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BRES2017-013678-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2017-0136 Property Address: 53520 AVENIDA RAMIREZ APN: 774122024 Application Description: GREG / MASTER BEDROOM AND BATHROOM REMODEL Property Zoning: Application Valuation: .$2,000.00 n Applicant: PD fl_.9 ELITE RENOVATIONS 150 LINCOLN DOWNS JUN 2 8 2017 RANCHO MIRAGE, CA 92270 �!-'f OF LA QUINTA DESIGN Pi) JEVELI ON1E NT i)E E'.AATIMCNT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: KATHY GREG 53520 AVENIDA RAMIREZ LA QUINTA, CA 92253 Contractor: ELITE RENOVATIONS 150 LINCOLN DOWNS RANCHO MIRAGE, CA 92270 (760)831-7173 Llc. No.: 867902 Date: 6/28/2017 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION' I hereby affirm under penalty of perjury that I am licensed under -provisions of Chapter 9 1 hereby affirm under penalty of perjury one of the following declarations: (commencing with Section 7000) of Division 3 of the Business and Professions Code, and - I have and will maintain a certificate of consent to self -insure for workers' my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance License Class: B License No.: 867902 k for which this permit is issued. of03700 �( �" r 7 I.have and will maintain workers' compensation insurance, as required by ate d GU @ ntractor: I iUt//�c//ON Sof the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: OWNER -BUILDER DECLARATION Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9138008 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State _ I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair any compensation laws of California, and agree that, if I should become subject to the structure, prior to its issuance, also requires the applicant for the permit -to file a signed workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith statement that he or she is licensed pursuant to the provisions of the Contractor's State comply with those provisions. License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business C[ and Professions Code) or that he or she is exempt therefrom and the basis for the Date: _ lT LWLAp scan . 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).: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, (� I, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO compensation, will do the work, and the structure is not intended or offered for sale. ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT within one year of completion, the owner -builder will have the burden of proving that he IMPORTANT: Application is hereby made to the Building Official for a permit subject to or she did not build or improve for the purpose of sale.). the conditions and restrictions set forth on this application. (� I, as owner of the property, am exclusively contracting with licensed contractors to 1. Each person upon whose behalf this application is made, each person at whose construct the project. (Sec. 7044, Business and Professions Code: The. Contractors' State request and for whose benefit work is performed under or pursuant to any permit issued License Law does not apply to an owner of property who builds or.improves thereon, as a result of this application, the owner, and the applicant, each agrees to, and shall and who contracts for the projects with a contractor(s) licensed pursuant to the defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and Contractors' State License Law.). employees for any act or omission related to the work being performed under or (_) I am exempt under Sec. B.&P.C. for this reason 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 Date: Owner: for 180 days will subject permit to cancellation. 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 Name: Lender's 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 ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon thea e - mentioned property for inspection purposes. � Date: 6/28/2017 Application Number:. BRES2017-0136 Owner: Property Address: 53520 AVENIDA RAMIREZ KATHY GREG APN: 774122024 53520 AVENIDA RAMIREZ Application Description: GREG / MASTER BEDROOM AND BATHROOM REMODEL LA QUINTA, CA 92253 Property Zoning: Application Valuation: $2,000.00 Applicant: Contractor: ELITE RENOVATIONS ELITE RENOVATIONS 150 LINCOLN DOWNS 150 LINCOLN DOWNS RANCHO MIRAGE, CA 92270 RANCHO MIRAGE, CA 92270 (760)831-7173 -------------------------------------------------------------------------------------------- Llc. No.: 867902- Detail: REMODEL TO MASTER BEDROOM AND BATHROOM TO CREATE SEPARATE TOILET ROOM AND CLOSET [CONVENTIONAL] THIS PERMIT DOES NOT INCLUDE ADDITIONAL CONDITIONED SPACE. 2016 CALIFORNIA BUILDING CODES. 1 /{• FINANCIAL DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600. 0 $25.33 Total Paid for ELECTRICAL: $50.66 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 QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $12.67 Total Paid for PLUMBING FEES: $25.34 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 REMODEL: $193.04. 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 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 in rev. City -of La Quinta Building 81• Safety Division 78-495 Calle Tampico . La Quinta, CA 92253.- (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 0Q Owner's Name: A. P. Number: Address: J? 5Z Legal Description: City, ST, Zip: kinvia,Z 53 Contractor: 7E.1 j� b/ Telephone: Address:' 8 $'K Q Project Description: City, ST, Zip: t ZZ 2 7 _ e i BT — �-- P r. O • Telephone: 7 0 7 State Lic. #: Z City Lic. #: Arch., Engr., Designer- esignerAddress: Address: City, ST, Zip: Telephone: -- (Construction on Ty P e: Occupancy: State. Lic #: tYPe�circle o e)•New Add' n Alter Repair Demo Name of Contact Person: bcvt ` Sq. Ft.: # Stories- TUnits: Telephone # of Contact Person: 1 $ Estimated Value of Project: Z 000 . vJ APPLICANT: DO, NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item 'Amount Structural talcs. Reviewed, ready for corrections Plan Check Deposit Truss talcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2q4 Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A: Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. . Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 5 35 2 O Qv a 4Z +o, vin ►. Q r r RECEIVED V/// C a-�6 j5/\J y 7 - og : JUN ;212017 . �.... ... • :. CITY OF LA QUINTA _ PLANNING DEPARTMENT \� AST�IZ �3v:L� _ .. S W I TL I-) . 2 Et_E s s CITY OLA QUINTA F - �, . ; C ���.�.� . , - . 2 �y «:Nb; .�, BUILDING &SAFETY DEPT. . - r - :- APPROVED -- FOR .CONSTRUCTION _ x N A vsr F� ,. DATE b ' 61( • . i .. - . . , 535.2,o Avgi b,4--I?.+�w��.ec� .RECEIVED � Qv l �� � e r� S Z2 5 3 � -•�.. JUN 21.2017. -. :, _ .. 1178 — 1 808 CITY OF LA QUINTA.,T .