BPLB2015-002978-495 CALLE TAMPICO Ct 0 D �i4.NifCl/
LA QUINTA, CALIFORNIA 9225 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPLB2015-0029
Property Address: 56465 MOUNTAIN VIEW
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
J L GONZALEZ COMPANY
54900 SOUTHERN HILLS
LA QUINTA, CA 92253
762420002
PGA/RICARDI/40LF GAS LINE FOR FIRE PIT
$3,000.00
LICENSED CONTRACTOR'S -DECLARATION
-I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B License No.: 773900
2
Date: 2 r S Contractor:,,
OWNER -B ER 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 of 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.).
(.II 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
RALPH RICCARDI
961 CORDOVA DR
CHULA VISTA, CA 92253
Contractor:
J L GONZALEZ COMPANY
.54900 SOUTHERN HILLS
LA QUINTA, CA 92253
(760)464-818.0
Llc. No.: 773900
Date: 2/23/2015
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WORKER'S COMPENSATION DECLARATION
Lhereby 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 Section 3700 of the Labor Code, for the performance
o rk for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3)00 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: _ Polity Number:
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 3700 of the bor Code, I shall forthwith
comply with those prggisions.
Date: Z Z �s Applicafit:
WARNING: FAILURE TO SECU ' 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 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 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 city toe er upon the above•
mentioned property for inspection purposes.
Dat Signature•(Applicant or Ag nt
FINANCIAL INFORMATION
r� DESCRIF;TION� t fy. ACCOUNT p: QTY, AMOUNT
�F� "cPAID �XPAID:DATE
BSAS SB1473 FEE 101-0000-20306
0 $1.00
$0.00
_
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CHECK # CLTD BY,
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Total Paid forBUILDING�+STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION � �
.:f � ±° ACCOUNT �E
;:QTY g
€ .., .�
AMOUNT
�� s 1 .
PAID e,
;- PAID DATE:;
PERMIT ISSUANCE
101-0000-42404
0
$91.85
'$0.00
Z•( Q Say, 5 Y' ''s #.y 6
PAID BY $ H k ,
4 i _e y Y f 'P O'er{'
+ 1 METHOD s r
;RECEIPT # R 3
p”, 2
CHECK #�?
CLTD BY
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
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AMUNT
PAID
��1PADDATE`DESCRIPTION
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$0.00
'•. M "PAID BY _.
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" > METFIODb
..
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a1"tet .DESCRIPTION? '
ACCOUNT 'X
a
_t QTY
YAIVIOUNT` * ,fPAID�
yr ?
�Y ;
a c
PAID'DATE
GAS SYSTEM, 1-4 OUTLETS:PC
0
$24.17
$0.00
t t {� t..3{. R
..',*!PAID
�' .-_, PAID'BY �, � �:
�< c .
$101p-0000-42600
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x CLTD BY f ,
Total Paid forPLUMBING FEES: • $36.26 $0.00
• 00
Description: PGA/RICARDI/401LF GAS LINE FOR FIRE PIT
Type: PLUMBING
'Subtype: Status: UNDER REVIEW
Applied: 2/23/2015 SKH
Approved:
Parcel No: 762420002 Site Address: 56465 MOUNTAIN VIEW LA QUINTA,CA 92253
Subdivision: TR 28838-4
Block: Lot: 2
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $3,000.00
Occupancy Type: Construction Type:'
Expired:
No. Buildings: 0
No. Stories: 0' No. Unites: 0
Details: PLUMBING - 40LF OF GAS LINE FOR FIRE PIT. 2013 CALIFORNIA BUILDING CODES.
Printed: Monday; February 23, 2015 8:04:51 AM1 of 2
_ - SYSTEMS -
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COMPLETED
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- . PAID
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.. PAID DATE
's."+s` F
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METHOD.'
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PAID BY
'Y'
BY
PERMIT ISSUANCE
101-0000-42404
0
$91.85.
$0.00
PARENT -PROJECTS
Total Paid for PERMIT ISSUANCE: $91.85 $0.00•
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$0.00
OUTLETS PC
- Total Paid for PLUMBING FEES: ..$36.26 $0.00
TOTAM $12911 00
Printed: Monday, February 23, 2015 8:04:51 AM 2 of 2
' - SYSTEAAS
SEQID INSP,ECTION',TYPE
INSPECTOR SCHEDULED
COMPLETED
RESULT °.
REMARKS
" °NOTES
*
r DATE
ti
rt r$
•0 PLUMBING FINAL**
PARENT -PROJECTS
Printed: Monday, February 23, 2015 8:04:51 AM 2 of 2
' - SYSTEAAS
Bin #:
0ty of U Q u'in to .
Building 8t: Safety Division
P.O. Box 1504,,78-495 Calle Tampico .
La Quinta; CA 92253 (760) 7777092
Building Permit Application and Tracking Sheet.
Permit #
Project Address:rj (p s f Vj,� N.� • v ��
Owner's Namc: �yp.� P
A. P. Number:
�f�'.
Address: S L# `'� S ^A o j r.. -net O'd. i' i (a%
Legal Description:
City, ST, Zip: �`p Q t,,TlA C A
Contractor: L , (o ow. OeZ4�:%' ... Ici
Telephone: �/ l i 8'8 ?�oS
:•;>.::>:;:.:;.; >:::>::;:::<::;•;;
Address: Gj �D� Sw1�' QyN f
Project Description: /ArS-�Y.1��
City, ST, Zip: Lh 1. M-YA
Telephone: hone: / S
a1 1
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h
State Lic. # : P7/73 9 0 D
City Lie. #;
Arch., Engr., Designer:
Address:..:
City, ST, Zip:
'Telephone:
' > > ^ <::r<><:>
> >`° `> '% :> < »>'<'s :>:: <>?>
Construction Type: Occupancy• .
State Lie. #:
Project type (circle one): New Add'n It Repair. Demo
Name of Contact Person:
Sq. Ft::
# Stor' s:
#Units:
Telephone #,of Contact Person:
Estimated Value of Project:
i APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Revitwed, 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 .
T" 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
INHOUSE:- ..
Jid Review, "ready for corrcctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees.
r
February 3, 2015
Ralph & Teresa Riccardi
56-465 Mountain View
La Quinta, CA 92253
Re: Architectural Application — 56465 Mountain View
Dear Ralph & Teresa Riccardi:
The Architectural Committee has reviewed your application for the installation of a fire pit in your
residence rear yard. I am pleased to inform you that the Architectural Committee has approved your
application as submitted.
Enclosed is Exhibit C — the Compliance Review Request form. Please complete this form after the work
is completed and return it by mail or fax to the address below so the completed project can be inspected
and your deposit of $1,000.00 can be refunded.
If you have any questions, please contact Tiffany Goff, Operations Manager at 760-776-5100 Ext. 6345
or email: Tiffany.Goff@Managementtrust.com.
Sincerely,
For the Architectural Committee
PGA WEST Fairways Association
Jerry McDonald, CCAM, PCAM
Association Manager
Enclosure: Exhibit C — Compliance Review Request
cc: Lot File
Architectural Committee
5 In q �j f�/1
`�' LI I ` 1 l v u /j
�co. dLZ> t
C I Y i OF L./\ CSU i NTA
BUILDING & SAFETY DEPT.
APPROVED
DATE BY
I�
N
C I Y i OF L./\ CSU i NTA
BUILDING & SAFETY DEPT.
APPROVED
DATE BY