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BRES2018-000878-495 CALLE TAMPICO VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX. (760) 777-7011DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING' PERMIT . Date: 2/26/2018 Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL Owner: Application Number: J BRES2018-0008 STEPHANIE b'AMBROSIA Property Address: 49383 AVENIDA VISTA BONITA 49383 AVENIDA VISTA BONITA APN: 773350037 LA QUINTA, CA 92253 Application Description: D'AMBROSIA RESIDENCE / INTERIOR REMODEL+ DOORS AND Property Zoning: WINDOWS Application Valuation: $28,000.00 Applicat: 4 Contractor: GABRIE E , � V D . Q ON FIRE INC DBA HARTMAN CONSTRUCTION & R 49901 CINNABAR PO BOX 867 COACHELLA, CA 92236 f EB' R. LA QUINTA, CA 92247 'FEB 2 6 2018 (604)080-9387 CiTYOFLAQUINTA uc. No.: 610249 CITY OF LA QUINTA COMMUNITY DEVEUJPMEMDEPARTMENT ---COMM-UNIT-Y DEVELDPMENT -------------------------------------------------------------------- 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.: 610249N Date: p to % Contractor/v 4/00V 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 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 penaltyof 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 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: 9036930 _ 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 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. DatdpG 7 01 Applicant: WARNING: FAILURE TO SECURE WORKERS' PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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. 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 ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter on the above mentione property for inspection purposes. Date a Signature (Applicant or Agent): 4411, Date: 2/26/2018 Application Number: 6RES2018-0008 Owner: Property Address: 49383 AVENIDA VISTA BONITA STEPHANIE D'AMBROSIA APN: 173350037 49383 AVENIDA VISTA BONITA Application Description: D'AMBROSIA RESIDENCE / INTERIOR REMODEL+ DOORS AND WINDOWS LA QUINTA, CA 92253 Property Zoning. Application Valuation: .$28,000.00 Applicant: Contractor: GABRIEL RIOS ON FIRE INC DBA HARTMAN CONSTRUCTION & R 49901 CINNABAR PO BOX 867 COACHELLA, CA 92236 LA QUINTA, CA 92247 (604)080-9387 ------------------------------------------------------=-------------•-------------------------- Llc. No.: 610249 Detail: REMODEL - REVISED LAYOUT AT KITCHEN, NEW LIGHTING AND PLUMBING FIXTURES AT BATHROOMS + REPLACE ALL WINDOWS AND SLIDING DOORS THROUGHOUT HOME + REPLACE EXISTING WATER HEATER. THIS PERMIT DOES NOT INCLUDE ALTERATIONS TO THE HVAC SYSTEM OR FIREPLACE. 2016 CALIFORNIA BUILDING CODES. r& 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 $19.58 Total Paid for Credit Card Fee: $19.58 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 $195.00 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES/FIXTURES, ADDITIONAL PC 101-0000-42600 0 $48.75 Total Paid for ELECTRICAL: $295.77 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $5.20 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $52.00 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $20.80 Total Paid for MECHANICAL: $91.00 DESCRIPTION ACCOUNT QTY AMOUNT PLAN CHECK DEPOSIT-ADDITION/REMODEL 101-0000-42600 1 $125.00 Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 .0 $195.00 DESCRIPTION ACCOUNT, QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $195.00 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER CHANGEOUT 101-0000-42401 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER CHANGEOUT PC 101-0000-42600 0 $7.80 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 .$13.00 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $7.80 Total Paid for PLUMBING FEES: $431.60