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BRES2017-017178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 „"i °Y V"Q"""w DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT' VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS. (760) 777-7153 78115 CALLE ESTADO, SUITE 105 LA QUINTA, CA 92253 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: License No.: Date: Contractor: 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 t basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit bjects.the applicant to a civil penalty of not more than five hundred dollars TTas owner of the property, or my employees with wages as their sole & ensation, 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 withinhdre year of completion, the owner -builder will have the burden of proving that e did not build or improve for the purpose of sale.). (U I, as owner of t property, am exclusively contracting with licensed contractors to construct the pro' (Sec. 7044, Business and. Pro ssions Code: The Contractors' State License Law cls not apply to an owner of prop y who builds or improves there ,and who tracts for the projects with�acLtractor(s) licensed pursuant to t --actors' S e License Law.). am exemp nder Sec. B.&P.C. fon Oa�I" 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: Llc. No.: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificcte of consent to self -insure for workers' compensation, as provided for by Section 37 )0 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' :ompensation 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 insurar ce caibecobject umber are: Carrier: Policy Number: _ I certify that in the performance cf theis permit is issued, shall not employ any person in any manner so as tto the workers' compensation laws of California, and agree t iat, isubject to the workers' compensation provisions of Sectiorv3700e, I shall forthwith comply those prov Bions. / V'T -- WARNING: FAILURE TO SECURE WORKERS' C.7MPENSATION 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 Ilhe Building Official for a permit subject to the conditions and restrictions set forth on tFis 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 or issuance of such permit, or ceAation of work for 180 days will subject permit to cancellation. I certify that I have read this application and --tate that the above informs is correct. I agree to comply with all city and county orcinances and state law to building construction, and hereby authorize representatives of this city to ter the above-mentioned property for inspection purposes. Agent): Date: 11/7/2017 Permit Type/Subtype: Application Number: BUILDING RESIDENTIAL/DWELLING -SIN BRES2017-0171 FE AM Owner: Q1 UL AND BRENDAWff (�-'.J Property Address: 78612 PEERLESS PL .... 29 148TH ST ISSUED APN: 770310017 f +`��•� �l 7 MONTON AE? CN T5Rlq-7 jL Application Description: Property Zoning: TRADITION /JOHNSON / NEW SFD L e � ��� "t NOV J % 2017. Application Valuation: $604,284.30 OOMMUA4TYTYC)F4tULIAID DE( ELOPMEWDEPARRAENT Applicant: Contractor: SOUTH WEST CONCEPTS, INC. OWNER / BUILCER 78115 CALLE ESTADO, SUITE 105 LA QUINTA, CA 92253 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: License No.: Date: Contractor: 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 t basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit bjects.the applicant to a civil penalty of not more than five hundred dollars TTas owner of the property, or my employees with wages as their sole & ensation, 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 withinhdre year of completion, the owner -builder will have the burden of proving that e did not build or improve for the purpose of sale.). (U I, as owner of t property, am exclusively contracting with licensed contractors to construct the pro' (Sec. 7044, Business and. Pro ssions Code: The Contractors' State License Law cls not apply to an owner of prop y who builds or improves there ,and who tracts for the projects with�acLtractor(s) licensed pursuant to t --actors' S e License Law.). am exemp nder Sec. B.&P.C. fon Oa�I" 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: Llc. No.: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificcte of consent to self -insure for workers' compensation, as provided for by Section 37 )0 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' :ompensation 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 insurar ce caibecobject umber are: Carrier: Policy Number: _ I certify that in the performance cf theis permit is issued, shall not employ any person in any manner so as tto the workers' compensation laws of California, and agree t iat, isubject to the workers' compensation provisions of Sectiorv3700e, I shall forthwith comply those prov Bions. / V'T -- WARNING: FAILURE TO SECURE WORKERS' C.7MPENSATION 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 Ilhe Building Official for a permit subject to the conditions and restrictions set forth on tFis 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 or issuance of such permit, or ceAation of work for 180 days will subject permit to cancellation. I certify that I have read this application and --tate that the above informs is correct. I agree to comply with all city and county orcinances and state law to building construction, and hereby authorize representatives of this city to ter the above-mentioned property for inspection purposes. Agent): Date: 11/7/2017 Application Number: BRES2017-0171 Owner: Property Address: 78612 PEERLESS PL PAUL AND BRENDA JOHNSON APIC' 770310017 9429 148TH ST Application Description: TRADITION /JOHNSON / NEW SFD EDMONTON AB, ZN T5R1A-7 Property Zoning: Application Valuation: $604,284.30 Applicant: Contractor: SOUTH WEST CONCEPTS, INC. OWNER / BUILDER 78115 CALLE ESTADO, SUITE 105 LA QUINTA, CA 92253; Llc. No.: --------------------------------------------------------------------------------------------- Detail: 6741 SF NEW DWELLING - LOT 27, [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLCCK WALLS OR DRIVEWAY APPROACH. 2016 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $1,010.71 Total Paid for ART IN PUBLIC PLACES- AIPP: $1,010.71 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $25.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $25.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - CIVIC CENTER 252-0000-43200 0 $942.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 DESCRIPTION ACCOUNT CITY AMOUNT. DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - LIBRARIES 253-0000-43200 0 $344.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT CITY AMOUNT SERVICES 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT SERVICES PC 101-0000-42600 0 $12.67 DESCRIPTION ACCOUNT CITY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $17.73 . Total Paid for ELECTRICAL: $81.06 i DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $119.34 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $49.14 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $156.04 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, FIRST 1,OOOSF, PC 101-0000-42600 0 $51.49 Total Paid for ELECTRICAL - NEW CONSTRU --TION: $376.01 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF 101-0000-42408 01 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF PC 101-0000-42600 0 $190.00 Total Paid for GRADING: $228.00 DESCRIPTION ACCOUNT : QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $228.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $151.98 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $5.07 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $228.00 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $151.98 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $152.04 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $60.84 Total Paid for MECHANICAL: $990.58 DESCRIPTION ACCOUNT QTY AMOUNT ..MULTI SPECIES RESIDENTIAL 0-8 UNITS - 2017 UPDATE 101-0000-20310 0 $1,245.00 DESCRIPTION ACCOUNT QTY AMOUNT MULTI -SPECIES RESIDENTIAL>14 UNITS - 2017 UPDATE 101-0000-20310 0 $17.00 Total Paid for MULTI -SPECIES RESIDENTIAL: $1,262.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $848.47 Total Paid for NEW CONSTRUCTION PERMIT: $848.47 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,200.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $638:75 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,838.75 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE 101-0000-4240.1 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE PC 101-0000-42600 0 $5.07 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $25.33 DESCRIPTION ACCOUNT :QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $17.73 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $456.12 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 .0 $456.12 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $39.01 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN PC 101-0000-42600 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $38.01 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $22.80 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: $1,149.55 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $20.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $20.00 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $78.56 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $78.56 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMEINT FEE:. $5.00 DESCRIPTION ACCOUNT QTY AMOUNT SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 Total Paid for TUMF - RESIDENTIAL: $1,837.44