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES.
Plan Sets
c
Plan Check submitted
Item
Amount
Structural Calcs.
,Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact'Pcrson
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 List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
GradingF
IN If OUSE:-
''".Review, ready for correctionsfissue
Developer Impact Fee
~
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
«
School Fees
Total Permit Fees
1