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BRES2019-034978-495 CALLE TAMPICO 4 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL Application Number: BRES2019-0349 Property Address: 54444 AVENIDA HERRERA APN: 774251028 Application Description: MCGOWAN / GARAGE WALL A/C FRAMING Property Zoning: Application Valuation: $500.00 Applicant:0 D �� JOSEPH MCGOWAN !!! 9165 S DECATUR BLVD D LAS VEGAS, NV 89139 OCT 7 4 2019 DD VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: JOSEPH MCGOWAN 9165 S DECATUR BLVD LAS VEGAS, NV 89139 Contractor: OWNER BUILDER Date: 10/24/2019 CITY OF LAQUINTA Llc. No.: NT -------------------------------DEIGN p --------P----T------------------------------------- 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: _ License No.: te: ractor: 40 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 regUlres 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 atleged exemption. Any vioiation of Section 703115 by any applicant far a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($540).. JUX,) €, 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 buitding 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.). q"I )1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Buslness 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 ntractors' State License Law.). o I am exempt under Sec. . B.&P.C. for this reason Date: �� —�^'Y Owner: CONSTRUI ON 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 Add 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 oAed for which this permit is issued. have and will maintain workers' compensation insurance, as required by S0 of the Labor Code, for the performance of the work for which this permit is isi�workers' compensation Insurance carrier and policy number are: Carrier:± Policy Number:! _ 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 with those provisions. Date: L, '71 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 Quiota, 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 - mentioned property for inspection purposes. Date: 10' '�■ Signature (Applicant or Agent): 4 Date: 10/24/2019 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: JOSEPH MCGOWAN 9165 S DECATUR BLVD LAS VEGAS, NV 89139 BRES2019-0349 54444 AVENIDA HERRERA 774251028 MCGOWAN / GARAGE WALL A/C FRAMING $500.00 Owner: JOSEPH MCGOWAN 9165 S DECATUR BLVD LAS VEGAS, NV 89139 Contractor: OWNER BUILDER Llc. No.: _ Detail: FRAMING FOR WALL HVAC UNIT ONLY IN GARAGE NORTH WALL. ELECTRICAL PRE EXISITNG. PER 2016 CALIFORNIA BUILDING CODES DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0d::: $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT PARTITION 101-0000-42400 0 $80.50 Total Paid for PARTITION 2019: $80.50 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $101.97 Total Paid for PERMIT ISSUANCE: $101.97 DESCRIPTION ACCOUNT CITY AMOUNT SMI - RESIDENTIAL 10 - 0000 20308 0 $0.50 DESCRIPTION ACCOUNT CITY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $0.50 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 ta Qa�fra (AI IF0RN1A PERMIT # PLAN LOCATION: Pmject Address: ' J Project Descriptlorf APN #: /4/J,0-1- 4-H 46 Applicant NAME. Address: -T- y City, ST, Zip: 4 C4 ?,!�-rZ Telephone: Email: Project Valuation $ Contractor Name: New SFD Construction: Address: Conditioned Space SF City, St, Zip Garage SF Telephone: Patio/Porch SF Email: Fire Sprinklers SF State Lic: City Bus Lic: Architect/Engineer Name: Construction Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name:c GOB, New Commercial / Tenant Improvements: Address: ,r ,,r �� Total Building SF City, ST, Zip JW'j, C. Construction Type: Occupancy: Telephone: Email: ` CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Required Received Plan Sets Structural Calcs Truss Calcs Title 24 Calcs CVWD Fire Flow Letter Soils Report Grading Plan (PM10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees f Burrtec Debris Plan Planning approval Public Works approval Fire approval i City Business License 0 r N 6A?-A 4, c t N C - CITY OF QUINT'A BUILDING & S E'�Y OF -Pr. IVAPr VED FOR CONST uCTION DATE Bl r AA - �/G P I` ?dp• ` z)y Q&ES2.QIT- 03YI5 S�,-YW 'AUE� llc-wk-k 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