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BRES2015-044478-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&t!t 4 4 Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2015-0444 Property Address: 79320 CITRUS APN: 776140008 Application Description: CITRUS / STIRTMATTER / CHANGE Property Zoning: Application Valuation: $2,600.00 Applicant: ANDERS HANSON REMODEL INC 40550 POSADA COURT PALM DESERT, CA 92260 1 11111111111111111111 09 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: DANIEL STRITMATTER 713 CATAMARAN ST APT 3 R _ 1� FOSTER CITY, CA 92253 GEC 2 1, 2015 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.: 966853 Date: 2 �Contractoa OWIVER-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 andthL-" 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.). (1 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 I am exempt under'Sec. P i 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: Date: 12/22/2015 Contractor: ANDERS HANSON REMODEL INC 40550 POSADA COURT PALM DESERT, CA 92260 (760)895-8186 Llc. No.: 966853 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 the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Sertion 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' or insurance carrier and polity 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 fo . with comply with those provisions. Date:! 2 Applicari 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon t e above -me lone prop/� y for inspection purposes. �fe Z� /4 Signature (Applicant or Agenwl��_Zli�__�_�� l 1 ® • 1 0 ,6{✓ v� i .bY. L t:+' 4' "4. {' i 'r:i� .r'✓" `J.s.-„. .s;r, G Owl ��C'_'x' .. ��:`�ikA4�bs"�'. „r� i$�`x'. yACCOUNTu, Q ��PAID��y��PAID DATE ,�ip,{;DESCRIPTION .fin t9.lrq -`�S.. .y n. }”, k^9'P.i'�`'v,::"s"'L. �AMOI�JNT�� BSAS SB1473 FEE 101-0000-20306 .0, $1.00 $1.00 12/22/15 BY r. METHOD > RECEIPT # EC # CL�TD BY ycPAID i,:, �„ .a:zA? ?C>, x.x'".. 's,. .:'v'd'2'R'a �A.Y.:✓ 1 - .nG1.3irms2'.nYd'�� .snH!a^-q.h ANDERS HANSON REMODEL INC DEBIT R116SS BRES2015-0444 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:, $1.00 $1.00 a�ngj� DESCRIPTION .2 ' Rr.{4'° .- 2 .fk, ,r k: 'Qi4Rb,&5+ ,� .� A �cCCOUNT.>AMOUNTPA D�� $PAID.DATE s NEW CONSTRUCTION PERMIT 101-0000-42400 0 $129.08 $129.08 12/22/15 PA{D SYS R � CHE # �ITD x M � , :., P� 411 ANDERS HANSON REMODEL INC DEBIT R11655 BRES2015-0444 MFA Total Paid for'NEW CONSTRUCTION PERMIT: $129.08 .$129.08 DESCRIPTION COON �` '06T MOUNT �.. PAIi' 41D DAT _ t e r « ��,,,. .. � �.xa � �, ac r § .�� n.;.zs:, NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $181.47 $181.47 12/22/15 ��01��METHOD' RECEIPT #4s CHECKs# 90TD BX IN I ANDERS'HANSON REMODEL INC DEBIT R11655 BRES2015-0444 MFA Total Paid for NEW CONSTRUCTION PLAN CHECK: $181.47 $181.47 * v tiDESCRIP IT ON� A COUNTQT�Y` AMOUNT��:MA",' PA�� P� IATA DDATE k>:h tts,�f r.,Y+Q+,e3��. !=-+ct i.r-' ✓t <�" .tK..' ^.'L+>,e3"';>i'. z /.., i�?Y� <_`.rr,:.h.lC`...a SMI - RESIDENTIAL 101-0000-20308 0 $0.50 $0.50 12/22/15 5 d h .✓ vyn ''dux ^a �� PAID'BY f : e��Y .� �METHOD� _ �:`�Sia'S�' RECEIPTS#u CHECK`#� �LTDBY ry ."� 1 � � .. :.: �� x, ANDERS HANSON REMODEL INC DEBIT R11655 BRES2015-0444 MFA Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.50 Description: CITRUS / STIRTMATTER / CHANGE POST AT PATIO COVER Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: ISSUED Applied: 12/7/2015 SKH FAMILY DETACHED — Approved: 12/16/2015 JFU Parcel No: 776140008 Site Address: 79320 CITRUS LA QUINTA,CA 92253 Subdivision: TR 24890-7 Block: Lot: 18 Issued: 12/22/2015 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,600.00 Occupancy Type: Construction Type: Expired: 6/19/2016 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 PLAN CHECK SUBMITTAL Details: REMOVE CENTER COLUMN OF 3 COLUMNS AT PATIO ROOF AND ADD NEW ROOF BEAM. 2013 CALIFORNIA CODES. Applied to Approved IM Approved to Issued Printed: Tuesday, December 22, 2015 10:57:15 AM 1 of 2 CR SYSTEMS CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES I SPOKE TO AJ, IT WAS DECIDED PLAN CHECK WOULD BE PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 12/7/2015 12/7/2015 ATTEMPTED BY ON STAFF PLAN CHECK, NOT SENT TO RECEIVED CONTRACT PLAN CHECK. NOTIFIED ANDERS HANSON AT (760)895-8186 THAT PLANS TELEPHONE CALL JAKE FUSON 12/16/2015 12/16/2015 WERE APPROVED AND PERMIT WAS READY TO ISSUE. CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT ANDERS HANSON REMODEL INC 40550 POSADA COURT PALM DESERT CA 92260 CONTRACTOR ANDERS HANSON REMODEL INC 40550 POSADA.000RT PALM DESERT CA 92260 OWNER DANIEL STRITMATTER 713 CATAMARAN ST FOSTER CITY CA 92253 APT 3 Printed: Tuesday, December 22, 2015 10:57:15 AM 1 of 2 CR SYSTEMS Printed: Tuesday, December 22, 2015 10:57:15 AM 2 of 2 �� SYSTEMS FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT. PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306' 0 $1.00 $1.00 12/22/15 R11655 BRES2015- DEBIT ANDERS HANSON MFA 0444 REMODEL INC Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: NEW CONSTRUCTION 101-0000-42400 0 $129.08 $129.08 12/22/15 R11655 BRES2015- DEBIT ANDERS HANSON MFA PERMIT 0444 REMODEL INC Total Paid for NEW CONSTRUCTION PERMIT: $129.08 $129.08 NEW CONSTRUCTION 101-0000-426000 $181.47 $181.47 12/22/15 R11655 BRES2015- DEBIT ANDERS HANSON MFA PLAN CHECK 0444 REMODEL INC Total Paid for NEW CONSTRUCTION PLAN CHECK: $181.47 $181.47 SMI - RESIDENTIALF 101-0000-20308 0 $0.50 $0.50 12/22/15 R11655' BRE52015- ES20 DEBIT ANDERS HANSON MFA REMODEL INC Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.50 TOTALS: $312. 05 $312.05 Printed: Tuesday, December 22, 2015 10:57:15 AM 2 of 2 �� SYSTEMS a`n City of La Q uin to Building 8F Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 1.0 Building Permit Application and Tracking Sheet Permit 4/ �PES—Zos-- Project Address:' G� S S Owner's Name: A. P. Number: Address: 92,0 c:jj22S Legal Description: City, ST, Zip: a t Co qtr c or. _O c S vN iG�y /T le Telephone:ne: Address:)S"/�- gip-, Project Description: City, ST, Zip: ?/'3zf1/✓/Telephone: '- P ...................................................... r State Lic. City Lic. #.:4-1 HSA-1 Arch., Engr., Designer:,,-�,X,02�, Qa eeo M Address: c'J )C ' 4/2 �GZJ17-ili/�l6 L— � City, ST, Zip: 154 7— '?6,12S1 C � ............. ..... . Con tructi nTY u aneY s Type: Occupancy: e Lic. # Repair e f air DSto ProJecttyPeici le neNew A' Name of Contact Person: A/aq?s 1110-vS61-1( Sq. Ft.: # Stories-. # Units: Telephone # of Contact Person: af$78( 0OA6 Estimated Value of Project, APPLICANT: DO NOT WRITE BELOW'THIS LINE tJ Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections (jitI vZ/1 6 Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance. Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval flans resubmitted Grading IN ROUSE:- 'r° RcvieNv, ready for corrections/issue Developer Impact Pee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue Seh661 Fees,. Total Permit Fees _1j