BRES2017-013078-495 CALLE TAMPICO D
Sep VOICE (760) 777-7125 -
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/14/2017
Application Number: BRES2017-0130 Owner:
Property Address: 81125 SHINNECOCK HILLS DAVID WEIL
APN: 762340010
92253f
Property Zoning: Application Valuation: $50,000.00
Applicant: Contractor:LTEAM SUN CONSTRUCTION TEAM SUN CONSTRUCTION40101 MONTEREY AVENUE B-1 #324 40101 MONTEREY AVENUE B-1RANCHO MIRAGE, CA 92270 RANCHO MIRAGE, CA 92270
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.: 883209
0
GDat (_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 tis issued (Sec. 3097, Civ. C.).
Lender's Na
Lender's Address:
(760)324-5592
Llc. No.: 883209
WORKER'S COMPENSATION DECLARATION
1 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'
compensatiAiEand
'deiJ for by Section 3700 of the Labor Code, for the performance
of the workhis permit is issued.
ill maintain workers'.compensation insurance, as required by
Secti n 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: STATE NATIONAL INSURANCE COMPANY INC 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 0 of the Labor Code, I shall forthwith
comply with th sre provisions.
Da "� Applicant:
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 tha above information is correct.
I agree to comply with all city and county ordinance a state laws relating to building
construction, and hereby authorize represen4tivisity to enter upon the above-
mentioned roperty for inspection purposesSignature (Appl' a
N
Date: 7/14/2017
Application Number: BRES2017-0130
Owner:
Property Address: 81125 SHINNECOCK HILLS
DAVID WEIL
APN: 762340010
Property Zoning:
Application Valuation: $50,000.00
Applicant:
Contractor: -
TEAM SUN CONSTRUCTION
TEAM SUN CONSTRUCTION
40101 MONTEREY AVENUE B-1 #324
40101 MONTEREY AVENUE B-1 #324
RANCHO MIRAGE, CA 92270
RANCHO MIRAGE, CA 92270
(760)324-5592
--------------------------------------------------7-----------------------------------------
Llc. No.: 883209
Detail: KITCHEN REMODEL ONLY [CONVENTIONAL] THIS PERMIT DOES NOT INCLUDE ALTERATION TO EXISTING LOAD BEARING OR LATERAL RESISTING
CONSTRUCTION, IF FOUND ADDITIONAL ENGINEERING WILL BE REQUIRED. 2016 CALIFORNIA BUILDING CODES.
N
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
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$152.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$50.16
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $202.16
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$12.67
Total Paid for PLUMBING FEES: $25.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400.
0
$22.80
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$18.24
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: . $234.08
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$6.50
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $6.50
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin #
Qty of La Quinta
Bui[din,c, &Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
4>1Building Permit Application and Tracking Sheet
%Nt4ffCDC 4C V41L..
Permit
Project Address:A11!25
A. P. Number: 010
Address: % J+
Legal Description:
City, ST, Zip:
Telephone: ..........
Contractor:
Address:
Project Description- 01
1_97
City, ST, Zip:
Telephone:
State Lic.
City Lic. #:
Arch., Engr., Designer:—tEAAk qLtJ &a"WION
Address: 40
City, ST, Zip:%MC44*tAJ2A�/CA.- IWZ�.
Tele phone.1-69- .,Ar. g3
r�m=
Construction Type: Occupancy:
State Lic. 4:
.-I- ------
Project type (circle one): New Add Repair. Dern o
( D",
Name of Contact Person:kJoNve cm9TPEjKS
Sq. Ft.:1311�
—
# stories: Units:
Telephone # of Contact Person:
Estimated Value of Project. 4 rc),t*0 •
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed,ready for corrections
Platt Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24Ca1cs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"' Review, ready for corrections/issue
Elccffical
Subcontactor Lis(
Called Contact Person
Plumbing
Grant Deed
7�
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for corrcctAh'sue
Developer Impact Fee
Planning Approval
Called Contact Pei-son eX
A.I.P.P.
Pub. \Vks. Appr
Date of permit issue IWO'
I
School Fees,
Total Permit Fees