BRES2018-0416uLILt�+iJ VOICE (760) 777-7125
78-495 CALLE TAMPICO T4'it D
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/4/2019
Permit Type/Subtype: BUILDING RESIDENTIAL (WEB)/REMODEL Owner:
Application Number: BRES2018-0416 MAWHINEY JAMES & SHERRONNA
Property Address: 79640 CORTE DEL VISTA 79640 CORTE DEL VISTA
APN: 609610067 LA QUINTA, CA 92253
Application Description. MAWHINEY / 5TH BEDROOM GARAGE CONVERSION
Property Zoning:
Application Valuation: $20,000.00
Applicant: Contractor:
J C K CONSTRUCTION SERVICES INC DBA ALPH J C K CONSTRUCTION SERVICES INC DBA ALPH
74741 JONI DR UNIT C DRIVE ---r, 74741 JONI DR UNIT C DRIVE
PALM DESERT, CA 92660 DPALM DESERT, CA 92660
FEB 0 2019 (760)399-2539
CITY OF LA QUINTA Llc. No.: 968577
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:
8 License No.: 95 577
Date:20 I I q Contractor: 1
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 y
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 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:
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 i ork forwhich this permit is issued.
1 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: NORGUARD INSURANCE COMPANY Policy Number: JCWC976500
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 wit tho provisions.
DDate: I 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 ATTORNEYS 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 upon the
above -me tipn propertyfor inspection purposes.
Date: Signafu`r'e (Applicant or Agent): `�►/
Date: 2/4t2019
Application Number:
BRES2018-0416
Property Address:
79640 CORTE DEL VISTA
APN:
609610067
Application Description:
MAWHINEY / 5TH BEDROOM GARAGE CONVERSION
Property Zoning:
Application Valuation:
$20,000.00
Applicant:
J C K CONSTRUCTION SERVICES INC DBA ALPH
74741 JONI DR UNIT C DRIVE
PALM DESERT, CA 92660
Owner:
MAWHINEY JAMES & SHERRONNA
79640 CORTE DEL VISTA
LA QUINTA, CA 92253
Contractor:
J C K CONSTRUCTION SERVICES INC DBA ALPH
74741 JONI DR UNIT C DRIVE
PALM DESERT, CA 92660
(760)399-2539
Llc. No.: 968577
Detail: 180 SF CONVERSION OF GARAGE AREA TO FIFTH BEDROOM. 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION
ACCOUNT
CITY
101-0000-42600
DESCRIPTION
ACCOUNT
QTY
101-0000-42600
DESCRIPTION
ACCOUNT
QTY
ADDITION, EA ADDITIONAL 500 SF
101-0000-42400
0
DESCRIPTION
ACCOUNT
QTY
ADDITION, EA ADDITIONAL 500 SF
101-0000-42400
0
DESCRIPTION
ACCOUNT
QTY
ADDITION, EA ADDITIONAL 500 SF PC
101-0000-42600
0
DESCRIPTION
ACCOUNT
QTY
ADDITION, FIRST 100 SF
101-0000-42400
0
DESCRIPTION
ACCOUNT
QTY
ADDITION, FIRST 100 SF PC
101-0000-42600
0
Total Paid for ADDITION:
DESCRIPTION
ACCOUNT
QTY
101-0000-42600
DESCRIPTION
ACCOUNT
QTY
BSAS SB1473 FEE
101-0000-20306
0
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
DESCRIPTION
ACCOUNT
QTY
Credit Card Fee
101-0000-43505
0
Total Paid for Credit Card Fee:
DESCRIPTION
ACCOUNT
CITY
101-0000-42600
DESCRIPTION
ACCOUNT
QTY
101-0000-42600
DESCRIPTION
ACCOUNT
QTY
DEVICES, FIRST 20
101-0000-42403
0
DESCRIPTION
ACCOUNT
QTY
DEVICES, FIRST 20 PC
101-0000-42600
0
Total Paid for ELECTRICAL:
DESCRIPTION
ACCOUNT
QTY
PLAN CHECK DEPOSIT - ADDITION/REMODEL
101-0000-42600
1
Total Paid for
PLAN CHECK DEPOSIT - ADDITION/REMODEL:
DESCRIPTION
ACCOUNT
QTY
101-0000-42600
DESCRIPTION
ACCOUNT
QTY
FIXTURE/TRAP
101-0000-42401
0
Total Paid for PLUMBING FEES:
AMOUNT
($35.49)
AMOUNT
($19.21)
AMOUNT
$35.49
AMOUNT
$33.35
AMOUNT
$19.21
AMOUNT
$134.48
AMOUNT
$188.92
$356.75
AMOUNT
($1.00)
AMOUNT
$1.00
$0.00
AMOUNT
$2.72
$2.72
AMOUNT
($26.68)
AMOUNT
($26.68)
AMOUNT
$26.68
AMOUNT
$26.68
$0.00
AMOUNT
$125.00
$125.00
AMOUNT
($13.34)
AMOUNT
$13.34
$0.00
DESCRIPTION
ACCOUNT CITY
AMCiUNT
RECORDS MANAGEMENT FEE - MAJOR
101-0000-42416 0
$21.00
Total Paid for RECORDS MANAGEMENT FEE - MAJOR:
$21.00
DESCRIPTION
ACCOUNT CITY
AMOUNT
101-0000-42600
($2.60)
DESCRIPTION
ACCOUNT CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308 0
$2.60
Total Paid for STRONG MOTION INSTRUMENTATION SMI:
$0.00
DESCRIPTION
ACCOUNT CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611 0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00