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13-1440 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 •'�v 4 4 . '11l'i-11W " 40� BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 13-00001440 Property Address: 77511 CALLE ARROBA APN: 774-155-022-2 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 1600 Applicant: I Architect or Engineer: 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 Bu in and Professionals Code, and my License is in full force and effect. Licens�jlClass�f B f License No.: 728335 I�Contractor: ! I i OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjur 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—) 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.). 1 _ 1 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.I. Lender's Name: Lender's Address: -!,QPERMIT Owner: RICHARD D. & JANET 77511 CALLE ARROBA LA QUINTA, CA 92253 (847)312-4661 Contractor: ALL SHAPES & SIZES 72892 SIERRA VISTA PALM DESERT, CA 922 (760)345-0309 Lic. No.: 728335 SHIRK VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/12/13 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. _✓1 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 713-05055094 _ I certify that, in the 1lerformance 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, iflI should come subject to the workers' compensation provisions of Section 3700 of the Labor e' hall forthwith comply with those provisions. f� Date: Applicant: WARNING: FAILURE TO SECU E�KER 'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CIM AL PEN. LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADD ION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR ODE, 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 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 issuanc of such ermit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state t at t e a ve information is correct. I agree to comply with all city and county ordinances and state laws relatinglt br ildir)g construction, and hereby authorize representatives of thi ounty to enter upon th bove-mentioned p ops y f inspection purposes. Date Signature ((Applicant or Age Il Application Number 13-00001440 Permit . . . PLUMBING 2013 Additional desc . Permit Fee 11.92 Plan Check Fee .00 Issue Date Valuation . . . 0 Expiration Date 5/11/14 Qty Unit Charge Per Extension 1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS 11.92 --------------------------7------------------------------------------------- Special Notes and Comments 222 L.F. OF 2 INCH GAS LINE FOR POOL EQUIPMENT. 2010 CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, PLUMBING 23.83 Fee summary Charged Paid -------------------- Credited -------------------- Due ----------------- Permit Fee Total 11.92 .00 .00 11.92 Plan Check Total .00 .00 .00 .00 Other Fee Total 115.40 .00 .00 115.40 Grand Total 127.32 .00 .00 127.32 LQPERMIT Bin # Qty of is Quint Bdiding &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ,I Project Address: 'Owner's Name: L A. P. Number: Address: O -A Legal Description: City, ST, Zip: L4 /0,144 Contractor: S Telephone: Address:7S-;�� -Project Description:' City, ST, Zip: Tx� r'� Telephone: 2 fu:.R:#}:<;;i<,v'.:}4 rS$:w.: .A iii :»•:,::ii:;;..:..};. ..:: f.;;• � State Lic. # City Lic. M. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: :<:>:';::<•::::,.:....::.}:.:};..>:;:}:::.:;;:;<;>;:•:; Construction Type: Occupancy State Lic. #: t.:•'{.�^L>>%iSF.4:4F. ...;,;, ..r.; ;::.<•;<::>a::;:;.;:::;>::= :: •:;;;':�:;�••<�;"�,- Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: �� Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estitiiated Value of Project:" d b APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance. Title 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: 7nd 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 . Day uovernment Loae Holidays: None May lst - September 30th Monday - friday: 6:00 a.m. to 7:00 p.m. Saturday: 8:00 a.m. to 5:00 p.m. Sunday: None . Government Code Holidays: None "AN ADEQUATELY SIZED DEBRIS CONTAINER IS REQUIRED ON THE JOB SITE DURING ALL PHASES OF CONSTRUCTION AND MUST BE EMPTIED AS NECESSARY. FAILURE TO DO SO MAY CAUSE THE CITY TO HAVE THE CONTAINER DUMPED AT THE EXPENSE OF THE OWNER/ CONTRACTOR." III' ' P•• Q (W 60" HT. CMU WALL_ PER CITY 5TANDARD5 APPROVED PERMIT # I VLIX 11A'1l_.lk 11.U1V 0 i A LlUEN SED SURVEYOR OR ENGINEER IS REQUIRE D PRIOR TO FOUNDATION INSPECTION A RE -INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS! (E) LAND5GAPE TO REMAIN ADDITION UNDER (E) PATIO ROOF CITY OF LA QUINTO BUILDING & SAFETY DEPT. APPOVED FOR CONI RUCTION DATE "ow �°�� c• v v v �vai+�sL'YVE.'''.. s :?+e.>+� y�:i � '''v>vv'v�'•9�.d°O>v•.0�..? vv:,�y.�?✓{��,v'•'%.o�'• �vav''''•"•i .v.'v`v''a'v6�e's-.�>.:>dte`•'�.....'�>''.E.•yA>.L.O SGS>�:�,� vov2c m.>,00v 24'-10" CONDENSER UNIT -f L LONDEN5ER, UNITY OAL. SNE TANK— I I .. _ I 60" H' PILA5TER WALKWAY (W POOL 2 APPROVED PERMIT # 13-0824 H 60" HT. CMU WALL PER CITY 5TANDARD5 2 APPROVED PERMIT # I (W 60' HT. CMU WALL PER CITY 5TANDARDS APPROVED PERMIT # 13-0924 (L 100.0' ---(E) SLOPE BAN CITY OF LA OUINTA BUILDING & SAFETY DEPT. APPROVED FOR CON TRUCTION DAT �Z �B