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BRES2017-030578-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: GLS ARCHITECTURE . 74991 JONI DR'#9 PALM DESERT, CA 92260 BUILDING RESIDENTIAL/REN BRES2017-0305 51525 MARBELLA CT 4 4v Qalarav DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT 777340006 KENTNER/REMOVE GARAG OPENING $8,000.00 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. C20 License No.: 8780 fit Date: (1.21 1 �l Co tracto . — —''— 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).: (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.). (_J 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 Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/22/2017 Owner: GEORGEKENTNE2 51525 MARBELLA LA QUINTA, CA 9253 Contractor: NICOL CONSTRUCTION INC DBA NICOL CLIMATE 67851 OCOTILLO -RAIL DESERT HOT SPRINGS, CA 92241 (760)218-6909 Llc. No.: 878070 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of :he following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 pf the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' conpensation 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: WESCO INSURANCE COMPANY Filicy Number: WWC3242024 _ 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 of the Labor Code, I shall forthwith comply with those provisions. Applicant.^ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA_ PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000p IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 14 SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWIEDGEMENT 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 performec under or pursuant to any permit issued as a result of this application , the owner, .md 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 cancellat on. 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 ordinarces and state laws relating to building construction, and hereby authorize representatives of this cit fier tipont+ 9 above-mentioned property for inspection purposes. Date_ 2 / % Signature pp�i� t or Agent) Date:' 11/22/2017 Application Number: BRES2017-0305 Owner: Property Address: 51525 MARBELLA CT GEORGE KENTNER APN: 777340006 51525 MARBELLF. Application Description: KENTNER / REMOVE GARAGE PORTAL FRAME TO MAKE SINGLE OPENING LA QUINTA, CA 92253 Property Zoning: Application Valuation: $8,000.00 Applicant: _ Contractor: GLS ARCHITECTURE NICOL CONSTRUCTION INC DBA NICOL CLIMATE 74991 JONI DR #9 67851 OCOTILLO TRAIL PALM DESERT, CA 92260 DESERT HOT SPRIVGS, CA 92241 (760)218-6909 --------------- --------------------------------------------- Llc. No.: 878070 -- - Detail: REMOVE CENTER GARAGE PORTAL FRAME TO MAKE SINGLE OPENING TO EXISTING TWO -CAR ------------=----------------- GARAGE [ENGINEERED] THIS PERMIT DOES NOT INCLUDE ALTERATION TO THE REMAINING GARAGE AREA OR THE DWELLING. 2016 CALIFORNIA BUILDING CODE. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT. 101-0000-42600 ($125.00) DESCRIPTION ACCOUNT QTY AMOUNT • HOURLY CHARGE - ESGIL CIVIL ENGINEER 101-0000-42600 1.5 $125.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - ESGIL CIVIL ENGINEER 101-0000-42600 1.5 $157.50 Total Paid for BLDG CITY STAFF -PER HOUR: $157.50 DESCRIPTION ACCOUNTQTY AMOUNT BSAS SB1473 FEE 10170000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PARTITION 101-0000-42400 0 $78.02 DESCRIPTION ACCOUNT QTY AMOUNT PARTITION PC 101-0000-42600 0 $143.56 Total Paid for PARTITION: $221.58 DESCRIPTION ACCOUNT QTY AMOUNT PLAN CHECK DEPOSIT - ADDITION/REMODEL 101-0000-42600 1 $125.00 Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $20.00 Total Paid for RECORDS MANAGEMENT FEE - MLJOR: $20.00 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $1.04 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.04 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 1 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00