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BRES2016-006978-49S CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BRES2016-0069 Property Address: S372S AVENIDA VILLA APN: 774133026 Application Description: STONE / ROOM ADDITION Property Zoning: Application Valuation: $20,000.00 Applicant: JORGE GARCIA 45175 PANORAMA DR PALM DESERT, CA 92260 `ter °F 4QuArw DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT 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: B. C29 License No.: 928643 Date: 4?*- R2.1If 6— Contractor: �� e 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, 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 Name: Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/22/2016 Owner: MARK STONE o c 53725 AVENICA VILLA; LA QUI NTA, CA 922 ,337i n � rn rtiD� � Contractor: 4 ? { N MUD WIZ & C=JSTOntA;ERAM_fflG I P 0 BOX 331 � TWIN PEAKS, tCA 2391 (909)436-9749 Llc. No.: 92863 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury orm of the following declarations: _ I have and will maintain a certiftate of consent to self -insure for workers' compensation, as provided for by Section _700 of the Labor Code, for the performance of the ork for which this permit is issued. I have and will maintain worker:' compensation insurance, as required by Section 37"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: EXEMPT Polity 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 Sectic n 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: FAILURE TO SECURE WORK ERS"COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10[,,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED .=OR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKYOWLEDGEMENT IMPORTANT: Application is hereby made t i the Building Official for a permit subject to the conditions and restrictions set forth onrthis 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 :he City of La Quinta, its officers, agents, and employees for any act or omission related -o 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 an 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. Date: Signature (Appliont or Agent): Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: JORGE GARCIA 45175 PANORAMA DR PALM DESERT, CA 92260 BRES2016-0069 53725 AVENIDA VILLA 774133026 STONE / ROOM ADDITION $20,000.00 Date: 9/22/2016 Owner: MARK STONE 53725 AVENIDA VILLA LA QUINTA, CA 92253 Contractor: MUD WIZ & CJSTOM FRAMING INC P O BOX 331 TWIN PEAKS, --A 92391 (909)436-9749 Llc. No.: 928643 I --------------------------------------------------------------------------------------------- Detail: ROOM ADDITION 256 SQ. FT. WITH NEW BATHROOM AND LAUNDRY ROOM. PER 2013 CRC CODES. A/C FOR THIS HOME SHALL HAVE A MIN. OF 14 SEER OR BETTER PER CALIF ENERGY CODES 1 .• l. FINANCIAL DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, EA ADDITIONAL S00 SF 101-0000-42400 0 $62.36 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $17.40 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, FIRST 100 SF PC 101-0000-42600 0 $171.14 Total Paid for ADDITION: $371.73 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY PLAN CHECK -YES 101-0000-42600 1.5 $105.00 Total Paid for BLDG CITY STAFF - PER HOUR: $105.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRAT"ON BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $36.26 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $36.26 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $4.83 Total Paid for MECHANICAL: $137.78 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $48.36 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $48.36 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 Total Paid for PLUMBING FEES: $120.90 DESCRIPTION ACCOUNT QTY AMOUNT• REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $21.75 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $17.40 DESCRIPTION ACCOUNT QTY. AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 Total Paid for REMODEL: $223.34 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $2.60 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $2.60 Bin #�� D O6 q City of La Quinta Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 0I 4 Project Address: 1;3—'125 A Owner's Name: MflFK S WIE A. P. Number: 116c— =0 0 Address: 53125 V � �.�• Legal Description: City, ST, Zip: Contractor: n � L Telephone: Address: Project City, ST, Zip: //Description: 25 (0 Telephone: hone: State Lic. # : City Lic. #.: Arch., Engr., Desi: Address: 4S 113'-. Wo P2• 'Lc" City., ST, Zip: CA. IV40 Tehone: le P xxx- Construction Type: V Occupancy: State Lic. #: �• Project type (circle one • New dnAlter Repair r Demo Name of Contact Person: J V� C �1- Sq. Ft.: 25(0 1 # Stories: ` # Units: 1 Telephone # of Contact Person: Z12- 2?2, 1 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Cliec- Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calls. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. 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 Per -nit Fees To: Attn 0 YOUNG Q0ENGINEERING S E R V I C E 5 ... _ Letter of Transmittal City of La Quinta Today's Date: 3-24-16 78-495 Calle Tampico City Due Date: 3-25-16 La Quinta, CA 92253 Project Address: 53-725 Avenida Villa Ramses Sevilla Plan Check #: BRES2016-0069 We are forwarding: Includes: Submittal: ® 1St ❑ 2nd ❑ 3m ® By Messenger ❑ Descriptions: 1 Structural Plans 1 Structural Calculations 1 Truss Calcs Soils Report Update Structural P/C Comments Redlined Structural Plans Redlined Structural Calcs Redlined Truss Calcs Redlined Soils Reports Comments: Structural content is aoorovable. Structural Plan Review Time =1.5 HR This Material Sent for: ❑ Your Files ❑ Your Review ❑ Checking Other: ❑ By: John W. Thompson Office: ® (760) 772-5107 Other: ❑ ❑ 4th ❑ 5th ❑ Other: By Mail (Fed Ex or UPS) Includes: # Of Copies: El 11 ❑ Your Pickup Descriptions: Revised Struct. Plans Reprised Struct. Calcs Revised Truss Calcs ❑ Revised Soils Report ❑ Approved Structural Plans ❑ Approved Structural Calcs ❑ Approved Truss Calcs ❑ Approved Soils Report ❑ Other: ® Per Your Request ❑ Approval ❑ At the request of: � 15 (� MAR 2 4 2016 r,11