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13-0493 (PLBG)P.O. BOX 1504 —— 78-495 CALLE TAMPICO i'. LA QUINTA, CALIFORNIA 92253 s Application Number: 13-00000493 Property Address: 79.993"RIVIERA APN: 7.6212=0-'002- - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 750 Applicant: Tiluf 4.14 a" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 —' FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: JULIAN TONY 79993 RIVIERA LA QUINTA, CA 92253 (760)771-4505 Contractor: A R K PLUMBING 49901 CALLE EL SOL COACHELLA, CA 92236 (760)200-7586 Lic. No.: 921951 Date: 4/19/13 APR .2' ? 2013 CI...NAY-OF A,,4LlINTA t • -————————————————————————————————————————————--— LICENSED CONTRACTOR'S DECLARATION —— ———---————————-————————————————————————————————— WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with 1 hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C36 License No.: 921951 eI,,t1 GG �7 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �,y+'_I4 J ,Contractor. t_ 1 _ 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State 'License Law for the Carrier EXEMPT Policy Number EXEMPT following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that,in the performance of the work for which this permit is issued, I shall not employ any - construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9.(commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, shall "? rthwiy comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by J / ' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500).: With their sole compensation, will do the work, and C Date: �( ' �� Applicant: 11 u� —�� (_ I I, as owner of the property, or my employees wages as the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The —WARNING: FAILURE T'O-SECURE WORKERJ COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work'himself or herself through his or her own employees, provided that the DOLLARS (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If however the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). l- 1 I am exempt under Sec. , BAP.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: LQPEPMIT 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 9f 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 county to enter upon the above-mentioned property or ins c ' purposes. parte:-LI �—jSignatu e (Apppli+ccant or Agent): --,> � - ` . w LQPERMIT Application Number . . . . . 13-00000493 - Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 18.00 Plan Check Fee 4.50 Issue•Date . . . . Valuation . . . . 0 Expiration Date 10/16/13 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 RUN P.I.PIPE (YELLOW) UNDERFROUND FROM 3/4 STUB OUT TO NEW FIREPIT 2010 CODES- APPROXIMENTLY 32 LN FT APPROVED PER B.H. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB147.3) 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 \\j �. �. (t VA , �� , UF LAQUINT-A BUILDING & SAFEIY D�E-F'T. APPROVED FOR CONS TRUCTIO DATE yflg-1 BY I 0 - 9.. d Isi �_�o 0 - eirr.# City of La Quinta Bullding U Safety Division P.O. Box 1504,78495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # —�� Project Address: ��_ Owner'sName:.QN7t A. P. Number. Addttiss: q� Evtu, Legal Description: Contractor. Q 1 , City, ST, Zip: t V i wiriq t Telephone Address: q P— F 1 Project Description: �� 1V j .Z �� neUA� City. ST, Zip: Q Q 1 e jlJ Iw r k 3 c— 4 U Telephone: 6 -ISK-It_ �`• �%P Q 3�t State Lie. # : 9 City Lir- #; Arch., Engr., Designer. Address: City., ST. Zip: Telephone: State Lic. #: Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Ft.; # Stories: # Units; Name of Contact Person:Sq. Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Pian Check submitted Item Amount Structural Cities. Reviewed, ready for corrections Plan Check Deposit. . 'mss Cates. Called Contact Person Platt Check Balance Tule 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan V Review, ready for correctionskssue Electrical Subcoutactor List Called Contact Person Plumbing Grant Deed Plans picked up ML H.O.A. Approval Plans resubmitted Gradlug IN HOUSE:- Review, ready for eorreetionslissae Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees