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BRES2017-004578-495 CALLE TAMPICO D VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/19/2017 Application,Number: BRES2017-0045 Owner: Property Address: 77165 AVENIDA ARTEAGA LISA HACKNER APN: 658210032' 519 MORENO DRIVE Application Description: HACKNER-STEDMAN / 4,253SF REMODEL WITH 500SF ADDITION LOS ANGELES, CA 30049 Property Zoning: Application Valuation: $300,000.00 Applicant: c� Contractor: MCAULIFFE & COMPANY, INC. JUN 2 2 2017 CORE CONSTRUCTION AND DEVELOPMENT OUTSIDE CITY LIMITS 18086 MONDANION ROAD" CITY OF LA QUINA APPLE VALLEY, CA 92307 DESIGN AND DEVELOPMENT DEPARTMENT (310)429-1250 LIc. No.: 849561 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.: 849561 Dats�NAA Z?2_6 1contractor: 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 or she did not build or improve for the purpose of sale.). U 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: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of she following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 Df the Labor Code, for the performance of th work for which this permit is issued. ave and will maintain workers' compensation insurance, as required by Sectio 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: GRANITE STATE INSURANCE COMPANY Policy Number: WC001469908 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 thalk if I should become subject to the workers' compensation provisions of Section 3260 of the Labor Code, I shall forthwith comply with those provisions. Date: Z 2 I Applicant: WARNING: FAILURE TO SECURE WORKERS' COIV PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR N 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 applicacion becomes null and void if work is not commenced within 180 days from date of isauance of such permit, or cessation of work for 180 days will subject permit to cancellztion. I certify that I have read this application and sta-e that the above information is correct. I agree to comply with all city and county ordim nces and state laws relating to building construction, and hereby authorize representaYves of this city to enter upon the above-mentioned property for inspection purpcses. V Date: L11 Z Signature (Applicant cr Agent):` ^�",- ' Date: 6/19/2017 Application Number: BRES2017-0045 Owner: Property Address: 77165 AVENIDA ARTEAGA LISA HACKNER APN: 658210032 519 MORENO DR'VE Application Description: HACKNER-STEDMAN / 4,253SF REMODEL WITH 500SF ADDITION LOS ANGELES, CA 90049 , Property Zoning: Application Valuation: $300,000.00 Applicant: Contractor: MCAULIFFE & COMPANY, INC. CORE CONSTRUC—ION AND DEVELOPMENT OUTSIDE CITY LIMITS' 18086 MONDANI.DN ROAD APPLE VALLEY, CF. 92307 (310)429-1250 ---------------------------------------------------------- Llc. No.: 849561 ------- ---------------------------- Detail: 4,2535F REMODEL TO THE ENTIRE EXISTING AREA OF THE DWELLING WITH 500SF ADDITION AT THE ENTRY AND VVO HALLWAYS [ENGINEERED] MINOR ADJUSTMENT MA2017-0003'FOR REDUCTION TO THE FRONT YARD SETBACK. THIS PERMIT DOES NOT INCLUDE ELOCKWALLS AND OTHER EXTERIOR IMPROVEMENTS. 2016 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 0 $65.36 DESCRIPTION ACCOUNT CITY AMOUNT ADDITION, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $18.24 DESCRIPTION ACCOUNT CITY AMOUNT ADDITION, FIRST 100 SF 101-0000-42400 0 $127.68 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, FIRST 100 SF PC 101-0000-42600 0 $179.36 Total Paid for ADDITION: $390.64 DESCRIPTION ACCOUNT ClTY AMOUNT ART IN PUBLIC PLACES :RESIDENTIAL 270-0000-43201 0 $250.00 Total Paid for ART IN PUBLIC PLACES - AIPP: $250.00 DESCRIPTION ACCOUNT ZITY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600. 1 $152.00 DESCRIPTION ACCOUNT ZtTY AMOUNT HOURLY CHARGE -YES ADMINISTRATIVE STAFF 101-0000-42600 0.25 $10.00 DESCRIPTION ACCOUNT aTY AMOUNT HOURLY CHARGE - YES ADMINISTRATIVE STAFF 101-0000-42600 0.25 $10.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE = YES ADMINISTRATIVE STAFF 101-0000-42600 0.25 $10.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 2 $190.00 DESCRIPTION ACCOUNT aTY AMOUNT HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER . 101-0000-42600 2 $190.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 1 $95.00 Total Paid for BLDG CITY STAFF - PER HDUR: $657.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $12.00. Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $12.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,.000SF 101-0000-42403 0 $51.68 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $21.28 DESCRIPTION ACCOUNT QTY. AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $152.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $50.16 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $275.12 DESCRIPTION ACCOUNT I CITY .AMOUNT AIR HANDLER 101-0000-42402 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT AIR HANDLER PC 101-0000-42600 0 $12.67 DESCRIPTION ACCOUNT 1QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $152.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $101.32 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $5.07 DESCRIPTION ACCOUNT 1QTY AMOUNT VENT FAN 101-0000-42402 0 $126.70 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $50.70 Total Paid for MECHAMICAL: $499.13 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $392.77 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $392.77 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $25:33 DESCRIPTION ACCOUNT. QTY AMOUNT ROOF DRAIN 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN PC 101-0000-42600 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $25.34 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101,0000-42600. 0 $15.20 DESCRIPTION. ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $38.01 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $38.01 Total Paid for PLUMBING FEES: $990.77 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $205.20 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $164.16 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $51.68 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $141.36 Total Paid for REMiODEL: $562.40 DESCRIPTION ACCOUNT QTY AMOUNT . SMI - RESIDENTIAL 101-0000-20308 0 $39.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: .$39.00 DESCRIPTION ACCOUNT. QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: