BRES2016-035278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
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DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRES2016-0352
Property Address:
57715 CORAL MOUNTAIN CT
APN:
762440033
Application Description:
BAUMANN RESIDENCE / ADDITION 178 SF
Property Zoning: .
Application Valuation:
$20,000.00
Applicant:
GALLAUDET CONSTRUCTION
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:/1/17/2017
Owner:
BRUCE BAUMANM
5R5 C WANOUNTAIN CT
LA UIN 53
JAN 17 2017
Contra r:
CITY OF LA QUUD CONSTRUCTION
DESIGN AND DEVELQP{�EI11� IAZ
@tERRI IM 22'2553
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 Profess' s Code,
and my License is in full force and effect.
License Class: B License No.: 919430
Date: % Contractor.
OWNER -BUIL 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.).
(- 11, 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)413-7552
Llc. No.: 919430
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 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:
Car IPT Policy Number:
I certify that in the performance of tine work for which this permit is issued, I
sof employ any person in any manner so m' to become subject to the workers'
compensation laws of California, and agree that if I should become subject he
workers' compensation provisions of Section 3700 of the Labor Code, I s orthwith
comply with those prov'sions.
Date: 1pApplicant:
WARNING: FAILURE TO SECURE WORKER COMPENSATION 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 ACKNO%UEDGEMENT
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 applic.tion 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 Cty 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 applica-ion 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 staff that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to build'
construction, and hereby authorize representati+es of this city to enter u th
above-mentioned property for inspection purposes.
Date: .l `] '% Signature (Applicant o -Agent):
Owner:
BRUCE BAUMANN
57715 CORAL MCUNTAIN CT
LA QUINTA, CA 9253
Date: 1/17/2017
Applicant: Contractor:
GALLAUDET CONSTRUCTION GALLAUDET CONE-TRUCTION
0 OUTSIDE CITY LIMITS 54065 AVENIDA DIAZ
LA QUINTA, CA 92253 LA QUINTA, CA 92253
(760)413-7552
Llc. No.: 919430
---------------------------------------------------------------------=-----------------------
Detail: 178 SF BATHROOM ADDITION. PER 2013 CALIFORNIA BUILDING CODE, BATHROOM NOTTO BE A/C
R
Application Number:
BRES2016-0352
Property Address:
57715 CORAL MOUNTAIN CT
APN:
762440033
Application Description:
BAUMANN RESIDENCE/ ADDITION 178 SF
Property Zoning:
Application Valuation':
$20,000.00
Owner:
BRUCE BAUMANN
57715 CORAL MCUNTAIN CT
LA QUINTA, CA 9253
Date: 1/17/2017
Applicant: Contractor:
GALLAUDET CONSTRUCTION GALLAUDET CONE-TRUCTION
0 OUTSIDE CITY LIMITS 54065 AVENIDA DIAZ
LA QUINTA, CA 92253 LA QUINTA, CA 92253
(760)413-7552
Llc. No.: 919430
---------------------------------------------------------------------=-----------------------
Detail: 178 SF BATHROOM ADDITION. PER 2013 CALIFORNIA BUILDING CODE, BATHROOM NOTTO BE A/C
R
R FINANCIAI mr-nRMATInN
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
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$152.00
DESCRIPTION ,
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$50.16
Total Paid for ELECTRICAL- NEW CONSTRUC-ION: $202.16
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
lQTY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT .
WATER HEATER/VENT
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$7.60
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.67
Total Paid for PLUMBING FEES: $70.95
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400.
0
$22.80
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$18.24
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
Total Paid for REM(IDEL: $234.08
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$2.60
Total Paid for STRONG MOTION INSTRUMENTATION 5M1: $2.60
DESCRIPTION
ACCOUNT
CITY
AMOUNT