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BRES2017-0317-_� Q haw 78 495 CALLE TAMPICO D LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING RESIDENTIAL/ADDITION rJA.40—C Application Number: BRES2017-0317 D Property Address: 77205 AVENIDA ARTEAGA APN: 658210028 �A Application Description: FERGUSON / 1,737SF ADDITION W CO Property Zoning: Application Valuation: $139,752.90 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: JOHN FERGUSON 77205 AVENIDA ARTEAGA LA QUINTA, CA 92253 Date: 1/23/2018 Applicant: Contractor: MICHAEL KINER PAUL GOLDEN CONSTRUCTION INC 70177 HIGHWAY 111 73710 FRED WARING DR STE 101 RANCHO MIRAGE, CA 92270 PALM DESERT, CA 92260 .(760)776-4215 Lic. No.: 786919 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.: 7788691-9 Date �� Cor tractor: I.,-1 O 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 owndr 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: 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: Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9036673 I certify that in the performance of the work for which this permit is issued, l shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, ' Id become subject to the workers' compensation provisions of Section 00 of th LaborCode I shall forthwith comply 000! with those provisions. Date} hJ h 0 �2MAp' pI cant: ' 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 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 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 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 cancellation. t 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 ordinances and state laws relating to building construction, and hereby authorize representatives of this citv3 r upon the/ above-mentioned property for inspection purposes. Date: - Signa ant or Agent): • Date: 1/23/2018 Applicatioa Number_•.. ;. > BRE12017.LO317 Owner: Property Address: 77205 AVENIDA ARTEAGA JOHN FERGUSON APN: 658210028 77205 AVENIDA ARTEAGA Application Description: FERGUSON / 1,7375F ADDITION W/CONVERSION AND PATIO COVERS LA QUINTA, CA 92253 Property Zoning: Application Valuation: $139,752.90 Applicant: Contractor: MICHAEL KINER PAUL GOLDEN CONSTRUCTION INC 70177 HIGHWAY 111 73710 FRED WARING DR STE 101 RANCHO MIRAGE, CA 92270 PALM DESERT, CA 92260 ' J (760)776-4215 Llc. No.: 786919 Detail: 1,OO1SF ADDITION TO MAIN DWELLING WITH 85SF GARAGE CONVERSION,, 795SF NEW GARAGE AND 362SF PATIO; 7365F GUEST HOUSE WITH 406SF GARAGE AND 278SF PATIO; AND CONDITIONING OF ALL GARAGE AREAS [ENGINEERED] THIS PERMIT DOES NOT INCLUDE REMODELTO THE EXISTING DWELLING, OR CHANGEOUT OF EXISTING MECHANICAL EQUIPMENT OR WATER HEATERS. MERGER OF PARCELS APPROVED PER PMER2017-0002, RECORDED 12/4/2017. 2016 CALIFORNIA BUILDING CODES. FINANCIAL DESCRIPTION ' ACCOUNT QTY. AMOUNT ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 0 $402.60 DESCRIPTION' ACCOUNT QTY AMOUNT ADDITION, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $112.32 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, FIRST 100 SF 101-0000-42400 0 $131.07 . DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, FIRST 100 SF PC 101-0000-42600 0 $184.13 Total Paid for ADDITION: $830.12 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - ESGIL PLANS EXAMINER 101=0000-42600 1 $90.00 Total Paid for BLDG CITY STAFF - PER HOUR: $90.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $6.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $6.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $39.78 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $16.38 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $156.04 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $51.49 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $263.69 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF 101-0000-42408 0 $39.01 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF PC 101-0000-42600 0 $195.05 Total Paid for GRADING: $234.06 DESCRIPTION ACCOUNT' QTY AMOUNT AIR HANDLER 101-0000-42402. 0 $117.03 DESCRIPTION ACCOUNT QTY AMOUNT. AIR HANDLER PC 101-0000-42600 0 $39.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $195.05 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $130.05 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $78.02 ' DESCRIPTION ACCOUNT QTY AMOUNT +� FURNACE PC 101-0000-42600 0 $52.02 •= ' ' DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $S2.00. DESCRIPTION 'ACCOUNT QTY AMOUNT ' VENT FAN PC 101-0000-42600 0 $20.80 . Total Paid for MECHANICAL: $683.97 DESCRIPTION 'ACCOUNT QTY AMOUNT PATIO COVER EA ADDITIONAL 101-0000-42400 0 $52.01 DESCRIPTION ACCOUNT QTY AMOUNT PATIO COVER EA ADDITIONAL PC 101-0000-42600 0 $39.01 DESCRIPTION ACCOUNT QTY AMOUNT PATIO COVER, DESIGNED- 7.01-0000-42404 b $143.56 DESCRIPTION ACCOUNT QTY AMOUNT PATIO COVER; DESIGNED PC 101-0000-42600 0 $181.56 Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $416.14 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE 101-0000-42401 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE PC 101-0000-42600 0 $5.20 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $156.00 DESCRIPTION ACCOUNT QTY AMOUNT FIXTUREITRAP PC 101-0000-42600 0 $156.00 DESCRIPTION. ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $39.01 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN 101-0000-42401 0 $130.00 DESCRIPTION ACCOUNT QTY AMOUNT •ROOF DRAIN PC 101-0000-42600 0 $130.00 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $26.00 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $15.60 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401. 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $13.00 Total Paid for PLUMBING FEES: $722.82 DESCRIPTION ACCOUNT QTY AMOUNT 1 y RECORDS MANAGEMENT FEE -MAJOR 101-0000-42416 0 $20.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $20:00 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $46.82 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $37.44 DESCRIPTION. ACCOUNT QTY AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $53.05 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $145.12 'Total Paid for. REMODEL: $282.43 DESCRIPTIONACCOUNT QTY AMOUNT ' SMI - RESIDENTIAL 101-0000-20308 0 .$18.17 Total'Paid for STRONG MOTION INSTRUMENTATION SMI: .$18.17 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00. Total Paid'for TECHNOLOGY ENHANCEMENT FEE: $S.00