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BRES2017-0264:-T 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN:. Application Description: Property Zoning: Application Valuation: Applicant: SKIP LENCH PO BOX 450 LA QUINTA, CA 92253 c&t!t4 4 Qubtro DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BUILDING RESIDENTIAL/REMODEL BRES2017-0264 78535 VIA MELODIA 646290021 HOUSEWRIGHT RESIDENCE / INTERIO $30,000.00 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 siness and Professions Code, and my License is in full force and effect. LicenselClass: B 1Liiccense No.:594043 Contract OWNER -BUILDER ECLARAT N 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 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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/9/2018 vner. TIE HOUSEWRIGHT 536 VIA MELODIA QUINTA, CA 92253 Contractor: LARRY COIR JR DBA 7 C'S CONSTRUCTION & M 48-236 VISTA DE NOPAL LA QUINTA, CA 92253 (760)564-5811 Llc. No.: 594.043 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 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9050470 _ 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 subject to the workers' compensation laws of California, and agree that, i�ft ld b come ect to the workers' compensation provisions of Section 37 Lab r Co shall forthwith comply with those provisions. WARNING: FAILURE TO SECURE WORKERS' COMkNSAJ" COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL/IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). 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. CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the a e info mation is correct. I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and ate laws r lating to building the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of thi city u 6h the above-mentioned property for inspection purposes. Lender's Name: Date: 1 ` q i Signature:('ApplicF' ant or Agent Lender's Address: 0 Date: 1/9/2018 Application Number: BRES2017-0264 Owner: Property Address: 78535 VIA MELODIA KATIE HOUSEWRIGHT APN: 646290021 78536 VIA MELODIA Application Description: HOUSEWRIGHT RESIDENCE / INTERIOR REMODEL LA QUINTA, CA 92253 Property Zoning: Application Valuation: $30,000.00 . r Applicant: Contractor: SKIP LENCH LARRY COIAJR DBA 7 C'S CONSTRUCTION & M PO BOX 450 48-236 VISTA DE NOPAL LA QUINTA, CA 92253 LA QUINTA, CA 92253 (760)564=5811 LIc. No.: 594043 •Detail: HOUSEWRIGHT / INTERIOR REMODEL AT KITCHEN, DINING, AND LIVING ROOMS. RELOCATE KITCHEN AREA,.CONSTRUCT KITCHEN ISLAND AND REMOVE EXISTING FIREPLACE. CUT IN (3) NEW.WINDOWS AND REPLACE (1) EXISTING WINDOW. NEW LIGHTING THROUGHOUT THIS SPACE. THIS PERMIT ' DOES NOT INCLUDE OTHER ALTERATIONS TO THE EXTERIOR.OF THE HOME OR ALTERATIONS TO OTHER PORTIONS OF THE HOME. 2016 CALIFORNIA BUILDING CODES. 0 FINANCIAL INFORMATION DESCRIPTION • ACCOUNT QTY AMOUNT BSAS SB1473 FEE .101-0000-20306 0 $2.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 DESCRIPTION ACCOUNT QTY AMOUNT Credit Card Fee 101-0000-43505 0 $8.90 Total Paid for Credit Card Fee: $8.90 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES/FIXTURES, ADDITIONAL 101-0000-42403 0 $101.40 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES/FIXTURES, ADDITIONAL PC 101-0000-42600 0 $25.35 Total Paid for ELECTRICAL: $178.77 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $26.01 Total Paid for PLUMBING FEES: $64.35 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 REMODEL: $240.30 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $3.90 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $3.90 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00