09-0961 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
8_09Z00000.961�
Property Address:
—'529"9-0 AVVEENIDA RUBIO
APN:
773-313-013-14 -000000-
Application description:
PLUMBING
Property Zoning:
COVE RESIDENTIAL
Application valuation:
800
C&tyl 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant:. Architect or Engineer:
4,
LICENSED CONTRACTOR'S*DECLARATION
I hereby affirm under penalty of perjury that I am licensed junder'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.,
License Class:. 'C3 6 License No- 88
Qi
DateCor. _
OWNER-BUILDER;D.ECLARATION
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 apermit 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(C
, Law hapter 9(commencing with Section 7000) -of Division 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•(S500).:
(. 1 I;;asownerof the property, or my employeesiwith wages:as their,sole compensation will do the work, and
"the:structure:snot-intended;or offeredfor 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 novinfended oroffered'for sale. If, however, the building or improvement is sold within .
one, year o (.completion, the'owner-builder,will have the burden of proving that he or she did not build or
improve.for. ttie°purpose of sale.):
( I 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 tfie projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.). '
1 _ I I am exempt under Sec. B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
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
Owner:
RUBIO MANNINA BILL
52990 AVENIDA RUBIO
LA QUINTA, CA 92253
(
Contractor::
VALLEY PLUMBING CO
78886 AVENUE 41
BERMUDA DUNES, CA 92203
(760)347-3629
Lic. No.: 273088
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/08/09
-------------------7---------------------------
" 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 Section73700 of the Labor Code, for the performance of the work:for whicn [his -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 EMPLOYERS COMP Policy Number FN3309094 '
I certify that, in the; performance ofthe work for,which this permit,is issued„Lshall not employ any
person in any manner so as to become subject oto the.workers' compensation laws.of California,
and agree that, if I should become subjectto the workers' compensation pro visions 'of Section
.. 3700 of the Labor Code, I'sollfforthVitrNmply. with thjY :provers.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS'UNLAWFUL,-AND SHALL
=,SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES LP TO ONE HUNDRED THOUSAND
DOLLARS 0100;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 . I
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 toany.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 186 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 akoninances and state laws relating to bu'Id' construct' n, and hereb uthorize representatives
of'thister upon the above-mentioned pro erty ri r insp 'on urposes.Date:-Signatu�- ApApplrcant=orAgenU` II
z-1
. .; -1
Application Number 09-00000961
Permit . .
. PLUMBING
Additional desc .
.
Permit Fee.
. 18.00
Plan Check
Fee
4.50
Issue. Date . . .
.
Valuation
. . .
. 0
Expiration Date .
. 3/07/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 3.0000 EA PLB WATER
INST/ALT/REP
3.00
----------------------------------------------------------------------------
Special Notes and
Comments
REPLACE LP YARDLINE (NO TANK).UTILITY
" LOCATE #192510363.
APPROVED BY A.J.
------------- --------------------------------------------------------------
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
MATERIAL LIST
(1) 1" Ball Valve
(1) 1" Galv Union
(6) 1" Galv Elbows
(1) 1" Galv Coupling
(1) 1" X 11, Scotchkote' Nipple
(2) 1" X 511 Scotchkote" Nipple
(2) 1" X 3611 Scotchkote" Nipple
(1) Roll 10,Tape
(1) Key Tight Dope
Valley Plumbing Company
Request: Replace the 3/4" leaking propane yard line from the tank to
the structure with a 1" steel (Scotchkote'") line. The existing
piping will be abandoned.
(1) Miscellaneous
co
.. rte:•:
1" Ball Valvel
- QO
Q
j 1" Union i \QQ. i� •i ♦ r _
11 Ball Valve
flop
i
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Y. OF L1QU''�
ILDING & SAV --t I T
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CTI
-.. ;F CONSTR
BY
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Bill Mannina
52990 Avenita Rubio
La Quinta, Ca. 92253
(
78886 Avenue 41 Bermuda Dunes, Ca. 92203 (760)346-4695
bmannina®verizon.net
Bin #City
of LaQuifin `
Building at Safety' Division
P.O.Box 1504, 78 495 Calle Tampico
La Quinti"; CA 92253 °(760) 77:7-7012
Building Permit Application and Tracking Sheet
Permit #
�\
Project Address: 52-990 Avenita Rubio
Owner's Name: Bill.Marinina Rubio
A. P. Number:
Address:,, 52-990 Avenita Rubio
Legal Description:
`
City, ST, Zip: La Quinta, Ca.92253(
Contractor: Valley Plumbing Department.
Telephone: (
Address: 78886 Avenue 41
F
Project Description: Replace (LP) yar line.
City, ST, Zip: bermuda Dunes, Ca. 92203
Utility Locate #A92510363�/� i
Telephone: (760) 346-4695
r y'
State Lic. # : 273088
City,L••ic. #:`
Arch., Eng., Designer:
Address:
City, ST, Zip:
Telephone:
- .� s
' `
pConstniction Type: Single Occupancy: 2
State Lic. #:
Projecttype (circle one): ` New Add'n Alter Repair Demo
Name of Contact Person: D. Troup
Sq. Ft.:
# Stories:
# Units:
Telephone# of Contact Person: ("760)' 399-7025
EstimatWValue:ofProject: 800.00•
:APPLICANT: DO NOT.WRITEsBELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING '
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calls.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Energy Cabs.
Plans Tricked up
Construction
Flood plain plan
•Plans resubmitted
Mechanical
Grading plan
2e° Review, ready for correctionsrssue.
�
r
Electrical
Subcontactor List
Called Contact Person
Plumbing,'
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
7id. Review, ready (or corrections/issue
Developerimpact Fee
Planning Approval
Calied-ContactPerson
A.1.P.P. r
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees