BRES2019-0049Applicant: )(760)834-5870
ntrORRE
A O TORRES CONSTRUCTION CO V ,U�� 0 TORRES CONSTRUCTION CO
42-669 LA DANZA CT V -669 LA DANZA CT
INDIO, CA 92203 APR 1 � 2019DIO, CA 92203
CITY OF LA QUINTA Llc. No.: 550498
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: A. B. C53 License No.: 550498
Date: / Contractor: %e _/
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 (Set. 7031.5, Business and Professions Cade: 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).:
(_)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. 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.).
(_) 1, as owner ofthe 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 Addre!
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one ofthe 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 the work for which this permit is issued.
I 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: SJjJTE COMPEN58TION INSURANCE FUNDPolicy Number:2222488
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 ofthe Labor Code, I shall forthwith
comply with Tose provisions. %
Date:IL /j 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 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.
agree to comply with all city and county ordinances and state laws relating to building
:onstruction, and hereby authorize representatives ofthis city to enter upon the above-
mentioned property for inspection purposes.
)ate: _1////111A Signature (Applicant or Agent): ��
TihO
78-495 CALLE TAMPICO
D / °�' �
VOICE (760) 777-7125
LA QUINTA, CALIFORNIA
92253
FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/12/2019
Permit Type/Subtype:
BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED
Owner:
Application Number:
BRES2019-0049
LEAH J. PEDRO
Property Address:
78190 CALLE CADIZ
78190 CALLE CADIZ
APN:
770155007
LA QUINTA, CA 92253
Application Description:
PEDRO / [1]DEDICATED CIRCUITI AND 5 -TON HVAC SYSTEM
Property Zoning:
Application Valuation:
$2,000.00
Applicant: )(760)834-5870
ntrORRE
A O TORRES CONSTRUCTION CO V ,U�� 0 TORRES CONSTRUCTION CO
42-669 LA DANZA CT V -669 LA DANZA CT
INDIO, CA 92203 APR 1 � 2019DIO, CA 92203
CITY OF LA QUINTA Llc. No.: 550498
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: A. B. C53 License No.: 550498
Date: / Contractor: %e _/
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 (Set. 7031.5, Business and Professions Cade: 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).:
(_)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. 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.).
(_) 1, as owner ofthe 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 Addre!
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one ofthe 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 the work for which this permit is issued.
I 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: SJjJTE COMPEN58TION INSURANCE FUNDPolicy Number:2222488
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 ofthe Labor Code, I shall forthwith
comply with Tose provisions. %
Date:IL /j 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 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.
agree to comply with all city and county ordinances and state laws relating to building
:onstruction, and hereby authorize representatives ofthis city to enter upon the above-
mentioned property for inspection purposes.
)ate: _1////111A Signature (Applicant or Agent): ��
Date: 4/12/2019
Application Number:
BRES2019-0049
Owner:
Property Address:
78190 CALLE CADIZ
LEAH J. PEDRO
APN:
770155007
78190 CALLE CADIZ
Application Description
PEDRO / [1]DEDICATED CIRCUITI AND 5 -TON HVAC SYSTEM
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$2,000.00
Applicant:
Contractor:
A 0 TORRES CONSTRUCTION CO
A 0 TORRES CONSTRUCTION CO
42-669 LA DANZA CT
42-669 LA DANZA CT
INDIO, CA 92203
INDIO, CA 92203
(760)834-5870
Llc. No.: 550498
a -- E--�--
--------------------------------------------
-----------------------------Detail: ADDITION OF ELECTRICAL OUTLETS FOR ELECTRIC FIREPLACE IN MASTER BEDROOM, AND IN LIVING AREA. NEW (5) -TON SPLIT SYSTEM TO PER
2016 CALIFORNIA BUILDING CODES.
DESCRIPTION
ACCOUNT
AMOUNT
77
101-0000-42600
DESCRIPTION
ACCOUNT
QTY
101-0000-42600
DESCRIPTION
ACCOUNT
DEVICES, FIRST 20
101-0000-42403
DESCRIPTION
ACCOUNT
DEVICES, FIRST 20 PC
101-0000-42600
Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00
DESCRIPTION ACCOUNT
RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416
T
AMOUNT
77
DESCRIPTION
ACCOUNT
($26.68)
QTY
AMOUNT
101-0000-42600
($26.68)
QTY
AMOUNT
0
$26.68
AMOUNT
QTYAMOUNT
101-0000-42600
0
$26.68
Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00
DESCRIPTION ACCOUNT
RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416
Total Paid for ELECTRICAL:
$0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
101-0000-42600
($4.94)
DESCRIPTION
ACCOUNT
QTY
AMOUNT
101-0000-42600
($40.02)
DESCRIPTION
ACCOUNT
TY
AMNT
101-0000-42600
68)
ACCOUNT
MOUDESCRIPTION
ANT
CONDENSER/COMPRESSOR
101-0000-42402
0
$40.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$21.74
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$4.94
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FURNACE
101-0000-42402
0
$40.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FURNACE PC
101-0000-42600
0
$26.68
Total Paid for MECHANICAL:
$61.76
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
RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416
Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $21.00
DESCRIPTION ACCOUNT QTY AMOUNT
TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
QTY
AMOUNT
0
$21.00
Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $21.00
DESCRIPTION ACCOUNT QTY AMOUNT
TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Contractor Name: Tib SEs
— GFM oflb, 1) F's GRT —
a.�
PERMIT # WSW'
Conditioned Space SF
City, St, Zip
Garage SF
PLAN LOCATION:
Project Address:
r C�..L�
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
A g D r- to z Yc�, C- L ph
V Al .
Applicant Name:
A, by G' ->r) --1
Address: Z
% D� 6zvld
City, ST, Zip:TQ
�-
Telephone:
Email:
d�
Valuation of Project $
Contractor Name: Tib SEs
New SFD Construction:
Address:
Conditioned Space SF
City, St, Zip
Garage SF
Telephone:
Email:� � j m /L S ob P�-6 (, (fOA4
Patio/Porch SF
Fire Sprinklers SF
State Lie: 6�10 Zf-L—City Bus Lie:
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lie:
Property Owner's Name:
Address:
City, ST, Zip
Telephone:
Email:
City Bus Lie:
Construction Type:
Grading:
Bedrooms: j Stories:
New Commercial / Tenant Improvements:
Total Building
Construction Type:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
Occupancy:
# Units:
Occupancy:
SF
OFFICE USE ONLY
#
Submittal
Req'd
Ree'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM 10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License