BRES2016-0302LICENSED 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: C53 License No.: 837648
Date: /O Contractor:f
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
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificateof consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
f the ork or hich this permit is issued.
and will maintain workers' co:enpensation insurance, as required by
Se cti 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: EXEMPT Policy Number: _
I certify that in the performance of be 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 3 X00 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 1/0 %' 6 Applicant: �—
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,00[.). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FORIN 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 appliotion 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 applicztion 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 cancell etion.
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 ordirsnces and state laws relating to building
construction, and hereby authorize representatves of this city to enter upon the
above-mentioned property for inspection purposes. _ /7
Date:0— / 9 - /�Signature (Applicant or Agent)
Twit 4 Q91A&
VOICE (760) 777-7125
78-495 CALLE TAMPICO
D
FAX (760) 777-7011
t) LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS
(760) 777-7153
BUILDING PERMIT
Date: 10/19/2016
Application Number: BRES2016-0302
Owner:
Property Address: 56065 RIVIERA
JOSEPH M MCKENNA /
DIANE M MCKENNA
APN: 762021015
3160 JOANNE CIRC
---
Application Description: MCKENNA / GAS LINE FOR
BBQ AND FIRE PIT, ELECTRIC FOR BBQ
PLEASANTON, CA 3458
Property Zoning:
Application Valuation: $1,800.00
z o
O
0
Applicant:
Contractor:
4ft ,0 a
TRIDON POOL AND SPA CONSTRUCTION INC
TRIDON POOL AND SP
CO TRUC'T10N I
48869 PARADISE AVENUE
48869 PARADISE EVEN
v
MORONGO VALLEY, CA 92256
MORONGO VALLEY, C
9225 z
(760)363-7900
Llc. No.: 837648
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: C53 License No.: 837648
Date: /O Contractor:f
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
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificateof consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
f the ork or hich this permit is issued.
and will maintain workers' co:enpensation insurance, as required by
Se cti 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: EXEMPT Policy Number: _
I certify that in the performance of be 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 3 X00 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 1/0 %' 6 Applicant: �—
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,00[.). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FORIN 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 appliotion 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 applicztion 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 cancell etion.
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 ordirsnces and state laws relating to building
construction, and hereby authorize representatves of this city to enter upon the
above-mentioned property for inspection purposes. _ /7
Date:0— / 9 - /�Signature (Applicant or Agent)
Date: 10/19/2016
.Application Number: BRES2016-0302 Owner:
Property Address: 56065 RIVIERA JOSEPH M MCKENNA / DIANE M MCKENNA
APN: 762021015 3160 JOANNE CIR
Application Description: MCKENNA/GAS LINE FOR BBQAND FIRE PIT, ELECTRIC FOR BBQ PLEASANTON, CA 34588
Property Zoning:
Application Valuation: $1,800.00
Applicant: Contractor:
TRIDON POOL AND SPA CONSTRUCTION INC TRIDON POOL AND SPA CONSTRUCTION INC
48869 PARADISE AVENUE 48869 PARADISE A. -VENUE
MORONGO VALLEY, CA 92256 MORONGO VALLEY, CA 92256
(760)363-7900
Llc. No.: 837648
---------------------------------------------------------------------------------------------
Detail: GAS AND ELECTIC FOR BBQ AND FIRE PIT. 2013 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$25.33
Total Paid for ELECTFUCAL: $50.66 .
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0 .
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
aTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$25.33
Total Paid for PLUMBING FEES: $38.00
DESCRIPTION
ACCOUNT
ZtTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50
DESCRIPTION
ACCOUNT
ZtTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMEN— FEE: $5.00
Bin# { �A � L a 7 �( (y
�C [.y Gf Q(' �! 1 to
Building 8F Safety Division
Permit;, , 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Ir� Building Permit Application and Tracking Sheet
'Project Address: �� G (� S U 1,52 Owner's Name:
A. P. Number:
Address: -6 D
Legal Description:
City, ST, Zip:
``
Contractor: 1-72-, o
� N n S
T ele P honc : �
Address:
L�
Project Description:
_City, ST, Zip: i✓�
�%�i ZZC��.
�/.I�� /r
Telephone 6� 8.
�CGam,
State Lic.
City Lic. #.
Arch., Engr., Designer: p
Address:
City, ST, Zip:
h
Telephone:
one:
siucti n TY ecu 2tcY
Pe:Con O :
,
State#: Lic.
.
Project type circle ne • New Add'n Alter_ Repair. Dcmo
o
Name of Contact Person: D lc�lj
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
D
Estimated Value of Project: 2-
APPLICANT: DO NOT WRITE BELOW THIS LINE
'#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount _ ..
Structural Cafes.
F
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 Deed
Plans picked 'up
S.M.T.
I-I.O.A. Approval.
Plans resubmitted
Grading
IN ROUSE:-
Jrd Reyiew, 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
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# . RESIDENCE; JOE & DIANE MCKENNA
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w LA QUINTA, CA. 92.253
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56065 RIVIERA DR.
w LA QUINTA, CA. 92.253
' # 925-487-9377.
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' . TRIDON POOL AND SPA
x +
CONSTRUCTION INC.
i 48869 PARADISE AVE.
MORONGO VALLEY, CA. 92256 '
P/L OFF/FAX 760-363-7900
a I 1 • tk
1
EXISTING ;
POOL
EQUIP
.' GARAGE DRIVEWAY ,
,
GAS •' • .• '•
ELEC ,
S� � STREET STREET • � .
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# . RESIDENCE; JOE & DIANE MCKENNA
56065 RIVIERA DR.
w LA QUINTA, CA. 92.253
' # 925-487-9377.
11,10 .
t SCALE 1/8" = V
• i •.'•' •', i �i, .. ', a ''' `�'"k . a • 't -.a'- •'�, '# ,r - .. ,
' - P/L
4
41
• r i 'DESIGN BY,' r
' . TRIDON POOL AND SPA
x +
CONSTRUCTION INC.
i 48869 PARADISE AVE.
MORONGO VALLEY, CA. 92256 '
P/L OFF/FAX 760-363-7900
a I 1 • tk
1
EXISTING ;
POOL
EQUIP
.' GARAGE DRIVEWAY ,
,
GAS •' • .• '•
ELEC ,
S� � STREET STREET • � .