14-0022 (PLBG)--44,
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 14-00000022
Property Address: 56040 RIVIERA
APNc 762-021=003-- - -
Application description: PLUMBING
Property Zoning: LOW DENSITY RESIDENTIAL
_Application valuation: - 6500
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/07/14
Owner:
CHRIS COHICK
56040 RI-VIERA
LA QUINTA, CA 92253
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 Licensees i full force and effect.
Lippenlass: C53 / License 837648
Date:/—_7—/�,_, 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 thathe orshe 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 offeredfor 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.).
(_ 1 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
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:
LQPERAIIT
Contractor: D
TRIDON POOL & SPA CON CTION
48869 PARADISE AVENUE JAN 0 7 2014
MORONGO VALLEY, CA 92211
(760)363-7900
Lic. No.: 837648 CITY OF LA 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
ssued:
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 EX MIST Policy Number EXEMPT
I certify that, in the performance of the work for which this permit is issued, 1 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
W ,/_ i 37000 of the Lab ode, I shall forthwith comply.with those pr sions.
Date: / _ r — l1 / 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 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, 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 co y to enter upon the above-mentioned property for inspe ioZses.
Date:
Signat re (Applicant or Agent): J
LQPERMiT
Application Number . . . . . 14-00000022
Permit . . . ELECTRICAL 2013
Additional desc .
Permit Fee . . . . 23.83 Plan Check Fee
.00
Issue Date . . . . Valuation
0
Expiration Date 7/06/14
Qty bin t -Charge `Per
Extension
1.00 23.8300 LS ELEC DEVICES, FIRST 20
----------------------------------------------------------------------------
23.83
Permit PLUMBING 2013
Additional desc .
Permit Fee 1-1.92 Plan Check .Fee
00
Issue Date . . . Valuation . . .
. 0
Expiration Date 7/06/14
Qty 'Unit Charge Per
Extension
1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS
11.92
----------------------------------------------------------------------------
Special'Notes and Comments
PLUMBING - 50 L.F. OF 1 1/2 INCH POLY
GAS LINE AND ELECTRICAL TO BAR-B-QUE
ISLAND. 2010 CALIFORNIA BUILDING CODES.
---------------------------------7--------------7---------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, ELECTRICAL
23.83
PERMIT ISSUANCE M/P/E
90.57
PLAN CHECK, PLUMBING
23.83
Fee summary Charged Paid. Credited
-------------------------------------
Due
--------------------
Permit-Fee Total 35.75 .00 .00
35.75
Plan Check Total .00 00 .00
.00
Other'Fee'Total� 139.23 .00 '00
139.23
Grand Total 174.98 .00 .00
174.98
Bin #
Qty of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application -and Tracking Sheet
Per if
Project Address: -5 p o t �� LC D,V
Owner's Name: Co
A. P. Number:
Address:
Legal Description:
City, ST, Zip: (�
Contractor: / 12-. f 0 s,JJ /, S /? d
CA.
Telephone:
Address:`
Project Description:
City, ST, Zip: /2 ,,J Gp VC
�c� e
Telephone:
State Lic. #: 4C,_<2—. g 3 7 L/
City Lic. #..
Arch., Engr., Designer:
Address:
City, ST, Zip:
;,.>::•
Telephone: ``:#::> .<>;<:::::>.>.<: >:::: ;".:;; :>::;; ;#:?; : r.
0.
State Lic. # ... .............................
Name of Contact Person:
Construction Type: Ocaipancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone. #,of Contact Person:
P
Estimated Value of Project: Q J�
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
TERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check ID -posit
Truss Calcs.
Called Contact Person
Plan Check B dance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
21d Review, ready for corrections/issue
Electrical
-
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person •
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
f)
P/L
TRIDON POOL AND SPA y
CONSTRUCTION INC.
48869 PARADISE AVE.
MORONG VALLEY, CA. 92256
OFF/FAX 7607363-7900
GOLF COURSE
P/L
EXISTING POOL SPA 6
S'0
NEW FIRE PIT/BBQ LOCATION
PATIO
PATIO
14'10
GRASS
AREA
PATIO
PATIO
D
PATIO
P/L//�11 18'8
12'3
T-10'6
3'9
3'3
I
. PATIO
65 7'0
PATIO
10'6
PLANTER)
CHRIS COHICK
10'6 56040 RIVIERA DR.
LA QUINTA, CA.
310-951-3412
5 6'6
PATIO
14'6
SCALE 1/8" = V
� ir
CITE( OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVE®
FOR CO/N`STRUCTION
DAT ! "7 BY