BRES2017-0024 Revision 178-495 CALLE TAMPICO
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LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRES2017-0024
Property Address:
81837 CONTENTO
APN:
767760013
Application Description:
VINCENT / CHANGE OUT FRENCH DOORS FOR MULTI SLIDE DOORS
Property Zoning:
Application Valuation:
$50,000.00
Applicant:
CRAIG BLECKA INC DBA GENERATIONS WEST CO
39750 GARAND LANE STE B
PALM DESERT, CA 92211
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/17/2017
Owner:
ORRIN VINCENT
81837 CONTE NTO
LA QUINTA, CA 92253
Contractor:
Li=z1j' CRAIG BLECKA INC DBA GENERATIONS WEST CO
UI 39750 GARAMD LANE STE B
AUG 1 7 2017 PALM DESERT, CA 92211
CITY OF LAOLINTA~ (760)345-9895
COPAMUNITYDEVELOPMENTDEPARTMENT LIC. No.: 599361
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. C-6, D28 License No.: 599361
Date: /-, ;`-71,1&17 Contra f�
OWNER -BUILDER DECLARA
1 hereby affirm under penalty of perjury that I am exem rom 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 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.).
(1 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. Q.
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 certifi-ate of consent to self -insure for workers'
co pensation, as provided'for by Section =700 of the Labor Code, for the performance
9the work for which this permit is issued..
L 'Ihave and will maintain worker 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: NORGUARD INSURANCE COMPANY Policy Number: CRWC840576
_ I certify that in the performanceof 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 Section 3700 of the ode, I shall forthwith
comply with those p ovisions.
Date: '_SWI Applican
Y '
WARNING: FAILURE TO SECURE WORKERS'C�PENSA VERAGE IS UN L,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE P 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 t:) the Building Official for a permit subject to
the conditions and restrictions set forth orrthis 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 Oty of La Quinta, its officers, agents, and
employees for any act or omission related :o 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.
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 city to en r-u�cphe ab e�
eyt
mentioned plopy for inspection purposes. i
(Signature Al
Date: 8/17/2017
Application Number: BRES2017-0024
Owner:
Property Address: 81837 CONTENTO
ORRIN VINCENT
APN: 767760013
81837 CONTENTO
Application Description: VINCENT / CHANGE OUT FRENCH DOORS FOR MULTI SLIDE DOORS
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $50,000.00
G
Applicant:
i,
b
Contractor:
CRAIG BLECKA tNC DBA GENERATIONS WEST CO
CRAIG BLECKA INC DBA GENERATIONS WEST CO
39750 GARAND LANE STE B
39750 GARAND LANE STE B
PALM DESERT, CA 92211
PALM DESERT, CA 92211
(760)345-9890
--------------------------------------------------------------------------------------------
Llc. No.: 599351
Detail: REMOVAL OF EXISTING FRENCH DOORS AND WIDENING OF OPENING TO INSTALL NEW ECLIPSE BI -FOLDING DOORS [ENGINEERED) THIS PERMIT.
DOES NOT INCLUDE ALTERATION TO LATERAL RESISTING CONSTRUCTION. 2016 CALIFORNIA BUILDING
CODES.
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE -'CITY BUILDING STAFF
101-0000-42600
0.25
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - YES ADMINISTRATIVE STAFF
101-0000-42600
0.25
$10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - YES PRINCIPAL/STRUCTURAL ENGINEER
101-0000-42600
1
$150.00
Total Paid for BLDG CITY STAFF - PER HOUR: $198.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
Credit Card Fee
101-0000-43505
0
$7.94
DESCRIPTION
ACCOUNT .
QTY
AMOUNT
Credit Card Fee
101-0000-43505.
0
$0.68
Total Paid for Credit Card Fee: $8.62
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$25.33
Total Paid for ELECTRICAL: $50.66
DESCRIPTION
ACCOUNT I QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308 0
$6.50
Total Paid for STRONG MOTION INSTRUMENTATDN SMI: $6.50
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, NEW/ALT, FIRST 1
101-0000-42400 0
$101.33
DESCRIPTION
ACCOUNT QTY
AMOUNT
DOOR/WINDOW, NEW/ALT, FIRST 1 PC
101-0000-42600 M 0
$115.52
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $216.85