BRES2018-0115r
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
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DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL
Application Number: BRES2018-0115
Property Address: 54195 AVENIDA DIAZ
APN: 774194022
Application Description: BUDD / [6] WINDOW CHANGEOUT
Property Zoning:
Application Valuation:
Applicant: n
CALIFORNIA SHOWCASE CONSTRUCTION INC Pf
1507 MARLBOROUGH AVENUE
RIVERSIDE, CA 92507 MAR 2 6 2018
CITYOFLAQUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
1 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 Classy: B/ ryLicense No.: 91235
Date: 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).:
(_J 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.).
(-J1, 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.).
(_J 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: 3/26/2018
Owner:
JACQUELINE BUDD
54195 AVENICA DIAZ
LA QUINTA, CA 92253
Contractor:
CALIFORNIA SHOWCASE CONSTRUCTION INC
1507 MARLBOIOUGH AVENUE
RIVERSIDE, CA'92507
(951)682-0205
Llc. No.: 9123E2
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 tfX work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 700 of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation insuranea carrier and policy number are:
Carrier: STATE COMPENSATION INSURANCE =UND Policy Number: 9029521
_ 1 certify that in the performance o* the work for which this permit is issued, I
shal I not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree fiat, if I should become subject to the
workers' compensation provisions of Se ' n 3700 of the Labor Code, I shall forthwith
comply with thos provisions.
Date . 0 Applica
WARNING: FAILURE TO SECURE WORKERS' CDMPENSATION 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 app•'.ication 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, anc 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 appl<ation becomes null and void if work is not
commenced within 180 days from date of iss jance of such permit, or cessation of work
for 180 days will subject permit to cancellaticn.
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 or&nances and state laws relating to building
construction, and hereby authorize representatives of this to enter upon tpy above-
mentione V�ro��plIertiyffoorr inspection purposes. y�
Dater �l�l 1 v Signature (Applicant or Agent): Q-t.l"' —
ET
Date: 3/26/2018
Application Number: BRES2018-0115
Owner:
-P"fty Address: 54195 AVENIDA DIAZ
JACQUELINE BUDD
APN: 774194022
54195 AVENIDA DIAZ
Application Description: BUDD / [6] WINDOW CHANGEOUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
Applicant:
Contractor:
CALIFORNIA SHOWCASE CONSTRUCTION INC
CALIFORNIA SHOWCASE CONSTRUCTION INC
.1507 MARLBOROUGH AVENUE
1507 MARLBOROUGH AVENUE
RIVERSIDE, CA 92507
RIVERSIDE, CA92507
(951)682-0208
---------------------------------------------------------------------,------=----------------
Llc. No.: 9123E2
Detail: CHANGEOUT [6) WINDOWS LIKE FOR LIKE RETROFIT. PER 2016 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
SMI - RESIDENTIAL 101-0000-20308 0 $0.50
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50
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, RETRO/REPAIR, FIRST 7
101-0000-42400
0
$65.54
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC
101-0000-42600
0
$63.98
I
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $129.52