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BRES2016-0375LICENSED 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: _ License No.: Date: Dat c - 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 ) 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.). ��l am exempt under Sec. . B.&P.C. for this reason c Date: ®rtlo 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 COMPENSAION 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 insuran¢ carrier and policy number are: Carrier:- Policy Number: _ -4W- 'I certify that in the performance of :he 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 th::t, if I should become subjectto the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r Date: 3 ( T Applicant: WARNING: FAILURE TO SECURE WORKERS' COvIPENSATION 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 FOF 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 thi! application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is perform=ed under or pursuant to any permit issued as a result of this application , the owne-, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the Zity of La Quinta, its officers, agents, and employees for any act or omission related to Me 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 "ssuance of such permit, or cessation of work for 180 days will subject permit to cancel ation. 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 representa:ives of this city to enter upon the above-mentioned property for inspection purposes. da, Date: iv I Signature (Applicant or Agent): O�i � VOICE (760) 777-7125 78-495 CALLE TAMPICO D FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/30/2017 Application Number: BRES2016-0375 Owner: Property Address: 79$20 FIESTA DR OLIVIER CHAINE APN: 600051012 6500 W 84TH ST C� z Application Description: CHAINE / 494 SF ADDITION + INTERIOR REMODEL LOS ANGELES, CA 90045 L Property Zoning: EEC Application Valuation: $67,000.00-� o N __j z C7 Applicant: Contractor: ® S o' OLIVIER CHAINE OWNER BUILDER. rye w 3 6500 W 84TH ST LOS ANGELES, CA 90045 LIc. No.: 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: _ License No.: Date: Dat c - 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 ) 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.). ��l am exempt under Sec. . B.&P.C. for this reason c Date: ®rtlo 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 COMPENSAION 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 insuran¢ carrier and policy number are: Carrier:- Policy Number: _ -4W- 'I certify that in the performance of :he 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 th::t, if I should become subjectto the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r Date: 3 ( T Applicant: WARNING: FAILURE TO SECURE WORKERS' COvIPENSATION 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 FOF 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 thi! application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is perform=ed under or pursuant to any permit issued as a result of this application , the owne-, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the Zity of La Quinta, its officers, agents, and employees for any act or omission related to Me 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 "ssuance of such permit, or cessation of work for 180 days will subject permit to cancel ation. 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 representa:ives of this city to enter upon the above-mentioned property for inspection purposes. da, Date: iv I Signature (Applicant or Agent): Application Number: BRES2016-0375 Property Address: 79820 FIESTA DR APN: 600051012 Application Description: CHAINE / 494 SF ADDITION + INTERIOR REMODEL Property Zoning: Application Valuation: $67,000.00 Applicant: OLIVIER CHAINE 6500 W 84TH ST LOS ANGELES, CA 90045 Owner: OLIVIER CHAINE 6500 W 84TH ST LOS ANGELES, CA 90045 Contractor: OWNER BUILDER Llc. No.: Date: 3/30/2017 Detail: CHAINE / 494 SF ADDITION + INTERIOR REMODEL TO EXISTING 2,324 S.F. HOME, RESULTING IN A TOTAL OF 2,819SF. ENCLOSE 494 SF PATIO UNDER EXISTING ROOF AND CONVERT TO LIVING SPACE. REMODEL KITCHEN AND BEDROOMS.. REMOVE AND REVISE LAYOUT OF INTERIOR WALLS TO ADD (2) NEW BEDROOMS AND (2) NEW BATHROOMS. REPLACE ALL WINDOWS & DOORS, RELOCATE & REPLACE WATER HEATER, AND RELOCATE WASHER AND DRYER TO GARAGE._ THIS PERMIT DOES NOT INCLUDE THE REPLACEMENT OF -THE EXISTING HVAC EQUIPMENT OR ELECTRICAL SERVICE PANEL. 2013 CALIFORNIA BUILDING CODES. FINANCIAL + DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 0 $65.36 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $18.24 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, FIRST 100 SF 101-0000-42400 0 $127.68 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, FIRST 100 SF PC 101-0000-42600 0 $179.36 Total Paid for ADD TION: $390.64 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 !0.75 $114.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 0.5 $76.00 DESCRIPTION ACCOUNT 'QTY AMOUNT HOURLY CHARGE - YES ADMINISTRATIVE STAFF 101-0000-42600 0.25 $10.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES ADMINISTRATIVE STAFF 101-0000-42600 3.25 $10.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES ADMINISTRATIVE STAFF 101-0000-42600 0.25 $10.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 3 $285.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 1 $95.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 1 $95.00 Total Paid for BLDG CITY STAFF - PER HOUR: $695.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $3.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $3.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $25.84 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 r0 $10.64 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $152.00 DESCRIPTION ACCOUNT CTY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 $50.16 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $238.64 DESCRIPTION ACCOUNT CITY AMOUNT VENT FAN 101-0000-42402 ) $63.35