BRES2018-023278=495K ALLE TAMPICO
LA QVINTA, CAUFORNIA92253,
Permit-Type/Subtype:
Application Number: ,.
':Property Address:
APN;.
Application Description:
Property Zoning:
Application Valuation:'
DESIGN &•DEVELOPMENT. DEPARTMENT
BUILDING PERMIT
;-BUILDING RESIDENTIAL/REMODEL
BRES2018-0232
53408 VIA BELLAGIO
777170027,.
-EMKIN:/;INTERIOR REMODEL PLUMBING AND ELECTRICAL
$170,000.00
VOICE (760) 777-7125
'FAX (760),177-7011
INSPECTIONS (7.60)' 777-71S3
Owner:
ALLAN EMKIN
53408 VIA 6ELLAGIO
LA'QUINTA,.CA 92253
Date: 8/17/2018
Applicant: 0 Contractor:
PETER WRIGHT / WRIGHT BUILDING ° WRIGHT BUILDING
71683 MIRAGE ROAD D 171683,MIRAGE-ROAD
.RANCHO MIRAGE; CA 92270 AUG RANCHO MIRAGE; CA 9227Q,
CITY OF LAQUINTA . (76oj776-159.4
DESIGN & DEVELOPMENT DEPARTMENT
Uc. No.: 973766
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATIONMECLARATION
I hereby affirm under penalty of,perjury that I am licensed under provisions of Chapter'. I hereby affirm under penalty ofperjury.one of the following declarations: '
9 (commencing with Section 7000) of Division 3 of the Busines's and Professions Code, Phaveand will maintain a certificate of consent to self -insure for workers' .
and my License is in full force and effect. - .. compensation, as provided fo? by Section 3700 of.the Labor Code, for the performance
License Class: B. C46 License No.: 973 R of the work for which this permit is issued.
a.1 have and will maintain workers'..compensation insurance,.as required by
1 1 l: c —
o3�0ate: C� ont a or:. Section 3700 of the Labor Code, for performance of the work for which. this permit '
is issued. My workers' compensation insurance carrier and:policy number are -
OWNER -BUILDER DECLARATION Carrier: STATECOMPENSATIOWNSURANCE FUND :Policy Number: 9031453
I hereby affirm under penalty ofperjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7631:5,,Business and Professions Code: Any I certify that in the.performance of the workfor 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 t t ifJ should.become subject to the
signed statement that he or`she is licensed pursuant to the provisions of the workers' compensation provisions of Secti ,3 00 of the Labor Cod , 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 exema:. Bption. Any violation of Section 7031.5 by any applicant for ate: 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 CIVILTINES 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 SECTION3706 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 h'er own employees, provided that the improvements ti
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 fora 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 irmade, each person at whose
to construct the project'. (Sec. 7044, Business and Professions'Code: The Contractors' requestand for whose benefit work is performed underor: 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. _
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 Add
.2; Any. permit issued as a result of this application becomes null and void, if. work is
not commenced within 186 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 i orrect.
I agree to.comply with all city.and;county.ordinances and e.laws relating"t uilding
construction; and hereby authorize representatives of th" cit .t enterupon' e
above -mentioned property for inspection purposes.. `
D_e '(V' I io1►1 I Sigi at re,(Applicant, or Agent)
. 7
Date 8/17/2018'
Application'Number: BRES201870232 -`
Owner:
Property.Address '53408 VIA BELLAGIO
ALLAN EMKIN
':'WN:. 777170027'
53408 VIA BELLAGIO
::Application,Descriptiom, EMKIN /INTERIOR REMODEL PLUMBING AND ELECTRICAL
LA: QUINTA, CA 92253
Prope rty•Zoriirig:`' .,
Applicafion,Valuation: . $170,000.00
;Applicant:. ,
Contractor:.,
;P.ETERWRIGHT/ ikiGHT'BUILDING,-
WRIGHT'BUILDING
71683 MIRAGE ROAD".
71681MIRAGE ROAD
' RANCHO MIRAGE-, CA`9.2270
RANCHO MIRAGE, CA 92270. „
(760)776-1594
------=-=--------------------------------------
Llc. No.: 973766 '
--- ----+--=---------- ----=-----_------
Detail: FIRSTFLOOR INTERIOR REMODEL INCLUDING KITCHEN ,BATHROOMS, BEDROOMS, TWO WINDOW REPLACEMENTS, AN` D PLUMBINGAND
ELECTRCIAL AS NOTED•,ON PLAN: THIS PERMIT DOES NOT INCLUDE SECOND FLOOR OR MECHANICAL
ALTERATIONS, POOL/SPA/BBQ OR FIRE,FEATURES.
2016 CALIFORNIA BUILDING CODES.
r
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BSAS 561473 FEE
101-0000-20306
0
$7.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $7.'00
DESCRIPTION
ACCOUNT
CITY
AMOUNT.
DEVICES, FIRST 20
101-0000-42403
0
.$26.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
a DEVICES, FIRST 20
101-0000-42403
0
$26.01
DESCRIPTION ..
ACCOUNT
CITY
AMOUNT
-DEVICES, FIRST 20 PC
101-0000-42600
0
$26.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
r DEVICES, FIRST 20 PC
101-0000-42600
0
$26.01
Total Paid for ELECTRICAL: $104.04
DESCRIPTION
ACCOUNT
CITY
AMOUNT
EXHAUST HOOD
101-0000-42402
0
$13.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT,
EXHAUST HOOD PC
101-0000-42600
0
$5.20
Total Paid for MECHANICAL: $18.20
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$117.00
DESCRIPTION
ACCOUNT
CITY.
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$117.00
DESCRIPTION
ACCOUNT .
CITY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$117.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$117.00
Total Paid for PLUMBING FEES: .$468.00
DESCRIPTION
ACCOUNT
CITY .
AMOUNT.
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400
0
$23.41
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL, fA ADDITIONAL 500 SF PC
101-0000-42600
0
$18.72
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL, FIRST 100 SF
101-0000-42400
0
$53..05
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL, FIRST 500 SF PC
101-0000-42600
0
$145.12
Total Paid for REMODEL: $240.30
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI -RESIDENTIAL
101-0000-20308
0
$22.10
.Total Paid for STRONG MOTION INSTRUMENTATION.SM1: $22.10
DESCRIPTION ACCOUNT CITY AMOUNT
7- ,. L v v t..�klt to qt
APN #: � i - (� - 33 l/ 4 ef� M (,,„ � j _ y e (I.l, d
%?()QUqu "La. ' ' l tJ� f _
City; ST, Zip:
Telephone: •-I U0 - T) �l. U 467 V CJ
Email: ` Valuation of Project $, 4170.6oC) C� l�
vY1
q 3-7�
Contractor Name:. r
New SFD,Construction.
Address:
Condditioned Space . SF
City, St, Zip
Garage SF
Telephone:
Patio/Porch . SF.
J.
Email:
Fire Sprinklers SF
State Lic: Q?.3< 1 GG City Bus.Lic:
Arch/En
g Name: Construction Type: Occupancy: '.
Address: Grading:
City, St, Zip '
. F
Telephone: Bedrooms: Stories: #Units:.
i
Email:
State Lic: CityBus Lic':
PropertyOwner:'s Name.l( tµ ew Commercial /Tenant Improvements:
Address `.. Total Buildin..
3 � .g SF
—ity, ST;:Zi \ p r
P•� C' l �'��. Construction Type: Occupancy:
Telephone:.
-. Email ���Pl(�•
78495 CALLE TAMP ICO
LA.QUINTA, CA 92253
760-777-700.07
Building, Permit:Nurtiber
Project. Description: 'interior remodel (kit/bdrm)
Exempt: ❑:
(Materials maycontain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
Plan Submittal Dater 8/15/2018
Job Site Address/; 5340.8 Via,Bellagio
Owner's N
Number, Street; or PO
City, State, Postal C
Owner's Phone Nur
Owner's E-Mail Add
Project Managers
Project Manager's Phone N
Project Manager's E-mail At
Builder / Contractor
Number, Street or PO Boz
City, State, Postal Code
Wendy Mandell
53408 Via Bellagio
La.Quinta, CA. 92253
c/o 760-898-6788
Peter Wright
760-898-6788
wrightbuildinacoftmail.conm
Wright Building
71683 Mirage Rd
rancho Mirage, CA. 02270
Project Square Footage./; Approx. 1,500 sq ft
CityApproval By RenadoGouldlock-DECBurrtec.Waste
Date of City Approval
tals To Be Discarded:
r. AUG 1 rt,,!
r 2018
CITY OF IA .QUZNTA
COMMuNTry OEVELOPMEIVT
Product Tons
Trash 0.65. Not recyclable Product Tons.
Asphalt ..0.00 Recyclable: Masonry'(broken) 7 0.00Recyclable
Brick/Block 0.00, Recyclable Plaster 0.00 Recyclable
Cardboard' 0.00, Recyclable Scrap -Metal 0.00 Recyclable
Commingled. 0.00. Recyclable Tile' (floor) .0.40 Recyclable
Concrete 0.00, Recyclable Tile (roof) 0.00 Recyclable
Drywall .:0:25 Recyclable Wood 0.60 Recyclable
Donated !Reuse' 0:00; :Recyclable Landscape Debris 0.00 Recyclable
'Describe Items
Totals: Rec cie Trash Protected Diversion:
1.3F 0 7 65:79%'
I understand It is the property owners responsibilityto submit copies of weight tickets or: receipts to the District
Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the
Debris Management, Plan (DMP) for the above named project shall gua"rantee that at least 65% of the jobsite waste is
diverted from landfilling: The remaining material will be recycled or.reused: I will divert, for recycling or re -use, remaining
materiohlyre
ated from the first day of the project through the completion of the project'in`accordance with this plan. This
DMP n the name of the property owner(s) and shall remain their property throughout the construction and/or
democt. A contractor servin s.agent of the owner may obtain a. DMP for the owner. However, the DMP is still
Issueme of the property owes) and the owner retains legal responsibility for ensuring that the provisions of the
DMPd to. he propert (o a s) and general contractor shall be kept informed of the'diversion progress through
bi-mo. If h ling, all efu a material from this project sitemust be taken to an approved recycler or transfer
�llsj� �a
Owner / De eloper / Project Manager / Su erintendant Date