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BRES2017-0345n 78-495 CALLE TAMPICO C& 0 U 4 Qum& VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT PE (760) 777-7153 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: JOE STEMMER 42335 WASHINGTON NO 355 PALM DESERT, CA 92211 BUILDING PERMIT BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED BRES2017-0345 53700 EISENHOWER DR 774131010 1,671 SF DWELL[ N G/VB/RES-3/CLASS A-FR/13D $112,078.30 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 rofessions Code, and my License is in full force and effect. License Class: B License No.: 605857 Date: -6 Contractor: OWNER-BUILDE ECLARATION 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.). (J6!} 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. .C. f r this re s Date: _ i�K h 'i Owne CONSTRUCTV 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 Lender's Address: PJO 2ZAS D t : 3/26/2018 wner:' gfgllvu �nEE S 335 WASHINGTON NO 35ALM eI I Y U� E48UINTA DESIGN AND DEVELOPMENT DEPARTMENT Contractor: JOE W STEMMER JR 42215 WASHINGTON ST ff355 PALM DESERT, CA 92211 (760)880-3525 Llc. No.: 605857 WORKER'S COMPENSATION DECLARATION I heaffirm under penalty of perjury one of the following declarations: her 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: EXEMPT Policy Number: 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 that, if I should become subject to the workers' compensation provisions of Section 700 o atheLabgshall comply wit tho provisions. Date: 1,(Applican WARNING: FAILURE TO SECURE WORKS' MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO INAL 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 iA correct. I agree to comply with all city and county ordinances and state laws relating Auilding construction, and hereby authorize representatives of this citt to nter u o h above -me ione property for inspection purposes. Date:7 Signature (Applicant or Agen Dater 3/26/2018 . Application Number: BRES2017-0345 Owner: Property. Address: 53700 EISENHOWER DR JOE STEMMER APN: 774131010 42335 WASHINGTON NO 355 Application Description: 1,671 SF DWELLING/VB/RES-3/CLASS A-FR/13D PALM DESERT, CA 0 Property Zoning: Application Valuation: $112,078.30 Applicant: Contractor: JOE STEMMER JOE W STEMMER 1R 42335 WASHINGTON NO 355 42215 WASHINGTON ST 11355 PALM DESERT, CA 92211 PALM DESERT, CA 92211 (760)880-3525 ------------------------------------------------------------------------------------------------ Llc. No.: 605857 Detail: 1,671 SF DWELLING - [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, FIRE SPRINKLER SYSTEM OR DRIVEWAY APPROACH. 2016 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION. ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $5.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $5.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - CIVIC CENTER 252-0000-43200 0 $942.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF -.COMMUNITY CENTERS 254-0000-43200 0 $129.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - LIBRARIES 253-0000-43200 .0 $344.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 .DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $18.20 Total Paid for ELECTRICAL: $44.21 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $26.52 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $10.92 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: $244.97 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 $39.01 Total Paid for GRADING: $78.02 DESCRIPTION ACCOUNT QTY AMOUNT