14-0541 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
14-00000541
Property Address:
55889 PINEHURST
APN:
775-241-063- - -
Application description:
PLUMBING
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
500
Applicant: Architect or Engineer:
BUILDING& SAFETY DEPARTMENT
BUILDING PERMIT
- - - - - - - - - - - - - - - - - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
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 Bus' ess and Professionals Code, and my License is in full force, and effect.
LicensesCC1 i s B License No.: 884767
Da�/ , Cont ctor.
OWNER-BUI LDER`DECLARATION
I hereby affirm under penalty of perjury that ) am exempt from the Conteactor'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, ismlicensed pursuant to the provisions,of the Contractor's. State Contractor's
LicenseLaw (Chapter 9 (comrnencing with.Secton 70001of Division Sof ttieBusiness.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 1$500).:
(_ 1 I, as owner of'the property, or my,
em ees 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.notapply 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 thereon, and who.contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 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 Address:
LQPERMIT
Owner:
JOE LANDSTROM
55889' PINEHURST.
LA QUINTA, CA 92253
Contractor:
ABARCA'CONSTRUCTION
79154 OLITE CT
BERMUDA DUNES, CA 92203
(760);7.6'6-5088
Lio. •No.: 884767
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/01/14
_ ILS
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WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations: .
_• I have.and will maimain,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'• . , ' .
- _ 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
insyrance carrier and policy number•are: '
Carrier EXERT Policy Number EXEMPT
_,#-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,
370b"oi tiia Labor-. ode, 1'shall forthwith comply with those provisions.
-WARNING: FAILURE:TO SECURE WORKERS' CO M PENSATION.0 OVERAGE IS UNLAWFUL, ANDISHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANDCIVIL 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 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
�perforrned;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 c o enter upon the above-mentioned property for inspection purposes.
Date: � /r A - Signature (Applicant or Agent): ��2����S
e
Application Number . . . . . 14-00000541
Permit . . . PLUMBING 2013
Additional desc . .
Permit Fee . . . . 47.68 Plan Check Fee .00
Issue Date Valuation . . . . 0
Expiration Date 10/28/14
Qty Unit Charge Per Ext"ensi`on
4.00 11.9200 EA PLBG FIXTURE/TRAP 47.68
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Special Notes and Comments
PLUMBING - CONVERT (4) BATH TUBS TO
SHOWERS. 2013 CALIFORNIA BUILDING CODES.
------------=--------------------------------------7------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) .1.00
PERMIT ISSUANCE M/P/E 90.57
PLAN CHECK, PLUMBING 47.68
Fee summary Charged Paid Credited Due
Permit Fee Total 47.68 .00 .00 47.68
Plan Check Total .00 .00 .00 .00
Other Fee Total 139.25 .00 .00 139.25
Grand Total 186.93 .00 .00 186.93
LQPERMIT
Bin
City•offiLa .Qurnta
--Building 8i• Safety Division
P.O. Box /504, 78.a495° Calle Tampico
La Quinta, CA 92-253'-(70) 777-7012
Building Permit APplicar on and Tracking Sheet
Permit #.
=Pljeet.Ad�s 5 S Nle SZ'
,Owner's Name:
A. P. Number:
Address: `Jura E S
Legal Description:
City, ST, Zip: lam. A Quz-j3
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Contractor:Tele
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Address:-7 _ 15 Ot—V ^ �pV0.T
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�Pioj fDescription: v
City, IT, Zip: L.A t It�JTA
Tele hone•
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�State_L-.ic.-# -,_e A
City Lic. #<
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
:::::>;.
nstructi nTYPe:
Coe Occupancy:
State Lic. #:
' Project type (circle one): New Add'n Alter Repair Demo
shame of Contact Peisonc ! _
Sq. Ft.: # Stories: # Units:
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�EstimatedrYalueTofl?roject:.._ tJp
=Tele hone:#;of_Contact=Eerson:�'''�""
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APPLICANT: DO NOT: WRITEBEL0IN;THIS .LINE-.
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Submittal
Req'd
Rec'd
TRACKINIG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans:picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d.Review, ready for,corrcctions/issue
Electrical
Subcontactor List
Called Contact. Person
-Plumbing
Grant Deed
• Plans picked up.
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading <
IN IiOUSE:
'rd 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