BPLB2014-1028LICENSED CONTR C ATI N)
I hereby affirm under penalty of perjurythat I a I ceri ed u der provisio hof Chapter
9 {commencing w'th Section 7000} of Division 3 f he usin ss and Prof ssions Code,
and my Lic nse isf full force and effect
Lic se Cl s: Li rise No.: / /�
Date: 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
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:
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: _ Policy Number: _
I certify that in the performance of the Abc
w is this permit is issued, I
shall not employ any person in any manner so a ome u jest to the workers'
compensgtion�aws of California, and agree thaatf Id o7ne subject to the
workers' om ensation provisions of Se ion 37 l b r/Cpde, I shall forthwith
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 per rt? or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state tha the ov' for a on is correct.
I agree to comply with all city and county ordinances he
t tella s r ati g to build'
construct" n, nd hereby authorize representatives o t s c t io u on the ab
mentioneEpr perty r inspection purposes.
�te� ignature (Applicant or Agent / . `
4 Qum&
VOICE (760) 777-7125
78-495 CALLE.TAMPICO
D
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS
(760) 777-7153
BUILDING PERMIT
Date: 10/20/2014
Application Number: BPLB2014-1028
Owner:
Property Address: 55245 RIVIERA UNIT F-43
HENRY ANDERSON
APN: 775153027
1021 EAST CARTM ILL AVE.
Application Description: GAS LINE FOR FIRE PIT
TULARE, CA 93274
� z
Property Zoning:
Application Valuation: $6,000.00.
-c o
rz
o
Applicant:
Contractor:
o
BOB EDWARDS CONSTRUCTION, INC.
BOB EDWARDS CONSTRUCTION, IN
51455 DESERT CLUB
51455 DESERT CLUB
U v
LA QUINTA, CA 92253
LA QUINTA, CA 92253
C�
Llc. No.:
LICENSED CONTR C ATI N)
I hereby affirm under penalty of perjurythat I a I ceri ed u der provisio hof Chapter
9 {commencing w'th Section 7000} of Division 3 f he usin ss and Prof ssions Code,
and my Lic nse isf full force and effect
Lic se Cl s: Li rise No.: / /�
Date: 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
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:
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: _ Policy Number: _
I certify that in the performance of the Abc
w is this permit is issued, I
shall not employ any person in any manner so a ome u jest to the workers'
compensgtion�aws of California, and agree thaatf Id o7ne subject to the
workers' om ensation provisions of Se ion 37 l b r/Cpde, I shall forthwith
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 per rt? or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state tha the ov' for a on is correct.
I agree to comply with all city and county ordinances he
t tella s r ati g to build'
construct" n, nd hereby authorize representatives o t s c t io u on the ab
mentioneEpr perty r inspection purposes.
�te� ignature (Applicant or Agent / . `
FINANCIAL • l
=� QTYy'� AMOUNT PAID uF PAID DATE.
,DESCRIPTION;,ACCOUNTv,
BSAS SB1473 FEE 101-0000-20306
0 $1.00 $0.00
L
1 n'? £ ''PAID. BY £;: `' „' METHOD
r RECEIPT # q `i f �`. CHECK # I? CCTD BY
rrs
Total Paid forBU1LDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION zs
, a '
QTY"
AMOUNT,`
gid' 'PAID
PAID BATE
r.
_terACCOUNTk
,
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
-PAID BY ` k
»t -- ' METHOD
I � �a ";RECEIPT #
CHECK
c
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
'DESCRIPTION4y
<' *„ `:
:�a. ACCOUNT ^
,QTY
"'AMOUNT"',
ti PAID
'.PAID DATE,
y
,;
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
1` f' RECEIPT #
CHECK #
'CLTD BY,"
:
r _g
;DESCRIPTION s`
3a F ,`
£QTY<
'_
r ''
PAID DATE
,'$`ACCOUNT
0. "AMOUNT c
.t 'PAID
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
$0.00
PAID BY ,
g :
of. °3'":RECEIPT #
CHECK #
CLTD BY.
F"WETHOD
Total Paid forPLUMBING FEES: $36.26 $0.00
TOTALS:00
Rev. #
`tion
Description
Da to&D
GENERAL INFORMATION
P
Job # BE -2014.01
ANDERSON RESIDENCE
OWNER.
Rs - 0 E
U c
c._
(D
c� o
O N C
— o
E FL 'v ca r�
N d'
O'
-24 RIVIERA
S55
J
N
E a
E � ,
E_� td
O 2
O N Q
�lY co U �t
cn c
06 O �v arn
- -
06
UI NTA A 92253
LA Q C
y N
CO v
' co •
C C O =
Oo U
U
Now
F�•� d
, N 'v
O E
a Q
LEGAL ,
DESCRIPTION: LOT NO. F-43, TRACT NO. 21381
DESCR
cl)4
M
CLO
E N
APN: 775-153-011
N
r.cu Au
tU
Q nn'' M
PROJECT 55-245 RIVIERA
s..
o ttf to
N12 ti
ti
._ d'
N d
0 ; t6 z
ADDRESS. LA U INTA CA 92253
Q ` ,
LO Q
V�Lo
cl)S._
0
W
.ZONING: LDR
^L
L
OCCUPANCY.. SINGLE FAMILY
o.
NJ
TYPE V -B NON -RATED
ui
NOTES:
CD
Z Z
O
ATION:
- IRRIGATION:
ZwO�
JZOto�WQ
D LuLLJ Lu QQ�
���
QZv0.¢�-oQ0..LL
Q V 0Lu
ITH EXISTING SYSTEM IN PLACE.
' CONSISTENT ISTENT W
Z 0 Lu
(1) >Q Xw(nnaU)0
� cn
x
0
E '
REMOVE AND ADD HEADS WHERE NEEDED. ONE
Sheet
Al 0
BUBBLER PER PLANT(OR MORE FOR PALMS).
LANDSCAPING:
LARGE MEDITERRANEATTPALMS TO
. NEW ACCENT LANDSCAPING
'REMAIN IN PLANTER. E
TO MATCH FRONT YARD AND COURTYARD WITH
FIENDLYDESERT
THE EMPHASIS ON FR
`PLANT MATERIAL:
RED YUCCA 5 GAL.
CROWN THORNS 5 GAL.
C ARRISSA BOXWOOD BEAUTY 5 GAL.
PIGMIR DATE PALM 10 GAL.
FIREPIT:
N RIVER ROCK COVER AT PLANTER
FRONT OF RESIDENCE
TOMATCH ' E IN O
- E SITE PLAN
NEW FIREPIT WITH NEW GAS LINE SEE
N PORTABLE HEATERIN)_
_
SHUT-OFF
FIREPIT S
40 000 BTU/H
VE SA - CERTIFIED
VALVE C
LIGHTING:
- LENGTH.1
2 0 GASI
Z21.15CSA9
N ERHOMEOWNERS
E PLAT
O
ADD T O EXISTING SYSTEM. ADD
OUTLET B
OU
37 CFH
NDA RD
LOW VOLTAGE BULLET HEAD PATHWAY LIGHTS TO
(E)PLANTER
MATCH FRONT YARD AND COURTYARD.
N .
1
r
— -0u
(E)PLANTER
I
1
u r 1
N 1 1 /4
N 1 ,
VERT ,
,,
N 1 1/4 ,1
{)
1
t
1
1
1 i
E CASITA
EXISTING CONC
1(N)
1 ,
E DECK
1
I
11 `
N PORTABLE HEATER
E) CON C 1
1 {
ASITA
E C
GARAGE E
DRIVEWAY
:PLANT LEGEND
1
1
40 000 BTU/H
1' WALKWAY
1
1
,„ LENGTH
10 0 GAS LENG
Li
I` 1
YUCCA
L. RED UC
5 GA E
+11-411
,k
T
OUTLE C 1
t
37 C FH 1
o
10 GAL PIGMIR DATE PALM
-1
NI1'
-
t1
ERE
E P LANT
PLALATER1
3_
,
E POOL
111
EPLANTER
EPA
5 GAL. CROW N THORNS
(N) FIREPIT SHUT-OFF
1+-
(E)PLANTER
5 GAL. CARRISSA BOXWOOD
VALVE CSA _ CERTIFIED!
N 81_9 WIDE x 2_8 LONG
(E)PLANTER
BEAUTY
ANSI Z21.1 C A9.1
1
1
` BOULDER WITH 2 3_0
LEMENTS
LINEAR FIRE E
o(
E)CONC
Y
1 WALKWA1
I { )CONC
WALKWAY
BRAN EAN PA
MEDITERRANEAN
f
LMS TOSTANDARD
{ )
inn a _9Inn
�
SID BY
0%/. ucnoru cunni irrc
_o
I
iM of enrrGa
REMAIN
Rev. #
`tion
Description
Da to&D
Job # BE -2014.01
Rs - 0 E
U c
c._
(D
c� o
O N C
— o
E FL 'v ca r�
N d'
O'
Lon
J
N
E a
E � ,
E_� td
O 2
O N Q
�lY co U �t
cn c
06 O �v arn
- -
06
v
—U — c� ,
ca , v" a�
r s •L7
y N
CO v
' co •
C C O =
Oo U
U
Now
F�•� d
, N 'v
O E
a Q
cl)4
M
CLO
E N
N
r.cu Au
tU
Q nn'' M
LO
E w ._ T
s..
o ttf to
N12 ti
ti
._ d'
N d
0 ; t6 z
LO Q
V�Lo
cl)S._
0
W
Q.
cu
^L
o.
NJ
ui
CD
Z Z
O
ui m W C
O.QC O O 0 Q WZ, O� Z
ZwO�
JZOto�WQ
D LuLLJ Lu QQ�
���
QZv0.¢�-oQ0..LL
Q V 0Lu
Z 0 Lu
(1) >Q Xw(nnaU)0
� cn
x
0
Date: 10/16/2014
Sheet
Al 0
Description: GAS LINE FOR FIRE PIT
Type: PLUMBING
Subtype: Status: APPROVED
Applied: 10/20/2014 KHE
Approved: 10/20/2014 KHE
Parcel No: 775153027 Site Address: 55245 RIVIERA UNIT F-43 ,CA
Subdivision: TR 21381-2 CM 064/031 CM 067/001 Block: Lot: 4
Issued:
Lot Scl Ft: 0
Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $6,000.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
51455 DESERT CLUB
Details: APPROXIMATELY 225 L.F. OF 11/4" GAS LINE TO SUPPLY FIRE PIT. - HEARTH PRODUCTS ITEM #MLFPK36-TRGH-LP. 130,000BTU
ADDITIONAL SITES
Printed: Monday, October 20, 2014 4:22:28 PM 1 of 2
SYS7EHIS
. .... .....
CONDITIONS
�NAME�TYPE
- NAME ;
kADDRESSl - .�
CONTACTS
CITY k ;
_STATE
ZIP r
PHONE
FAX EMAIL
APPLICANT
BOB EDWARDS CONSTRUCTION, INC.-
51455 DESERT CLUB
LA QUINTA
CA
92253
(760)777-8202
CONTRACTOR
BOB EDWARDS CONSTRUCTION, INC.
51455 DESERT CLUB
LA QUINTA
CA
92253
(760)777-8202
OWNER
HENRY ANDERSON
1021 EAST CARTMILL
AVE.
TULARE
CA
93274
(760)777-8202
Printed: Monday, October 20, 2014 4:22:28 PM 1 of 2
SYS7EHIS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR ; SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
PLUMBING FINAL**
PARENT PROJECTS
REVIEWS
RETURNED STATUS REMARKS
REVIEW TYPE REVIEWER SENT DATE DUE DATE NOTES
DATE
BOND
INFORMATION
-
-
CLTD
-: DESCRIPTION
ACCOUNT
_
QTY
AMOUNT :.
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY:
BY
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$0.00
OUTLETS PC
Total Paid for PLUMBING FEES: $36.26 $0.00
TOTALS:• 00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR ; SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
PLUMBING FINAL**
PARENT PROJECTS
REVIEWS
RETURNED STATUS REMARKS
REVIEW TYPE REVIEWER SENT DATE DUE DATE NOTES
DATE
Printed: Monday, October 20, 2014 4:22:28 PM 2 of 2 rsysTEMs
BOND
INFORMATION
ATTACH
M E NTS
Printed: Monday, October 20, 2014 4:22:28 PM 2 of 2 rsysTEMs
;, .
Bin #e,.. 7.
Permit #
Project Address: G S — Z445
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Applicitiop and Tracking Sheet
V (�A, Owner's Name:
A. P. Number: '77 - 163 _ ,D l
Address: 5�,—ZgW U�
Legal. Descrip ' n: I
nCity,
ST, Zip:
Co r o
Contractor:
L
'Telephone: ne:
o Z2 d `7 � �
%<
Address: 6i 464
Project. Description:
City, ST, Zip:
UC%%��
Telephone: 2
State Lie. #: (O
City Lie. #•:
Arch., Engr., Designer:
Address: � \ VS',4'
"
City., ST, Zip: N-("
Telephone:hone: Q
l 4-6 T04
Occupancy:
Construction Type: aneY•
to #
S to Lie.
Pro'ect type(circle one • New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person:
Estimated Value of.Project: D�D
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
Ay
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'`" Review, ready for correctionsAssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees