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BRES2015-033778-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2015-0337 Property Address: 51545 AVENIDA VILLA APN: 773143015. Application Description: BOKEL RESIDENCE / INTERIOR REMODEL Property Zoning: Application Valuation: $4,500.00 Applicant: TEAM 1 RESTORATION INC 42088 RIO NEDO STE 102 TEMECULA, CA 92590 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/theBessand Professions Code, and my License is in full force and effect. License/Class: B License No.: 941432 .Date:•, 20 / Contractors 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 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.). (_J 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: I 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: Owner: lZU110x ZIiy1:11[IIIIIII 51545 AVENIDP LA QUINTA, CA VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: . TEAM 1 RESTORATION INC 42088 RIO NEDO STE 102 TEMECULA, CA 92590 (951)296-5297 Llc. No.: 941432 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 tile wok 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 carrierand 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, ifI sho become subject to.the workers' compensation provisions of Section 3700 of h abor Code II forthwith comply with those provisions.Dat -- �A i5�`�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 lati g tobui construction, and hereby authorize representatives of this city to ter/pon above- mentioned propertyfor inspection purposes. 26 / S' Date: � Signature (Applicant or Age t1: _AMOUNT .prig rk= PAID k ;. BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 8/26/15 PAID:BY ` Wt.$ " _. .. .. ,.714 .fix _METHOD :. r "'RECEIPT # r •�. .. y CHgECK # CLTD .. DAMIAN ROBLES DEBIT R8729 �? :DESCRIPTION y * aE MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA .$1.00 $1.00 PAIDt'DATE `DESCRIPTION '` `�`' 6 n. '� >.:�A000UNT QTY ` t `AMOUNT `. ' t, '. PAID + 1. r x ,.� PAID.DATE. , WATER SYSTEM INST/ALT/REP 101-0000-42401 $12.09 0 $12.09 $12.09 8/26/15 a+ "PAID BY i' " x i k r METHOD }' :' RECEIPT # CCHECK # CLTD BY , DAMIAN ROBLES DEBIT R8729 MAllFA �? :DESCRIPTION y * aE tACCOUNT ' `=� - QTY' �: 'AMOUNT '_- ; PAID • as PAIDt'DATE # , WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $12.09 8/26/15 METHOD r 'RECEIPT # "CHECK #r CLTD BY_k _ DAMIAN ROBLES. DEBIT R8729 MFA Total Paid forPLUMBING FEES: $24.18 $24.18 x DESCRIPTION'„<.� kf QTY, AMOUNT PA ; PAIDDATE _... :,ACCOUNT 3. t g REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $65.25 $65.25 8/26/15 BY -METHOD Y W RECEIPT# 7 s _ _ CHECK #PAID CLTD BY DAMIAN ROBLES DEBIT 118729 MFA ;DESCRIPTION `� ;' ` ,:. 7 *ACCOUNT K QTY ; ' AMOUNT PAID PAID DATE . t REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $52.20 $52.20 8/26/15 , PAID. BY. •. c x r RECEIPT # CHECK # CLTD BY ¢ ,. ,METHOD a R: �,.� DAMIAN ROBLES DEBIT R8729 MFA ”>°'DESCRIPTION fW ` ', `.µ t' ACCOUNT QTY AMOUNT .� PAID PAID DATE: REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $49.31 8/26/15 PAID BY - "•' METHOD < RECEIPT # r' 'CHECK # CLTD BY % - DAMIAN ROBLES DEBIT R8729 MFA . -.,DESCRIPTION .e �y x ACCOUNT ,' ' Q AMOUNT ": -- ;� PAID PAID. DATE' REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 $134.88 8/26/15 PAID BY ° METHOD # R :t a CHECK # CLTD BY ,RECEIPT �. , DAMIAN ROBLES DEBIT R8729 MFA Total Paid for REMODEL: $301.64 $301.64 DESCRIPTION ``'' yy ` ACCOUNT:' °,� i QTY. AMOUNT xi PAID r PAIO'DATE .. R: i SMI - RESIDENTIAL 101-0000-20308 0 $0.59 $0.59 , 8/26/15 .; .PAID,B METHOD 'RECEIPT# ."°'�z CHECK#k n BY. ,CLTD DAMIAN ROBLES DEBIT R8729 MFA Total Paid forSTRONG MOTION INSTRUMENTATION SMt $0.59 $0.59 Description: BOKEL RESIDENCE / INTERIOR -REMODEL Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: ISSUED Applied: 8/26/2015 MFA Approved: 8/26/2015 MFA Parcel No: 773143015 Site Address: 51545 AVENIDA VILLA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA AT VALE LA QUINTA` Block: 112 Lot: 3 Issued: 8/26/2015 MFA NO 12 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $4,500.00 Occupancy Type: Construction Type: Expired: 2/22/2016 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: REPLACE GALVANIZED PIPING TO COPPER, REPLACE DRYWALL IN BEDROOM CEILINGS AND REPLACE DAMAGED INSULATION PER .2013 CALIFORNIA BUILDING CODE R .6,� ,. � r ,; COMDITIQNS FINANCIAL INFORMATION. Printed: Thursday, September 03, 2015 2:07:25 PM . 1 of 3 sys7rMs INSPECTIONS— 41 FINAL" BLD BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 8/26/15 R8729 LUR DEBIT DAMIAN ROBLES MFA Total Paid for BUILDING STANDARDS ADMINISTRATION WATER SYSTEM 101-0000-42401 0 $12.09 $11.09 8/26/15 R8729 ANSWER DEBIT DAMIAN ROBLES MFA WATER SYSTEM 101-0000-42600 0 $12.09 $12.09 8/26/1S R8729 DEBIT DAMIAN ROBLES MFA Total Paid forPLUMBING FEES: $24.18 $24.18 REMODEL, EA 101-0000-42400 0 $65.25 $65.25 8/26/15 R8729 DEBIT DAMIAN ROBLES MFA ADDITIONAL 500 SF REMODEL, EA 101-0000-42600 0- $52.20 $S2.20 8/26/15 R8729 DEBIT DAMIAN ROBLES MFA' ADDITIONAL 500 SF PC REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $49.31 8/26/15 11029 DEBIT DAMIAN ROBLES MFA REMODEL, FIRST 500 SF 101-0000-42600 $134.88 $134.88 �1/26/15 R8729 DEBIT DAMIAN ROBLES MFA PC Total Paid forREMODEL: $301.64 $301.64 SMI -RESIDENTIAL 101-0000-20308 $O.S9 $0.59 8/26/15 R8729 DEBIT DAMIAN ROBLES MFA INSPECTIONS— FINAL" BLD NO ACCESS TO SITE RANG DOOR BELL NO ROUGH PLBG LUR 9/2/2015 9/2/2015 NOT READY ANSWER Description: BOKEL RESIDENCE / INTERIOR REMODEL !whiz �D���T !�nail Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: ISSUED Applied: 8/26/2015 MF Approved: 8/26/2015 MFA Parcel No: 773143015 Site Address: 51545 AVENIDA VILLA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 112 Lot: 3 Issued: 8/26/2015 MFA NO 12 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $9,000.00 Occupancy Type: Construction Type: Expired: 2/22/2016 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: REMODEL AFTER WATER DAMAGE. KITCHEN- REPLACE LESS THAN 40 FEET OF A/C DUCTS: REPLACE GALVANIZED PIPING TO COPPER. (2) BEDROOMS - REPLACE INSULATION (R-38) AND DRYWALL IN CEILINGS PER 2013 CALIFORNIA BUILDING CODE. AT THE TIME OF MY INSPECTION I OBSERVED NEW AC DUCTING, NEW MECHANICAL FANS, DRYWALL REPLACED IN KITCHEN, LIVING ROOM AND BATHROOMS. THE HOME OWNER CALLED ME.AND TOLD ME THE CONTRACTOR REPLACE THE AC DUCTING, ADDED NEW WALL AT ENTRY, AND REPLACED INSULATION ON EXTERIOR WALLS WERE DRYWALL WAS REPLACED. UNABLE TO VERIFY TYPE OF INSPECTION ALL NEW DRYWALL IS TO BE REMOVED TO VERIFY TYPE OF INSULATION. CONTRACTOR IS TO COME IN AND REVISE PLANS. WORK DONE WAS NOT PER DISCRIPTION ON PERMIT. SEE PHOTOS IN ATTACHMENTS CHRONOCOGYTYPE ` STAF,F'NAME 4 '. " ACTION DATE: COMPLE?ION.DATE NOTES _ > �. . •_..�:: :� . `"+, r --e ...'>..<.- _ > :�';,.. .. _:._::-, {_,{•? - .kl . _.. i> .S ':M1: -s f.1 . H. ..ara-.. t e `MT.y_5,.. .YY". [!q:'.1:�. �..?- PERMIT WAS ISSUED TO THE WRONG ADDRESS - 51545 LOCATION TRANSFER STEPHANIE KHATAMI 9/3/2015 9/3/2015 AVENIDA VALLEJO. CONDIT10,IN ;NAME TYPE NAME `ADDRESSI CITY STATE ZIP'; `PHONE E FAX" s EMAIL f_� ., .�,. , '... �., -.;•..._.. ,. w. �_ .hi:..:.::..... .. ,..:u.`-""; ..... .E�` �a v_.......:. .,> '.".: :=L.. v >:.,, :,Tik..�`e� a..5 'ctR y+� 4,�.a ._Cil, ?3v APPLICANT TEAM 1 RESTORATION INC • 42088 RIO NEDO STE TEMECULA CA 92590 102 CONTRACTOR TEAM 1 RESTORATION INC 42088 RIO NEDO STE TEMECULA CA 92590 102 Printed: Wednesday, September 09, 2015 11:05:38 AM 1 of 3 w SYSTC•MS Printed: Wednesday, September 09, 2015 11:05:38 AM 3 of 3' C7W.SYSTEMS FINAL" BLD ATTACHMENT S. a eh ROUGH PLBG LUR 9/2/2015 9/2/2015 NOT READY 9/4/2015 NO ACCESS TO SITE RANG DOOR BELL NO NEW FLEX.JPG NEW FLEX.JPG 0 ANSWER NEW DRYWALL IN NEW DRYWALL IN IMAGE 9/4j2015 APPROVED CONTRACTOR IS TO COME IN AND ADD NEW ROUGH PLBG LUR 9/4/2015 9/4/2015 W/EXCEPTIO KITCHENJPG WORK THAT HAS-BEEN DONE. SEE PHOTOS N NEW DEMO IN ATTACHED. IMAGE 9/4/2015 LUIS URIBE - 0 WILL REVISE PLANS TO SHOW FULL SCOPE BATHROOM.JPG BATHROOM.JPG - APPROVED OF WORK. KITCHEN REMODEL, NEW .SPECIAL INSPECTION LUR a 9/9/2015 9/9/2015 W/EXCEPTIO 9/4/2015 DUCTING, NEW INSULATION IN BEDROOMS 0 N AND BATH ROOMS, MECHANICAL FAN, AND BATH.JPd 6ATH.JPG NEW DRYWALL THROUGH OUT HOME. Printed: Wednesday, September 09, 2015 11:05:38 AM 3 of 3' C7W.SYSTEMS ATTACHMENT S. a eh �Ell IMAGE 9/4/2015 LUIS URIBE NEW FLEX.JPG NEW FLEX.JPG 0 NEW DRYWALL IN NEW DRYWALL IN IMAGE 9/4j2015 LUIS URIBE 0 KITCHENJPG KITCHENJPG NEW DEMO IN NEW DEMO IN IMAGE 9/4/2015 LUIS URIBE - 0 BATHROOM.JPG BATHROOM.JPG - NEW FAN IN 1 NEW FAN IN 1 IMAGE 9/4/2015 LUIS URIBE 0 BATH.JPd 6ATH.JPG NEW DRYWALL IN NEW DRYWALL IN IMAGE. 9/4/2015 LUIS URIBE 0 LIVINGROOM.JPG LIVINGROOM.JPG Printed: Wednesday, September 09, 2015 11:05:38 AM 3 of 3' C7W.SYSTEMS .... ... . .. F1 A14 dALINPORMA 10W .. . ... ..... . . C LT 6 .DESCRIPTION , , :ACCOUNT,` TYPAID.METHOD PAID BY-.- BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 8/26/15 R8729 DEBIT DAMIAN ROBLES MFA Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $12.00 8/26/15 R8729 DEBIT DAMIAN ROBLES MFA WATER SYSTEM INST/ALT/REP PC 101-0000-42600 .0 $12.09 $12.09 8/26/15 R8729 DEBIT DAMIAN ROBLES MFA Total Paid for PLUMBING -FEES: $24.18 $24.18 REMODEL, EA 101-0000-42400 0 $65.25 $65.25 8/26/15 R8729 DEBIT DAMIAN ROBLES MFA ADDITIONAL 500 SF REMODEL, EA 101-0000-42600 0 $52.20 $52.20 8/26/15 R8729 DEBIT DAMIAN ROBLES MFA ADDITIONAL 500 SF PC REMODEL, FIRST 1:00 SF 101-0000-42400 0 $49.31 $49.31 8/26/15 R8729 DEBIT DAMIAN ROBLES MFA REMODEL, FIRST 500 SF 101-0000-42600 j 0 $1* 4.88 3 $134.88 8/26/15 R8729 DEBIT AN ROBLES DAMIAN MFA PC Total Paid for REMODEL: $301.64 $301.64 SMI - RESIDENTIAL 101-0000-20308 0i $0.59 1 $0.59 1 8/26/15 1 R8729 I DEBIT I DAMIAN ROBLES MFA TuLal Paid forSI-RUNG IVIUTIUN INSIRUMENTATION SMI: $0.59 $0.59 :.JQTALS"� Printed: Wednesday, September 09, 2015 11:05:38 AM 2 of 3 0TWIMEMS c - V� X10. 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