BRES2018-0119 Revision 178-495 CALLE TAMPICO
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LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
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Permit Type/Subtype: BUILDING RESIDENTIAL/ADDITION
Application Number: BRES2018-0119
Property Address: 78023 SAN TIMOTEO ST ST
APN: 646160003
Application Description: SLIFER / 371SF ADDITION AND INTERIOR REMODEL
Property Zoning:
Application Valuation: $250,000.00
Applicant:
ANTON MARINKOVICH
550 S OLEANDER RD
PALM SPRINGS, CA 92264
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 7000} of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B[t� ` License No.: 45722
Date: t "t l Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Con t ra ctor's Sta te License Law (Chapter 9 (commencing with Section 7000) of Division
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 703 1. 5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($S00).:
(_) 1, 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. It, 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/24/2018
Owner:
WILLIAM SLIFER
5701 E STANFORD DR
ENGLEWOOD, CO 92253
Contractor:
MONARCH HOMES DESERT DIVISION INC DBA DA
49-950 JEFFERSON ST #130-134
INDIO, CA 92201
(760)413-8863
Llc. No.: 457228
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'
cam pen sation, as provided for by Section 3700 of the Labor Code, for the performance
of the
rk tar which this permit is issued.
I have and will maintain workers' compensation: insurance, as required by
Section 3700 of the Lab ar Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: STATE COMP N5ATI N IN URAN is FUND Policy Number: 9045509
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
corn plywltgthose ovisions.
wl
Date: t � Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 far whose benefit work is performed under a pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shafl defend, indemnify and hold harmless the City of La O.uinta, its officers, agents, and
employees far 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 upon the
above -me honed property for inspection purposes.
l°
Date: Signature (Applicant or Agent):
Date: 9/24/2018
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
ANTON MARINKOVICH
550 S OLEANDER RD
PALM SPRINGS, CA 92264
BRES2018-0119
78023 SAN TIMOTEO ST ST
646160003
SLIFER / 371SF ADDITION AND INTERIOR REMODEL
:,
$250,000.00
Owner:
WILLIAM SLIFER
5701 E STANFORD DR
ENGLEWOOD, CO 92253
Contractor:
MONARCH HOMES DESERT DIVISION INC DBA DA
49-950 JEFFERSON ST #130-134
INDIO, CA 92201
(760)413-8863
Llc. No.: 457228
Detail: SLIFER / 371 SF ADDITION + INTERIOR REMODEL TO EXISTING 4,096 S.F. HOME, RESULTING IN A TOTAL OF 4,467 SF. NEW SERVICE ROOM 278 SF AND
SITTING ROOM 93 SF UNDER EXISTING PATIO ROOF. REVISE CURRENT LAYOUT OF INTERIOR WALLS AND ELECTRICAL TO ACCOMMODATE NEW FLOOR
PLAN. REPLACE [8] WINDOWS, RELOCATE WATER HEATER AND HVAC. INSTALL NEW FIREPLACE AT LIVING ROOM.[ENGINEERED] SMOKE/CO ALARMS TO BE
FIELD VERIFY. THIS PERMIT DOES NOT INCLUDE THE REPLACEMENT OF ELECTRICAL SERVICE PANEL. 2016 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT
CITY
AMOUNT
ADDITION, EA ADDITIONAL 500 SF
101-0000-42400
0
$67.10
DESCRIPTION
ACCOUNT
CITY
AMOUNT
ADDITION, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$18.72
DESCRIPTION
ACCOUNT
CITY
AMOUNT
ADDITION, FIRST 100 SF
101-0000-42400
0
$131.07
DESCRIPTION
ACCOUNT
CITY
AMOUNT
ADDITION, FIRST 100 SF PC
101-0000-42600
0
$184.13
Total Paid for ADDITION: $401.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
ART IN PUBLIC PLACES - RESIDENTIAL
270-0000-43201
0
$125.00
Total Paid for ART IN PUBLIC PLACES - AIPP: $125.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
101-0000-42600
($145.00)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
101-0000-42600
($10.00)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
101-0000-42600
($95.00)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HOURLY CHARGE - CITY BUILDING STAFF
101-0000-42600
1
$145.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HOURLY CHARGE - CITY BUILDING STAFF
101-0000-42600
0
$11.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HOURLY CHARGE - YES ADMINISTRATIVE STAFF
101-0000-42600
0.25
$10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HOURLY CHARGE - YES HISTORIC
101-0000-42600
0
$10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER
101-0000-42600
1.5
$142.50
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER
101-0000-42600
1
$95.00
Total Paid for BLDG CITY STAFF - PER HOUR: $163.50
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$10.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$26.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$26.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES/FIXTURES, ADDITIONAL
101-0000-42403
0
$345.80
DESCRIPTION
ACCOUNT I CITY j AMOUNT
DEVICES/FIXTURES, ADDITIONAL PC 1 101-0000-42600 I 0 I $86.45
Total Paid for ELECTRICAL: $484.27
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FURNACE
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FURNACE PC
101-0000-42600
0
$26.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
VENT FAN
101-0000-42402
0
$104.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
VENT FAN PC
101-0000-42600
0
$41.60
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL HEATER
101-0000-42402
0
$26.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL HEATER PC
101-0000-42600
0
$13.00
Total Paid for MECHANICAL: $249.63
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PARTITION
101-0000-42400
0
$78.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PARTITION PC
101-0000-42600
0
$143.56
Total Paid for PARTITION: $221.58
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PLAN CHECK DEPOSIT - ADDITION/REMODEL
101-0000-42600
1
$250.00
Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $250.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$169.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$169.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER CHANGEOUT
101-0000-42401
0
$13.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER CHANGEOUT PC
101-0000-42600
0
$7.80
Total Paid for PLUMBING FEES: $358.80
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE - MAJOR
101-0000-42416
0
$20.00
Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $20.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$32.50
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $32.50
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7
101-0000-42400
0
$65.54
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC
101-0000-42600
0
$63.98
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $129.52
-- C;E\4 of Pbr l')Iti.Siii+<'E' ---
PERMIT 111; ffcs U W
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PLAN LOCATION:
Project Address: !� Z J% 't`� �h,
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
,
rwo Lz►
Applicant Name:
r
IL
Address:
City, ST, Zip:
Telephone: ` e-i 2 j — 036
Email: uh�y Ca)„ Ul� (L �
Valuation of Project $
Contractor Name:
U �� t r`i 5
New SFD Construction:
Address: _
J o,
Conditioned Space SF
City, St, -Zip
Garage SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lie:
City Bus Lie:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lie: City Bus Lie:
Property Owner's Name: ! �Ji LI,L1 I
New Commercial / Tenant Improvements:
Address:
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Ree'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School -Fees
Burrtec Debris Plan -
Planning approval
Public Works approval
Fire approval
City Business License