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BELC2017-0052y 4 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BELC2017-0052 Property Address: 53423 AVENIDA DIAZ APN: 774071027 Application Description: FRANK-GERBASI % RELOCATE ELECTRICAL TO UNDERGROUND Property Zoning: Application Valuation: $5,000.00 Applicant: , SUZANNE FRANK GERBASI JUN 15 2017 1413 ABBOT KINNEY BLV VENICE, CA 92253 P 0 CITY OF LA CUiNTA DESIGN AND 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 ' es s and Professions Code, and my License is in full force and effect. License Class: C10 License No.: 866 'Date:' - S - 7 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 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.). (� 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 ) 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: 6/15/2017 Owner: SUZANNE FRANK GERBASI 1413 ABBOT KINNEY BLV VENICE, CA 92253 Contractor: MARTINEZ ELECTRIC 31040 AVENIDA LA GAVIOTA CATHEDRAL CITY, CA 92234 ,(760)834-5570 Llc. No.: 866958 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. have and will maintain workers' compensation insurance, as required by Section 37 0 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:JUWC811557 _ 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, a greet if 1 should become subect to the workers' compensation provisions 7ofth e L�'hl comply with those provisions. Date: Applicant: WARNING: FAILURE TO SECURE WORKS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TGAIfIRIMINAL 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. 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 enter upon th ove- mentioned propertyforinspection purposes. Date: r �� Signature (Applicant or Agent): Owner: SUZANNE FRANK GERBASI 1413 ABBOT KINNEY BLV VENICE, CA 92253 Applicant: Contractor: SUZANNE FRANK GERBASI MARTINEZ ELECTRIC 1413 ABBOT KINNEY BLV 31040 AVENIDA LA GAVIOTA VENICE, CA 92253 CATHEDRAL CITY, CA 92234 (760)834-5570 LIc. No.: 866958 Detail: REPLACE EXISTING 200 AMP OVERHEAD SERVICE TO 200 AMP UNDERGROUND AT RIGHT SIDE OF DWELLING. 2016 CODES Date: 6/15/2017 Application Number: BELC2017-0052 Property Address: 53423 AVENIDA DIAZ APN: 774071027 Application Description: FRANK-GERBASI / RELOCATE ELECTRICAL TO UNDERGROUND Property Zoning: Application Valuation: $5,000.00 Owner: SUZANNE FRANK GERBASI 1413 ABBOT KINNEY BLV VENICE, CA 92253 Applicant: Contractor: SUZANNE FRANK GERBASI MARTINEZ ELECTRIC 1413 ABBOT KINNEY BLV 31040 AVENIDA LA GAVIOTA VENICE, CA 92253 CATHEDRAL CITY, CA 92234 (760)834-5570 LIc. No.: 866958 Detail: REPLACE EXISTING 200 AMP OVERHEAD SERVICE TO 200 AMP UNDERGROUND AT RIGHT SIDE OF DWELLING. 2016 CODES Date: 6/15/2017 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE. 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT. SERVICES 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT SERVICES PC 101-0000-42600. 0 $12.67 Total Paid for ELECTRICAL: $38.00 . DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: $140.27 L ■ ■ Qin # Permit # Project Address: � City of La Q%.f!<nta Building 8F Safety Division 78-495 Calle Tampico C 2 La Quinta, CA 92253 - (760) 777-701,2 Building Permit Application and Tracking Sheet .� Owner's N V z tvvc X171Lj' f pew A. P. Number: g S / Address: !/�) id z - Legal Description: Cont r Address: V — v' Z City, ST, Zip:/_,/t 6t.1! G� Tele hone: ) U P tP.roject Description:Q_-.C�T C; . City, ST, Zip: h ne. 1 Tele o fit. .l t� y D Z r LTJ R� State Lie. # : Arch.,'Engr., Designer: City Lie. #; Address: City, ST, Zip: Telephone: State is_ #. Name of Contact Person: an cY• LA) Con traction Type: Occupancy: P circle one : NewAddnJ Alter Repairair Demo 44�� LX_ Sq. Ft.: ! #Stories: / #Units: 'T phone # of Contact Person: (� U_ 636 — Estimated Value of Project: S� �J !/tJ # Submitta APPLICANT: DO NOT WRITE BELOW THIS LINE Req'd Rcc'd TRACKING PERMIT FEE . Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check D it Truss Cales.. Called Contact Person Plan eek Balance. Title 24 Calcs. Nklans picked up onstruction Flood plain plan Plans r bmitted Mechanical Grading plan 2"' Review, rea for corrections/issue Electrical . Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitte Grading IN If OUSE:- 'rd Revie, eady for corrections/issue Developer Impact Fee . Planning Approval C ed Contact Person P.P. Pub. Wks. Appr Date or permit issue Sc1+061 Fees, Total Permit Fees S RU�1��aw'plp 44 z PL . - ___-_-- - - CITY OF LA ()UINTA BUILDING &SAFETY DEPT. APpFtO EoN FOR CONS DATE p iV f - --1 KSI 6LO Giovanni Garcia 760 660 1952 giovanny.garcia78@icloud.com Bill To: DolorCs Castro 7960q mandeville rd berm da dunes Quote )4/07/2017 10011 Qty Item Description Unit Price Total 1 p nt paint the ceiling , doors, walls, baseboar , bathrooms, $4,750.00 $4,750.00 closets, 1 demo remove carpet, remove popcorn ceil g in master bed , bed#2 #3, living, di ing $2,350.00 $2,350.00 and great and room 1 drywall re texture the ceiling in living an greatroom, two beds $2,200.00 $2,200.00 • : ms ceilings, 1,567 tile floor thin et , grout and installatio include price per sqf. $4.50 $7,051.50 1 carpets repair rpet in master bed ed# 2 and #3 $200.00 $200.00 1 concrete great roo $500.00 $500.00 1 cleaners extra clean $175.00 $175.00 •i Vii"` f.j = � i Total $17,226.50 Please contact us for more information about payment options. f Thank you for yourbusiness. r V°