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BRES2017-017278-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 c&Y' 4 4Quxfw DESIGN & DEVELOPMENT DEPARTMENT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/7/2017 gOwner. 1 B` RTIMUS KAVA JAUGH FRICKLETO 150 OVERBROOK RD STE 200 JAW00D, KS 92253 7 Applicant: DESIGN AND DEVELOPMENT DEPARTME6I°ntractor: GABRIEL RIOS BOB EDWARDS MNSTRUCTION INCORPORATED 49901 CINNABAR LN 51-455 DESERT CUB DRIVE COACHELLA, CA 92236 LA QUINTA, CA 9?253 (760)777-8202• Lic. No.: 684857 -------------------------------------------------- -- ----- ---------------- - - - - -- ---- --- -- - - - - 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. Licensee Class:C2� 7 License No.: 68485 Date: 7(17 �' ContFactor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I art 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 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.). (_) 1, 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.&?.C. for this reason Date: Owner: t 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 Address: WORKER'S COMPENSA70N DECLARATION I hereby affirm under penalty of perjury one o► the following declarations: I have and will maintain a certificat-m 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: Carrier: ACE AMERICAN INSURANCE COMPAN' Policy Number: RWCC64339661 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 ?7 oft La or de, I shall forthwith comply w' h ose provisions. Date: � � (� Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00). 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 the Building Official for a permit subject to the conditions and restrictions set forth on thi! application. 1. Each person upon whose behalf this appli:ation 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 owns, 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 of ssuance 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 ordinances and state laws relating to building construction, and hereby authorize representatives of this city to a on the above -me ion d property for inspection purposes. 4 Oa � Signature (A'pplicant or Agent): �� �_. _ _ BUILDING PERMIT— Application Number: BRES2017-0172 Property Address: 80009 RIVIERA D APN: 762120003 Application Description: BARTIMUS / DOOR/WINDOW CW NG &0- T AUG 01 '2017 Property Zoning: Application Valuation: $12,000.00 CITY OF LA QUINTA VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/7/2017 gOwner. 1 B` RTIMUS KAVA JAUGH FRICKLETO 150 OVERBROOK RD STE 200 JAW00D, KS 92253 7 Applicant: DESIGN AND DEVELOPMENT DEPARTME6I°ntractor: GABRIEL RIOS BOB EDWARDS MNSTRUCTION INCORPORATED 49901 CINNABAR LN 51-455 DESERT CUB DRIVE COACHELLA, CA 92236 LA QUINTA, CA 9?253 (760)777-8202• Lic. No.: 684857 -------------------------------------------------- -- ----- ---------------- - - - - -- ---- --- -- - - - - 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. Licensee Class:C2� 7 License No.: 68485 Date: 7(17 �' ContFactor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I art 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 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.). (_) 1, 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.&?.C. for this reason Date: Owner: t 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 Address: WORKER'S COMPENSA70N DECLARATION I hereby affirm under penalty of perjury one o► the following declarations: I have and will maintain a certificat-m 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: Carrier: ACE AMERICAN INSURANCE COMPAN' Policy Number: RWCC64339661 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 ?7 oft La or de, I shall forthwith comply w' h ose provisions. Date: � � (� Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00). 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 the Building Official for a permit subject to the conditions and restrictions set forth on thi! application. 1. Each person upon whose behalf this appli:ation 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 owns, 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 of ssuance 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 ordinances and state laws relating to building construction, and hereby authorize representatives of this city to a on the above -me ion d property for inspection purposes. 4 Oa � Signature (A'pplicant or Agent): �� �_. _ _ . Date: 8/7/2017 Application Number: BRES2017-0172 _ Owner: Property Address: 80009 RIVIERA BARTIMUS KAVANAUGH FRICKLETO ` APN: 762120003 11150 OVERBROOK RD STE 200 Application Description: BARTIMUS / DOOR/WINDOW CHANGE OUT LEAWOOD, KS 92253 Property Zoning: Application Valuation: $12,000.00 I Applicant: Contractor: GABRIEL RIOS BOB EDWARDS CONSTRUCTION INCORPORATED 49901 CINNABAR LN 51-455 DESERT CLUB DRIVE COACHELLA, CA 92236 LA QUINTA, CA 92253 (760)777-8202 Llc. No.: 684857 --------------- ------------------------------------- ----------------------------------------- Detail: FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT HOURLY CHARGE - ESGIL CIVIL ENGINEER 101-0000-42600 2 $210.00 Total Paid for BLDG CITY STAFF - PEF HOUR: $210.00 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 SMI - RESIDENTIAL 101-0000-20308 0 $1.56 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.56 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 DESCRIPTION ACCOUNT CITY AMOUNT DOOR/WINDOW, NEW/ALT, EAADDITION•1 101-0000-42400 0 $31.92 DESCRIPTION ACCOUNT QTY AMOUNT DOOR/WINDOW, NEW/ALT, EA ADDITION 1 PC 101-0000-42600 0 $36.48 DESCRIPTION ACCOUNT QTY AMOUNT DOOR/WINDOW, NEW/ALT, FIRST 1 101-0000-42400 0 $101.33 DESCRIPTION ACCOUNT QTY AMOUNT DOOR/WINDOW, NEW/ALT, FIRST 1 PC 101-0000-42600 ' 0 $115.52 Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $285.25