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BRES2017-013378-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2017-0133 Property Address: 52420 AVENIDA VALLEJO APN: 773263009 Application Description: BIRDSELL / 2,021 SF DWELLING/VB/RES-3/CLASS A-FR/13D Property Zoning: Application Valuation: $131,321.90 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: JOE & BIRDIE BIRDSELL PO BOX 630 LA QUINTA, CA 92253 Applicant: �' l,, Contractor: JOE & BIRDIE BIRDSELL " " "'- ' JOSEPH BIRDSELL PO BOX 630 UG 3 O 21��] I� LEA P 0 BOX 630 LA QUINTA, CA 92253 LA QUINTA, CA 92247 CITYOFs1QUINTA TYDEVELOPMENfDEPARTMENT (760)409-7070 Llc. No.: 811293 . 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 'of the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 811 93 . (� Date.. 3 � � P7 Contra OWNER- WILDER 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 is issued (Sec. 3097, Civ. C.). . Lender's Lender's Address: Date: - 8/30/2017 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 issue. y workers' compensation insurance carrier and policy number are: CaAMPT. Policy Number:_ ��I certify that in the performance of the work for which this permit is issued, I sht employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t if 1 should become subject to the workers' compensation provisions of Sect 37 0 of the Labor Code, I sh II forthwith comply with those provisions. ` ,; '= 'Date: 8/30/2017 ' Application" Number: "" BRES2017-0133 Owner:_ Property Address:. 52420 AVENIDA VALLEJO JOE & BIRDIE BIRDSELL APN: 773263009 PO BOX 630 Application Description: BIRDSELL / 2,021 SF DWELLING/VB/RES-3/CLASS'A-FR/13D LA QUINTA; CA 92253 Property Zoning: Application Valuation: $131,321.90 Applicant: Contractor: JOE & BIRDIE BIRDSELL, JOSEPH BIRDSELL PO BOX 630 j P 0 BOX 630 LA QUINTA, CA 92253 LA QUINTA, CA 92247 (760)409-7070" Llc. No.: 811293 Detail: 2,021 SF DWELLING - [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA,.BLOCK WALLS OR DRIVEWAY APPROACH. 2016. CALIFORNIA BUILDING CODES. .- FINANCIALIN FORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $6.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $6.00. _ DESCRIPTION ACCOUNT QTY AMOUNT Credit Card Fee 101-0000-43505 0 $13.50 Total Paid for Credit Card Fee: $13.50 DESCRIPTION ACCOUNT QTY AMOUNT DIF - CIVIC CENTER 252-0000=43200 0 $942.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - COMMUNITY CENTERS, 254-0000-43200 0 $129.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - FIRE PROTECTION .257-000043200.- 0 $433.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF -LIBRARIES 253-0000-43200 0 $344.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 . DESCRIPTION ACCOUNT QTY AMOUNT DIF -TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $17.73 Total Paid for ELECTRICAL: $43.06 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $25.84 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $10.64 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: .$238.64 - DESCRIPTION ... ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT <=7KSF 101-0000-42408 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT ' IIESID4TIAL PRECISE GRADING - CUSTOM HOME LOT <=7KSF PC 101-0000-426000 $38.00 Total Paid for GRADING: $76.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $5.07 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $25.33 DESCRIPTION. ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $63.35 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0, $25.35 .Total Paid for MECHANICAL: $233.10 DESCRIPTION ACCOUNT QTY AMOUNT - MULTI -SPECIES RESIDENTIAL 8.1-14 UNITS - 2017 UPDATE 101-0000-20310 .0 $518.00 Total Paid for MULTI -SPECIES RESIDENTIAL: $518.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $551.06 Total Paid for NEW.CONSTRUCTION PERMIT: $SS1.06 DESCRIPTION' ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $750.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $349.74 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,099.74 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW'DEVICE. 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE PC 101-0000-42600 0 $5.07 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 .0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $17.73 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-424010 $190.05 DESCRIPTION ACCOUNT- QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600. 0 • $190.05 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $25.33 1 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $12.67 - DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT'PC 101-0000-42600 0 $7.60 DESCRIPTION ACCOUNT QTY 'AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 . $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.67 Total Paid for PLUMBING FEES: $549.84 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $17.07 Total Paid for'STRONG MOTION INSTRUMENTATION SMI: $17.07 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 DESCRIPTION ACCOUNT QTY AMOUNT SINGLETAMILYDETACHED 224-0000-20320 0 $1,837.44 Total Paid for TUMF - RESIDENTIAL: $1,837.44 Q