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BRES2015-028977581 Los Arboles Dr BRES2015-0289 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 d T4tr4lw4" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2015-0289 Property Address: 77581, LOS ARBOLES APN: 658260040 Application Description: REMODEL NEW FREE STANDING FIREPLACE & GAS LINE Property Zoning: Application Valuation: $6,500.00 Applicant: DESERT OUTDOORS INC 78-065 MAIN STREET STE 205 LA QUINTA, CA 92253 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am lice under provisions of Chapter 9 {commencing with Section 7000) of Division 3 oIth sinessand Professions Code, and my License is in full force and effect. ///License Class: C27. C53 License No.: 96447 Date: D .7' Co OWNE BUILDER D CLARATION I hereby affirm underpenalty of p rjury that I m exempt from the Contractor's State License Law for the following reaLn(Sec.70 .5, Business and Professions Code: Any city or county that requires a perons uct, alter, improve, demolish, or repair any structure, prior to its issuance ires the applicant for the permit to file a signed statement that he or she ie 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 0 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: 1 Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: MICHEAL PERRY 77531 LOS ARBOLES LA QUINTA, CA 92253 Contractor: DESERT OUTDOORS INC 78-065 MAIN STREET STE LA QUINTA, CA 92253 (760)399-9600 Llc. No.: 964474 Date: 7/28/2015 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 wfoo hich this permit is issued. work 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 performanceof the wor which this permit is issued, I shall not employ any person in any manner so as to ecom sub' ct to the workers' compensation laws of California, and agree that, if I houl be a subject to the workers' compensation provisions of Section 3700 f th• a Code, I shall forthwith comply with those provisions. Date: Ci 3 Appli nt: WARNING: FAILURE TO SECURE ORKERS' COtIPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY R TO CRIMIqAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL RS ($100,0 0). IN ADDITION TO THE COST OF ' COMPENSATION, DAMAGES AS PR IDED R 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 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 Jorm do correct. I agree to comply with all city and county ordinances and state larela i o building construction, and hereby authorize representatives ofthis city toter the above• mentioned property for inspection purposes. Date: I Signature (Applicant or Agen FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY . AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY; AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $48.34 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIREPLACE 101-0000-42400 0 $145.03 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIREPLACE PC 101-0000-42600 0 $217.55 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paicjfor FIREPLACE: $362.58 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $36.26 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $0.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMt $0.85 $0.00 TOTALS:0.00 Description: REMODEL NEW FREE STANDING FIREPLACE & GAS LINE Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED Applied: 7/28/2015 PJU FAMILY DETACHED ` Approved: 7/28/2015 AZA Parcel No.'658260040 Site Address: 77581 LOS ARBOLES LA QUINTA,CA 92253 Subdivision: TR 14496-1 & INT IN COMMON AREAS Block: Lot: 106 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $6,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: NEW FREE STANDING FIREPLACE GAS LINE ELECTRICAL 2013 CALIFORNIA BUILDING CODES.APPROVED PER KK. ADDITIONALSITIES CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY , STATE ZIP PHONE FAX EMAIL APPLICANT DESERT OUTDOORS INC 78-065 MAIN STREET STE 205 LA QUINTA CA 92253 (760)399-9600 CONTRACTOR DESERT OUTDOORS INC 78-065 MAIN STREET STE 205 LA QUINTA CA 92253 (760)399-9600 OWNER MICHEAL PERRY 77531 LOS ARBOLES I LA QUINTA I CA 1 92253 1 (760)399-9600 Printed: Tuesday, July 28, 2015 1:39:26 PM 1 of 3 RSYSTEMS Permit Deta'ils City of Ly 571 Quinta PERMIT NUMBER BRES201-1 p289 Printed: Tuesday, July 28, 2015 1:39:26 PM 2 of 3 COWYSTEMS ACCOUNT T- QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY LTDDESCRIPTION BY BSAS 561473 FEE 1 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 Total Paid forELECTRICAL: $48.34 $0.00 FIREPLACE 101-0000-42400 0 $145.03 $0.00 FIREPLACE PC 101-0000-42600 0 $217.55 $0.00 Total Paid for FIREPLACE: $362.58 $0.00 GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $0.00 Total Paid for PLUMBING FEES: $36.26 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $0.85 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.85 $0.00 OAL :4 ""$449.03 $0.00 Printed: Tuesday, July 28, 2015 1:39:26 PM 2 of 3 COWYSTEMS NON-STl K URAL - I KIR IRK 17/28/2015 I 8/4/2015 I 7/28/2015 I APPROVED I I KIRK APPROVED PLANS - PER ANGELICA Printed: Tuesday, July 28, 2015 1:39:26 PM 3 of 3 CRWYSTEMS 3K"5 a015 NO Bin # penult #• PMjoct Address: A. P. Number. Legal Description. Contractor: TF—CJM-T Qu Address: 7$y(o5 M A City, ST, Zip: L V Telephone: . 3CtLbp J State Lia # : Ars., Engr., Designer. `. \t•` Address: Clty, ST, Zip: Tele hone• 110, City of La Quinta BUMS 8t Safety Division P.O Box 1504,'7B-495 Calle Tampico La.Quinta, CA 92233 - (760) 777-7012 Building Permit Application and Tracking Sheet Owner's Name: M 1 C41 7 z Address: City, ST, Zip' L' 1 eJn Telell phone• . !(v0. _!S -M 2rO:; [ Project Description: Lia #, p Constntcdon Type: Occ'upancy: Project type (Circle one): Now Add'n Alter Repair Demo Name of Contact Person: Sq. Ft: #Stories: # Unitp: Telephone # of Contac Person: Esthnabed Value of Project N Submittal Regsd - - Ree'd - - .- 11 wnn c DCL%PW { M10 LAVE TRACING . PERM FEES Plan sets Plan Cheek submitted hem Amount Structural Cafes Reviewed, ready for corrections Pian Chcck Deposit Truss Cates. Called Contact Person Pbta Cheep Balance. Title 24 Calcs. Plans peeked up Construction Flood plain plan Plans resubmitted Mechariicai Grading plan Z'' Rmitw, MMy for oorrec"netlssue Electrical Subcontactor List Called Contact Person Yiumbing Grant Deed Plans picked up S.M.I, ILOA Approval Plans resubmitted Grading W HOUSE:- Planolog Approval 30 Review, ready for cormtionsAssve Called Contact Person Developer Lgpaet Fee AXPY. Pub. Wks. Appr Date of permit issue School Fees LToul Permit Bees W N vm O ------------ MEN----- tik V+ N 0000 a a m 6!( m S Sbb cn 4 I ClEIVERECEIVED JUL 2 4 2015 JUL 2 4 2015 OF LA QUINTA F QUINTA ITY DEVELCOMMUNITY DEVELOPMENT ------------ MEN----- /Ii■i■;pr1■ 1 ► • e ------------ MEN----- /Ii■i■;pr1■ 1 ► • MEMOS 114011 /■I!1JLLZ% 'fir i - /■■■■ ` • I • • I iii// PERRY RESIDENCE 3 MW '' 77581 LOS ARBOLES QUINTA,LA . .. ...