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13-0293 (PLBG).'P.O. BOX 1504 . 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number: 13-00000293 Property Address: 54949 RIVIERA APN: 775-153-023- - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1220 VOICE (760) 777-7012 TA�� � -FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT �� �% INSPECTIONS (760) 777-7153 BUILDING PERMIT Applicant: Architect or Engineer: ----------------- 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 Professionals Code, and my License is in full force and effect: Licens Clfass C27 D06LicenseLice_tnse No.: 883625 Dai `� W Contraor:C'y p, `� CV d, 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).: 1 _ 1 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.). 1 _ ) 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: LQPERMIT ----------------------------------------------- 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 7ich this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier EXEMPT Policy f ifnber EXEMPT I certify that, in.the performance of th rk for wNch this permit is issued, I shall not employ any person in any manner so a e m subject to the workers' compensation laws of California, and agree that; if I sh d b oma s b act to -the workers' compensation provisions of Section .� 3700 of the Labor ode, she rt ly with those provisions. Date./ l2D Applicant: � 75 WARNING: FAILURE TO SECUR ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C MINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADD TION 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 Director of Building and Safety 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, indemnif and hold harmless the City of La Quinta, its officers, agents and employees for any act or ormssi n 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 void,if work is not commenced within 180 days from date of issuance of such permit ssatio. of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that tt a abov . ar �n is correct. I agree to comply with all . city and county ordinances and state.laws relating to wlding onstru , and hereby authorize representatives of this co ty to enter upon the above-mentioned roperty or insp tion urposes. Dater Signature (Applicant or Agent): Date: 3/18/13 Owner: TOM MCLEAN LA QUINTA, CA.92253 (760)289-7828 Contractor: jl a GORDO LANDSCAPE, JAVIER D (� P.O. BOX 7123 LA QUINTA, CA 92248 MAR 18 2013 (760)619-4906 Lic. No.: 883625 CITY OF U1 QUINTA ----------------------------------------------- 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 7ich this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier EXEMPT Policy f ifnber EXEMPT I certify that, in.the performance of th rk for wNch this permit is issued, I shall not employ any person in any manner so a e m subject to the workers' compensation laws of California, and agree that; if I sh d b oma s b act to -the workers' compensation provisions of Section .� 3700 of the Labor ode, she rt ly with those provisions. Date./ l2D Applicant: � 75 WARNING: FAILURE TO SECUR ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C MINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADD TION 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 Director of Building and Safety 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, indemnif and hold harmless the City of La Quinta, its officers, agents and employees for any act or ormssi n 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 void,if work is not commenced within 180 days from date of issuance of such permit ssatio. of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that tt a abov . ar �n is correct. I agree to comply with all . city and county ordinances and state.laws relating to wlding onstru , and hereby authorize representatives of this co ty to enter upon the above-mentioned roperty or insp tion urposes. Dater Signature (Applicant or Agent): Application Number . . . . . 13-00000293 Permit . . . PLUMBING Additional desc . Permit Fee 18.00 Plan Check Fee 4.50 Issue Date . . Valuation . . . . 0 Expiration Date 9/14/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ----------------------------- ----------------------------------------------- Special Notes and Comments-' 1 GAS LINE 120 LF. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . ... . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged --------------------------- Paid Credited ------------------------------ Due Permit Fee Total 18.00 .00 .00 18.00 Plan Check Total 4.50 .00 .•00 4.50 Other Fee Total 1.00 .00 .00 1.00 Grand Total 23.50 .00 .00 23.50 LQPERMIT Bin. # CItY Of QuInto Building 8L Safety Division P.O. Box 1504,78-495 Calle Tampico 1.a.Quinta, CA 92253 -:(760) 777-7012 Building Permit -Application' and Tracking Sheet Permit # tel, �' ✓ Project.Address: - �'J i v� C[�� Owner's Name:. W, M�e A. P. Number. Address: . rj Ll - (Zr v t e f A . Legal Description: City, ST, Zip: Lr,,- Contractor. 6-u(-J(, � �� Telephone: ` Address: P O V�,`j 1 Z.3 ,- Project Description: %�� �� $ C4,,leu pe -City, ST, Zip: Lrq 6� U\. V, Telephone: -1&0, (o (el - q 0 State Lic.# : f j 3to Zj City Lie C/O 3 5 V6 .. �n Arch, Engr., Designer. Address:^ City, ST, zip: Lam; Com- % z2 Y6 Telephone: State Lic. #: a Construction Type:. 4 pLOccupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: l 22 V # Stories: 4 # Units: / Name of Contact Person: Telephone # of Contact Person: Estimated Value of Project: r7Sb w APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Req'd 'Rec'd TRACENG PERMIT FEES Plan Sets Pian Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. galled Contact Person Pian Check Balance Title 24 Calci. Plans picked up Construction ' Flood plata plan Plans resubmitted. , Mecharilcal Grading plan 2'! Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plwnbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"° Review; ready for correctionslissae Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees EXISTIN& ANCCORTYAW NO (A47E —DMTW We CP MT06 PAW %M a f r L ' W .. 7 IMA 11A�A�Cl n n ED, MSTIM LMVSC.4M STW 0 NM PATIO 69*% GAS LINE .EXISTIN6-5L 18 ExrITM WMAM STM 51TE PLAN 5HQHNC7HBT PATIO 4 50LITH 510E COURTYARD WAB 3ml = 1w `02M,LEAN It 1: $ I f3.1: N I I A L 0 V S I C. N PATIO RENOVATION For 'McLEAN RE51DENGE 54-q49 RIVIERA, P6A HE5T, La GUINTA OF 'JANUARY 2013 > 0 CQ IC ItH PATIO, 4 St I(5Atf LoGATIONLA5 EX151INW DOM 6PA% AJEA EXISTING 6A 4W EXISTING HOME NO GNAME NO GHAME EXISTIN6 DRIVEHAY 0- NO CHANGE E 7 IMA 11A�A�Cl n n ED, MSTIM LMVSC.4M STW 0 NM PATIO 69*% GAS LINE .EXISTIN6-5L 18 ExrITM WMAM STM 51TE PLAN 5HQHNC7HBT PATIO 4 50LITH 510E COURTYARD WAB 3ml = 1w `02M,LEAN It 1: $ I f3.1: N I I A L 0 V S I C. N PATIO RENOVATION For 'McLEAN RE51DENGE 54-q49 RIVIERA, P6A HE5T, La GUINTA OF 'JANUARY 2013