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BRES2017-0205c&,,/ DWD' , auutrcu 78-495 CALLE TAMPICO "d LA'QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING RESIDENTIAL/ADDITION Application Number: BRES2017-0205 Property Address: 78511 TALKING ROCK TURN APN: 770300035 Application Description: HARNISH / 424SF ADDITION WITH REMODEL TO GUEST ROOM Property Zoning: - Application Valuation: $125,000.00 Fno&r , VOICE (760) 777-7125 FAX (760),777-7011 INSPECTIONS (760) 777-7153 Owner: JOHN HARNISH 78511 TALKING ROCK TURN LA QUINTA, CA S2253 - Applicant: JU �� 7jl'!�, t actor: MORIN CONSTRUCTION �� 1 2IN CONSTRUCTION 37904 HUDDERSFIELD ST. 4 HUDDERSFIELD ST INDIO, CA 92203 ! j7YUFW UUINTO, CA92203 COMMUNITY OEVELOPAIENT 0 cPARTMENT )464-6253 Llc. No.: 971397 . 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. License Class: B License No.: 971397 ate" L r Contractor;. l\ 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'j 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.). (_) 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 Name: Lender's Address: Date: 12/11/2017 WORKER'S COMPENSAFION 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 work for which this permit is issued. I have and will maintain workers' aompensation 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 insurarre carrier and policy number are: Carrier: EXEMPT Policy Number: _ I certify that in the performance ci 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 Mat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO GRIM NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FCR IN SECTION3706 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 app ication is made, each person at whose request and for whose benefit work is perforred 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 appl cation becomes null and void if work is not commenced within 180 days from date a; 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 :tate 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 represen-.atives of this city to enter upon the. . above-mentioned property for Inspection pu •poses. 7 Signature (Applicant or Agent): C/ 1� Date: 12/11/2017 Application Number: BRES2017-0205 Owner: Property Address: 78511 TALKING ROCK TURN JOHN HARNISH APN: 770300035 78511 TALKING ROCK TURN Application Description: HARNISH / 424SF ADDITION WITH REMODEL TO GUEST ROOM LA QUINTA, CA 92253 Property Zoning: Application Valuation: $125,000.00 Applicant: Contractor: MORIN CONSTRUCTION MORIN CONSTRUCTION 37904 HUDDERSFIELD ST 37904 HUDDERSFIELD ST INDIO, CA 92203 INDIO, CA 92203 (760)464-6253 --------------------------------------------------------------------------------------------- Llc. No.: 971397 Detail: 424SF MEDIA ROOM ADDITION WITH REMODEL TO GUEST ROOM TO MAINTAIN BEDROOM/INDOOR LIGHT RECIUIREMENTS [ENGINEERED] THIS PERMIT DOES NOT INCLUDE ADDITIONAL MECHANICAL UNITS OR PLUMBING ALTERATIONS. 2016 CALIFORNIA BUILDINEi CODES. . eN FINANCIAL DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - ESGIL CIVIL ENGINEER 101-0000-42600 2 $210.00 Total Paid for BLDG CITY STAFF - PER HOUR: $210.00 DESCRIPTION ACCOUNT QTY AMOUNT ' BSAS SB1473 FEE 10.1-0000-20306 0 $5.00 A Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $5.00 DESCRIPTION ACCOUNT QTY AMOUNT Credit Card Fee 101-0000-43505 0 $13.68 Total Paid for Credit Ca. *d Fee: $13.68 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-000042403 0 $156.04 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $51.49 Total Paid for. ELECTRICAL - NEW CONSTRUCTION: .$207.53 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 Total Paid for MECHANICAL: $76.00 • DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $23.41 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $18.72 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 100 SF - 101-0000-42400 0 $53.05 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $145.12 Total Paid for REM ODEL: $240.30 DESCRIPTION ACCOUNT QTY ' AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $16.25 Total Paid for STRONG MOTION INSTRUMENTATIO V SMI: $16.25 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00