BSPN2017-005378-495 CALLE TAMPICO .
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
STEVE CHANG
40255 HARRIS LANE -#105
PALM DESERT, CA 92211.
4 tP Qulftrcu
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
SPECIAL INSPECTION/
BSPN2017-0053
79800 HIGHWAY 111 STE 106
600010021
CHANG / UTILITY RELEASE
CSC I i 2017
CITYOFLAQUINTAJ
COMMUNITY DEVELOPMENT
DEPARTNIEN7
--�
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:
Contractor:
OWNER -BUILDER DECLARATION
1 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).:
as owner of the property, or my employees with wages as their sole
o nsation, 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
e did not build or improve for the purpose of sale.).. •
, 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.)'.
CA 741
am exempt under Sec. B.&P.C. for this reason
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: 12/11/2017
Owner:
SOINELLO COMMERCIAL
68936 ADELINL. ROAD
CATHEDRAL CI—Y, CA 92234
Contractor:
Llc. No.:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 have and will maintain a certificace 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: _ .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 t iat, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date:
Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIM4NAL 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 fie Building Official for a permit. subject to
the conditions and restrictions set forth on tFisapplication.
1. Each person upon whose behalf this app@cation 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 cancellatic n.
I certify that I have read this application and -tate that the above information is correct.
I agree to comply with all city and county ordnances and state laws relating to.building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspection purposes.
BnM. l Y � i �igyr re (Applicantor A4_1��
Date:. 12/11/2017
Application Number:
BSPN2017-0053
Owner:
Property Address:
79800 HIGHWAY 111 STE 106
SOINELLO COMMERCIAL
APN:
600010021.
68936 ADELINA ROAD
Application Description:
CHANG / UTILITY RELEASE
CATHEDRAL CITY, CA 92234
Property Zoning-
Application Valuation:
Applicant:
Contractor:
STEVE CHANG
40255 HARRIS LANE #105
PALM DESERT, CA 92211
---=-------------------------------------------------------------------------------•---------
Llc. No.:
Detail: SPECIAL NSPECTION TO RELEASE POWER AS IT HAS BEEN OFF FOR OVER 6 MONTHS.
It
I
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY
AMOUNT
SPECIAL J NSPECTI O N
101-0000-42404 0
.$78.02
Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION:
$78.02-
78.02DESCRIPTION
DESCRIPTION.
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:.
TOTALS:
$5.00
It
I
^ J
PERMIT #
PLAN LOCATION:
rojectTAddress_: �. C(�(/ 6 1 '
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN
City, St, Zip
Garage
SF
A licant Nam'e� � � y�
Patio/Porch
Address: 'Je
Email:
City, ST, Zip: o 1 S i r C /I 2�
SF
. Telephone: Z 2
Email:
Valuation of Project $
Contractor Name:
New SFD Construction:
Address:
Address:
Conditioned Space
SF
City, St, Zip
Garage
SF
Telephone:
Patio/Porch
SF
Email:
Fire Sprinklers
SF
State Lic: City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
C a A 2 ($onstruction Type: Occupancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
roperty Owner's Nam
e co Of Commercial / Tenant Improvements: iD&
Address: I�M36
le, Rd Total Building SF
City, ST, Zip
C a A 2 ($onstruction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY - r'
` #
Submittal
Req'd . •�
.Rec'd
,.
Plan Sets
Structural Calcs
r
Y
C
v `
Truss Calcs
_ 1'
Title 24 Calcs ,
t
Soils Report
Grading Plan (PM 10)
Landscape Plan
Subcontractor List
Grant Deed
'
HOA Approval
'
School Fees
•
�: Yf
2
Burrtec Debris Plan
r
Planning approval
;
,
Public Works approval
{
7
1.
Fire approval r
City Business License
r
¢
f.'
r
.i
•
�: Yf
2
r