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BRES2015-0033e ,ALLE TAMPICO TA, CALIFORIVIA 92253 Application Number: BRES2015-0033 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Property Address: 79278 LIGA ST APN: 776130009 Application Description: BBQ ISLAND AND OUTDOOR FIREPLACE Property Zoning: Application Valuation: $16,000.00 Applicant: UNIQUE CONSTRUCTION 83740 CITRUS AVENUE UNIT INDIO, CA 92201 JAN 0 0 2015 t --- y 5 U QUIMA ;,ulmairwr- ELOPMENT DEPARTMENT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: MICHAELJOHNSON 1155 AUTO MALL DR LANCASTER, CA 92253 Contractor: UNIQUE CONSTRUCTION 83740 CITRUS AVENUE UNITJ INDIO, CA 92201 (760)342-2730 Llc. No.: 943480 Date: 1/30/2015 --------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that l 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- B License No.: 943480 Date /i Contractor: z , 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).: (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 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 there6n, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( I 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 Address: 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 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 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: V 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: -�� Signature (Applicant or Ag�nt k DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 1/30/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY UNIQUE CONSTRUCTION DEBIT R3555 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 1/30/15 PAID BY METHOD RECEIPT # CHECK# CLTD BY UNIQUE CONSTRUCTION DEBIT R3555 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 1/30/15 PAID BY. METHOD RECEIPT # . CHECK # CLTD BY UNIQUE CONSTRUCTION DEBIT R3555 MFA Total Paid for ELECTRICAL: $48.34 $48.34 DESCRIPTION ACCOUNT QTY AMOUNT'- PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 1/30/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY UNIQUE CONSTRUCTION DEBIT R3555 MFA Total Paid for PERMIT ISSUANCE: $91.85 $91.85 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $12.09 1/30/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY' UNIQUE CONSTRUCTION DEBIT R3555 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $24.17 1/30/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY UNIQUE CONSTRUCTION DEBIT R3555 MFA Total Paid for PLUMBING FEES: $36.26 $36.26 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $2.08 $2.08 1/30/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY UNIQUE CONSTRUCTION DEBIT R3555 MFA Total Paid forSTRONG MOTION INSTRUMENTATION SMI $2.08 $2.08 Description: BBQ ISLAND AND OUTDOOR FIREPLACE _NAME ADDRESSI ' . Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: UNDER REVIEW Applied: 1/30/2015 MFA Approved: Parcel No: 776130009 Site Address: 79278 LIGA ST LA QUINTA,CA 92253 Subdivision: TR 24890-6 Block: Lot: 12 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $16,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: BBQ AND FIREPLACE. GAS AND ELECTRIC. INSTALLATION ONLY FOR PRE -FABRICATED UNITS CONTRACTOR ADDITIONAL _NAME ADDRESSI ' . SITES CHRONOLOGY CONTACTS CITY ' STATE ZIP PHONE CONDITIONS EMAIL APPLICANT UNIQUE CONSTRUCTION 83740 CITRUS AVENUE UNITJ INDIO CA NAME TYPE _NAME ADDRESSI ' . CONTACTS CITY ' STATE ZIP PHONE FAX EMAIL APPLICANT UNIQUE CONSTRUCTION 83740 CITRUS AVENUE UNITJ INDIO CA 92201 CONTRACTOR UNIQUE CONSTRUCTION 83740 CITRUS AVENUE UNIT J INDIO CA 92201 OWNER MICHAELJOHNSON 1155 AUTO MALL DR LANCASTER CA 92253 Printed: Friday, January 30, 2015 3:49:42 PM 1 of 3 MAN CRY Y SF'STEM.S DESCRIPTION. ACCOUNT QTY AMOUNT PAID ; PAID DATE RECEIPTq CHECKfI METHOD PAID BY CL YD BSAS SB1473 FEE 101-0000-20306 0 $1.00 —1—$1--00 1/30/15 R3555 DEBIT UNIQUE MFA CONSTRUCTION Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 1/30/15 R3555 DEBIT UNIQUE MFA CONSTRUCTION DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 1/30/15 R3555, DEBIT UNIQUE MFA CONSTRUCTION Total PaidforELECTRICAL: $48.34 $48.34 PERMIT ISSUANCE ' 101-0000-42404 0 $91.85 $91.85 1/30/15 R3555 DEBIT UNIQUE MFA CONSTRUCTION Total Paid for PERMIT ISSUANCE: $91.85 $91.85 GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $12.09 1/30/15 R3555 DEBIT UNIQUE MFA CONSTRUCTION GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $24.17 1/30/15 R3555 DEBIT UNIQUE MFA CONSTRUCTION Total Paid forPLUMBING FEES: $36.26 $36.26 SMI - RESIDENTIAL 101-0000-20308 0 $2.08 $2.08 1/30/15 R3555 DEBIT UNIQUE MFA CONSTRUCTION Total Paid forSTRONG MOTION INSTRUMENTATION SMt $2.08 $2.08 TOTALS: $179.53 $179.53 i PARENT PROJECTS Printed: Friday, January 30, 2015 3:49:42 PM 2 of 3 REVIEW TYPE Rtrl/IEWER SENT DATE DUE DATE RETURNED STATUS I REMARKS ( NOTES DATE :• • INFORMATION Printed: Friday, January 30, 2015 3:49:42 PM 3 of 3 l?SYSTfMS tws`ti..� 1/30/2015 site plan 1.jpg SITE PLAN 001 scale: 1/32"=1', BBQ ISLAND FIREPLACE c FSET FROM WALL v n B EPP-EeVE Rp C ryN Qt IP i8� j H� �r Z 4646 - N N N Q1 C O \ t O1 Ip d N O Z N r 01. CIS OF LA C�UINTA BUILDING & SAFETY DEPT. AF=POVED LDATE �0 Bl' L = — -I Gas hmv f,tfzst ue*t. I"SI4uwueq Tm ft•&P.,I(Lf,wro JNKS oNL( https://mail.google.com/ /scs/mail-static/ fjjs/k=gmail.main.en.a2sxjeUOMdk.0/m=m i,t,iVam=nhEG7v_WH8Q4Q7vOQd2 353SbG2z-v_exNAsIMA zf7fwC... 1/1 m X W D IN: NDRACN MIKE JOHNSON COUNMY CLUB o ZACKARY CITRUS CC urQu� O N DESCRIPTION 79278 LIGA LOT NUMBER Isr.�rvns PFLOOR LAN LA QUINTA, CA. 92253 Unique Islands Tel: 760.342.2730 IA r, m N I I m m m r- m D 7 DC,TF _ RY -• o N DRAWN BY O N ZACKARY MCCOY DESCRIPTION ELEVATIONS 3' -011 2'-10" 0 z 4 m r m G a 0 z MIKE JOHNSON COUNRYCLUB CITRUS CC 4C LTrQuE 41 79278 LIGA LOTNUMBER Isa..�uvDs LA QUINTA, CA. 92253 Unique Islands Tel: 760.342.2730 1 3/4" 0 z iv DRAM BY MIKE JO H N SO N COUNTRY CLUB ZACKARY MCCOY CITRUS CC A Ln DESCMPTION 79278 LIGA LOTNUMBER T� FIREPLACE FRONT LA QUINTA, CA. 92253 o.rui RA DEFT. •uf E t F+ Ln N —{ = C n X o --i m w z o z o �r=m Unique Islands Tel: 760.342.2730 n, u z 3 0 N DRAWN BY iv ZACKARY MCCOY C DESCRIPTION TOP V-3/4" 2'-10" 111 MIKE JOHNSON COUNTRY CLUB CITRUS CC U�,TrQ�zE 79278 LIGA Isr- a•r•s LOT NUMBER LA QU I NTA, CA. 92253 Unique Islands Tel: 760.342.2730 J 4'-8" 2 3/4" 2'-4" 1'-1" 1 1/2'1 " 2'-2" 2' lift 2' W F•'-� ti QRAWNBY MIKE JOHNSON COUNTRY CLUB TACKARY MCCOY CITRUS CC 79278 LIGA On DESCMPTION LOTNUMBER FIREPLACE SECTIO I J LA QUINTA, CA. 92253 4c �721u�"11 Unique Islands Tel: 760.342.2730 - D DRAWN BY K) ZACKARY MCCOY O o w 4111 DESCRIPTION MIKE JOHNSON 79278 LIGA LA QUINTA, CA. 92253 COUNTRY CLUB CITRUS CC LOT NUMBER �IVIQ L1'E Tsr�nrns Unique Islands Tel: 760.342.2730