13-0225 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00000225
Property Address:
61260 PORTULACA DR
APN:
764-280-999-149 -300235-
Application description:
PLUMBING
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
1000
Tiht
ti VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Applicant: Architect or Engineer:
Vvl�
-----------------
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 Professionals Code, and my License is in full force and effect. -
License Class: C27-053 License No.: 964474
Date: 3 ,? u, Contractor:
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).:
(_) 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.).
( 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:
I QPF-R.-AIT
Date: 3/07/13
Owner:
GARNER
61260 PORTULACA
LA QUINTA, CA 92253' NC1Ty0F)L_A%6_
(760)399-9600Contractor: 013DESERT OUTDOORS INC78065 MAIN ST STE #205TTA
LA QUINTA, CA 92253
(760)399-9600
LiC. No.: 964474
-----------------------------------------------
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
ssued.
I ve 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 NORGUARD INS Policy Number DEWC338066
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 Co ll-�th comply with those provisions.
Date✓ I �11 > Applicant:
WARNING: FAILURE TO SECU KERS' 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 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 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 county to enter upon the above-mentioned property for i urposes.
Date: c3 Oe ,l Signature (Applicant or Agent):
Application Number . . . . .
13-00000225
Permit . . . . . PLUMBING
Additional desc .
Permit Fee 18.00
Plan Check Fee
4.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date 9/03/13
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 3.0000 EA PLB
GAS PIPE 1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
98' OF 1 1/4" GAS LINE FOR -FIRE
PIT.
2010 CODES.
----------------------------------------------------------------------------
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
r
LQPER,A7IT
elrn.
City of'U Qui to
Suff ar Safety Division
tug
Box 1504,78-495 Calve Tampico
La.Qldnta, CA 92253-4760) 7777012
Building Permit Application and Tracking Sheet
permitP.O
Project Address: to Z (DD -[V Lig r_A
Owner's Name:.
A.P.Nurnber.
Address 210kr2LA
Legal Description:
city. sr, Zip: L A U 1
Contractor. Desert Outdoors
Telephone: %• 910DD
Adder 78-065 Main St. Ste. 205
Pmjerx_ Description:
City, sr, zip: La Quinta, Ca. 92253
Q�' l y r► C +AS 1,rdE
Telephone: 760-399-9600:
C
-
-2 -
state Lic. #: - -c-53 964474
city Lia.;
Arefi., Engr., Designer Flying Buttress
�AUQEFCa.
Address: 77725,Enfield Ln. Ste. 130
t •
city, sr, zip: Palm Desert, CA. 92211
Telephone: 760-772-4411 Construction Type:. occupancy:
State Lia #: 33446 Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: A21 lJ
Sq. FL:
# Stories: it Unity
Telephone # of contact Person: 7W W3 V 2- }q
Estimated Value of Project ,000
APPLICANT: DO NOT WRITE BELOW THIS UNE
p
Submittal
Reed
Reed
TRACENG
PERMIT FEES -
Plan Sets
Plan. Check submitted
Item Amount
Stmetund Coles.
Reviewed, ready for corrections
Pian Chock Deposit. .
Muss Cates.
Called Contac Person
Pian Check Balance.
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.'.
Mecharilcal
Grading plan
2" Review, ready for correctiouslissue
Electrical
Subrontedor List
Called ContactPerson
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE-.-
i" Review, ready for rorrectionsfimue
Developer Impact Fee
Planning Approval-
Called Contact Person
A.U.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
MAR -0-1 2013 ' .
CITY OF LA QUINTA
-CDMMU( IIY DEVELOPMENT
FFOR
TRUCTION L
sOULOeR DRY wAn
No PWMSINO, soul
• 3 NOR POm TO se
ON SD' COLUMNS
ems,
REPAIR EXI,
DRAINA4
1 N' New OAB DNB
BARBeCUe AND FlF
i,
REPAIR EXISTING
DRAINAGE
13RCVM
PROVIDE AS GUILTS DRAINS, IRR., GAS AND ELECTRIC
PICK UP RRFPIT AT CAST STONE-7AC (7901 213-2706
NAGISON N OF NWY 111
START 7/3/13
BBQ BEING DRJVIDU 4/9 OR 4/t8
PITY A QUl A
OLDING & SAFETY DEPT.
IrAPPROVED
FOR CONSTRUCTION'
DATE BY
`SITE PLAN
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9. CLASS 20D PVL LATERAL
7. 4' A.D.S. PERFORATED PIPE
42" LONG W/ ONE BUBBLER `
8. 3/4' PEA GRAVEL 3E
B. DRAIN GRATE
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9. CLASS 20D PVL LATERAL
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8. 3/4' PEA GRAVEL 3E
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