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BRES2017-0114• .a 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T- 4 haw .. DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2017-0114 Property'Address: 48430 VISTA CALICO APN: 602190028 Application Description: MCCOOL RESIDENCE.'/ BATH AN Property Zoning: Application Valuation: $60,000.00 Applicant: RISEN CONSTRUCTION 82-775 CHARLESTON AVE: ' INDIO, CA 92201 ��. AUG 2 2 2017' ILJ CITY OF LA OUINTA COMMUNITY DEVELOPMENT-DEPARTh9ENT 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.: 792381 QD fe: Contractor. �r ,h OWNER -BUILDER CLARATION 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 Address: VOICE (760) 777-7125 FAX (760).777-7011 INSPECTIONS (760) 777-7153 Date: 8/22/2017 Owner: MCCOOL MARTHA MAE LIVING TRUST 48430 VISTA CALICO LA QUINTA, CA 32253 Contractor: RISEN CONSTRUCTION 82-775 CHARLSTON AVE INDIO, CA 92201 (760)347-6399 Lit. No.: 792381 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 3:00 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9066905 I certify that in the performance Df 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 :hat, if I should become.subject to the workers' compensation provisions of Sectioi 3700 of the Labor CodZscirthwith comply with those provisions. Date ZZ APpli ant? WARNING: FAILURE TO SECURE WORKERS' .O PENSATION COVERAGE IS UNLAWF , AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100000): IN ADDITION TO THE COST OF COMPENSATION: DAMAGES AS PROVIDED 1'OR IN SECTION 3706 OF. THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKnOWLEDGEMENT IMPORTANT: Application is hereby made tc the Building Official for a permit subject to the conditions and restrictions set forth on :his 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 rhe 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 apolication 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 car cellation. 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 Qdinances and state laws relating to building construction, and hereby authorize representatives of thi4tto erupon theabove-mennttioned property for inspection purposes. Date: �t Signature (AppliontorAgent)- Application Number: BRES2017-0114 Property Address: 48430 VISTA CALICO APN: 602190028 Application Description: MCCOOL RESIDENCE / BATH AND GARAGE ADDITION Property Zoning: Application Valuation: $60,000.00 Applicant: RISEN CONSTRUCTION 82-775 CHARLESTON AVE INDIO, CA 92201 Date: 8/22/2017 Owner: MCCOOL MARTHA MAE LIVING TRUST 48430 VISTA CA -ICO LA QUINTA, CA 92253 Contractor: RISEN CONSTRUCTION 82-775 CHARLESTON AVE INDIO, CA 92201 (760)347-6399 Llc. No.: 792381 -------------------- -------------------------------------------------------------------------- Detail: BATH AND GARAGE ADDITION. CREATE BATH AT PREVIOUSLY UNCONDITIONED GARAGE SPACE (CREATES 63 SFOF NEWLY CONDITIONED SPACE). ADD SHOWER, WATER CLOSET, AND SINK. EXTEND FRONT OF GARAGE 161 S.F. 2016 CALIFORNIA BUILDING CODES. FINANCIAL DESCRIPTION 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 STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 1.5 $142:50 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 0.5 $47.50 Total Paid for BLDG CITY STAFF - PER HOUR: $200.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $3.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $3.00 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $25.33 Total Paid for ELECTRICAL: $50.66 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $25.34 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $10.14 Total Paid for MECHANICAL: $35.48 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $38.01 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $38.01 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.67 Total Paid for PLUMBING FEES: $101.36 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $7.80 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $7.80 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: $793.94