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BRES2015-043578-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: GARY MORLOCK 48228 VISTA DE NOPAL LA QUINTA, CA 92201 c&t!t 4 4� Qu&r(v COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 11111111111111111111 08 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/15/2015 BRES2015-0435 Carrier: _ Policy Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State Owner: 48228 VISTA DE NOPAL shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair GARY MORLOCK 646110007 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the 48228 VISTA DE NOPAL MORLOCK RESIDENCE / REMODEL 3 of the Business and Professions Code) or that he or she is exempt therefrom and the LA QUINTA, CA 92201 $2,000.00 permit subjects the applicant to a civil penalty of not more than five hundred dollars WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or'offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not Contractor: apply to an owner of property who builds or improves thereon, and who does the work I "I� GARY MORLOCK are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to 2015 48228 VISTA DE NOPAL r she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose y'i jl LA QUINTA, CA 92201 to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves (951)385 6622 hey n, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or t ontractors' State license Law.). Llc. No.::CONV:140528101253016793 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: _ License No.::CONV:140528101253016793 Date: Contractor: 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 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: OWNER -BUILDER DECLARATION Carrier: _ Policy Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions. 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 Date: Applicant: 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or'offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. r she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose GVJ I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and hey n, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or t ontractors' State license Law.). following issuance of this permit. I am exempt under Sec. . B.&P.C. for this -r` son 'Won 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 �� Date: Owner• 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. CONSTRUCTION LENDING AGENCY I agree to comply with all city and county ordinances and state laws relating to building I hereby affirm under penalty of perjury that there is a construction lending agency for construction, and hereby authorize representatives of this city to ent. e the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). above-mentioned property for inspection purposes. Lender's Name: Lender's Date: r Y !i-� r—Signature (Applicant or A FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY . AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 12/15/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY GARY MORLOCK CHECK R11504 1504 SGU Total Paid for BUILDING. STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PARTITION 101-0000-42400 0 $145.04 $145.04 12/15/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY GARY MORLOCK CHECK R11504 1504 SGU DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PARTITION PC 101-0000-42600 0 $266.86 $266.86 12/15/15 PAID BY METHOD. RECEIPT # CHECK # CLTD BY GARY MORLOCK CHECK R11504 1504 SGU Total Paid for PARTITION: $411.90 $411.90 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $0.50 $0.50 12/15/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY GARY MORLOCK CHECK R11504 1504 SGU Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.50 Description: MORLOCK RESIDENCE / REMODEL Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED Applied: 11/23/2015 MFA Approved: Parcel No: 646110007 Site Address: 48228 VISTA DE NOPAL LA QUINTA,CA 92253 Subdivision: TR 13640-1 Block: Lot: 7 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,000.00 Occupancy Type: Construction Type. Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CHRONOLOGY TYPE _ Details: CUT IN NEW OPENING AND ENLARGE EXISTING OPENING INTO KITCHEN, EACH WITH NEW HEADER. HEADER SIZES BASED ON CRC TABEL 505.2(2). THIS APPROVAL DOES NOT INCLUDE ANY ALTERATION TO ANY LATERAL LOAD RESISTING SYSTEM INCLUDING BUT NOT LIMITED TO SHEAR WALLS, BRACED WALL PANELS, ETC. ALL CONSTRUCTION MUST COMPLY WITH 2013 CALIFORNIA BUILDING CODES. Printed:. Tuesday, December 15, 2015 10:16:21 AM 1 of 2 CRSYSTEMs ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE _ STAFF NAME' ACTION DATE COMPLETION DATE NOTES TELEPHONE CALL JAKE FUSON 11/30/2015. 11/30/2015 SPOKE WITH MR. MORLOCK ABOUT PLAN REVIEW, AND NOTIFIED HIM THAT CORRECTIONS TO HIS PLAN WERE REQUIRED. TELEPHONE CALL JAKE FUSON 12/10/2015 12/10/2015 NOTIFIED GARY MORLOCK THAT PLANS WERE APPROVED AND PERMIT WAS READY TO ISSUE. • • CONTACTS NAME TYPE -NAME ADDRESSI CITY. STATE ZIP PHONE FAX EMAIL APPLICANT GARY MORLOCK 48228 VISTA DE NOPAL LA QUINTA CA 92201 (951)385-6622 CONTRACTOR GARY MORLOCK 48228 VISTA DE NOPAL LA QUINTA CA 92201 (951)385-6622 OWNER GARY MORLOCK 48228 VISTA DE NOPAL LA QUINTA CA 92201 (951)385-6622 Printed:. Tuesday, December 15, 2015 10:16:21 AM 1 of 2 CRSYSTEMs INSPECTIONS PARENT PROJECTS FINANCIAL •• • REVIEW TYPE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY LTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 12/15/15 R11504 1504 CHECK GARY MORLOCK SGU Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 JAKE FUSON 12/8/2015 12/15/2015 12/10/2015 APPROVED STRUCTURAL REVIEW WAS COMPLETED IN HOUSE. PARTITION 101-0000-42400 0 $145.04 $145.04 12/15/15 R11504 1504 CHECK GARY MORLOCK SGU PARTITION PC 101-0000-42600 0' $266.86 $266.86 12/15/15 R11504 1504 CHECK GARY MORLOCK SGU Total Paid for PARTITION: $411.90 $411.90 SMI - RESIDENTIAL 101-0000-20308 .0 $0.50 $0.50 12/15/15 R11504 . 1504 CHECK GARY MORLOCK SGU Total Paid for STRONG MOTION INSTRUMENTATION SMI: TOTALS:,0 $030 $0.50 INSPECTIONS PARENT PROJECTS BOND INFORMATION Printed: Tuesday, December 15, 2015 10:16:21 AM.' 2 of 2 C SYS7Eh1S REVIEW TYPE REVIEWER: SENT DATE DUE DATE RETURNED. DATE REVIEWS STATUS - REMARKS' NOTES IST BLDG NS (1 WK) JAKE FUSON 11/23/2015 12/2/2015 11/30/2015 REVISIONS REQUIRED SEE 1ST REVIEW CORRECTION LIST. STRUCTURAL WAS KEPT IN HOUSE. 2ND BLDG NS (1 WK) JAKE FUSON 12/8/2015 12/15/2015 12/10/2015 APPROVED STRUCTURAL REVIEW WAS COMPLETED IN HOUSE. BOND INFORMATION Printed: Tuesday, December 15, 2015 10:16:21 AM.' 2 of 2 C SYS7Eh1S ff Iain # ' City of La Quinta Building a Safety Division V� 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Per it Project Address: ner's Name: y IM-1,1 o e- A. P. Number: Address: 7 d�i k77t Legal Description: City, ST, Zip: Contractor: D aUSJL LD G _ hone• Telephone: � Address: Project Descriptio G 1>00'w' , VA5 G City, ST, Zip: ope'vwi K Tc4&4 Telephone: G VT o N �.ari+/Do P State Lie. # : City Lie. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: Construction structi Type: e: O u ane Y P Occupancy: P Y� State Lie. # • Project et tyPa circle one • New Add'n Alter Repair Demo Name of Contact Person:7I%I-Zl Sq. Ft.: # Stories: # Units: o elephone # of Contact Person:��} �� 3kS--eo6 stimated Value of Project: ©ab pa APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Req'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections I Plan Check Deposit Truss Calcs. Called Contact Person 11130 Plan Check Balance. Title 24 Calcs. 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. II.O.A. Approval Plans resubmitted Grading IN I-IOUSE:- '"! Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. 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