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BRES2017-0011Applicant: Contractor: SOUTH WEST CONCEPTS, INC. EXCEL BUILDING AND RESTORATION CO 78115 CALLE ESTADO, SUITE 105 666.../// 0. 51)20-6238 P 0 BOX GL LA QUINTA; CA 92253 MAR 2 1 r1 207 BEAUMONT, CA 92223 CITY OF LA QUINTA LLIIc. No6: 772485 DESIGN AND DEVELOPMENT DEPARTMENT 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 License No.: 772485, =N_310�!417ontractor OWNER -BU DECLARAT O I hereby affirm under penalty of perjury that I am exempt rom 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.). (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 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 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 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: EXEMPT Policy Number: _ FI certify that in the performance of the work for which this permit is issued, I 11 1 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. Dater Applicant: WARNING: FAILURE TO SECURE WORKERS' PENSATI OVERAGE 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. Dalt a� Signature (Applicant' - �. �iI�IUCl/ VOICE (760) 777-7125 78-495 CALLE TAMPICO D FAX (760).777-7011 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/27/2017 Application Number: BRES2017-0011 Owner: Property Address: 44735 VIA CATALINA TODD MATTHEWS APN: 604610026 Application Description: MATTHEWS / 220 SQ FT BEDROOM ADDITION LA QUINTA, 92253 Property Zoning: Application Valuation: $50,000.00 Applicant: Contractor: SOUTH WEST CONCEPTS, INC. EXCEL BUILDING AND RESTORATION CO 78115 CALLE ESTADO, SUITE 105 666.../// 0. 51)20-6238 P 0 BOX GL LA QUINTA; CA 92253 MAR 2 1 r1 207 BEAUMONT, CA 92223 CITY OF LA QUINTA LLIIc. No6: 772485 DESIGN AND DEVELOPMENT DEPARTMENT 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 License No.: 772485, =N_310�!417ontractor OWNER -BU DECLARAT O I hereby affirm under penalty of perjury that I am exempt rom 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.). (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 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 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 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: EXEMPT Policy Number: _ FI certify that in the performance of the work for which this permit is issued, I 11 1 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. Dater Applicant: WARNING: FAILURE TO SECURE WORKERS' PENSATI OVERAGE 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. Dalt a� Signature (Applicant' - �. r +. Date: 3/27/2017 Application Number: BRES2017-0011 Owner: Property Address: 44735 VIA CATALINA TODD MATTHEWS APN: 604610026 Application Description: MATTHEWS / 220 SQ FT BEDROOM ADDITION , LA QUINTA, 92253 Property Zoning: _. Application Valuation: $50,000.00 Applicant: r. = Contractor: SOUTH WEST CONCEPTS, INC. EXCEL BUILDING AND RESTORATION CO 78115 CALLE ESTADO, SUITE 105. P 0 BOX GL LA QUINTA, CA 92253 BEAUMONT, CA 92223 (951)260-6238 Llc. No.: 772485 Detail: MATTHEWS / 220 S.F. ATTACHED! BEDROOM ADDITION AT FRONT OF HOME ADJACENT TO GARAGE. 2016 CALIFORNIA BUILDING CODES. .t Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 L FINANCIAL DESCRIPTION •L. ACCOUNT QTY AMOUNT ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 0 $65.36 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $18.24 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, FIRST 100 SF 101-0000-42400 0 $127.68 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, FIRST 100 SF PC 101-0000-42600 0 $179.36 Total Paid for ADDITION: $390.64 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES ADMINISTRATIVE STAFF 101-0000-42600 0.25 $10.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES ADMINISTRATIVE STAFF 101-0000-42600 0.25 $10.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 2 $190.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 1 $95.00 Total Paid for BLDG CITY STAFF - PER HOUR: $305.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-000020306 0 $2.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 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: $202.16 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT 101-0000-42402 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT PC 101-0000-42600 0 $38.00 Total Paid for MECHANICAL: $76.00 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $6.50 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $6.50 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 $fll # a v . �of �a Qutnta BAUng & Safety Dividton Permit # P.O. Box I504,'78-49S Carte Tamptco La.Quhta, CA 92253 - {76D} 777 7012 Building Permit -Application and Tracking Sheet E Project Add=.- L ` j Vila a Owners Name: Todd O A. P. Number. 6 o L- Address: �'Oom e— Ltgal ❑escription: LL i J -3Q ? City, ST, Zip. C V 1 /) Contractor. L-Vf/l e•/ Address: / Pmject Description: City, ST, Zip. t"a Telephone: 7�o -t�_b l " 3G1k State Lic. # : GtyLic. S, Addicss: 7 f l - Cd it {t, (7 City, ST Zip:. Telephone: 7d ro } Coaslruction Type: t)ocxigaacy:LL State Lie #_ r Project type (oink* ono): NOW d ' Alter Repair Demo Name of Contact Person: 'AJJ Sq Ft.: 'Z # riw: #Unity Telephone # of Contact Person: 7 -7 - �f ! o Estimated Value of P iect (� CJ APPLICANT: DO NOT WRITE BA.OW THIS. LINE # Submittal !!Cd Reed TRACIMG PERMr FEES, Plan Set: Plan Qwc k submlued- IDcm Amoaat Strirdatai� Reviewed, ready for corrections Plan ChedcDeposit_ Trust Cake. CaAed Comtaet Person Pisa t+her3c Balance Title 24 Cl¢i. Plans picked up Constructions Flood plain plan Plans resubmitted Mecbauiinl Grading pica Z" i Rtvitw, ready for eorrectlanafimue Flectricai Su6caAtpcMr List Called contact Person Plumbing Grant Deed Plans picked up S.)<. H.Q.A. Approval Plans roubmitted Grading IN UOUSB%' '"` Review; ready for correctionvissae Devdoper Impact Fee Plannlug Approval. C riled contact Pennon A.LP F_ Pub. Wks. Appr - Date of permit issue School Fees Total Permit Fees Date: 3/20/2017 No.: 17-00516-1 Owner: Todd Matthews Address: 44735 Via Catalina City: La Quinta Type: Residential Addition < 500 Sq ft Lot # Street No. 44735 Comments: CERTIFICATE OF COMPLIANCE �•+1°�c° Sc Desert Sands Unified School District 47950 Dune Palms Road " o La Quinta, CA 92253 a y (760)771-8515 • Email: Jurisdiction: La Quinta Tract #: Street Name Sq. Feet APN Permit No. Via Catalina 220 604-610-026 RECEIVED MAR 2 7 2017 CITY OF LA QUINTA COMMUNITY DEVELOPMENT At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential addi.`: under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking eating, or sanitation) or replacement mobile homes. It has been determined that the above -named owner is exempt from paying school fees at this time due to the following reason: Residential Addition 500 Sq Feet or Less Exempt This certifies that school facility fess imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.00 X 220 S.F. or $0.00 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in the proposed project may now be issued. Fees Paid By: Exempt - Todd Matthews Check No.: Bank Name/Recipient of Certificate Telephone: Funding: Exempt By Kathleen Felci Interim Superintendent Fee Collected/ Exempted by: Sharon McGilvrey ti Certificate Fees Due: Original Payment(s) Rec'd-. New Payment Rec'd: Over/Under: $0.00 $0.00 $0.00 $o.0". NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90-day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. Notice to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL. Plan submittal I .fob Site Add Owner's N Number, Street* or PO City, State, Postal C Owner's Phone Nur Owner's E-Mail Paid Building Permit Number: Project Description: Renovation/lmprovement Exempt C! (Materials may cordeln hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan 3124/2017 44735 VIa Catalina Richard Matthews 44735 Via CaWlIna La Quint% CA 92253 Project Manager's Name Carlos M. Lopez Project Manager's Phone Number 951-260-B239 Project Manager's E-mail Address lof)ez,e=slbul1dlPnJMQm3l1,corn sulkier 1 ConlrE Number, Slreet or PO City, stale, Postal C Project Square Excel Building & Restoration Co. LLC P.O. Boot GL Beaumont, CA. 92223 Approx. 220 square feet City Approval By Renedo [iculdfack-DEC/Suntac WaalA Date of City Approval 'DbLaAb-17 To Be Discarded: Product Trash Asphalt Bdck/Block Cardboard Commingled Concrete Drywall Donated / Reuse" "Describe Items Tons — 0.50 Not recyclable 0.00 Recyclable DA0 Recyclable 0.0a Recyclable D.00 Recyclable Totals: Recycle Trash 0.9 E as RECEIVED MAR 2 7 2017 CITY OF LA QUINTA COMMUNITY DEVELOPMENT Product Tons Masonry (broken) D.t Plaster a.( Scrap Metal 01 Tile (floor) 0.e The (roof) 0.1 Wood L=001 Landscape Debris Projected Diversion: 86.�8°Io I underatend it Is the property owners responsibility to submit coples of weight tickets or receipts to the District Environmental Coordinator as these hauls occur. I hereby cerffy that completion, implementation and adherence of the Debris Management Plan (DMP) for tha above named project shall guarantae that at least 65°% of the jobs Ita waste is diverted from IsnMill ng. The remain€ng matadoI will ba recycled or reused. I wlil dlvartI for recycling or re -use, remaining materfais generated from the first day of the project through the completon of the project In accordance with this plan. Thl9 DMP is issued In the name of the property owner(s) and shall remain their property throughout the construction andfor demolition project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP Is still Issued in the name of the property owner(s) and the owner retains legal responsibility for ensuring chat the provisions of the DMP are adhered to. The property owner(s) and general contractor shall be kept hrfomred of the diversion progress through bl-monthly reports. If self -hauling, all refuse material from this project site must be taken to an approved recycier or transfer Owner I Developer I Project Manager I Superintendent Date 7- u fry Club Dr Ste, 8 Palm Desert, CI 9.2211 IN W To: City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253 Attn: MARY Letter of Transmittal Today's Date: 3-14-17 City Due Date: 3-17-17 Project Address: 44735 Via Catalina Plan Check #: BRES2017-0011 Submittal: ❑ 15t ❑ 4th 2nd ❑ 5th ❑ 3'd ❑ Other: We are forwarding: El By Messenger ❑ By Mail (Fed Ex or UPS) Includes: Descriptions: Includes: # Of Copies: ❑ Structural Plans ❑ ❑ Structural Calculations ❑ ❑ Truss Calcs ❑ ❑ Soils Report - Update ❑ Structural P/C Responses 1 / Comments E 1 Redlined Structural Plans El 0 1 Redlined Structural Calcs ❑ ❑ Redlined Truss Calcs ❑ ❑ Redlined Soils Reports ❑ Comments: Structural content is approvable. Transit Per Diem= ❑ Your Pickup Descriptions: Revised Struct. Plans Revised Struct. Calcs Revised Truss Calcs Revised Soils Report Approved Structural Plans Approved Structural Calcs Approved Truss Calcs Approved Soils Report Other: Admin Time = 0.25 hrs. Structural Engineer/Principal Review Time = 0.0 hrs. Plan Review Engineer Time = 1.G hrs. This Material Sent for: ❑ Your Files Per Your Request ❑ Your Review ❑ Approval ❑ Checking ❑ At the request of: Other: ❑ By: Joe Venuti Office : 0 (760) 772-5107 Other: 0 LOPCOVALUENGR.COM CITY OF LA QUINTA SUB -CONTRACTOR LIST ,{] JOB ADDRESS 6473 YV`C�L C�7'rdi'\a, PERMIT NUMBER_ _ OWNER !� �[ �'-5 ,�BUILDE(_ } T i fo mslip I e aster! an the •nb witlt ie Buildin Ins ection Card at all times i a conspicuous lace. Only persons appearing on this list or their employees are aut rized to work on this job. Any changes to this list must •be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For -each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. [rode 1. GlBssiliCailan Cviitractgr,..::- ....-_-..... _ City .Bu sfness r5tate Contractor's Licese.Csr7I cnsalict tnscra►cc Li ;r:r,sc Company Name Classification License Number Exp. Date Carrier Name Policy Number Exp. Date License Number Exp. Date (e.g. A, B, C-8) (xxxxxx) (xxlxxlxx) (e.g. State Fund, CalComp) (Format Varies) (xxlxxlxx) fxxxx} {xx/xxlxx) ------ - 7 3 j�l If 1rARTIiN1[7Rfi [C-12}. � Ce� @.JU ,\U� CONCRETE (C-8) FRAmiNG (C-5) STRUCT.:STEEL (C-51) MASONRY (C-29) PLUMBING (C-36) IV 6 LATH, -PLASTER (C-Ma) DRYWALL tC-9) HVAC (C-20) — — (� C i FLECTRICAL (C40) CPI V l;ll(�♦ I f — ,� II if ROOFING (C-39) 8H ET METAL (C-43) FLOORING (C-15) :..- - GLA.ZINd (C-17) - r•7 INSULATION (C-2) sr -WAGE D1SP_ (C-42). f (� PAINT1Ne (C-33):... ..: ��'1 Ll Lil IC) -CERAMIC IILE, (C-54) - CABINETS (C:-G) FENCING (C-13) - LANDSCAPING (C-27) _ POOL (C-ri31 `: - — D v v > c � mD_v C- Z O z�� cz ; co C") R :� C: Z O vm Z D n 0 3n 3� m �-I 0 n ` J -� m C� m �—Y M ro MC fV o o z �' F z r r 0 0 o O 0 D w r tO li cn w r 6) m co n ni n _0 -0 3 p C. � D p "O m n 04 Q— N r O nZi L O v Q ❑ D � O c" N -rh. 2) W cc cNn D w t- CD .n -n cn n � n v — Q `< = O O X cn 5 co cX a CD 0 m ON N O W 0) A cn -i -nco z 0 o c c c a 6 y 3 Q m N O 00 N d 7 rD O T 'a fl O v '+ 7 (D F Q CD O Q — M. 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