The URL can be used to link to this page

BCOM2015-0061ti 78-495 CALLE TAMPICO U VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 5/19/2016 Application Number: BCOM2015-0061 Owner: Property Address: 78085 AVENIDA LA FONDA FORTUNE PROP APN: 770122003 Property Zoning: Application Valuation: $500,000.00 Applicant: o Contractor: DOUG WALL CONSTRUCTION INCDOUG WALL CONSTRUCTION INC 78450 AVENUE 41 V 9 ?�j� b VV 78450 AVENUE 41 'BERMUDA DUNES, CA 92203 �1C,1 BERMUDA DUNES, CA 92203 N DEVEIOPMENI �i 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 Class: B. C-9. A. C27, C10 License No.: 743112 Date: !. 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 thea 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).lice nsed 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 Name: Lender's Address: •(206)622-4981 LIC. No.: 743112 WORKER'S COMPENSATION DECLARATION I here irm under penalty of perjury one of the following declarations: ve and will maintain a certificate of consent to self -insure for workers' co sation, 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: _ 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 Labor Code, I shall forthwith comply with those provisions. Date: 5— /�' 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 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-mentioned property for inspection purposes. Pate: ✓'` ! ' /"� Signature (Applicant or Agent): A m FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ART IN PUBLIC PLACES - COMMERCIAL REMOD 270-0000-43201 0 $2,000.00 $2,000.00 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR Total Paid for ART IN PUBLIC PLACES - AIPP: $2,000.00 $2,000.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY CHARGE - BLDG CITY STAFF 101-0000-42600, 12.5 - $1,812.50 $1,812.50 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR DESCRIPTION - ACCOUNT QTY AMOUNT PAID PAID DATE - HOURLY PLAN CHECK - ESG 101-0000-42600 4 $392.00 $392.00 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK ,: R15634 7904 AOR Total Paid for BLDG CITY STAFF - PER HOUR: $2,204.50 $2,204.50 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $20.00 $20.00 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $20.00 $20.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SERVICES 101-0000-42403 0 $24.17 $24.17 5/19/16 PAID BY METHOD 1 RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SERVICES PC. 101-0000-42600 0 $12.09 $12.09 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR Total Paid for ELECTRICAL: $36.26 $36.26 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NON-RESIDENTIAL, FIRST 2,000SF 101-0000-42403 0 $108.77 $108.77 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NON-RESIDENTIAL, FIRST 2,000SF, PC 101-0000-42600 0 $84.12 $84.12 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNEPROP CHECK R15634 7904 AOR Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $192.89 DESCRIPTION ACCOUNT QTY AMOUNT PAID' PAID DATE WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 $47.86 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY m ,!s p FORTUNE PROP CHECK R15634 7904 AOR DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $60.91 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR Total Paid for FENCE OR FREESTANDING- WALL: $108.77 $108.77 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE AIR HANDLER 101-0000-42402 0 $72.52 $72.52 5`/-19/16 PAID BY METHOD RECEIPT # CHECK # • CLTD BY FORTUNE PROP CHECK R15634 7904 AOR DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE AIR HANDLER PC 101-0000-42600 0 $24.18 $24.18 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 .0 $72.52 $72.52 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 01 $48.34 $48.34 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EVAPORATIVE COOLER 101-0000-42402 0 $12.09 $12.09 5/19/16 PAID. BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EVAP.ORATIVE'000LER PC 101-0000-42600 0 $12.09 $12.09 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR + DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $4.83 $4.83 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR Total Paid for MECHANICAL: $258.66 $258.66 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $72.54 $72.54 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY :0�r FORTUNE PROP CHECK R15634 7904 AOR DESCRIPTION ACCOUNT QTY. AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $72.54 $72.54 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR DESCRIPTION ACCOUNT QTY AMOUNT PAID ' PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $12.09 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $24.17 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $12.09 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $12.09 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR Total Paid for PLUMBING FEES: $205.52 $205.52 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 '0 $130.50 $130.50 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $104.40 $104.40 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $49.31 5/19/16 PAID BY METHOD' RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 $134.88 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FORTUNE PROP CHECK R15634 7904 AOR Total Paid for REMODEL: $419.09 $419.09 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - COMMERCIAL 101-0000-20308 0 $140.00 $140.00 5/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY t, FORTUNE PROP CHECK R15634 7904 AOR Total Paid for STRONG MOTION INSTRUMENTATION SMI: $140.00 $140.00 ' • DESCRIPTION PermitTRAK PAID $5,585.69 BCOM2015-0061 Address: 78085 AVENIDA LA FONDA Apn:770122003 $5,585.69 f REMODEL $419.09 REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0:-. $130.50 REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $104.40 STRONG MOTION INSTRUMENTATION SMI $140.00 SMI - COMMERCIAL 101-0000-20308 0 $140.00 TOTAL FEES • , i Date Paid: Thursday, May 19, 2016 Paid By: FORTUNE PROP Cashier: AOR Pay Method: CHECK 7904 Printed: Thursday, May 19, 2016 1:31 PM 2 of 2 WOW CYCTCAAC DESCRIPTION PermitTRAK • QTY PAID $5,585.69 BCOM2015-0061' Address: 78085 AVENIDA LA FONDA Apn: 770122003 $5,585.69. - 5,585.69:ART-IN ART INPUBLIC -PLACES - AIPP = $2,000.00 ART IN PUBLIC PLACES - COMMERCIAL REMOD 270-0000-43201 0 $2,000.00 BLDG CITY STAFF - PER HOUR $2,204.50 HOURLY PLAN CHECK - ESG 101-0000-42600 4 $392.00 HOURLY CHARGE - BLDG CITY STAFF 101-0000-42600 • . 13 $1,812.50 BUILDING STANDARDS ADMINISTRATION BSA $20.00 BSAS SB1473 FEE 101-0000-20306 0 $20.00 ELECTRICAL $36.26 SERVICES PC 101-0000-42600 0 $12.09 SERVICES 101-0000-42403 0 $24.17 ELECTRICAL- NEW CONSTRUCTION $192.89 NON-RESIDENTIAL, FIRST 2,000SF 101-0000-42403 0 $108.77 NON-RESIDENTIAL, FIRST 2,000SF, PC 101-0000-42600 0 $84.12 FENCE OR FREESTANDING WALL = $108.77 WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 MECHANICAL $258.66 AIR HANDLER PC 101-0000-42600 0 $24.18 AIR HANDLER 101-0000-42402 0 $72.52 CONDENSER/COMPRESSOR PC 101-0000-42600 0 $48.34 CONDENSER/COMPRES$OR 101-0000-42402 0 $72.52 EXHAUST HOOD PC 101-0000-42600 0 $4.83 EXHAUST HOOD 101-0000-42402 0 $12.09 EVAPORATIVE COOLER PC 101-0000-42600 0 $12.09 EVAPORATIVE COOLER 101-0000-42402 0 $12.09 PLUMBING FEES $205.52 FIXTURE/TRAP PC 101-0000-42600 0 $72.54 FIXTURE/TRAP 101-0000-42401 0 $72.54 GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 Date Paid: Thursday, May 19, 2016 Paid By: FORTUNE PROP Cashier: AOR Pay Method: CHECK 7904 Printed: Thursday, May 19, 2016 1:31 PM 1 of 2 CYC7FAvS