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GRES-14-685M 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T^,uy "F4�w COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: GRES-14-685 Property Address: 48595 VISTA CALICO APN: 649530019 Application Description: ADDITION TO EXISTING GARAGE Property Zoning: Application Valuation: $4,116.00 Applicant: RISEN CONSTRUCTION 82-775 CHARLESTON AVE INDIO, CA 92201 AUG 06 2014 I_ CITY OF LA NTA COMMUNITY DEIELOPMENi DEF ------------ 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 DP �+ Contractor: OWNER -BUILDER DEC LAR TION I hereby affirm under penalty of perjury that I am exempt from the Contracto ate 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).: (_J 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 f 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 I the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). 1 Lender's Name: Lender's Address: I VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/6/2014 Owner: RICK ARENS 48-595 VISTA CALICO LA QUINTA, CA 92253 Contractor: RISEN CONSTRUCTION 82-775 CHARLESTON AVE INDIO, CA 92201 (760)347-6399 Llc. 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' compin p4ion, as provided for by Section 3700 of the Labor Code, for the performance of w rk for which this permit is issued. I have and will maintain workers' compensation insurance, as required by ion 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:- 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 370 thaLabor o=,hwith comply with those provisions. Da lD Applicant: WARNING: FAILURE TO SECURE WORKERS' CO ENSATION 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 oer upon thp as mentioned property for inspection purposes. 1� Date: .%G�L�ar Signature (Applicant or Agent): , s :?DESCRIPTION .'' K- FINANCIAL INFORMATION ;• *.' ACCOUNT '. '": : 'QTY AMOUNT P'..x PAID:- ' PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 = PAID BY ;_'. METHOD = - cRECEIPT #- CHECK # =CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 " _.:. DESCRIPTION ." ,n"' `ACCOUNT QTY AMOUNT " PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 1 $70.00 $0.00 PAID BY ? :. METHOD -V RECEIPT # . r CHECK #- CLTD BY- Total Paid forCITY STAFF - PER HOUR: $70.00 $0.00 DESCRIPTION" ', ;ACCOUNT ': ° '. `QTY„ ,_ ;` .AMOUNT PAID - `.PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $143.00 $0.00 PAID BY "' '` � METHOD RECEIPT# CHECK # CLTD BY ' Total Paid for ELECTRICAL - NEW CONSTRUCTION: $143.00 $0.00 DESCRIPTION . ' .. '; ACCOUNT QTY AMOUNT ` . .PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $178.75 $0.00 >, PAID BY ' METHOD " ` ` T " RECEIPT.,* -. CHECK # • . } CLTD BY Total Paid for NEW CONSTRUCTION PERMIT: $178.75 $0.00 DESCRIPTION., "`ACCOUNT QTY AMOUNT. - PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $270.81 $0.00 •PAID BY - , -METHOD I -r _RECEIPT # • . x CHECK #' CLTDzBY; Total Paid for NEW CONSTRUCTION PLAN CHECK, - $270.81 $0.00 ` DESCRIPTION' ,` '"Y ' �' ACCOUNT QTY 'AMOUNT PAID 4 PAID DATE PLAN CHECK, ELECTRICAL 10160003428200. $23.83 PAID. By METHOD .' ,.:: RECEIPT # CHECK # CLTD BY Total Paid for PLAN CHECK, ELECTRICAL: $23.83 DESCRIPTION'"_: .. �. . `ACCOUNT jSQTY AMOUNT PAID., ' :_ PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $0.54 $0.00 PAID BY a'., •' METHOD ', - RECEIPT # •' CHECK # `� 'CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMt $0.54 $0.00 TOTALS:• •• s Description: ADDITION TO EXISTING GARAGE CONDITIONS Type: BUILDING, RESIDENTIAL Subtype: GARAGE Status: APPROVED Applied: 5/23/2014 Approved: 8/6/2014 PJU Parcel No: 649530019 ". Site Address: 48595 VISTA CALICO LA QUINTA,CA 92253 e ,' Subdivision:, "� , . " ? . ,, Block. Lot:,, - M `, ' �'' Issued: •` Lot Sq.Ft: . ,° Building Sq Ft: ` Zoning: j Finaled: y - 1, r Valuation: $4,116.00 F Occupancy Type: ti - A Construction Type . - - . . • . Expired: '• No. Buildings: No. Stories: - No. Unites:- +• - Details: ADDITION TO GARAGE 210 SQ.,, Ft. INDIO CA 92201 r . q jApplied toApproved� r' -+ . r M .t• - .y„ - �'. � � ., �R , . - ;'fir'' �. . ,�s>`' �'i, ADDITIONAL CHRONOLOGY CONDITIONS CONTACTS NAME'TYPE °-` NAME. i " �'t `'ADDRESSI`�.'-CITY 4 °'STATE ZIP PHONE FAX^." ' + ;;+EMAIL. t _a ^}. s' .5» {+ fi'k _ _ .. APPLICANT RISEN CONSTRUCTION 82-775 CHARLESTON INDIO CA 92201 r . AVE CONTRACTOR - RISEN CONSTRUCTION 82-775 CHARLESTON INDIO CA' 92201 - r . .1 1AVE OWNER RICK ARENS 48-595 VISTA CALICO LA QUINTA CA 92253 `�- �' N _ a .,. �' t �ssr.Y•y'i�C'?�i'i:.[ L � s .. wJ +�' .�;-.. � a i'x''�+ �Y 1'yY. �.ea+. r'.f... "'""r^}." M 4 '"` �+.f { .{WAAROW u7Y'...'1` OF't1'n' f .: '`_. - �,� � �r '. ..�-.-�i��"'�s' ... +..+ra .. i � -- •. _ _ .. 'r^�..a:.zY>., LTD ''DESCRIPTION ' w ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT# CHECK # METHOD" PAID BY �BY } BSAS SB1473 FEE 101-0000-20306.' 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION _$1.00 $0.00 - - BSA: " HOURLY PLAN CHECK - 101-0000-42600 1 $70.00 $0.00 YES . Total Paid forCITY STAFF - PER HOUR: $70.00 $0.00 RESIDENTIAL, FIRST 101-0000-42403 - -;T $143.00 $0.00 t 4' i'000SF , Total Paid for ELECTRICAL,- NEW CONSTRUCTION: $143.00 $0.00 ' NEW CONSTRUCTION 101-0000-42400 .0 $178.75 $0.00" PERMIT 77 Total Paid forNEW CONSTRUCTION PERMIT: $178.75 $0.00 ; NEW CONSTRUCTION 101-0000-42600 0 $270.81 $0.00 PLAN CHECK Total Paid for NEW CONSTRUCTION PLAN CHECK: $270.81 $0.00 PLAN CHECK, 10160003428200 $23.83 ELECTRICAL r` Total Paid for PLAN CHECK, ELECTRICAL: _ $23.83 - SMI -RESIDENTIAL 101-0000-20308 0 $0.54 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.54 $0.00 »,s ATTACHMENTS ., � � .. ,. .y. � ,' _ : it �' . y i. ..' .. .., _ - .♦ � .5 ♦"... V �a y '�:. 5 • .k, . v ♦ ' }' r - r .. .., + t. ' ,� •. � re 9 - w .. , • �. — f 1' . , '", a e' , ` ' - - • .. • Printed: Wednesday, August 06, 2014 4:11:56 PM CRWSYSTEMS '. .3 of 3 Bin # City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Per �I Project Address:.4 _ sCo Owner's Name: z4 r -4i A. P. Number: (PQ Z. _ /170 Address:48'- 5,9-5.- C O Legal Description: City, ST, Zip: Z,4 Contractor: 2t Telephone S, 27'?— Address: ecl Project Description: II City, ST, Zip: 16 /� %'ZZd I tUIX �9 o Fr•. Telephone: c7l0�$S•-5 � � State Lic. # : 3 J City Lie. #; Arch., Engr. esign oJe-1 Sod) De Address: City, ST, Zip: z 30 ' Construction Type: Occupancy: Telephone `:y;'{.;;:;::%:�::��::::�»: ;::::: A ;:::; :;:: :<:::<; "`'' `` """'"'' "< "`' °' ...........:.:.:.................................. State Lic. #: Project type circle one): New Add'n Alter Repair Demo Name of Contact Person: ,,S t , ,tf4�t� z Sq. Ft.: 2.1 # Stories: # Units: Telephone # of Contact Person: NW- if 85' ^ 5' 720 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES. Plan Sets Plan Check submitted 513 Item Amount Structural Cates. A Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up G Construction Flood plain plan Plans resubmittedf ��' (p i Mechanical Grading plan 2"' Review, ready for corrections/issue I Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN I10USE:- '"' Review, ready for correctio sfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 15z.ccc! ,Q G •/9 /4