BELC2016-0039Q�i ./i4tIlfC(/ VOICE (760) 777-7125
78-495 CALLE'TAMPICO D FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT. DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/22/2016
Application Number: BELC2016-0039 i Owner:
Property Address: 78860 VILLETA DR EDWARD MADDOCK
APN: 604152013, 78860 VILLETA DR
Application Description: MADDOCH / CHANGE OUT KITCHEN LIGHTING LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $1,000.00
Applicant:
SMITH & SONS CONSTRUCTION INC.
9416 WILSON RANCH ROAD
PHELAN, CA 92371
° Nib 2 2D61P
CITY OF LA QU
INTA
COMMUNITY DEVF,LOPMENT 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.: 810322
Date: �— (� l y� Contractor:
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
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 of 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 contractors) 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 Na
Lender's Address:
Contractor:
SMITH & SONS CONSTRUCTION INC.
9416 WILSON RANCH ROAD
PHELAN, CA 9237;1
(909)885-2220
Llc. No.: 810322
WORKER'S COMPENSA. ION 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' c3mpensation.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:_. Policy Number:.
I certify that in the performance ofthe work for which this permit is issued, I
shall not employ any person in any manner sc as to become subject to the workers'
compensation laws of California, and agree that, if I should become subjectto the
workers' compensation provisions of Section _700 of the Labor Code, I shall forthwith
comply with those provisions.. G�/
Date: t/ G�" / Applicant:i/14O!
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 FOI 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 applcation 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.ortission related to tie 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 cancelation.
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 ordnances and state laws relating to building
construction, and hereby authorize representztives of this city to enter upon the
above, mentioned property.for inspection purposes. /� - V
Date: Signature (Applicant or Agen t):
FTS` k~"'`i"t`c.& ', r ~• ee ttA .:�yfw { i
101! 11
{ l 8 r { o
..;..i ;x-F`i�N`w.,!.a"39`F5c'-g'�e . ped.;,:`; Y7 {X4 { va' .:4''isv` N ec3ft ,.�R. ..n� j' p. "^'i x�, 4 +x .£ry,>� "E
L`. ': . k5. y` t"" '... A Y`: h .. ,. L -..., ", kt r., M1, a'�. .; "d4 .: J�.s f �T .� i 1' 'p`H.*`d'�St '4 w. ±r::N ". p 'L i a
DESCRIPTION ` ACCOUNT QT�Y�q PAID E PAID DATE
. S , Est . ,AMOUNTS i= .E
s4, .3'txu3iM.,.'.L
�"`-P`"a4"'b-rs:.,'."�•"� - _ .. ..
WPM
�.1 $1.00' , 0 ,
101-0000-20306 0 :.' ;
BSAS SB1473 FEE$0:0
�a':TS
\.
i:.'t..s.a R..YTY�_:{O'g' 7ECESR1YY�3SSMrauug
�,.h.:S.:5Si .$ h.r...:..�.,,.:"t?.t:..+at.«
Total Paid for BUILDING STANDARDS:ADM INISTRATION BSA:. $1.00 1 -$0.00
34-.•f�'.n 'S.tY 'p ,�
�''�
.41 dF�%.Y
xt- {
7 t
;a,";:�sf�`i!,'tx.'.'£4.4,. %�'�s:1 �.�.r'.v:`_ah`.��`..:i>r:.�:,i�:z�#u�°'
; �3x�:�:�:,'I..'Ff''..,`c.'"�`a..�s:�3:z:8-'Y:.:xt"`t"•ia�<'hx.�rxXa-_.r
::�`�r. �E:,::;r"...rr�.k�
- �'S..skac's,�.
:f3s..�'�?';4:`�„ s"sc.a•'s.+.,:.�,t�ss 3,�
t a.S ..:�-A_:�:€1��`.:S�.t4.
DEVICES, FIRST 30
,;, . ,
101-0000=42403
0 _
$24:17.
j ; . $0.00
�Y''`e"" 1 h`v'= '!'Q':: +5`. {:y—m- g- , ?%C a��_}t
t%G� i'v;Ml.,'.. : x.,.,,,,` k t *i fic
". "�: a,$ #n•: d'>w"i."�` .F,: -. 11k "`Y#�
h o,eta 3 �. i. z Y .
-.:4ZX'I`Z F2.. `4t. kk,;l�','a-..r{a. Y°S:�G
c'k ] sr 'cyy°
RECEIPT.#,
�,f �'q +.j 4'!k l+-'%R'ray
E .ws� �.
CHECKh.#.,,
a.:YG
�i CLTD BY
.,.�,.?:'!>,
_ ,;, srrx
:> Ktl. PAID,BY
<Y METHOD` r�
SEW a. M,.�.4,.:x�
xE
.M".,4K,.k
x
A. r x.,a.k.
§..+`ir `€ .: n d " ''; t 4s ?1 jz '��5+ix.a".:"'" 4�` `_':�> `-`.•: Y
^„ : :;m Y r wi'"• x Fir ''E::
jj
�Y4�^ :+:; �. as>.� •,'..f ..• ,"� `X #s' r s
i:!jt' ;tom d.¢�
ACCOUNTR
y T�F,�
>h, , :
e ,;k 'C �.'ab.`Y £•.. r E4:mac 6
Y:,1' ] zs n�`
AMOUNT..
h`tn7,:
h' k.
PAID
PAID DATE..
n+
2 DESCRIPT,.ION.. _
,,,�� , '41t,��1
����`
" .�. 1.
r' t• -
� t
..DEVICES,' FIRST 20 PC
101-0000-42600
0
$24:17, •`'
$0.00*' .
3:§ .Fr('�
,r�S- *j -f. `'(..txiLa`C•:�a :': l �a., IM
1
.:y0?,y
CFIECK# +
.
k CL•TDBY:
x
R F.f..:.._.. R'4
irSS. x r � '.r - n`.1,4,x, st _._r"$k.:`t{'s w.,�.. ».'
{MM, Y
"n ?t.. 'i.. ,? i...Yi[..,
sem... ., Yi.',?dr,+r5'S@i�
-
-
_
= Total Paid for ELECTRICAL: $48:34. $0.00
'`e fir:. `a'`7
n "kD ci .:Y
ESCRIPTION
`ia^�,.�i :v1a'�..:t•i's?'"•z'+'
ACCO UPITt,hAM�OUNT��
i" art;
PAiO:'
'aRAIUDAT€Y:
z t
1!e _ rn. x.,..: - v.., .,:. .... Ii!f'fl kk% h !''�-k`k.,•� �1.....e.U:. E':�*:�dP"k<-,: l . F
':`4: X:x..`T.:... ft.i�:A.•H'.t-x,F�u:4F,,i§ar"..del. ae4*ae
t
ati...." .Adie.
„'$Yafis'� . w is:�ax'R•. a w i,.�`s
. n�d`im6a�rc "i.i,F:4.Y
_'PERMIT ISSUANCE
101-0000 2404
0
$91.85
y kMET1OD Vafr`'
�`?:
RECEIPT # C HECK.#
CLTD BY
„PAIDxBY �
�� _ �a
e.ax!a Y4 .s
�4 �sz,t��
.:s4?.:. -n i^ ".m.V..f .v.." aL sa
HEIR
�ri t '•���� . � :r ""`
4�, yi ke -a�t4
x f
¢"k t
'.�,
Total Paidfor PERMIT ISSUANCE: w '$91.85 $0.00
�
-Ile
. r.: ., psi' F t �
" .�. 1.
r' t• -
Y
�.ry -
I
? I .
> k
..
•1 -
x
.
.�
- k6pk
k
t
�":�.
r..1
`.k
'�
h 'v�
Z,
�ri t '•���� . � :r ""`
4�, yi ke -a�t4
x f
¢"k t
'.�,
- ,Fri.
�
{
1-' y, +a
�� {r�
�. Y
s.
} .,.I♦ }
L .• *.
�
_
SP r
Y
y.- s, rFt,.,Y 7 •�,
'� ttn
t
r :I.
r..
01
r
rt ¢
F
14
•
'
t
Description: MADDOCH CHANGE OUT KITCHEN LIGHTING
Type: ELECTRICAL
Subtype: Status: APPROVED
Applied: 4/12/2016 SKH
Approved: 4/20/2016 JJO
Parcel No: 604152013 Site Address: 78860 VILLETA DR LA QUINTA,CA 92253
Subdivision: TR 23269
Block: Lot: 62
issued'
Lot Scl Ft: 0
Building Sq Ft: 6 Zoning:
Finaled:
Valuation: $1,000.60
6ccupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: REMOVE OLD LIGHT IN KITCHEN AND REPLACE WITH 4 LED LIGHTS NEW FLOORING AND BASE BOARDS.ELECTO BE PER TITLE -24 &
CEC CODES
AYE ______________________'''_____'________'____
`
10
-
CHRONOLOGY..'�
CALLED SCOTT SMITH TO INFORM HIM THE PLANS ARE
TELEPHONE CALL
JIM JOHNSON
4/20/2016
4/20/2016
__ __'___________________�_'______'___'_
AYE ______________________'''_____'________'____
, -OWNER EDWARD MADDOCK 78860 VILLETA DR LA QUINTA CA- 92253
.�
,""�v ,"uuv °v..�/,zv�n�^13/°rm �v"/ `
. ' � ' ` '. � .0�m�����@��'x,�rMS
' ..
10
CALLED SCOTT SMITH TO INFORM HIM THE PLANS ARE
TELEPHONE CALL
JIM JOHNSON
4/20/2016
4/20/2016
APP11OVED'AND READY TO ISSUE
CONTACTS
APPLICANT SMITH & SONS CONSTRUCTION INC. 9416 WILSON RANCH
PHELAN CA
92371
ROAD
CONTRACTOR SMITH & SONS CONSTRUCTION INC.. 9416 WILSON RANCH
PHELAN CA
9237i
, -OWNER EDWARD MADDOCK 78860 VILLETA DR LA QUINTA CA- 92253
.�
,""�v ,"uuv °v..�/,zv�n�^13/°rm �v"/ `
. ' � ' ` '. � .0�m�����@��'x,�rMS
' ..
-f
:.+ w RR,x .. zT.. ra.'1, .: �. ;•.
"P..
,
REVIEWS
.a,w .,: tMlNiiifi Mots ���; ,,, .,l/:'.'ytµW,lilYyl ,; ��5'1'M11�31 it ',��^e�91�:hNWVMiyV UMl�ae+: NM.+H, ".""!�.,: Y.....:_.,,�: w,--.�X.'."-�-s,.Y
k :RETURNED �- STATUS
'
*i «Cx e,,
DESCRIPTION�AC000NT
`^ •.; ,:> :.
,:,. +. s. �%
TY
F:..:
# AMOUNT.
PAID, ",;
xis r S_
.PAID;QATE
`:ItECE1PT:#`.CHECK.#,MET,HODB.
,x PAID BY,,: s
"s riY�'
�."�hN ..
.K e":mow. ". j.i4? jS.
,. .a;•F f
4/12/2016 4/19/2016
4/20/2016
APPROVED
BSAS SB1473 FEE
101-0000-20306
0
$1.00 •
$0.00
i
► i ► "i ' ll
i
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
DEVICES, FIRST20
101-0000-42403
0
$24.17
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
,
Total Paid for ELECTRICAL: $48.34 $0.00
• PERMIT ISSUANCE
101-0000-42404
0 ,
.$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00 '
TOTALS:�i
i1
i
SE
r
Printed: Friday, April 22, 2016 12:13:47 PM 2 of 2 -
- - SYSTEMS
-PAREFITi.'AUJECTS
,
REVIEWS
.a,w .,: tMlNiiifi Mots ���; ,,, .,l/:'.'ytµW,lilYyl ,; ��5'1'M11�31 it ',��^e�91�:hNWVMiyV UMl�ae+: NM.+H, ".""!�.,: Y.....:_.,,�: w,--.�X.'."-�-s,.Y
k :RETURNED �- STATUS
'
.i + ahl .5.:: .�.�— �-g -x§�r y.a' xt�"
;,� t � REMARKS �
°f•..H>•..�
:' ,REVIEW TYPE, = REV,IEWER
SENTsDATE- DUEDATE,::
a
;;_ NOTES
;DATE
IST BLDG NS (1 WK) JIM JOHNSON
4/12/2016 4/19/2016
4/20/2016
APPROVED
i
► i ► "i ' ll
i
SE
r
Printed: Friday, April 22, 2016 12:13:47 PM 2 of 2 -
- - SYSTEMS
of uinta
-Buikffng8rSafetyDmsion
P.O.Box 1504,78495 Caffe,
4.QLdnta,.
i 1
�� �� ••'N q
' 11 :� . .��_� ,
•� "�
��
• 1 iY �;n�'.N 111
�
w
1 1 ,
�•y, 'l<
:'.. ,�`E\'�E��
els. �Y '�'S:.. 1,
::. �nV
111 1 r1 r 1 1� • r 14
. • NOT ViMMBELOW TH
r u 1
671
®
n 1
■
11.11
�■■
�
s■
■
11 1 _ 4
�
�
6'h
�
�e
■
�_
� :I 1 I v: 1 1
®
�1 1 1 I:: �®
■
. 1 , 1
-�
X1111 Il 1'_1 ■�
�,
■
11
a■e
■■■®■■
■e