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BRES2014-109078-495 CALtE.TAMPICO LA QUIN A; CALIFORNIA 92253 Application Number: BRES2014-1090 Property Address: 54443 SHOAL CREEK DR APN: 775071049 Application Description: REMODEL KITCHEN WALL Property Zoning: Application Valuation: $12,500.00 Applicant: DESIGNER CABINETRY & MORE 136 LAS PALMAS RANCHO MIRAGE, CA 92270 T4ht 444"�s COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT SEP 0 9 2014 CITY U =A U-4 NTA N DEyEi_O,P :6%U u5jW9MENT 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 Licenull force and effect. License Class: License No.: 317990 Date: 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).: (_) 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.). ( 11, 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 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 Q60) 777-7125 FAX (760) 777-7011 INSPECTIONS (760)777-7153 Date: 9/9/2014 Owner: RANDY & TERESA PAGNUN 54443 SHOAL CREEK LA QUINTA, CA 92253 Contractor: DESIGNER CABINETRY & MORE 136 AVE LAS PALMAS RANCHO MIRAGE, CA 92270 (760)641-5110 Llc. No.: 317990 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: _ certify that in the performance of the work for which this permit is issued, sh)ot 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 corriplywith those provisions. Date: -Applicant: WARNING: FAI URE O SECURE WORKERS' COMPENSATION CO RAGE IS UNLAWFUL,. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE D CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ITION 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, arA 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 buildirg construction, and hereby authorize representatives of this city to enter upon he abov--- mentioned property for inspection purposes. Date: Signature (Applicant or Agent): j DESCRIP ON ° ° ACCOUN QTY Q" ANIOUN,T P`AID� PD' �. . . BSAS SB1473 FEE '. 101-0000-20306 .: 0. : $1.00 $1:00". X9/9/14 RWA D:BYf.a „} METHOD: �m � C PT# CHECK # CLTD BY sV �-DESIGNER CABINETRY:& MORE �. CHECK R1039 .1925 MFA 3• Total Paid forBUICDING STANDARDS ADMINISTRATION BSAc �' , . .•. .'$X.0I) _. _ rt, t r � rte. �`bESCRIRTION."+AC ' £. , I 5 k: z '� C� � QTY �: � AIVI'OUNT• C s - �� P , ' �� P,AIDDAT " HOURLY PLAN CHECK =YES: 101-0000-42600 1 . ' .:-$70 00 • .' $70.00 9/9/14:'. " ° PLAID°BYoff= �� . a METHOD <x k RECT#�; CHECK #. CL'�TD BY .,DESIGNER CABINETRY'& MORE'' CHECK R —639 1925 MFA ` Total-Paid for CITY STAFF= PER HOUR.., $70.00 $7000 �'�D�ESC�RIPTION � 'r", ACCQUNT a, YrQ 4� AMOUNT : PA PAID DATE •REMODEL, EA ADDITIONAL 500,SF: 101-0000-42400 , : 0 ;$64 35 :, : $64.35 9/9/14 " �PAIDY METHOD. �� RECEIPTa#s CHECK # CLTDuBY DESIGNER CABINETRY& MORE. : CHECK R1039 .. Y 1925 MFA'; dy3y DESCRIPTION ew ' �s ACCOU� NT QTY AMOUNT PAID PAIDzD TES +, , irY'w�7iw '4`s'.ffS;i:+&%3° .^5 A ,i ^�3ik: '�X+"�itt�i i»}i REMODEL; EA ADDITIONAL'S00"SF PC ; ' 101 0000-42600 0 $5148 S$51.48 9/9/14- PADBY NMI �,. MET�HtOD RECE# CHECK # Ai, ChLrT�a^BY" `"�.m'C:.",NS't'4�F�%v`5r.4XSZfKkkX +9.wf•:L 2' -DESIGNER CABINETRY &MORE CHECK . R1039 " : 1925 MFAVOW- DESION �O,UNTT PAID D_T �- .. REMODEL; FIRST100SF ",' F x,1010000-'42400 v� 0 ;$48:62 .' $48:622 9/9/14 e, PAID BYs u sig METHOD " s •_� rst r. RECEIPT # CHECK # y . CLXTDBY ' = DESIGNER CABINETRY-&`MORE',- CHECK �' R1039` , 1925 `.-MFA oar DESERIP N VAACCOUNT QTY ' i AI1flOUNT ": PAID PAID""°DATE REMODEL, FIRST 500 SF PC • .. 101.0000-42600'; 0 ° $132 99 $132.99 .9/9/14' " f - PBY . METIOU;REC T # CK# GLTD>Blf d .;u s� Feu r.:rn az DESIGNER CABINETRY &-MORE CHECK ` R1039, 1925. MFA ; Total Paid forREMODEL $297 44 $297 44 DESCRIPTION sir ACCO Ni QTY A` OUNT PAID ' PjAID,DATE�' y • ' .. :SMI =RESIDENTIAL` 101 0000-20308; ` 0 $1 63 $1.63 9/9/14 " ` ". ah EHO r CD REIPT CKH # T. TD DESIGNER CABINETRY & MORE CHECK „£ : _ s R1039 1925. MFA Total Paid forSTRONG MOTION INSTRUMENTATION' SMt ; $3 63 $163 0 1 1 1 1 ." e Description: REMODEL KITCHEN WALL ADDITIONALSITES Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: ISSUED Applied: 8/21/2014 PJU Approved: 9/9/2014 MFA Parcel No: 775071049 Site Address: 54443 SHOAL CREEK DR LA QUINTA,CA 92253 Subdivision: TR 20717-3 Block: Lot: 4 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $12,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: REMOVE KITCHEN WALL, ENLARGE KITCHEN. ONLY CONTACTS Applied to Approved~ FINANCIAL. -INFORMATION Printed: Tuesday, September 09, 2014 2:12:53 PM 1 of 3 ' SYS7Eti1S ADDITIONALSITES CHRONOLOGY CHRONOLOGY TYPE -"STAFF NAME `' ACTION,DATE COMPLETION DATE TELEPHONE CALL JIM JOHNSON 9/4/2014 9/4/2014 CALLED APPLICANT PLANS READY TO ISSUE PERMIT. CONTACTS NAME TYPE ' NAME `::: .'ADDRES51" CITY STATE ZIP PHONE' FAX EMAIL' APPLICANT DESIGNER CABINETRY & MORE 136 LAS PALMAS RANCHO CA 92270 MIRAGE CONTRACTOR DESIGNER CABINETRY & MORE 136 AVE LAS PALMAS RANCHO CA 92270 MIRAGE OWNER RANDY & TERESA PAGNUN 54443 SHOAL CREEK LA QUINTA CA 92253 FINANCIAL. -INFORMATION Printed: Tuesday, September 09, 2014 2:12:53 PM 1 of 3 ' SYS7Eti1S DESCRIPTION ACCOUNT QTY 'AMOUNT PAID PAID DATE. � RECEIPT # CHECK4#" METHOD - RAID.BY> CLTf) Y. BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 9/9/14 R1039 1925 CHECK DESIGNER CABINETRY MFA & MORE Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: HOURLY PLAN CHECK - 101-0000-42600 1 $70.00 $70.00 I 9/9/14 R1039 1925 CHECK DESIGNER CABINETRY MFA YES I & MORE Total Paid forCITY STAFF - PER HOUR: $70.00 $70.00 REMODEL, EA 101-0000-42400 0 $64.35 $64.35 9/9/14 R1039 1925 CHECK DESIGNER CABINETRY MFA ADDITIONAL 5OO SF & MORE REMODEL, EA 101-0000-42600 0 $51.48 $51.48 9/9/14 R1039 1925 CHECK DESIGNER CABINETRY MFA ADDITIONAL 500 SF PC & MORE REMODEL, FIRST 100 SF 101-0000-42400 0 $48.62 $48.62 9/9/14 R1039 1925 CHECK DESIGNER CABINETRY MFA & MORE REMODEL, FIRST 500 SF 101-0000-426000 $132.99 $132.99 9/9/14 R1039 1925 CHECK DESIGNER CABINETRY MFA PC & MORE Total Paid for REMODEL: $297.44 $297.44 SMI - RESIDENTIAL 101-0000-20308 0 $1.63 $1.63 9/9/14 R1039 1925 CHECK DESIGNER CABINETRY MFA & MORE Total Paid forSTRONG MOTION INSTRUMENTATION SMt $1.63 $1.63 b� Printed: TiiPsday, SPntPmhPr f19; 2f11a 2.12.5 PN4 2 of a sysrrnns NON-STRUCTURAL TOM 8/21/2014 8/28/2014 8/2S/2014 APPROVED N/S APPROVED BY TH ATTACHM HARTUNG E NTS STRUCTURAL tom 8/21/2014 9/2/2014 9/4/2014 APPROVED APPROVED BY YOUNG ENGINEERING HARTUNG B8Nb,!N�b�KMATIdN,......... „„ ATTACHM E NTS Printp.d: TiiPsriaa; SPPtPmhPr f19; 7f11a 7.17.53 PHA 3 of 3 SYSTEMS Bin # City of La Quinta JAC) Building 8t SafetyDivision P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # v�'� n c LJ Project Address: X Owner's Name: A. P. Number: Address: Legal Description:1, City, ST, Zip: Contractor: - F»`<`•% Tele hone: P Address: Ave—, —, 4.6,37, 7,-, Project Description: City, ST, Zip: !kms- /K%Qq L P� 45- 5- f ' LL Teleho n e. P b 0 State Lic. # : 3 t f7i 1 City Lic. #;1 V-77. Arch., Engr., Designer / .-z <f7 Address: cl J A�� -P.2 City., ST, Zip: Telephone:GJ3•V 3 2 Construction Type: Occupancy: State Lic. #. G� Project hPa (circlene • New Add, n Alt e r e air Demo Name of Contact Person: [f 7W Sq. Ft.: (j ®® 1 #Stories: # Units: Telephone # of Contact Person: L6 2> . ��'�� ®/ 2 Estimated Value of Project: Z �� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections 71 Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correct io s/issue41 Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 0/3 r1 4 enar.com" -Nj `— 77-682 Country Club Dr. Ste. B, Palm Desert, CA 92211 ph. (760) 772-5107 fax (760) 345{7620, Letter of Transmittal To: City of La Quinta Today's Date: 9-3-14 78-495 Calle Tampico City Due Date: 9-2-14 La Quinta, CA 92253 Project Address: 54-443 Shoal Creek Drive Attn: Angelica Plan Check #: BRES 2014-1090 Submittal: ® 1st ❑ 4th' ❑ 2nd ❑ 5th ❑ 3rd ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: # Of Descriptions: Includes: # Of Descriptions: Copies: Copies: ® 1 Structural Plans ❑ Revised Structural Plans ® 1 Structural Calculations ❑ Revised Struct. Calcs ❑ Truss Calculations Floor ❑' Revised Truss and Roof ❑ Soils Report ❑ Revised Soils Report ❑ Structural Comment List ❑ Approved Structural; Plans ❑ Redlined Structural Plans ❑ Approved Structural Calcs ❑ Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other: Comments: Structural content is approvable. _ If you have any questions, please call. Time= 1 HR C This Material Sent for: ❑ Your Files ❑ Your Review ❑ Checking Other: By: Kathryn Samuels Palm Desert Office: ® (760) 772-5107 Other: ❑ r CITY OF LA..f�t 1TN1A COMMUNITY DEVELOPMENT ® Per Your Request ❑ Approval ❑ At the request of: