BDEM2018-000778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
GALATI ENTERPRISES, INC
78050 CALLS CADIZ
LA QUINTA, CA 92253
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DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
DEMOLITION/SINGLE FAMILY
BDEM 2018-0007
53580 AVENIDA CORTEZ
774102004
HURWITZ / DEMO PERMIT
$6,000.00
D
OCT 0 12018
CITY OF LA QUINTA
DESIGN & DEVELOPMENT DEPARTMENT
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. C54 License No.: 65 861
Date: w ' (' (� Contractor: L`%
OWNER -BUILDER DECLARATION
1 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. . BAP.C. for this reason
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 -
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/1/2018
Owner:
DANIEL HURWITZ
54605 AVENIDA RAMIREZ
LA QUINTA, CA 92253
Contractor:
GALATI ENTERPRISES INC
78050 CALLE CADIZ
LA QUINTA, CA 92253
(760)777-9994
Lic. No.: 655861
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 PIP y5A for which this permit is issued.
I have and will malntaln workers' compensation insurance, as required by
Sectior07D0 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: BENCHMARK INSURANCE COMPANY Policy Number: CST5011728
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
complyi with those provisions.
Date: `� ' ' � D/7Applicant:
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 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 thi lty to enter upon the
above -mentioned property for inspection purposes. ." 4(
elx
Date: [(3. `', Signature (Applicant or Agent).
Lender's Add
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
GALATI ENTERPRISES, INC
78050 CALLE CADIZ
LA QU I NTA, CA 92253
Detail
BDEM2018-0007
53580 AVENIDA CORTEZ
774102004
HURWITZ/ DEMO PERMIT
$6,000.00
Owner:
DANIEL HURWITZ
54605 AVENIDA RAMIREZ
LA QUINTA,CA 92253
Contractor:
GALATI ENTERPRISES INC
78050 CALLE CADIZ
LA QUINTA, CA 92253
(760)777-9994
Llc. No.: 655861
Date: 10/1/2018
FINANCIAL•• •
DESCRIPTION ACCOUNT CITY AMOUNT
Credit Card Fee
101-0000-43505 0 $2.85
Total Paid for Credit Card Fee: $2.85
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEMOLITION, INTERIOR
101-0000-42404
0
$39.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEMOLITION, INTERIOR PC
101-0000-42600
0
$104.55
Total Paid for DEMOLITION: $143.56
DESCRIPTION
ACCOUNT CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416 0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
PERMIT # � -D C %1 ZDI � 0 (i •
PLAN LOCATION:
A Q
Project Address: j 3
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Applicant Name:
Address:
City, ST, Zip:
Telephone: -7 (�C) �( y
Email: /1 i @ ct (q� •- �� i
Valuation of Project $ C�
d
Contractor Name:
New SFD Construction:
Address:
Conditioned Space SF
City, St, Zip
Garage SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: City Bus Lic:
Arch/Eng Name: e4r Construction Type: O Occupancy:
Address: Grading:
City, St, Zip
Telephone: Bedrooms: Stories: #Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: �q �(1 c L �(J / vJ \ t -Z.,
New Commercial / Tenant Improvements:
Address: --I - 7 1� M 2 3
Total Building SF
City, ST, Zip t n C
Construction Type: Occupancy:
Telephone: y S
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
J
Req'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
9/19/18
To whom it may concern,
authorize Galati Enterprises, Inc. to
perform work ( including demolition work)
on my property at 53580 Avenida Cortez,
La Quinta, CA. 92253.
Thank you,
Daniel Hurwitz
sk
500F
Hurwitz Daniel J
53580 Avenida Cortez La Quinta, CA 92253
Riverside County
APN-. 774-102-004 Built: 1998 Sq Ft: 1,476
Type: Residential / SFR Beds: 3 Baths: 2
Order Customer Service Cos:sFirst' Add is Farm List
Report Name Actions
Combined Report Edit I Run
Property Profile Run
Available Allowance
96 100
Transaction History Run 98 100 V