BRES2015-0157 Revision 278-495 CALLE TAMPICO
T-ity 4 4 Q91A&
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
Q o 60r) yeu� BUILDING PERMIT
Application Number: BRES2015-0157
Property Address: 51184 AVENIDA HERRERA
APN: 773064010
Application Description: LUXE VACATION HOMES ROOM ADDITION
Property Zoning:
Application Valuation: $31,473.60
Applicant:
STEUBS, JUSTIN M
51184 AVENIDA HERRERA
LA QUINTA, CA 92253
1D,
OCT 17 2016
CITY OE LA QUIP)TA
(;0,-A t:L'N?TY DBIELCPMENT DEPARTkiENT
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.: 1010918 A
Moate: -1(-, %eEntractor:
OWNER-BU#L'DER 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 ) 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/17/2016
Owner:
STEUBS, JUSTIN M
51184 AVENIDA HERRERA
LA QUINTA, CA 92253
;contractor:
l M J'S FAMILY CONSTRUCTION INC
pCT 1 2016 DRIVE31265 RESERVE SUITE
THOUSAND PALMS, CA 2276
CIV
OF ®®F Oiii" 13-2000
,.aee11TA
N�� Llc. No.: 1010918
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: 9153234
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.
DatEV-16 —12-1& Applicant:
WARNING: FAILURE TO SECURE WORKER 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 to enter upon the
above-mentioned property for inspection purposes.
Dat Signature (Applicant or Agent)
Date: 10/17/2016
Application Number: BRES2015-0157 Owner:
Property Address: 51184 AVENIDA HERRERA STEUBS, JUSTIN M
APN: 773064010 51184 AVENIDA HERRERA
Application Description: LUXE VACATION HOMES ROOM ADDITION LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $31,473.60
Applicant: Contractor:
STEUBS, JUSTIN M M J'S FAMILY CONSTRUCTION INC
51184 AVENIDA HERRERA 31265 RESERVE DRIVE SUITE B
LA QUINTA, CA 92253 THOUSAND PALMS, CA 92276
(760)343-2000
Llc. No.: 1010918
------------------------------------- --------------------------------------------------------
Detail: 288SF ADDITION + 132SF REMODEL. CONVERT ONE -CAR GARAGE TO BATHROOM. ADD/REPLACE WINDOWS, PLUMBING FIXTURES, AND ELECTRICAL
FIXTURES. 2013 CALIFORNIA BUILDING CODES.
DESCRIPTION
ADDITION, EA ADDITIONAL 500 SF
DESCRIPTION
ADDITION, EA ADDITIONAL 500 SF PC
DESCRIPTION
ADDITION, FIRST 100 SF
DESCRIPTION
ADDITION, FIRST 100 SF PC
DESCRIPTION
CHANGE OF CONTR/ARCH/OWNER PROCESSING
DESCRIPTION
CHANGE OF CONTR/ARCH/OWNER PROCESSING
DESCRIPTION
HOURLY PLAN CHECK - YES
DESCRIPTION
HOURLY PLAN CHECK - YES
DESCRIPTION
DEVICES, ADDITIONAL
DESCRIPTION
DEVICES, ADDITIONAL PC
DESCRIPTION
DEVICES, FIRST 20
DESCRIPTION
DEVICES, FIRST 20 PC
DESCRIPTION
RESIDENTIAL, FIRST 1,000SF
DESCRIPTION
RESIDENTIAL, FIRST 1,OOOSF, PC
DESCRIPTION
APPLIANCE REPAIR/ALTERATION
DESCRIPTION
APPLIANCE REPAIR/ALTERATION PC
DESCRIPTION
VENT FAN
DESCRIPTION
ACCOUNT
QTY
101-0000-42400
0
ACCOUNT
QTY
101-0000-42600
0
ACCOUNT
QTY
101-0000-42400
0
ACCOUNT
QTY
101-0000-42600
0
Total Paid for ADDITION:
ACCOUNT
QTY
101-0000-42600
1
ACCOUNT
QTY
101-0000-42600
1
Total Paid for ADMINISTRATIVE:
ACCOUNT
QTY
101-0000-42600
1.5
ACCOUNT
QTY
101-0000-42600
0.75
Total Paid for BLDG CITY STAFF - PER HOUR:
ACCOUNT
QTY
101-0000-42403
0
ACCOUNT
QTY
101-0000-42600
0
ACCOUNT
QTY
101-0000-42403
0
ACCOUNT
QTY
101-0000-42600
0
Total Paid for ELECTRICAL:
ACCOUNT
QTY
101-0000-42403
0
ACCOUNT
QTY
101-0000-42600
0
Total Paid for ELECTRICAL - NEW CONSTRUCTION:
ACCOUNT
QTY
101-0000-42402
0
ACCOUNT
QTY
101-0000-42600
0
ACCOUNT
QTY
101-0000-42402
0
ACCOUNT
QTY
MIFAi11IPtl
$62.36
AMOUNT
$17.40
AMOUNT
$120.83
AMOUNT
$171.14
$371.73
AMOUNT
$97.17
AMOUNT
$101.84
$199.01
AMOUNT
$105.00
AMOUNT
$52.50
$157.50
AMOUNT
$24.20
AMOUNT
$6.00
AMOUNT
$24.17
AMOUNT
$24.17
$78.54
AMOUNT
$145.03
AMOUNT
$47.86
$192.89
AMOUNT
$12.09
AMOUNT
$4.83
AMOUNT
$24.18
AMOUNT
VENT FAN PC
101-0000-42600
1 0
$9.66
Total Paid for MECHANICAL: $50.76
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$169.26
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$169.26
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.09
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.09
Total Paid for PLUMBING FEES: $398.96
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400
0
$21.75
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL; EA ADDITIONAL 500 SF PC
101-0000-42600
0
$17.40
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL, FIRST 100 SF
101-0000-42400
0
$49.31
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL, FIRST 500 SF PC
101-0000-42600
0
$134.88
Total Paid for REMODEL: $223.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$4.09
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $4.09
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DOOR/WINDOW, NEW, EA ADDITION 1
101-0000-42400
0
$20.30
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DOOR/WINDOW, NEW, FIRST 1
101-0000-42400
0
$60.91
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DOOR/WINDOW, NEW, FIRST 1 PC
101-0000-42600
0
$59.46
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DOOR/WINDOW, REPLACE FIRST 7
101-0000-42400
0
$60.91
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DOOR/WINDOW, REPLACE, FIRST 7 PC
101-0000-42600
0
$110.22
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $311.80
September 1.7, 2015
To whom it .may concern,
I:, Ricardo Aguilar, hereby release all design plans I have created for Luxe Vacation Homes and
Justin Steubs.
By releasing these design plans,. I acknowledge that I am giving Luxe Vacation Homes and
Justin Steubs permission to use these plans in any way they deem necessary going forward for
future use. I also acknowledge the transfer of the permit and withdraw myself as the contractor
of the affected building permit.
In addition; I acknowledge that I have been paid in full for my services, and that neither Luxe
Vacation Homes nor Justin Steubs owe me any additional compensation.
Authorization:
(2 i cA >q 6- 1. LA
Printed Name
Street Address:
B 015 :7
Pn-o-►r-- cT) 51i b4- .akA�-P,,o4
City: LA- qv I N jib . State: CA Zip:
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Date