BRES2017-024278-495 CALLE TAMPICO D ��
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL
Application Number: BRES2017-0242 D
Property Address: 78900 MORNING STAR CT CT
APN: 609560049
Application Description: ZWEMMER./ REPLACE MISSING TRUSS ME, ER
Property Zoning: SEP
Application Valuation: $600.00 �_— 2 02017
V
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
ROB ZWEMMER
49505 ALI CT
!:,'QUINTA, CA 92253
Date: 9/20/2017
Applicant: COPE MUN �� VE OP gQUrNTA Contractor:
ROB ZWEMMER -� OEPARrAfENT NICOL CONSTRUC-ION INC DBA NICOL CLIMATE
49505 ALI CT 67851 OCOTILLO TRAIL
LA QUINTA, CA 92253 DESERT HOT SPRII9GS, CA 92241
(760)567-2811
Llc. No.: 878070
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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 ef4*�
License Class: B. C20 License Dato:meq Zs i7 Co
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that.l 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 in 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:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of -he following declarations:
1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 :)f 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 Policy Number: WWC3242024
_ I certify that in the performance of tF a work for which this permit is issued, I
shall not employ any person in any manner so a: 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 37 )0 of the LabCode, I shall forthwith
comply with those provisions. 1— W Q
WARNING: FAILURE TO SECURE WORKERS' COMIPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,0001 IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IV SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOW'.EDGEMENT .
IMPORTANT: Application is hereby made to the 3uilding 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 C[y 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 ordinaceces.and state laws relating to building '
construction, and hereby authorize representatives of this city to enter upon e
above-mentioned property for inspection purposes.
Date:, 25 Signature_(Applicant6rAk6rit),:-
'
Date:. 9/20/2017
Application Number:
BRES2017-0242
Owner:
Property Address:
.78900 MORNING STAR CT CT
ROB ZWEMMER '
APN:
609560049
49505 ALICT
Application Description:
ZWEMMER / REPLACE MISSING TRUSS MEMBER
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$600.00
Applicant:.
Contractor:
ROB ZWEMMER
NICOL CONSTRUCTION INC DBA NICOL CLIMATE
49505 ALI CT
67851 OCOTILLO —RAIL
LA QUINTA, CA 92253
DESERT HOT SPRINGS, CA 92241
(760)567-2811
Llc. No.: 878070
" Detail: ZWEMMER /TRUSS FIX TO EXISTING SINGLE FAMILY DWELLING. REPLACE ALTERED/MISSING
TRUSS WEB MEMBER PER ENGINEERED DEIGN (W -T
" STRUCTURAL ENGINEERING -JEFFERY S. GUTOWSKY LIC. NO. 55743). 2016 CALIFRONIA BUILDING CODES.
FINANfIAI INMRMATI(1N
DESCRIPTION
ACCOUNT .QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
'QTY
AMOUNT
Credit Card Fee
101-0000-43505
0
$1.49
Total Paid for Credit Card Fee: .$1.49
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PARTITION
101-0000-42400
0
$76.00
Total Paid, for PARTIFION: $76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
f
Total Paid for TECHNOLOGY ENHANCEMEN— FEE: $5.00
TOTALS: $83.92