BDEM2020-000178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
WENDALL VEITH
80300 ULLSWATER
INDIO, CA 92203
ce-iht 4 4v Qa1am
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
DEMOLITION/COMMERCIAL/OTHER
B D E M 2020-0001
78555 HIGHWAY 111 STE 200
643220025
DR SCHULZE / DEMO
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
JDD
78555 HIGHWAY 111 SUITE 200
LA QUINTA, CA 92253
P D Contractor:
JOSE LEONEL VALENCIA
49244 GILA RIVER STREET
FEB 0 7 2020
INDIO, CA 92201
CITYOF LAQUINTA
DESIGN & DEVELOPMENT DEPARTMENT (760)4Llc. No..:: 88765
87630
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 of Division 3 of the Business and Praf ssions Code,
and my License is in full force and effect.
License Class: BB License No.: 8 7 3
Date: r Gr`� Contractor:
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
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:
Date: 2/7/2020
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 thew GIs for which this permit is issued.
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: BF.NCHMARX INSURANCE COMPANY Policy Number: CST5016491
I certify that in the performance of the work for which this permit is iss ed, I
shall not employ any person in any manner so as to becomes s o the rk
compensation laws of California, and agree that, if I por>d bec a su ct t e
workers' compensation provisions of Section 3 .GKcf the L r Lod , sh with
comply with thus provisions.
Date: 17 .2.02 o Applicant:
WARNING: FAILURE TO SECURE WO S' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOY 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 correc
I agree to comply with all city and county ordinances and state law acing to buildl
construction, and hereby authorize representatives of this clt en upo the
above -mentioned property for inspection purposes.
Date' b Zo Signature (Applicant or Age 't . t---
Date: 2/7/2020
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
WENDALL VEITH
80300 ULLSWATER
INDIO, CA 92203
BDEM 2020-0001
78555 HIGHWAY 111 STE 200
643220025
DR SCHULZE / DEMO
Owner:
JDD
78555 HIGHWAY 111 SUITE 200
LA QUINTA, CA 92253
Contractor:
1OSE LEONEL VALENCIA
49244 GILA RIVER STREET
INDIO, CA 92201
(760)449-0605
Llc. No.: 887630
Detail: DEMO NON -BEARING NON -LATERAL RESISTING PARTITION WALLS. THIS PERMIT DOES NOT INCLUDE ANY OTHER WORK. PER 2019 CALIFORNIA
BUILDING CODES
'FINANCIAL INFORMATION
DESCRIPTION ACCOUNT
CITY
AMOUNT
DEMOLITION, INTERIOR
101-0000-42404
0
$40.25
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEMOLITION, INTERIOR PC
101-0000-42600
0
$107.87
Total Paid for DEMOLITION 2019: $148.12
DESCRIPTION ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE 101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Oda Qaiwra
-
PERMIT # JAbE.MekoU-0001
PLAN LOCATION:
Project Address 7� 1� /0
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
Applicant Name: _ U
Address: _
City, ST, Zip: N � i
Telephone: 7�-v 5
Email: Lij ve— t'
Valuation of Project $
Contractor Name: C-41PEAL 'Fj�t�. IN SR%JC. New SFD Construction:
Address: 72 /00 H.44JW5/fi EA L.S 57E >W2 Conditioned Space SF
City, St, Zip RI�NGN0 M l ICA6, 6 CA al2 Z?D Garage _ SF
Telephone: 7 $31 —r 880 Patio/Porch _ SF
Email: Fire Sprinklers SF
State Lie: 1 o y g 0$ Z City Bus Lie:
Arch/Eng Name: 6�yf
Construction Type: Occupancy:
Grading:
Address: L—
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lie: City Bus Lie:
Property Owner's Name: . y
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
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