BDEM2020-000278-495 CALLE TAMPICO D 4 Q"
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: DEMOLITION/SINGLE FAMILY
Application Number: BDEM2020-0002
Property Address: 78645 CARNES CIR
APN: 604223026
Application Description: NGUYEN / DEMO TWO EXISTING PALAPAS AT REAR YARD
Property Zoning:
Application Valuation:
Applicant:
J C DECIERDO CORPORATION /JERMAINE WRIGHT
74894 LENNON PLACE STE. D-1
PALM DESERT, CA 92260
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.
LicenseCl ss: LicenseNo.:
Date: I " Contractor:
OWNER-By�21
DER D£CLA ATIO
I hereby affirm under penalty of perjur that I am empt fr Cantracl.or's State
License Law for the following reason ( S, 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 Na
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/11/2020
Owner:
Nguyen Quoc Lap
Contractor:
J C DECIERDO CORPORATION
74894 LENNON PLACE STE. D-1
PALM DESERT, CA 92260
(760)219-2629
Llc. No.: 817089
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'
cam ensation, as provided for by Section 3700 of the Labor Code, for the performance
he ork foo hich this permit is issued.
I' ave and will maintain workers' compensation insurance, as required by
S n 3700 of the Labor Code, for the performance of the work for which this permit is
i d. My workers' compensation insurance carrier and policy number are:
Carrier: STATE_ COMPENSATION INSURANCE FUND Policy Number: 9099725
1 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 37 [ Labor Code, I shall forthwith
comply with those provisions.
Date: All 00 Applicant;
WARNING: FAILURE TO SECURE WORKE CIMINAL
PENS TION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO ALTIES 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 fo ente pon the above -
mentioned property for inspection purposes.
Date: Signature (Applicant crAgen r
Date: 2/11/2020
Application Number: BDEM2020-0002
Property Address: 78645 CARNES CIR
APN: 604223026
Application Description: NGUYEN / DEMO TWO EXISTING PALAPAS AT REAR YARD
Property Zoning:
Application Valuation:
Applicant:
J C DECIERDO CORPORATION / JERMAINE WRIGHT
74894 LENNON PLACE STE. D-1
PALM DESERT, CA 92260
Owner:
Nguyen Quoc Lap
Contractor:
J C DECIERDO CORPORATION
74894 LENNON PLACE STE. D-1
PALM DESERT, CA 92260
(760)219-2629
Llc. No.: 817089
Detail: DEMO TO EXISITING PALAPAS IN REAR YARD. THIS PERMIT DOES NOT INCLUDE ANY OTHER WORK PER 2016 CA BUILDING CODE
FINANCIAL • •
DESCRIPTION ACCOUNT
QTY
AMOUNT
DEMOLITION, EXTERIOR
101-0000-42404
0
$40.25
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEMOLITION, EXTERIOR PC
101-0000-42600
0
$120.75
Total Paid for DEMOLITION 2019: $161.00
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
TOTALS,0•
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PERMIT #
PLAN LOCATION:
Project Address:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
Applicant Name: eo'�y—,— wart
Address-�
City, ST, Zip:
Telephone:�� -�
Email: `�:•��-.�
Valuation of Project $
Contractor Name: JG�]9�1
New SFD Construction:
Address: �'�� 1eh VVt'1-,
Conditioned Space SF
City, St, Zip �C, �yh-
Garage SF
Telephone:2)(—W��
Patio/Porch SF
Email: ��-z ,C,� �� �•. ��
Fire Sprinklers SF
State Lic: (9 City Bus 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
REVISIONS BY
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PROPERTY LINE 62'
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EXI ING PALAP #2
TO B REMOV
16 S
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North Arrow
CITY OF LA QUINTA
BUILDING & SAFM DEPT,
APPROVED
FOR CONS'I RUC4014
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1. VICINITY MAP AND SITE PLAN
PROPOSED DEMOLITION OF TWO PALAPAS
VICINITY MAP
NOT TO SCALE
GENERAL INFORMATION
APPLICANT/OWNER ......................... LANCHI NGUYEN
ADDRESS..........................................
PHONE.............................................
APPLICANT/OWNER ......................... LANCHI NGUYEN
ADDRESS ..........................................
PHONE............................................. .
ASSESSOR'S PARCEL No .................:604-2,23-026
SCOPE OF WORK: PROPOSED DEMOLTION OF TWO EXISTING PALAPAS.
ASSESSOR'S PARCEL No ................. 604-223-026
PROJECT ADDRESS .......................... 78645 CARNES CIRCLE LA QUINTA CA 92210
ZONE ............................................... RESIDENTIAL
UTILITY PURVEYORS
SCHOOL DISTRICT:
WATER:
SEWER:
GAS:
ELECTRICITY:
TELEPHONE:
CABLE/TELEVISION
CVSD
CVWD
SEPTIC
PROPANE (THE GAS COMPANY)
EDISON
VERIZON
TIME WARNER CABLE
BUILDING CODES REFERENCES:
2019
CALIFORNIA
BUILDING CODES.
2019
CALIFORNIA
ENERGY CODES.
2019
CALIFORNIA
MECHANICAL CODES.
2019
CALIFORNIA
PLUMBING CODES.
2019
CALIFORNIA
ELECTRICAL CODES.
2019
CALIFORNIA
RESIDENTIAL CODES.
2019
CALIFORNIA
GREEN STANDARDS CODES.
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CHECKED
DATE
1-11-20
SCALE
JOB NO.
fm
SHEETNUMBER
A-1