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BRES2014-115678-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&t�t 4 4 Q"K& COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2014-1156 Property Address: 54150 AVENIDA CARRANZA APN: 774211037 Application Description: EXTERIOR BBQ, FIREPIT, SEAT WALL, AND NEW GAS LINES Property Zoning: Application Valuation: $12,000.00 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 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: C27. C53 License No.: 964474 dr Date: i����� Contractor, 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 Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 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 work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 o-1 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 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 Labor Code, I shall forthwith comply with those provisions. Date: Applicant; WARNING: FAILURE 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 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 to enter upon the above- mentioned property for inspection purposes. Date: %� ��� Y Signature (Applicant or Age Date: 11/10/2014 Owner: GRANT COON LEY 54150 AVENUE CARRANZA LA QUINTA, CA 92253 Contractor:DESERT gj(=) OUTDOORS INC78-065 MAIN STREET STE 20LA QUINTA, CA 92253 `g (760)399-9600 Llc. No.: 964474 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 work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 o-1 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 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 Labor Code, I shall forthwith comply with those provisions. Date: Applicant; WARNING: FAILURE 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 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 to enter upon the above- mentioned property for inspection purposes. Date: %� ��� Y Signature (Applicant or Age FINANCIAL •• • DESCRIPTION ACCOUNT CITY 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 CITY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY, METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY 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 CITY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 DESCRIPTION ACCOUNT CITY 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 CITY 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 $1.56 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI $1.56 $0.00 TOTALS:i 0.0i Description: EXTERIOR BBQ FIREPIT, SEAT WALL, AND NEW GAS LINES Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED Applied: 10/30/2014 SKH Approved: 11/7/2014 SKH Parcel No: 774211037 Site Address: 54150 AVENIDA CARRANZA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 285 Lot: 18 Issued: UNIT 26 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $12,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 PLAN CHECK SUBMITTAL Details: EXTERIOR BBQ, FIREPIT, AND GAS LINE FOR FUTURE USE. GAS LINE TO BE SLEEVED UNDER PAVERS. 2013 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION Printed: Monday, November 10, 2014 3:23:11 PM 1 of 3 CRI" SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE - NOTES PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 10/30/2014 10/30/2014 RECEIVED CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT DESERT OUTDOORS INC 78-065 MAIN STREET LA QUINTA CA 92253 (760)399-9600 STE 205 CONTRACTOR DESERT OUTDOORS INC 78-065 MAIN STREET LA QUINTA CA 92253 (760)399-9600 STE 205 OWNER GRANT COONLEY 54150 AVENUE LA QUINTA CA 92253 1 (760)399-9600 CARRANZA FINANCIAL INFORMATION Printed: Monday, November 10, 2014 3:23:11 PM 1 of 3 CRI" SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE y - FINAL** T CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 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 for ELECTRICAL: $48.34 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 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 SMI - RESIDENTIAL 101-0000-20308 0 $1.56 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMt $1.56 $0.00 TOTALS:••0 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL** Printed: Monday, November 10, 2014 3:23:11 PM 2 of 3 N?WSYS TEMS Printed: Monday; November 10, 2014 3:23:11 PM 3 of 3 CpflAffL7C7 SYSTEMS sin # City of La Quinta Bulkft ez Safety Mision P.O. Box 1504, 78-495 Cale Tampico CA 92233 - (760) 777-7012 Building Permit Application and Tracking Sheet pennit # Z04_ ItSipLa.Quinra, Project Address: e5 15z.7 M c . Owner'sName: (a ?,AtSr ' A P. Number. Address: (-jam Ci� Z Legal on: City, ST, Zip: l Z2.$3 Comractor. 'DS � Telephone: (�� Address: 7%S fie' Project Description: City, ST, Zip: L v gk 1 i f Telephone: . S LpQ; State Lia # : Ci Lia # Arch- Ear, Designer. fSjn7f,— NI�W GA C. I 022— — Address: City, ST, Zap. Telephone: State Lic. # J �'C �D ' Construction Type: Occupancy: Project type(circle one): New Add'a Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # UnitS Telephone # of Contact Person: -17j5 Wnm ted Value of Project: Z .ODS APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Rcq'd Recd TRACMG PERMT FEES Plan Sets Plan Check submitted item Amount Structural Clam Reviewed, ready for corrections Pian Check Deposit Truss Cates. Called Contact Peron Pian Check !wane, Title 24 Calc& Pians picked up Construction Flood plata plan Pians resubmitted Meehadlk:ai Grading plan 2" Review, ready for corr Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.tIQ.I. H.O.A. Approval Plans resubmitted Grading IN 11013SE:- "' Reylew, ready for correetlowAssaeDevdoper Impact Fee Planning Approval Called Contact Person A.T.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees OCT 3 0 2014 CITY OF LA QUINTA COMMUNITY DEVELOPMENT'