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BRES2018-007678-495ZALLE TAMPICO LA QUINTA, CALIFORNIA 92253 rw DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL Application Number: BRES2018-0076 Property Address: 53794 AVENIDA ALVARADO, APN: 774154005 Application Description:. GONZALEZ / FIRE DAMAGE REPAIR AT KITCHEN Property Zoning: Application Valuation: $80,000.00 Applicant: PF ALL COUNTY ENVIRONMENTAL & RESTORATION I 1081 N SHEPARD STREET #HIAp 72O,$ ANAHEIM, CA 92806 r�� CITYOFIAQUINTA" COMMUNITY DEVELOPMEWDEPARTMENT 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. C22 License No.: 812277 Date: / 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 Contractors 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 11, 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.). ( 11, 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: 3/27/2018 Owner: JORGE & RUTH RUIZ / GONZALES 53794 AVENICA ALVARADO. LA QUINTA, CA 92253 Contractor: ALL COUNTY SgVIRONMENTAL & RESTORATION 1 1081 N SHEPA.3D STREET #H - ANAHEIM, CA 32806 (714)917-1400 Llc. No.: 8122-7 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certific.te of consent to self -insure for workers' compensation, as provided for by Section 3770 of the Labor Code, for the performance of the ork for which this permit is issued. X=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: GREAT DIVIDE INSURANCE COMPANY Policy Number: WCA2024380 I certify, that in the performance or the work for which this permit is issued, I shall not employ any person in any manner s:) 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 forthwith comply with those provisions. Date: Applicant: 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 ($100,0100). 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 .he Building Official for a permit*subject to the conditions and restrictions set forth on tris application. ' 1. Each person upon whose behalf this app•.ication 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, anc the applicant, each agrees to, and shall defend, indemnify and hold harmless the Cit,, 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 appl cation becomes null and void if work is not commenced within 180 days from date of.iss jance of such permit, or cessation of work for.180 days will subject permit to cancellaticn. I certify that I have read this application and -tate that the above information is correct. I agree to comply.with all city and county ord`nances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned property for inspection purposes. Date: Signature (Applicant or Agent) t Date: 3/27/2018 Application Number:. BRES2018-0076 Owner: '" Prap"'Addtess: 53794 AVENIDA ALVARADO JORGE & RUTH RUIZ / GONZALES APN: 774154005 53794 AVENIDA ALVARADO Application Description: GONZALEZ / FIRE DAMAGE.REPAIR AT KITCHEN LA QUINTA, CA 92253 Property Zoning:. Application Valuation: $80,000.00 Applicant: Contractor: ALL COUNTY ENVIRONMENTAL & RESTORATION I ALL COUNTY ENVIRONMENTAL & RESTORATION I 1081 N SHEPARD STREET #H 1081 N SHEPARD STREET #H ANAHEIM, CA 92806 ANAHEIM, CA 92806 (714)917-1400 ----------------------------- ----------------------------------------------------------------- Llc. No.: 812277 Detaif: FIRE DAMAGE REPAIR AT KITCHEN WITH HVAC CHANGEOUT AND ODOR CONTROL REMEDIATION AT REMAINDER OF DWELLING. THIS PERMIT DOES NOT INCLUDE FRAMING ALTERATIONS OR CHANGEOUT OF FENESTRATION SURFACES. 2016 CALIFORNIA BUILDING CODE. FINANCIAL INFnRMATInN DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $4.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $4.00 DESCRIPTION ACCOUNT QTY AMOUNT OTHER ELECTRICAL EQUIPMENT . 101-0000-42403 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT OTHER ELECTRICAL EQUIPMENT PC 101-0000-42600 0 $26.01 Total Paid for ELECTRICAL: $52.02 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 .0 $39.01 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $39.01 DESCRIPTION ACCOUNT QTY AMOUNT. FURNACE PC 101-0000-42600 0 $26.01 Total Paid for MECHANICAL: $130.04 DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42600 ($78.02) DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42600 ($46.98) DESCRIPTION ACCOUNT ! QTY AMOUNT PARTITION ' 101-0000-42400 I 0 $78.02 DESCRIPTION ACCOUNT (. QTY AMOUNT PARTITION PC 101-0000-42600 0 $96.58 DESCRIPTION ACCOUNT QTY AMOUNT PARTITION PC 101-0000-42600 ` 0 $46.98 Total Paid for PARTITION: $96.58 DESCRIPTION ACCOUNT QTY AMOUNT PLAN CHECK DEPOSIT - ADDITION/REMODEL 101-0000-42600. 1 $125.00 Total Paid for PLAN CHECK DEPOSIT - ADDITION/RE MODEL: $125.00 DESCRIPTION ACCOUNT QTY AMOUNT FIXTUREITRAP 101-0000-42401 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT FIXTUREITRAP PC 101-0000-42600 0 $13.00 Total Paid for PLUMBING FEES: $26.00 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $10.40 .. Total Paid for STRONG MOTION INSTRUMENTATIDN SMI: $10.40 DESCRIPTION ACCOUNT QTY AMOUNT