BRES2018-011878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
PermitType/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
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DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BUILDING RESIDENTIAL/REMODEL
BRES2018-0118
54581 AVENIDA ALVARADO
774272016
EVERETT / WINDOW CHANGEOUT
$12,215.00
Applicant:
CALIFORNIA SHOWCASE CONSTRUCTION INC
1507 MARLBOROUGH AVENUE
RIVERSIDE, CA 92507
A
MAR 2 8 2018
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT 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 Clkwl
B License No.: 91 52
Date:. � Contract :
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 ) 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: 3/28/2018
Owner:
DANIEL & CHERISE EVERETT
54581 AVENIDA DIAZ
LA QUINTA, CA 92253
Contractor:
CALIFORNIA SHOWCASE CONSTRUCTION INC
1507 MARLBOROUGH AVENUE
RIVERSIDE, CA 92507
(951)682-020E
Llc. No.: 912352
WORKER'S COMPEWATION DECLARATION
I hereby affirm under penalty of perjury oneof 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 tt w9rk for which this permit is issued.
E'IA 1 have and will maintain workers' =ompensation 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 insuranc2 carrier and policy number are:
Carrier: STATE COMPENSATION INSURANCEIFUND Policy Number: 9029521
1 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 Secti 70 f the Labor Code, I shall forthwith
comply with those pr visions.
:Z�(•DateApplicant: o l
WARNING: FAILURE TO SECURE WORKERS' OOMPENSATION 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 Ws 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 tothe work being performed under or
following issuance of -this permit.
2. Any permit issued as a result of this apptcation becomes null and void if work is not
commenced within 180 days from date of issxiance of such permit, or cessation of work
for 180 days will subject permit to cancellation.
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 oft ' 'ty to r upon the above-
mentioned.prop tyryfsinspection purposes.
Date: V Signature (Applicanl or Age
Date: 3/28/2018
Application Number:
BRES2018-0118
Owner:
Property Addressi ' ..."'54581
AVENIDA ALVARADO '
DANIEL & CHERISE EVERETT
APN:
774272016
54581 AVENIDA DIAZ
Application Description:
EVERETT / WINDOW CHANGEOUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$12,215.00
Applicant: Contractor:
CALIFORNIA SHOWCASE CONSTRUCTION INC CALIFORNIA SHOWCASE CONSTRUCTION INC
1507 MARLBOROUGH AVENUE 1507 MARLBOROUGH AVENUE
RIVERSIDE, CA 92507 RIVERSIDE, CA 92507
(951)682-0208
Llc. No.: 912352
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Detail: REMOVE AND REPLACE 11 WINDOWS AND 1 PATIO DOOR LIKE FOR LIKE WITH ANLIN DEL MAR VINYL RETROFIT WINDOW PER 2016 CALIFORNIA
BUILDING CODES
DESCRIPTION
ACCOUNT QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404 0
$98.83
Total Paid for PERMIT ISSUANCE:
.$98.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, EA ADDITION 5
101-0000-42400
0
$10.92
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST?
101-0000-42400
0
$65.54
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION:
$76.46
$180.29