BRES2019-016378-495 CALLE TAM PICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
STRACTSINC
550 S. OLEANDER ROAD
PALM SPRINGS, CA 92264
T4'r4lwRum&
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BUILDING RESIDENTIAL/REMODEL
BRES2019-0163
52405 VIA CASTILE
777440020
ELEVEN SQUARED PROPERTIES LLC / NEW FIREPLACE APPLIANCE
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/30/2019
Owner:
ELEVEN SQUARED PROPERTIES LLC
2035 W 59TH ST
MISSION HILLS, KS92253
$12,000.00
Contractor:
MONARCH HOMES DESERT DIVISION INC DBA DA
49-950 JEFFERSON ST #130-134
AUG 3 0 2019
INDIO, CA 92201
CITY OF LAQUINTA (760)413-8863
DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 457228
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 ss: B lr iLicense No.: 45722842)
Date: 'v •� Contractor:
OWNER -BUILDER ARATION
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
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.).
() 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.).
O 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
9P'fl�e ork for which this permit Is issued.
I have and will maintain workers' compensation insurance, as required by
3. 00 of the Labor Code, for the performance of the work for which this permit
Is I ed, My workers' Compensation insurance carrier and policy number are:
Carrier* TATE COMPENSATION fN RANCE FUNO PCItCy Number: 9045509
certify that in the performance of the work for which this permit is issued,
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�bor Code, I shall forthwith
comply with those provisions. /I
Date: U rrN)d I Applica
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.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this ci to enter upon the
above -`mentioned property for inspecti •jur oses.
Date: �v c i Signature (Ap a
Date: 8/30/2019
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
STRACTSINC
550 S. OLEANDER ROAD
PALM SPRINGS, CA 92264
BRES2019-0163
52405 VIA CASTILE
777440020
ELEVEN SQUARED PROPERTIES LLC / NEW FIREPLACE APPLIANCE
$12,000.00
Owner:
ELEVEN SQUARED PROPERTIES LLC
2035 W 59TH ST
MISSION HILLS, KS 92253
Contractor:
MONARCH HOMES DESERT DIVISION INC DBA DA
49-950 JEFFERSON ST #130-134
INDIO, CA 92201
(760)413-8863
Llc. No.: 457228
Detail: ELEVEN SQUARED PROPERTIES LLC / REMOVE EXISTING FIREPLACE AND INSTALL NEW MONTIGO 72" DIRECT -VENT FIREPLACE APPLIANCE MODEL
RP620. THIS PERMIT DOES NOT INCLUDE ANY ALTERATION OF LOAD BEARING OR LATERAL REISTSING FRAMING MEMBERS. 2016 CALIFORNIA BUILDING
CODES.
INFORMATIONFINANCIAL
DESCRIPTION ACCOUNT
QTY
AMOUNT
101-0000-42600
($1.00)
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
101-0000-42600
($122.44)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIREPLACE
101-0000-42400
0
$160.10
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIREPLACE PC
101-0000-42600
0
$117.71
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIREPLACE PC
101-0000-42600
0
$122.44
Total Paid for FIREPLACE: 9277.81
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PLAN CHECK DEPOSIT - ADDITION/REMODEL
101-0000-42600
1
$125.00
Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: 5125.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
101-0000-42600
($1.56 )
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$1.56
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
a
PERMIT f 1! US � D M r 01- tY
PLXN1 LOCATION:
Project Address: Sz y�� W ,-,4 yLf=
Project Description: Pool, Remodel, Add't, Elect, Plumb, 11ech
APN #:
ApplicantName: viatf
,
Address:
City. ST, Zip: �Jjr 5< Cr4
Telephone: 7 �O'�lO2 9S'
Email: a,-j S f/'zp_- f5, r
F-saluation of Project S GQ
Contractor 1\ame:
J New SFD Construction:
Address:
Conditioned Space 1-1114 SF
City, St, Zip
Garage SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: City Bus Lic:
Arch/Eng Name: / 2010 Fk - Construction Type: /S�(/�1lzi�T p Occupancy:/2� (�/
Address: 5360 51 Grading: �-
City, St, Zip IA
Telephone: %440 Bedrooms: Stories: # Units:
Email: a�jh �fj-ct�iS. GOB
State Lic: G _,3 City Bus Lic:/ljt�y�,j�
Property Owner's Name:�U
New Commercial / Tenant improvements.
Address: sz 414-1- 4/J4
Total Buildin; SF
City. ST, Zip G� d)o
i
Construction Type: Occupancy:
Telephone:
!�
Email:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
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ta
o/',h, D SERT —
-(-,F\T
PLAN LOCATION:
Project Address:'
/
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Applicant Name:
— Q„
Address:
City, ST, Zip:
Telephone:
Email:
Valuation of Project $
Contractor Name:
0 0
New SFD Construction:
Address: �TYJG
Conditioned Space SF
City, St, Zip
R
Garage SF
Telephone: 8 3
Patio/Porch SF
Email: ,
o
Fire Sprinklers SF
State Lic: 9 713 City BUY Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name:
New Commercial / Tenant Improvements:
Address:
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, 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 (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