BPOL2017-0008T 4'* VOICE (760) 777-71225
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-703 1.
& DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-71,E3
BUILDING PERMIT
/2017
Application Number: BPOL2017 0008 Owner: r
Property Address: 45140 SUNBERRY CT CT BRIAN SCHELL
APN: 604412010 45140 SUNBURRY CT=
Application Description: SCHELL RESIDENCE / ABOVE GROUND POOL LA QUINTA, CA 9225A --
Property Zoning:
Application Valuation: $500.00 C
r G
Applicant: Contractor:-
BRIAN
ontractor>BRIAN SCHELL OWNER BUILDER
45140 SUNBURRY CT 4
LA QUINTA, CA 92253
rn
LIC. No.:.
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.:
Date: Contractor:
OWNER -BUILDER DECLARATION
I her 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 arid 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
krTmubjects the applicant to a civil penalty of not more than five hundred dollars.
s owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended oroffered 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
one year of completion, the owner -builder will have the burden of proving that
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
t roe d who contracts for the projects with a contractor(s) licensed pursuant to
e dors' State License Law.).
I am exempt under Sec. . B.&P.C. for this reason
Date:, Ow
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:
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
ySection 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:
Ca 'er: Policy Number:
,certify that in the performance of the work for which this permit is issueJ, I
s all-ngt 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 forthwiti
comply with those provi ions.
D
Date? 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 COD"
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 anypermit
issued as a result of this application , the owner, and the applicant, each agrees to, aid
shall defend, indemnify and.hold harmless the City of La Quinta, its officers, agents,'Fnd
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 -menu ne property for inspection purposes.
2te:. Signature (Applicant or Agent): \
E FINANf1m iNFnpmATiniu
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$190.00-
190.00DESCRIPTION
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SWIMMING POOL/SPA.PC•
101-0000-42600
0
$103.36
a Mob. �.
D O 0
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CITY OF LA ul
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OYED
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lain 1/71
..City of La Qu«nta
Building 8T Safety Division
Permit # . 500 .78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2 .
(ter Building Permit Application and Tracking Sheet
Project Address: S,-AQb� �—�— Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip: Co( Z 2 3
Contractor:
Telephone: ele � g
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P `7—
S- ' 3
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Address:
Project Description:
City, ST, Zip:
Tele h
Pone:
State Lie. # :
City Lie. #t
Arch., Engr., Designer:
`
Address:
City, ST, Zip:
Construction Type: Occupancy:
*State Lie. #
Project type (circle one • New Add'n Alter Repair Demo.
Name of Contact Person:Sq.
Ft.:
# Stories:.
# Units:
Telephone # of Contact Person: %77 - 33 ?.—g -9G
Estimated Value of Project: U U ��
APPLICANT: DO NOT WRITE BELOW T1 1S LINE
li
Submittal
Req'd
Rcc'.d
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item/
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan .
2°" Review, ready for corrcctions/issue
Electrical .
Subcontactor List
Called ContactPcrson
Plumbing
Grant Deed
Plans picked up
S.M.I.
Ii.O.A. Approval
Plans resubmitted
Grading
IN If OUSE:-
''d Review, ready for corrcctions/issuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees