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BRES2017-0095r � � 78-495.CALLE.TAMPICO VOICE (760) 777-7125 C 0 Q.�i D FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: .10/13/2017 Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED Owner: Application Number: BRES2017-0095 JAMES KELLY Property Address: 78451 TALKING ROCK TURN w Application Description: KELLY / 5480SF DWELLING Property Zoning: Q w Application Valuation: $489,726.70 0 H5 o [ - N H5 Z Applicant: Contractor: �—+ o Ed KELLY PACIFIC CONSTRUCTION CO KELLY DOMER PARTNERS I DBA'K€LLYRIAt OUTSIDE CITY LIMITS- 1554 LINCOLN AVE ��! C:) SAN RAFAEL, CA 94901 o (415)464-0900 '� �— Llc. No.: 346195 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 Professio s COO, and my License is in full force and effect. . License Class: B - t License No.: 346196 Date: Contractor: OWN - ILDER DECLARATION I hereby affirm under penalty of Jurythat 1 am exempt from the Ctractor'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).: (_J 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.&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 Name: Lender's Address: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I hav and will maintain a certificate of consent to self -insure for workers' compensa ' as provided for by Section 3700 of the Labor Code, forthperformance of the or which this permit is issued. ve and will maintain workers' compensation insurance, as required by S n 3 of the Labor Code, for the performance of the work for which this permit is ssued. My workers' compensation insurance carrier and policy number are. Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9074584 I certify that in the performance o1 the work for which this permit is issued, I shall not employ any person in any manner sr as to become subject to the workers' compensation laws of California, and agree gnat, if I should become subject to the workers' compensation provisions of Section 3700 o he Labor Code shall fo hwith comply with those provisions. NNW �� Date: AppicC � 1 WARNING: AILURE TO SECURE WO RS' COMPENSATION COVERAGE IS U UL, AND SHALL SUBJECT AN EMPLOYER TO CRIM INAL PENALTIES AND CIVIL FIN UWFP TO ONE HUNDRED THOUSAND DOLLARS ($100,00). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FCR 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 the 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, anc 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 :he 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 iss fiance of such permit, or cessation of work for 180 days will subject permit to cancellation. . I certify that I have read this'application and Etate that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to buildi g construction, and hereby authorize representatives of this city enter pon t abb�e- mentioned property for inspection purposes. /� Signature Date: 10/13/2017 Application Number: BRES2017-0095 Owner: Property Address: '''";78451 TALKING ROCK TURN JAMES KELLY APN: 770300047 Property Zoning: Application Valuation: $489,726.70 Applicant: Contractor. KELLY PACIFIC CONSTRUCTION CO KELLY DOMER PARTNERS INC DBA KELLY PACIF OUTSIDE CITY LIMITS 1554 LINCOLN AVE SAN RAFAEL, CA 94901 (415)464-0900 Llc. No.: 346195 Detail: 5480SF DWELLING [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SRA, BLOCK WALLS OR DRIVEWAY APPROACH. 2016 CALIFORNIA BUILDING CODES. FINANCIAL DESCRIPTION ACCOUNT. QTY AMOUNT ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $724.31 Total Paid for ART'IN PUBLIC PLACES - AIPP: $724.31 DESCRIPTION ACCOUNT QTY AMOUNT BSAS S131473 FEE 101-0000-20306 0 $20.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $20.00 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 253-000043200 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 SERVICES 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT SERVICES PC 101-0000-42600 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE 101=0000-42403 0 .$25.33 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-000042600 0 $17.73 Total Paid for ELECTRICAL: $81.06 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EAADDITION 1,000SF 101-0000-42403 0 $90.44 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $37.24 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $152.00 DESCRIPTION ACCOUNT. QTY AMOUNT r RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 .$50.1 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $329.84 ' DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT>7KSF 101-0000-42408 0 $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 $190.00 DESCRIPTION ACCOUNT QTY AMOUNT CON DENSER/COM PRESSOR PC 101-0000-42600 0 $126.65 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101=0000-42402 0 $190.00 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $126.65 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT 101-0000-42402 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT PC 101-0000-42600 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $101.36 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $40.56 Total Paid for MECHANICAL: $851.22 DESCRIPTION ACCOUNT QTY AMOUNT MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2016 UPDATE 101-0000-20310 0 $1,221.00 Total Paid for MULTI -SPECIES RESIDENTIAL: .$1,221.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $780.62 Total Paid for NEW CONSTRUCTION PERMIT: $780.62 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 $483.50 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,683.50 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE 101-0000-42401 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 $304.08 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $304.08 DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN 101-0000-42401 0 $25.34 DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN PC 101-0000-42600 0 $25.34 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT -WATER HEATER/VENT PC 101-0000-42600 0 $7.60 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: $765.25 DESCRIPTION ACCOUNTQTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $63.66 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $63.66 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT 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 I U1 ALJ: ')1S,4b4.VU