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BRES2016-0295D VOICE (760) 777-7125 78-495,CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT 016 Application Number: BRES2016-0295 Owner: 6!96 W Property Address: 53713 ROSS AVE MC CLURE HOMES LLC APN: 767680042 52647 VIA SAVONA Application Description: MCCLURE / ADDITION AND ALTER ROOF HEIGHT LA QUINTA, CA 92253 ® W Property Zoning: p Application Valuation: $163,373.50 O Applicant: Contractor: LA_W DISCOVERY BUILDERS CALIFORNIA INC DBA DB DISCOVERY BUILDERS CALIFJORNCA� 0 14605 N 73RD STREET 14605 N 73RD STREET j SCOTTSDALE, AZ 85260 SCOTTSDALE, AZ 85260 Q (480)624-5200 ® CZ7 Llc. No.: 915336 0 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 usiness and Professions Code, and my License is in full force and effect. License Class: B rr License No.: 915336 Date: I1 , V Contra r: OWNER -BUILDER CLARATION I hereby affirm under penalty of perjury th m exempt from the Contractor's State License Law for the following reason (Sec. 1.5, Business and Professions Code: Any city or county that requires a permit to co struct, 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 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 the 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 Vfirk for which this permit is issued. have and will maintain workers' compensation insurance, as required by seGirg37oo 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: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy Number: YJUB282D7797 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 shou become subject to the workers' compensation provisions of Section 3700 o Labor Code, I shall forthwith comply with those provisions. Date: (1/ (/1 Aoolicant: WARNING: FAILURE TO SECURE WORKERSVMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CR INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($$0,000). 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 the Building 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 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 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 informat" n is correct. I agree to comply with all city and county ordinances and state laws rel g to building construction, and hereby authorize representatives of this city to en on the above-mentioned? property for inspection purposes. Date: I I ' Signature (Applicant or Agen Application Number: BRES2016-0295 Property Address: 53713 ROSS AVE APN: 767680042 Application Description: MCCLURE / ADDITION AND ALTER ROOF HEIGHT Property Zoning: Application Valuation: $163,373.50 Applicant: DISCOVERY BUILDERS CALIFORNIA INC DBA DB 14605 N 73RD STREET SCOTTSDALE, AZ 85260 Date: 11/7/2016 Owner: MC CLURE HOMES LLC 52647 VIA SAVONA LA QUINTA, CA 92253 Contractor: DISCOVERY BUILDERS CALIFORNIA INC DBA DB 14605 N 73RD STREET SCOTTSDALE, AZ 85260 (480)624-5200 Llc. No.: 915336 Detail: REVISIONS WHILE UNDER CONSTRUCTION, CHANGE ROOF LINE, AND ADD NEW SQ. FTG. TO HOME, A/C GARAGE 1184 SQ. FT. AND TRELLIS AREA. REVISE TRUSS AND STRUC CALCS. FINANCIAL INFORMATION ,. DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 0 $130.72 DESCRIPTION ACCOUNT CITY AMOUNT ADDITION, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $36.48 DESCRIPTION ACCOUNT CITY AMOUNT ADDITION, FIRST 100 SF 101-0000-42400 0 $127.68 DESCRIPTION ACCOUNT CITY AMOUNT ADDITION, FIRST 100 SF PC 101-0000-42600 0 $179.36 Total Paid for ADDITION: $474.24 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - ESGIL STRUCTURAL ENGINEER 101-0000-42600 4 $480.00 Total Paid for BLDG CITY STAFF - PER HOUR: $480.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $7.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $7.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,OOOSF 101-0000-42403 0 $152.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,OOOSF, PC 101-0000-42600 0 $50.16 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $202.16 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $25.34 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $25.34 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $25.33 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: $114.02 DESCRIPTION ACCOUNT 1 CITY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $21.24 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $21.24 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00