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BRES2018-0388Date: 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: 78-495 CALLE TAMPICO UCIJ VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/3/2019 Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL Owner: Application Number: BRES2018-0388 CARMELLA ROWAN Property Address: 54735 AVENIDA VALLEJO 54735 AVENIDA VALLEJO APN: 774281023 LA QUINTA, CA 92253 Application Description: ROWAN / 1720 SF FIRE DAMAGE REPAIR Property Zoning: Application Valuation: $75,000.00 Applicant: Contractor: JONG CHOI PAGLIA & ASSOCIATES CONSTRUCTION INC DBA 2155 VERDUGO BL #124 D 2790 EAST REGAL PARK DR MONTROSE, CA 91020 JAN 0 3 2019 ANAHEIM, CA 92806 CITY OF LA QUINTA (714)982-5151 DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 485114 ----------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance License Class: B. C39 License No.485114 o for Which this permit is issued. 8 and will maintain workers' compensation insurance, as required by Date: Con[raclor: 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: OWNER -BUILDER DECLARATION Carrier: ACE AMERICAN INSURANCE COMPANY _ Policy Number: C 5771 75 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 I certify that in the performance of the work for which this permit is issued, I city or county that requires a permit to construct, alter, improve, demolish, or repair shall not employ any person in any manner so as to become subject to the workers' any structure, prior to its issuance, also requires the applicant for the permit to file a compensation laws of California, and agree that, if I should become subject to the signed statement that he or she is licensed pursuant to the provisions of the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division comply with those provisions. 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 Date: I L Applicant: permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, (_) I, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO compensation, will do the work, and the structure is not intended or offered for sale. ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT within one year of completion, the owner -builder will have the burden of proving that IMPORTANT: Application is hereby made to the Building Official for a permit subject to he or she did not build or improve for the purpose of sale.). the conditions and restrictions set forth on this application. (_) 1, as owner of the property, am exclusively contracting with licensed contractors 1. Each person upon whose behalf this application is made, each person at whose to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' request and for whose benefit work is performed under or pursuant to any permit State License Law does not apply to an owner of property who builds or improves issued as a result of this application , the owner, and the applicant, each agrees to, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and the Contractors' State License Law.). employees for any act or omission related to the work being performed under or (_) I am exempt under Sec. . B.&P.C. for this reason 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 ity to enter upon the above -me nt'oned property for inspection purposes. Date: ( Signature{ApplicantorAgen �� Date: 1/3/2019 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: JONG CHOI 2155 VERDUGO BL #124 MONTROSE, CA 91020 BRES2018-0388 54735 AVENIDA VALLEJO 774281023 ROWAN / 1720 SF FIRE DAMAGE REPAIR $75,000.00 Owner: CARMELLA ROWAN 54735 AVENIDA VALLEJO LA QUINTA, CA 92253 Contractor: PAGLIA & ASSOCIATES CONSTRUCTION INC DBA 2790 EAST REGAL PARK DR ANAHEIM, CA 92806 (714)982-5151 Llc. No.: 485114 Detail: 1720 SF FIRE DAMAGE REMODEL, NEW FENESTRATION, DOORS, AND ELECTRICAL THROUGHOUT, WITH NEW HVAC SPLIT SYSTEM. 2016 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $3.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $3.00 DESCRIPTION ACCOUNT CITY AMOUNT Credit Card Fee 101-0000-43505 0 $2.25 Total Paid for Credit Card Fee: $2.25 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES/FIXTURES, ADDITIONAL 101-0000-42403 0 $136.17 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES/FIXTURES, ADDITIONAL PC 101-0000-42600 0 $34.17 Total Paid for ELECTRICAL: $223.70 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $40.02 DESCRIPTION ACCOUNT CITY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $26.68 j DESCRIPTION ACCOUNT CITY AMOUNT FURNACE 101-0000-42402 0 $40.02 DESCRIPTION ACCOUNT CITY AMOUNT FURNACE PC 101-0000-42600 0 $26.68 Total Paid for MECHANICAL: $133.40 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 101-0000-42600 ($125.00) DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $72.03 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $57.63 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $54.43 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $125.00 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $23.89 Total Paid for REMODEL: $207.98 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $54.43 DESCRIPTION ACCOUNT CITY AMOUNT RE -ROOF - FIRST 2,000 SF PC 101-0000-42600 0 $108.87 Total Paid for RE -ROOF: $163.30 DESCRIPTION ACCOUNT CITY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $9.75 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $9.75 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: I I PERMIT # •— (FF.A4 n•-�n.� 17i2.ti Fi F2'E' -- PLAN LOCATION: Project Address: �11111!:-7��, S VeW46L Wle .O Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN v Cyr. .e Applicant Name:© Clt� t =V L Address: I tt �e�dw o l dl l `❑ o �]� cta7 City,ST,Zip: 0 �5e CA 61(o20 ddm . Telephone: Email: 60 kO G �(8 t� Ot �O . �p�yv� Valuation of Project $ % p� p .� Contractor Name., Address: City, St, Zip Telephone: Email: State Lic: City Bus Lic: Arch/Eng Name: d e D Address: 2� City, St, Zip 0, Telephone; Email: LDC 1 State Lic: C4-os41'7 City Bus Lic: Property Owner's Name: (f'r-LVW Address: • -t74-73t VQ j City, ST; Zip C Telephone: Email: New SFD Construction: Conditioned Space Garage Patio/Porch Fire Sprinklers Construction Type: Grading: Bedrooms: j Stories: SF SF SF SF Occupancy: # Units: New Commercial / Tenant Improvements: a Total Building SF ? Construction Type: Occupancy: 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 s Public Works approval Fire approval City Business License