BRES2017-0223t.
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78-495 CALLE TAMPICO VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Dater 9/29/2017
Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL Owner:
Application Number: BRES2017-0223 LARRY HAMER
Property Address: 51301 MARBELLA CT CT 1301 MARBELLA CT
APN: 777320029 QUINTA, CA 94253
Application Description: HAMER / INTERIOR REMODEL 'N:CHANGE OUT WIN®0)(i/,$17.
Property Zoning: SEP 2 J [[uu
Application Valuation: $75,000.00
Applicant:(rI� D� �AQUINIA
PEREZ COLLABORATIVE ESIGN AND DE�IEIOpE�T�DEPARTMM"&�A BUILDERS INC
D
PO BOX 1868 73381 SANTA RO`•A WAY
LA QUINTA, CA 92248 PALM DESERT, CA 92260
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: B License No.: 1023991
Date: 2 Contractor:
OWNER -BUILD DECLARATION
I hereby affirm under penalty of perjury at 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, 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 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
Lender's Address:
(760)610-4569
Llc. No.: 1023991
WORKER'S COMPENSATON DECLARATION
I hereby affirm under penalty of perjury one o1 the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 370C of the Labor Code, for the performance
of the work for which this permit is issued.
1•have and will maintain workers' canpensation 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: NORGUARD INSURANCE COMPANY Policy Number: MAWC806182
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 that, if I should become subject to the
workers' compensation provisions of Section 3 700 of the -Labor Code, I shall forthwith
comply with those provisions.
Date: Z 17 Applicant:
WARNING: FAILURE TO SECURE WORKERS' PENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CR INAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,004). 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 th 2 Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this applivation 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 =ity of La Quinta, its officers, agents, and
employees for any act or omission related to tF a work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this appliotion 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 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 ordio,ances and state laws relating to building
construction, and hereby authorize representa.=fives of this city to enter upon the
above-mentioned property for inspection purses.
Date: % Signature (Applicant or Agent)•
Date: 9/29/2017
Application Number: BRES2017-0223
Owner:
Property Address: 51301 MARBELLA CT CT
LARRY HAMER
APN: 777320029
51301 MARBELLA CT
Application Description: HAMER / INTERIOR REMODEL AND CHANGE OUT WINDOWS
LA QUINTA, CA 9253
Property Zoning:
Application Valuation: $75,000.00 .
Applicant:
Contractor:
PEREZ COLLABORATIVE
M & A BUILDERS INC
PO.BOX 1868
73381 SANTA RO;'A WAY
LA QUINTA, CA 92248
PALM DESERT, CA 92260
(760)610-4569
Llc. No.: 1023991
Detail: INTERIOR REMODEL. REPLACE SLIDING DOORS AT LIVING ROOM, DOWNSIZE MASTER BATH WINDOW, AND CONWERT DINING ROOM WINDOW TO A
DOOR. REPLACE LIGHTING IN VARIOUS ROOMS, REMODEL MASTER BATH AND KITCHEN LAYOUT, AND DEMO AND RELOCATE WET BAR. THIS PERMIT DOES
NOT INCLUDE ALTERATIONS TO THE HVAC SYSTEM OR THE ALTERATION TO ANY LOAD-BEARING
OR LATERAL -RESISTING STRUCTURAL MEMBERS. 2016
.CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
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
DEVICES, FIRST 20
101-0000-42403
0
$2533
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$25.33
Total Paid for ELECTRICAL: $50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$50.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$50.68
DESCRIPTION
ACCOUNT,
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/AL?/REP PC
101-0000-42600
0
$12.67
Total Paid for PLUMBINGiFEES: $126.70
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400
0
$68.40
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$54.72
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL; FIRST 100 SF
101-0000-42400
0
$51.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
'REMODEL, FIRST 500 SF PC
101-0000-42600
0
$141.36 71
Total Paid for REMODEL: $316.16
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$9.75
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $9.75
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00