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PLBG (09-1035)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-000.01035 Property Address: 79806 MISSION DR E APN: 649 -750 -019 - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1 1700 Applicant: T419� " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: r Owner: DONALD GOODMAN 79806 MISSION DRIVE EAST LA QUINTA, CA 92253 --------------------------------------------------- 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 Professionals Code, and my License is in full force and effect. aClas _ S License No.: 746329 tej� am�IA OWNER-BUILDE�DEC 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).: 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 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 issoldwithin 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, 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 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: LQPERMIT Contractor: A & J PLUMBING 68470 DESCANSO CIRCLE CATHEDRAL CITY, CA 92234 (760)322-9145 Lic. No.: 746329 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/25/09 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one ofthe 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 STATE FUND Policy Number 1422605-2009 I certify that, in the performance of the 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 c33700 of the Labor Code, I hall forthwith comply with those provisions. WARNING: FAILRE 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 Ouinta, 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 an ounty ordinances and state laws relating to building construction, and hereby authorize representatives of s qounty to enter upo the above-mentioned�prro`peerrtyy ffoo-r �iinsspe�ction urposes. t Date: JNtft_gnature (Applicant or Agerrsl:Y�'"t✓� Application Number . . . . . 09-00001035 Permit . . . PLUMBING Additional desc . Permit Fee . . . 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation 0 Expiration Date 3/24/10 - 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 EXTEND GAS LINE 1" 75 L.F. TO SUPPLY NEW BBQ & 3/4" TO FEED NEW FIREPIT. 2007 CODES Other Fees BLDG STDS.ADMIN (SB1473) 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. LQPERMIT - ' �� k � - ��> of �'•• ��.� Y �'(` y'.j+ _ . z I � _ _ ' ; TSP .ti��'��+--_-•� ��. e 41 �i R > yam,,.. ..,.__]+mss .. �•s3�""`i ;l PA 73 0 • � . � ; ---- -tea.. � a i .. � .�� '. ... .� �� .� fay '. .•yf ' I t . ••.arc i,� C - ' ar N DEPT. r n -V'` OVED 1 -UH CONSTRUCTION4, �. t. � � i{:.S �'" ;c9 �' � d Lam, � 3 ��` ,. f •�0.3 r "'Wo "1, - I'`ANCHO LA QUINTA MASTER ASS.00IATION' t" Architectural,Control_Committee . f September 25.,.2009 -. 'Mr. Donald Goodman 79=806 Mission Drive East La Quinta,,'CA92253 Re: 79-806 Mission.'Drive East ' _ Approval.of Submission' The Architectural 'Committee reviewedyour submission for an addition of a= Bar BQ, island, fire -pit, stub outs for portable heaters and patio furniture. The. submission as presented' is approved upon condition.of.-., ,The Committee requires the following:" All work 'is'to be done -in accordance .with all app licable_requirements of ' governmental entities, including the City of La".Quinta and in ' accordance with -all. Homeowners,Association architectural guidelines and governing"documents. " A City°of.La Quinta building permit to be'obtained. bnd copy furnished _ to the Association,prior-to commencement of- work • No access from the Golf Course' may be used.-, •. The Portable heater stub out. shown on the plan closest to the, - - property line at:the Golf Course is not permitted All fixtures to be at least 25.feet. back from property line Onlystub out`by Bar -B- Q is Permitted.. When the work has-been finished, please return the "Notice^of Completion' Form" to " the, Association O'ffiee. The Association'sarchitectural-consultant will perform a final inspection after receipt of such notice;' when verification of the approved'plan modifications have been concluded; your Security:Deposit will :6e p.rocessed. for j refund. s - Thanking you in advance and.if`any' questions°please do not hesitate to call I I f114—i" me at the n -site. office 777.8807. Since Y, \ Mary E: W e,r, C, CA Generai Manager ,'Kancho La Quinta',MasterAsso.ciation 760.777.8807• fax, 760.777,.8961 Email mwalker(@drrninterne't.com cc: Architectural Comm. ' ' 79-285,WANCHo LA QUINTX DR.- • L, QUINrt,V,'CA 92253 . 760=777-8807 FAX 760-777-8961" MAILING: P.O. Box 6419' LA QUINTA-, CA 92248-6419 " Bin # City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) e Building Permit Application and Tracking ckin Sheet Permit # Dai \O Project Address: q Owner's Name: 1 A. P. Number: Address: ( i� Legal Description: City, ST, Zip: 1 n3 Contractor: is + T �1 m hone.• Telephone: Address: �O� GZ Project Description: City, ST, Zip ' It Tele hon e' . P a uq/ — 'G State Lic. # ciry Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: ne: h TeleP o Construction s coon TY e: Occupancy: P P c . State Lic. Project 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: 1 QQ . 0 p APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted 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 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