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BRES2014-1188S 784195 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&tr44Q9,1xrw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2014-1188 Property Address: 50685 BREVA APN: 776330006 Application Description: BBQ- GAS LINE W/ ELECTRICAL Property Zoning: Application Valuation: $5,000.00 Applicant: MARK A TEMPLE CONSTRUCTION INC 699 INDIAN TRAIL PALM SPRINGS, CA 92264 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: B License No.: 430358 Date:/( Contractor: O R -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 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 Name: Lender's Addre: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/14/2014 Owner: 29TH STREET CITRUS PROJECT 1010 ANDREAS PALMS PALM SPRINGS, CA 0 Contractor: MARK A TEMPLE CONSTRUCTION INC 699 INDIAN TRAIL PALM SPRINGS, CA 92264 (760)323-5310 Llc. No.: 430358 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: /` Applican : 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 (Ap DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 11/14/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MARK A TEMPLE CONSTRUCTION INC CHECK R2880 3567 AZA Total Paid forBUILDING 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 11/14/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MARK A TEMPLE CONSTRUCTION INC CHECK R2880 3567 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17• 11/14/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MARK A TEMPLE CONSTRUCTION INC CHECK R2880 3567 AZA 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 11/14/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MARK A TEMPLE CONSTRUCTION INC CHECK R2880 3567 AZA 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 11/14/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MARK A TEMPLE CONSTRUCTION INC CHECK R2880 3567 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $24.17 11/14/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MARK A TEMPLE CONSTRUCTION INC CHECK' R2880 3567. AZA Total Paid forPLUMBING FEES: $36.26 $36.26 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $0.65 $0.65 11/14/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MARK A TEMPLE CONSTRUCTION INC CHECK R2880 3567 AZA Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.65 $0.65 TOTALS: $178.10 $178.10 Description: BBQ- GAS LINE W/ ELECTRICAL CONDITIONS Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: SUBMITTED Applied: 11/14/2014 AZA Approved: Parcel No: 776330006 Site Address: 50685 BREVA LA QUINTA,CA 92253 Subdivision: TR 32068 Block: Lot: 6 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $5,000.00 Occupancy Type: - Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: BBQ WITH ELECTRICAL & 20 FT. OF 1/2 INCH GAS LINE. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT MARK A TEMPLE CONSTRUCTION INC 699 INDIAN TRAIL PALM SPRINGS CA 92264 CONTRACTOR MARK A TEMPLE CONSTRUCTION INC 699 INDIAN TRAIL PALM SPRINGS CA 92264 OWNER 29TH STREET CITRUS PROJECT 1010 ANDREAS PALMS PALM SPRINGS I CA 0 Printed: Friday, November 14, 2014 2:38:31 PM 1 of 3 1 9"Rrmw- IPARENT PROJECTS - - --------- - Printed: Friday, November 14, 2014 2:38:31 PIA 2 of 3 --- ---- CLT6 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20106 0 $1.00 $1.00 11/14/14 R2880 3567 CHECK MARK A TEMPLE AZA CONSTRUCTION INC Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 11/14/14 R2880 3567 CHECK MARK A TEMPLE AZA CONSTRUCTION INC DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 11/14/14 R2880 3567 CHECK MARK A TEMPLE AZA CONSTRUCTION INC Total Paid for ELECTRICAL: $48.34 $48.34 PERMIT ISSUANCE 101-0000-42 404 0 $91.85 $91.8s 11/14/14 R2880 3567 CHECK MARK A TEMPLE AZA CONSTRUCTION IN C Total Paid for PERMIT ISSUANCE: $91.85 $91.85 GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $12.09 11/14/14 R2880 3567 CHECK MARK A TEMPLE AZA OUTLETS CONSTRUCTION INC GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $24.17 11/14/14 R2880 3567 CHECK MARK A TEMPLE AZA OUTLETS PC CONSTRUCTION INC Total Paid for PLUMBING FEES: $36.26 $36.26 SMI - RESIDENTIAL 101-0000-209080 $0.65 $0.65 11/14/14 R2880 3567 CHECK MARK A TEMPLE AZA CONSTRUCTION INC Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.65 $0.65 TOTALS: $178.10 $178.10 IPARENT PROJECTS - - --------- - Printed: Friday, November 14, 2014 2:38:31 PIA 2 of 3 # Qty of La Quints Building 8[ Safety Division P.O. Box 1504, •78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: X07 /d S l -e v a / A P. Number. % / Cj — 33 D - O6 (� Owner's Name: G Address: %l Z� , /`2 Legal Description: C, Q6 8 v Contractor. /',(2^ %PIt.( e. CtM 7,w City, ST, Zip: Z ✓ r`'r.t - ephone7061 Project Description: Address: jj < `j / 2-t % l'Z . City, ST, Zip Telephone: 264) — 3a. 3 J5 wo '"' ' L e%� State Lic. #: �,3(� 3 50 City ic. Arcfi., Engr., Designer. kle 7 e,11' W 2 5 Address: U U IC M igo City, ST, Zip: 64L !'� s 9o2a26 Telephone7& S-3L��SS U Y, �� �:- . , �- Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Derno �- ra State Lic. #: C Sp2 GJ� ' . ,rV t^ Name of Contact Person: 2 %mak Q ,/ Sq. Ft.: 1 . # Stories: # Units: e� Telephone # of Contact Person: ?�� - %% z/ t- ` Y Estimated Value of Project: SOV U APPLICANT: DO NOT WRITE BELOW THIS UNE p Submittal Req'd Reed TRACMG PERMIT FEES - Plan Sets Plan Cheek submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. - Called Contact Person Plan Check Balance. Title 24 Cales. Plans picked up' Construction Flood plain plan Plans resubmitted Mechanical Grading plan tad Review, ready for corrections/issue Electrical Subeontattor List Called Contact Person Plumbing Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading IN HOUSE-.- Review, ready for torrections/issue Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees cs -------------------- ----------- GX5 EGR I u CP GXG n u) 12 ff U" I �711F J1011 jj '211 21 :1 J7 J7 J7 J7 63 GR3 JII J3.3 IJ44 vi BHB f3tic BHO L WE Q-1 3- BHF 6 BH6 r N II J-95 A r IIA3 r 7— A I J14 C� J5 J7 U BHB ii O J6 BH7 xI -J7 I BHG J6 BH5 J5 A BM4 55H B11 I 13H BGR A I D/ TP J2 ID JI OQ :'2 D� CP 21 ---- J cs -------------------- ----------- GX5 EGR I u CP 011 cs -------------------- ----------- GX5 EGR I u CP 12 ff U" I �711F J1011 jj '211 21 :1 J7 J7 J7 J7 JII J3.3 IJ44 I J44 '11� , 11 A(5 C, J33 J221Jll NN JMW TRUSS Committed to �Ezcelle�nce rp 0 Qualit, on -Time Service atF= Dote Pdn Or. DA* 225 CWhe" aly, CA MM 202 -OM 902 -IM FAX Lr) C T 1 Y OF LA Q UINTi -(7:D BUILDING & SA0FETY DaPT APPROVED FOR COINS -'RUCTION � IATE 7L?S1j AT2E 4 4 i �Q[ IESUS h i REJE TEfl cQ F 4 C0170ftons of C ORREC tL shi P draw r. during jhjI:. (oyiF GOMPIlance w&, spftiflcation6 rhzp, conformance ;;W, and nancra! give; if; the contrw.cicctj,!!�:,nt,� for: confirming. -m dimensions; seloo; 4r � 3 S 61 S J techniques of that of all atria , work safe and satisfjcro?y ,vfgnw, This review of I. That the frust r ACA 3 And 3-o0int beefln arx 'wis '. ! il, h I structural design. 1 0 2. That design loads usisg fl. (C f. J22 3. That trussed area !, arla Iff! F W." J33 I NOW AN connectjo(.,s 1 4! I bracing of trusses ars cona'6 11 1 11 1 All J . 44 Manufacturer. -!1AtV0Jdl;gl JOY lryfy.,- J368 Truss Engineer responsible for . QQ-�QQ.0,0 EP L --k the trusses. should sigri an ;ta;,r, ,k_trIMICks"tr N J.33 Including the layouts. —Signal 1,22 We or initials by a ': 'enz-,ed ingitneaf of Gou* Engineering Consulting ircup., mc. apply oj)ly r r, r -N for shop drawing revievi. 11- P 1:� 0010VIS41ENIG NEERING CONS ING GROblB, flie. By FW* 9M a AVWW 8 V2 E Yom AZ MM CM 729-M 817.8181F-= FM SHEET P\OOF---IFIP\U55 PLACEMENT PLAN To A