BRES2020-001078-495 CALLE TAMPICO T p D 4P Qa!A
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL
Application Number: BRES2020-0010
Property Address: 45515 SUNBROOK LN
APN: 604424005
Application Description: CARRERA / WALK-IN TUB INSTALLATION
Property Zoning:
Application Valuation: $7,500.00
Applicant:
SAFE STEP WALK-IN TUB COMPANY INC P
15262 PIPELINE LANE FEB 0 3 2020
HUNTINGTON BEACH, CA 92649
CITY OF LAQUINTA
DESIGN & DEVELOPMENT DEPARTMENT
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: B License No.: 983603
Dat Contractor: s -
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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/29/2020
Owner:
ADRIANA ROSAS / DAVID CARRERA
45515 SUNBROOK LANE
LA QUINTA, CA 92253
Contractor:
SAFE STEP WALK-IN TUB COMPANY INC
15262 PIPELINE LANE
HUNTINGTON BEACH, CA 92649
(714)373-8545
Llc. No.: 983603
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 the work for which this permit is issued.
I 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9002477
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 37 f the Labor Code, I shall forthwith
comply with those provisions.
Date: 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 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 city t nter upon the
above -mentioned property for inspection purposes.—
73-�?v Date: Signature (Applicant or Agent):
Date:
1/29/2020
Application Number:
BRES2020-0010
Property Address:
45515 SUNBROOK LN
APN:
604424005
Application Description
CARRERA / WALK-IN TUB INSTALLATION
Property Zoning:
Application Valuation:
$7,500.00
Applicant:
SAFE STEP WALK-IN TUB
COMPANY INC
15262 PIPELINE LANE
HUNTINGTON BEACH, CA 92649
Owner:
ADRIANA ROSAS / DAVID CARRERA
45515 SUNBROOK LANE
LA QUINTA, CA 92253
Contractor:
SAFE STEP WALK-IN TUB COMPANY INC
15262 PIPELINE LANE
HUNTINGTON BEACH, CA 92649
(714)373-8545
Llc. No.: 983603
Detail: REMOVAL OF EXISTING TUB AND INSTALLATION OF DEDICATED 20AMP GFCI CIRCUIT FOR NEW SAFE STEP WALK-IN TUB LOCATED IN MASTER
BATHROOM LOCATION. PER 2019 CALIFORNIA BUILDING CODES.
FINANCIAL•• •
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$26.83
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$26.83
Total Paid for ELECTRICAL 2019: $53.66
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.97
Total Paid for PERMIT ISSUANCE: $101.97
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PLAN CHECK DEPOSIT - ADDITION/REMODEL
101-0000-42600
1
$125.00
Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$13.42
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$13.42
Total Paid for PLUMBING 2019: $26.84
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
-_1 n_:J t_- n Few w
I VLO1 rC11U lU1 n %.wnLJ.7 IYIMIYpiuriYICIY I rrr; ?.LU.UU
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.98
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.98
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Contractor Name: I
Address:lG� 1
New SFD Construction:
Conditioned Space SF
City, St, Zip
�� k
Garage SF
G
Telephone:L 3' ? `� �.�
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic-` Gt 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: `
Address: C� 'SL^V1J3 q—U0
New Commercial / Tenant Improvements:
Total Building SF
City, ST, Zip
G(A �3
Construction Type: Occupancy:
Telephone:
Email:
/8495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OWNER: DAVID CARRERA CONTRACTOR: SAFE STEP WALK-IN TUB CO
45515 SUNBROOK LN 15262 PIPELINE LANE
LA QUINTA, CA 92253 HUNTINGTON BEACH, CA 92649
714.337.0883 PH: 714.373.8545
ST CONT LIC #: 983603
*ALL NEW WORK WILL COMPLY
= AREA OF WORK WITH 2O19 ELECTRICAL CODE &
1 ST FLOOR MASTER 2019 PLUMBING CODE
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OWNER: DAVID CARRERA
45515 SUNBROOK LN
LA QU I N TA, CA 92253
714.337.0883
CONTRACTOR: SAFE STEP WALK-IN TUB CO
15262 PIPELINE LANE
HUNTINGTON BEACH, CA 92649
PH: 714.373.8545
ST CONT LIC #: 983603
SCOPE OF WORK:
REMOVE (E) TUB, INSTALL NEW WALK-IN TUB, INSTALL
(N) 20 AMP CIRCUIT FOR OUTLET, DRYWALL PATCH
Existing Vanity
Existing Closet
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*ALL NEW WORK WILL COMPLY
WITH 2O19 ELECTRICAL CODE &
2019 PLUMBING CODE
NEW GFCI OUTLET Existing and proposed
UNDER TUB
shower location
1
Existing Toilet
LDING DIVISION
EVIEWED FOR
CODE
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