BRES2018-030278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
ROB PITCHFORD
77622 COUNTRY CLUB STE 0
PALM DESERT, CA 92211
ceitiv, 4 6420 Q"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BUILDING RESIDENTIAL/REMODEL
BRES2018-0302
81040 GOLF VIEW DR
762280030
BETTENCOURT / FIREPLACE / BBQ ADDITON
$7,500.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
TIM BETTENCOURT
2020 STANDIFORD AVE NO A
MODESTO, CA 92253
D
� a Contractor:
MARIO A YANEZ CONSTRUCTION
PO BOX 580925
FEB 0 6 2019 NORTH PALM SPRINGS, CA 92258
wyOF LAQUINTA (760)285-1532
DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 1026884
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed Zr provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Bus' and Professions Code, and
my License is in full force and effect.
License Class: B License No.:1026884
Date:-' G'/ Contractor
Date: 2/6/2019
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
have and will maintain a certificate of consent to self -insure for workers'
compens i , a roviclecl for by Section 3700 of the Labor Code, for the performance
of th which this permit is issued.
ave and will maintain workers' compensation insurance, as required by
S. 00 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 DECLARATI
Carrier: JQ—R,"AHQ.INSURAN�E CQMPANY Policy Number:MAWL990876
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
_ I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair any
compensation laws of California, and agree that, if I should become subject to the
structure, prior to its issuance, also requires the applicant for the permit to file a signed
workers' compensation provisions of Section 3700 of the r I shall forthwith
statement that he or she is licensed pursuant to the provisions of the Contractor's State
comply with those provisions.
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 the basis for
_
r 6 ZpI
and the
Date:Z Applicant,
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).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATld%,COV! AGE 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 he
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application,
(_) I, as owner of the property, am exclusively contracting with licensed contractors to
1. Each person upon whose behalf this application is made, each person at whose
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
request and for whose benefit work is performed under or pursuant to any permit issued
License Law does not apply to an owner of property who builds or improves thereon,
as a result of this application , the owner, and the applicant, each agrees to, and shall
and who contracts for the projects with a contractor(s) licensed pursuant to the
defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
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
Date: Owner:
for 180 days will subject permit to cancellation.
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
Lender's
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 relatin to building
construction, and hereby authorize representatives of this city to enter the ove-
mentioned property for inspection purposes.
Date: - 2p Signature(ApplicantorAgent)
Date: 2/6/2019
Application Number:
BRES2018-0302
Property Address:
81040 GOLF VIEW DR
APN:
762280030
Application Description:
BETTENCOURT/ FIREPLACE / BBQ ADDITON
Property Zoning:
Application Valuation:
$7,500.00
Applicant:
ROB PITCHFORD
77622 COUNTRY CLUB STE 0
PALM DESERT, CA 92211
Detail: FIREPLACE AND BBQ REAR YARD UNDER EXISTING PATIO COVER.
Owner:
TIM BETTENCOURT
2020 STANDIFORD AVE NO A
MODESTO, CA 92253
Contractor:
MARIO A YANEZ CONSTRUCTION
PO BOX 580925
NORTH PALM SPRINGS, CA 92258
(760)285-1532
Llc. No.: 1026884
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$26.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$26.01
I Total Paid for ELECTRICAL: $52.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIREPLACE
101-0000-42400
0
$156.04
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIREPLACE PC
101-0000-42600
0
$234.06
i Total Paid for FIREPLACE: $390.10
DESCRIPTION
ACCOUNT
CITY
AMOUNT
101-0000-42600
($78.02)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
101-0000-42600
($7.97)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PARTITION
101-0000-42400
0
$78.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PARTITION PC
101-0000-42600
0
$7.97
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PARTITION PC
101-0000-42600
0
$135.59
Total Paid for PARTITION: $135.59
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
CITY
AMOUNT
101-0000-42600
($13.00)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
101-0000-42600
($26.01)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$13.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$26.01
Total Paid for PLUMBING FEES: $0.00
DESCRIPTION
ACCOUNT
Cc
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.98
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.98
DESCRIPTION
ACCOUNT QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE J 502-0000-43611 1 0 1 $5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:0•
X.a-- 62"4WrC4-/
PERMIT # BALS Q r tJ
PLAN LOCATION:
Project Address: —� �OGV
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
7 #0u
Applicant Name:
Address:
City, ST, Zip( E-OT C,6 /227
Telephone: -760 T 46 Z Q
Email: R 6Cr.,>G? / M AX
m O
Valuation of Project $-# 00 r�
Contractor Name:
New SFD Construction:
Address:
Conditioned Space
0 SF
City, St, Zip
Garage
SF
Telephone:
Patio/Porch
SF
Email:
Fire Sprinklers
SF
State Lic: City Bus Lic:
V!cv 17/ .�Fcter-D Construction Type: Occupancy:
Address: '1'7_ 6 Z Z GCEUT9* C 1.41t' Grading:
City, St, Zip t j
Telephone: -ILO �; 4,6 0162� Bedrooms: Stories: # Units:
Email: f AIL .
State Lic:
City Bus Lic:
if
Property Owner's Name: 1-f( E
New Commercial / Tenant Improvements:
Address: '16 ` • (J`"r V j4w
Total Building SF
City, ST, Zip �"�' G�
Construction Type: Occupancy:
Telephone:
Email: % ?% (2 � L�
78495 CALLS TAMPICO
LA QU I NTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Rec'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