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BRES2018-0084q4 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BUILDING RESIDENTIAL/DWELLING- SINGLE FAMILY DETACHED BRES2018-0084 53742 ROSS AVE 767680048 DOAN / 6,288SF DWELLING/VB/RES-3/CLASS A-FR/13D $567,824.50 Applicant: RICHARD DOAN CONSTRUCTION P0BOX 8011 RANCHO SANTA FE, CA 92067 MAR �-3.2018 CITY OF LA QUINTA C0MMUNITYDEVELOPMENTD50TM9 f LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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: B License No.b: 37 18 P444�4A 9 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 basis for the C 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.). .(*) 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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/23/2018 Owner: RICHARD DOMN POBOX8014 RANCHO SANTA FE, CA 92067 Contractor: RICHARD DOAN CONSTRUCTION P 0 BOX 8011 RANCHO SANTA FE, CA 92067 (858)756-493C Llc. No.: 3741=8 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury oneof the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3A00 of the Labor Code, for the performance V--10 rk for which this permit is issued. 1,_I have and will maintain workers' :ompensati'on insurance, as required by Section 3700 of the Labor Code, for the perfxmance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: STATE COMPENSATION INSURANCE -FUND Policy Number: 1908709 . _ I certify that in the performance clf the work for which this permit is issued, l shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree: hat, if I should become subject to the workers' compensation provisions of Section: 3700 of the Labor Code, I shall forthwith comply with those provisions. Dl*ef . at��e:�"�-�+� APPIi ant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIIVINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,300). 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 0is application. 1.. Each person upon whose behalf this apoication 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 tc the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this app ication becomes null and void if work is not commenced within 180 days from date of is!uance of such permit, or cessation of work for 180 days will subject permit to cancellatmn. 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 orc inances and state laws relating to building construction, and hereby authorize representatives pLthis citxto enter upon the above- me�nedd property for2speytjo, purposes �Ar D Si� ature (Applicarz or Aggo vv --� y Date: 3/23/2018. Application Number: BRES2018-0084 Owner: Property Address: 53742 ROSS AVE- RICHARD DOAN APN: 767680048 POBOX 8014 Application Description: DOAN / 6,288SF DWELLING/VB/RES-3/CLASS A-FR/13D RANCHO SANZA FE, CA 92067 Property Zoning: Application Valuation: $567,824.50 Applicant: Contractor: RICHARD DOAN CONSTRUCTION RICHARD DOAK CONSTRUCTION P0BOX 8011 P0BOX 8011 RANCHO SANTA.FE, CA 92067 RANCHO SANTA FE, CA 92067 (858)756-4930 LIc. No.: 374118 Detail: 6,288SF SINGLE FAMILY DWELLING [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA, WATER FEATURES OR DRIVEWAY APPROACH. 2016 CALIFORNIA BUILDING CODES. FINANCIAL •• • ::.v< DESCRIPT1061:. ,•,, - . , • + ACCOUNT QTY AMOUNT ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201$919.56 Total Paid for ART IN PUBLIC PLACES - AIPP: $919.56 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $23.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $23.00 DESCRIPTION ACCOUNT QTY AMOUNT Credit Card Fee 101-000043505 0 $21.60 Total Paid for Credit Card Fee: $21.60 DESCRIPTION ACCOUNT QTY AMOUNT DIF = CIVIC CENTER 252-0000-43200 0 $942.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - COMMUNITY CENTERS 254-0000-43200 0. $129.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - FIRE PROTECTION 257-0000-43200. 0 $433.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF -LIBRARIES 253-0000-43200 0 $344.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $18.20 Total Paid for ELECTRICAL: $44.21 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $119.34 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 :' 0 $49.14 DESCRIPTION ACCOUNT QTY AMOUNT , RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $156.04 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $51.49 • Total Paid for ELECTRICAL - NEW CONSTRUCTION: $376.01 -