BRES2017-010678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
JUAN G. PEREZ
PO BOX 1868
LA QUINTA, CA 92247
BRES2017-0106
T4tw4.fw4"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Owner:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
77581 LOS ARBOLES JEFFREY PERRY
658260040 77581 LOS ARBLOES
PERRY / INTERIOR REMODEL TO BATHROOM, LAUNDRY AND KITCHEN LA QUINTA, CA 92253
$10,000.00
IJ
JUN 0 5 2017
CITY OF LA QUINTA
COMMUNITY DEb'ELOPMENT 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 Business and Professions Code, and
my License is in ull force and effect.
License Class: License No.: 999955 �-
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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).:
(1 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 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 Na
Lender's Address:
Date: 6/5/2017
Contractor:
LUA CONSTRUCTION GENERAL CONTRACTORS INC
47407 JANET AVE
INDIO, CA 92201
(760)698-2749
Llc. No.: 999955
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 th or or which this permit is issued.
}A have and will maintain workers' compensation insurance, as required by
Sectio " 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: NORGUARD INSURANCE COMPANY Policy Number: LUWC784478
_ 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 3700 , j Labo ode, I�forthwith
comply with those provisions.
WARNING: FAILURE TO SECURE WORKERS;OMPENSATION 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 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 ci ent Pon the
property for inspection purposes.
Date: 6/5/2017
Application Number:
BRES2017-0106
Owner:
Property Address:
77581 LOS ARBOLES
JEFFREY PERRY
APN:
658260040
77581 LOS ARBLOES
Application Description:
PERRY / INTERIOR REMODEL TO BATHROOM, LAUNDRY AND KITCHEN
LA QUINTA, CA 92253
Property Zoning:
[CONVENTIONAL] THIS PERMIT DOES NOT INCLUDE ADDITIONAL SQUARE FOOTAGE OR ALTERATION TO THE BUILDING ENVELOPE. 2016 CALIFORNIA
BUILDING CODES.
Application Valuation:
$10,000.00
Applicant:
Contractor:
JUAN G. PEREZ
LUA CONSTRUCTION GENERAL CONTRACTORS INC
PO BOX 1868
47407 JANET AVE
LA QUINTA, CA 92247
INDIO, CA 92201
(760)698-2749 ,
--------------------------------------------------------------------------------------------
Llc. No.: 999955`
Detail: INTERIOR REMODEL TO MASTER BATHROOM AND LAUNDRY ROOM LAYOUT, AND LIGHTING AND CABINETRY ALTERATION AT KITCHEN
[CONVENTIONAL] THIS PERMIT DOES NOT INCLUDE ADDITIONAL SQUARE FOOTAGE OR ALTERATION TO THE BUILDING ENVELOPE. 2016 CALIFORNIA
BUILDING CODES.
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$25.33
Total Paid for ELECTRICAL: $50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
VENT FAN
101-0000-42402
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
VENT FAN PC
101-0000-42600
0
$5.07
Total Paid for MECHANICAL: $17.74
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$38.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$38.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.67
Total Paid for PLUMBING FEES: $101.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, FIRST 100 SF
101-0000-42400
0
$51.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL, FIRST 500 SF PC
101-0000-42600
0
$141.36
Total Paid for REMODEL: $193.04
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$1.30
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.30
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
a V _I
Bin #
4�
Permit #;
T*E57 bid
Project Address: '�%5�� (cps
arty of La. Qu*nta
Building 8z- Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
�'24o�—�S Owner's Name:
A. P. Number: ' S
40
Address: "7 % 65
Legal Description: „yam r
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City, ST, Zip: C—O— 0,01-A7ta69- . L3 a;)- 53
Contractor:
ele hone:
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Address:
Project Description: TG►L l O ✓L.-'s�lp��r(o.-.(
City, ST, Zip:
Telephone:
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State Lic. # :
City Lie.
Arch., Engr., Desi ner:
Address:
City, ST,Zip:
Telephone: 6Ob
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N.State �
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Construction on Type:Occupancy:
:
L ic. 9: -
Project ty Pa (circle one • New Add'n Repair • Demo
Name of Contact Person: �G a Z
Sq. Ft.: -[
# Stories:
#Units:
Telephone # of Contact Person:
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Estimated Value of Project-low,00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
-Submittal
Rcq'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
flan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
"Revicw; ready for corrcctions/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
1
Total Permit Fees