BRES2016-017678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BRES2016-0176
DiItMCl/ VOICE (760) 777-7125
n n FAX (760) 777-7011
DESIGN &DEVELOPMENT1DEPARTMENT INSPECTIONS (760) 777-7153
LI
BUILDING PE�R�MIT u - - YI II
Property Address:
54140 AVENIDA CORTEZ
APN:
774192007
Application Description:
WARDEN / REMODEL TO KITCHEN AND BATHS AREAS
Property Zoning:
Application Valuation:
$S00.00
Applicant:
CHRIS LIGMAN CONSTRUCTION
57205 SPENCER ROAD
YUCCA VALLEY, CA 92284
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 Clas % B D icense No.: 981242 //��r
Date: r�Contractor.• ( /
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 N
Lender's Address:
6 0 8 2016
--Ow:
CI TYOFLH01 IInITner
COIJhAUi'41TYDEVELOP�kIRlOBERHli1'I ;A/NING
54140=AVEN16A CORTEZ
LA QUINTA, CA 92253
Contractor:
CHRIS LIGMAN CONSTRUCTION
57205 SPENCER ROAD
YUCCA VALLEY, CA 92284
(760)408-1062
Llc. No.: 981242
Date: 8/8/2016
WORKER'S COMPENSATION DECLARATION
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 polity number are:
Carrier: EXEMPT 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 3700 of the Labo ode, I shall forthwith
complywith t os provisions.
Date: Applican
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION C 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 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 upo the
above -men ne property for inspection purposes.
Date: A� ZP Signature (Applicant or Agent):
t �
,
Date: 8/8/2016
Application Number: BRES2016-0176
Owner:
Property Address: 54140AVENIDA.CORTEZ
ROBERT DOWNING
APN: 774192007
54140 AVENIDA CORTEZ
Application Description: WARDEN / REMODEL TO KITCHEN AND BATHS AREAS
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $500.00
a
Applicant:.
Contractor:
CHRIS LIGMAN CONSTRUCTION
CHRIS LIGMAN CONSTRUCTION
57205 SPENCER ROAD
57205 SPENCER ROAD
YUCCA VALLEY, CA 92284
YUCCA VALLEY, CA 92284 .
(760)408-1062
---------------------------------------------------------------------------------------------
Llc. No.: 981242
Detail: KITCHEN AND BATHROOM REMODEL, REMOVE AND REPLACE ALL CABINETRY AND PLUMBING
FIXTURES AND RELOCATE AS NECESSARY ELECTRICAL
OUTLETS FOR REVISED FIXTURE AND COUNTER LOCATIONS. THIS PERMIT DOES NOT INCLUDE ALTERATION TO LIGHTING OR ROUGH PLUMBING LOCATIONS.
2013 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$24.17
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
Total Paid for ELECTRICAL: $48.34 '
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$60.45
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$60.45
Total Paid for PLUMBING FEES: $120.90
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50
IUINw: :�iiu.i4
I
Bin #
City of La Quinta
Building &Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address.�L� / t� O I t^o•z i e
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Owner's Name: �A-Yzlz2y t fey.
A. P. Number:
Address: "�`� �� j Pt n,4,
Legal Description:
City, ST, Zip:
Contractor: Iz 15 t! tc
I d 4�e
TeleP hone:
Address:j -acs'-� ic4-r
Project Description: [l (3 i4-�
City, ST, Zip: KC1Lc -- V j_4 tel CIA-- al a� Y
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TeleP ho l n • 7 U - D - 1 O (0
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State Lic.#
City Lic.#;
Lpw flow %�lv,v,�,`„ y'
Arch.,
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
one:
Construction s on TYP e• Occupancy:
cu ane Y:
Project nPa (circle one • New
Add'n Alter Repairai
r Demo
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a
St te Lic. #:
:,......
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Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: % D -
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
t/
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for torr ctions/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
S.M.I.
Grant Deed
Plans picked up
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 Lees
tiL'�'�b'raun
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