BRES2017-0065P R
78-49S CALLE TAMPICO V
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRES2017-0065
Property Address: .78631 TALKING ROCK TURN
APN: 770300029
Application Description: BRENGEL / 208 S.F. ADDITION + PATIO COVER + INTERIOR REMODEL
Property Zoning:
Application Valuation: $35,000.00
Applicant:
GORDON STEIN
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Cl a s: B nLicense No.: 835648
D • 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, arid 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 Na
Lender's Address:
VOICE (760) 777-7125
FAX (760)777-7011
INSPECTIONS (760) 777-7153
Date: 7/11/2017
Owner:
DOUGLAS BRENGEL
345 E COLORADO BLV NO 203 r
PASADENA, CA 92253 �--`� 1 g
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Contractor: 0 5 0
ENGSTROM CONSTRUCTION MANAE/ NT '� o LU
77455 EVENING STAR CIRCLE `4� v
INDIAN WELLS, CA 92210 V z
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(760)668-3961 �1
Lic. No.: 835648
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'
consation, as provided for by Section 3700 of the Labor Code, for the performance
oft ork for which this permit is issued.
• I have and will maintain workers' compensation insurance, as required by
ec ion 00 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 COMPENSATION INSURANCE FUND Polity Number: 9022651
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 the
workers' compensation provisions of Section 37 t e or Code, I sha orthwith
comply wit thos provisions.
Date• I I 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 permiVto 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 buildin
construction, and hereby authorize representatives of this cit to enter upon the
above-mqntionep property for inspection purposes.
Date: dn Signature (Applicant or Agent):
Date: 7/11/2017
Application Number: BRES2017-0065
Owner:
Property Address: 78631 TALKING ROCK TURN
DOUGLAS BRENGEL
APN: 770300029
345 E COLORADO BLV NO 203
Application Description: BRENGEL"/ 208 S.F. ADDITION + PATIO COVER + INTERIOR REMODEL
PASADENA, CA 92253.
Property Zoning:
Application Valuation: $35,000.00
Applicant:
Contractor:
GORDON STEIN
ENGSTROM CONSTRUCTION MANAGEMENT
77455 EVENING STAR CIRCLE
INDIAN WELLS, CA 92210
(760)668-3961
Llc. No.: 835648
Detail: BRENGEL / 208 S.F. ADDITION + 43'X17' TRELLIS PATIO COVER (731 SF) + INTERIOR REMODEL. CONVERT EXISTING UTILITY ROOM AT GARAGE TO
LAUNDRY (208 S.F. ADDITONAL CONDITIONED SPACE CREATED RESULTING IN A TOTAL OF 6,592 SF) AND CONVERT EXISTING LAUNDRY & POWDER ROOM
TO PANTRY. REMODEL KITCHEN AND GREAT ROOM, NEW LIGHTING, APPLIANCES, KITCHEN SINK AND CABINETS. LAYOUT OF EXISTING GARAGE REVISED,
RELOCATE EXISTING FAU AND WATER HEATERS TO NEW UTLITY ROOM. THIS PERMIT DOES NOT INCLUDE THE REPLACEMENT OF ANY MECHANICAL
EQUIPMENT OR WATER HEATERS. 2016 CALIFORNIA BUILDING CODES.
t
4
DESCRIPTION
ACCOUNT
QTY
AMOUNT
ADDITION, EA ADDITIONAL 500 SF
101-0000-42400
0
$65.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
ADDITION, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$18.24
DESCRIPTION
ACCOUNT
QTY
AMOUNT
ADDITION, FIRST 100 SF
101-0000-42400
0
$127.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
ADDITION, FIRST 100 SF PC
101-0000-42600
`0
$179.36
0
Total Paid for ADDITION:
$390.64
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - YES ADMINISTRATIVE STAFF
101-0000-42600
0.25
$10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE -YES STRUCTURAL PLAN REVIEW ENGINEER
101-0000-42600
1.5
$142.50
Total Paid for BLDG CITY STAFF - PER HOUR: $152.50
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, EA ADDITION 1,000SF
101-0000-42403
0
$12.92
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, EA ADDITION 1,000SF, PC
101-0000-42600
0
$5.32
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$152.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, FIRST 1,OOOSF, PC
101-0000-42600
0
$50.16
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $220.40
DESCRIPTION
ACCOUNT
QTY
AMOUNT
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
$25.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$10.14
Total Paid for MECHANICAL: $35.48
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PATIO COVER, DESIGNED
101-0000-42404
0
$139.84
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PATIO COVER, DESIGNED PC
101-0000-42600
0
$176.32
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $316.16
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$76.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$76.02
' DESCRIPTION
+ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401•
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$25.33
DESCRIPTION
ACCOUNT
QTY +
AMOUNT
-WATER SYSTEM INST/ALT/REP •
101-0000-42401
0
$12.67
DESCRIPTION tACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-000042600•
_ 0
$12.67
" • Total Paid for PLUMBING FEES: $215.38
• '4
' * DESCRIPTION
ACCOUNT
QTY
AMOUNT.
REMODEL, EA ADDITIONAL 500 SF J
101-0000-42400
0
$68.40
DESCRIPTION -
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF PC' _
101-0000-42600
0.
$54.72
` 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: $316.16.
DESCRIPTION
ACCOUNT
.QTY
-AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
.. $4.55 _
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $4.55
DESCRIPTION f
ACCOUNT
QTY
AMOUNT
.TECHNOLOGY ENHANCEMENT FEE -
502-0000-43611 "'
A
.$5.00