BRES2016-0187Applicant:
Contractor:
C� 4VOICE-1(76_)
777-7125
78-495 CALLE TAMPICO
80521 VERANDA LANE
COACHELLA, CA 92236.
Abr
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
y FAX (760) 777-7011
INS777-7153
--
BUILDING PERMIT
aZI/a
®D: Z(17j/ /20,
Application Number:
BRES2016-0187C
COM�1UN�%ptyOC Q(/%NT �
Property Address:
61200 PORTULACA DR
MARGARET HOWIE '�FNT
N�pg9TMfj�
APN:
764510043
255 TEAL TERRACE
Application Description:
HERON EMUS/ ELECTRIC
AND GAS FOR BBQ AND BUBBLING POT
SASKATOON SK CANADA S7T, P9 92253
Property Zoning:
Application Valuation:
$2,500.00
Applicant:
Contractor:
A O MASONRY INC
N Y P D
48579 CAMINO MAYA
80521 VERANDA LANE
COACHELLA, CA 92236.
INDIO, CA 92201.
(760)296-0990 .
LIC. No.: 610554
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: C36, B License No.: 610554
Date: 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.).
( ),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:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
j 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: _
1 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. lza
Date: - 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.
1 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: �v Signature (Applicant or Agent):i;;;117 <
FINANCIAL •• •
;DESCRIPTION ' � q, . n, ACCOUNT QTY AMOUNT. PAID` '.3 . ', .PAID DATE.
BSAS SB1473 FEE
101-0000-20306 0 $1.00 $1.00 7/8/16
i PAID. BY a
,4- METHOD @ ' `t RECEIPT # CHECK #. CLTD BY `
N Y P D
CASH R16914 MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1:00 $1.00.
DESCRIPTION.: x•
°, ACCOUNT € •
QTY:
AMOUNT -
PAID
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$24.17
7/8/16
'PAID BY a-:>
" METHOD P;
"," = RECEIPT # " - _•
CHECK #
CLTD BY
N Y P D
CASH
R16914
MFA
F s DESCRIPTION,
-ACCOUNT
QTY
AMOUNT
r�,PA1D
PAID DATE
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$24.17
7/8/16
' PAID'BY .
METHOD z
RECEIPT # F _
,...
CHECK #, ; P•= n
CLTD BY
N Y P D '
CASH
R16914
MFA
Total Paid for ELECTRICAL: $48.34. $48.34
�. �; : zDESCRIP,TION ,-
ACCOUNT
-_QTY
AMOUNT
�' PAID o'
PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$12.09
7/8/16
PAID BY ,
METHOD
'RECEIPT #
` CHECK #
CLTD BY
N Y P D
CASH
R16914
MFA '
DESCRIPTION S F
k,: ACCOUNT W
TY'
:AMOUNT"�
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
'$24.17
7/8/16
` ` 7 PAID BY„ ' ° w ' •
_ : METHODk
RECEIPT # . " '
CHECK #:. _ '
°CLTD BY
N Y P D
CASH
R16914
MFA
P =:DESCRIPTION r • -
ACCOUNT °
QTY.
AMOUNT ".' '
PAID -
PAID DATE
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.09
$12.09
7/8/16
BY,
ECEIPT#PAID
CHECK #
CLTD BY.,'
N Y P D
CASH
R16914
MFA
L :DESCRIPTION : _ F
`" ACCOUNT . , rx `''
QTY
r� &t AMOUNT e
ry ' .PAID •
PAID DATE
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.09
$12.09
7/8/16
a JPAID BY
` METHOD i
RECEIPT #
CHECK #
CLTD BY -
N Y P D
CASH
R16914
MFA
Total Paid for PLUMBING FEES: $60.44 $60.44
` DESCRIPTION
ACCOUNT
'QTY
k` AMOUNTr �`'
.RAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
$0.50
7/8/16
PAID BY. -.
"METHOD ` . `
RECEIPT #
CHECK # 3;
CLTD BY
N Y P D
CASH
R16914
MFA
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.50
TOTALS:•
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Description: HERONEMUS / ELECTRIC AND GAS FOR BBQ AND BUBBLING POT
Illii l TY 14
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Type: BUILDING, RESIDENTIAL
Subtype: REMODEL Status: ISSUED
Applied: 7/7/2016 SKH
Approved: 7/8/2016 MFA
Parcel No: 764510043 Site Address: 61200 PORTULACA DR LA QUINTA,CA 92253
Subdivision: TR 30023-5
Block' Lot: 152
Issued: 7/8/2016 MFA
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $2,500.00
Occupancy Type: Construction Type:
Expired: 1/4/2017 MFA
No. Buildings'0
No. Stories: 0 . No. Unites: 0
A 0 MASONRY INC
Details: INSTALL 90 LF OF 3'4" GAS LINE AND 2 ELECTRICAL FOR WATER FEATURE AND BBQ. PER 2013 CALIFORNIA BUILDING CODE
• �` �� ,� Applied to Approved
Approved t6 Issued,
r
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NAME TYPE £
�_ .r NAME "'
:. ADDRESSI
_. CITY
STATE
ZIP '
r PHONEt'.
FAX t
,: EMAIL'
APPLICANT
A 0 MASONRY INC
48579 CAMINO MAYA
COACHELLA
CA
92236
(760)296-0990
PAID
PAID DATE
CONTRACTOR
N Y P D
80521 VERANDA LANE
INDIO
CA
92201
(760)296-0990
OWNER
MARGARET HOWIE
255TEALTERRACE .
SASKATOON SK
CANADA S7T
P9
92253
(760)296-0990
.BSAS SB1473 FEE
101-0000-20306
Printed: Friday, July 08, 2016 10:06:13 AM 1 of 2
SYSTEMS
11
MOUNT
"
METHOD
CLTD
DESCRIPTION
-rte-ACCOUNT
QTY
-
PAID
PAID DATE
RECEIPT#
CHECK #
PAID BY
By
.BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
7/8/16
R16914
CASH
N Y P D
MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION.
$1.00
$1.00
BSA:
Printed: Friday, July 08, 2016 10:06:13 AM 1 of 2
SYSTEMS
!
DESCRIPTION#;
ACCOUNT
QTY
^AMOUNT ¢
PAID
PAID DATE
RECEIPT
,'CHECK #,
7.CLTD
METHOD
PAID BY
.
_ . ;w
is r
=•::'-�'" -
.h
f�
BY
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$24.17
7/8/16
R16914
CASH
N Y P D
MFA
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$24.17
7/8/16
R16914
CASH
N Y P.D
MFA
Total Paid for ELECTRICAL: $48.34 $48.34
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$12.09
7/8/16
R16914
CASH
N Y P D
MFA
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$24.17
7/8/16
R16914
CASH
N Y P D
MFA
OUTLETS PC
WATER SYSTEM
101-0000-42401
0
$12.09
$12.09
7/8/16
R16914
CASH
N Y P D
MFA
INST/ALT/REP
WATER SYSTEM
101-0000-42600
0
$12.09
$12.09
7/8/16
916914
CASH
N Y P D
MFA
INST/ALT/REP PC
Total Paid for PLUMBING FEES: $60.44 $60.44
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
$0.50
7/8/16.
R16914
CASH
N Y P D
MFA
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.50
TOTALS:
INSPECTIONS
y
..,,PARENT PR(IIFfTS ._
BOND INFORMATION
Printed: Friday, July 08, 2016 10:06:13 AM 2 of 2
CTWIYSTEMS
Bin #
City of La Quinta
Buifding Sl: Safety Division
Calle Tampico
6111 La Quinta, CA 92253 - (760) 777-7012
' V
Building Permit Application and Tracking Sheet
Permit #'78-495
��%J�, �-/✓�
Project Address:I 0'V U �� C�
Owner's Name: PbI F (LCD PF-, i V 5
A. P. Number:
Address: (2 0 Q o F- ru 1/.} t✓y-:�
Legal Description:
Contract or: Aro res 1
City, ST, Zip: L,� r/ j %�"" G&
Telephone: 2
P 56 4 129
Address: S 'PRn
Project Description:
City, ST, Zip:CQ A E f►'� `z2
(f f 1
Telephone:
1
ot�/ r L�I
State Lic. # :
City Lic.
Arch., Engr., Designer:
f��
i D �;/ T? '['
Address:
City., ST, Zip:
/i l (�F�� -� n Ai(A AT.nl CA411_4 um
Telephone:
.......................................................
Con tructi n Type: Occupancy:
an cY:
a • #
St to Lic.
Project nPa (circle one)oe Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
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
2nd Review, ready for-corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"! 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
�s
CITY, OF LA QUINTA SUB -CONTRACTOR, LIST -
_
JOB ADDRESS��2O� �"� L � Ldp-
PERMIT NUMBER'g k S29 l4- bl`�1(�WNER � ��i1���(>%U S „BUILDER
This form shall be posted on the job with the Building
Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance.
of building permit. For each applicable trade, all information requested below must be compieted by applicant. "On File" isnot an acceptable response.
_..... .
Trade / C'lass�ficatiorl
...........:.:::.:::.:::::.:.:
..... Contractor
................................
....................State Contractor..s.License............................................
urance.>::>::;:::.;;;:.;;;...:..; ::..::...:.:::.:::.:::..:::::.
:::::::::::::.:......W.orkecs.Co.m .ensat�on.Ins....:.........................
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.:''L'ice
it..:. B usmes
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rrCo PanYName
Classification
License
Exp. Date
Carrier Name
PolicYNutuber
Date
License Number
Exp. . Dat
eExP.
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( A
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( xx xx xx )
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IN
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.SHEET -`METAL(C.
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#LN..SIJ:LATLQ:N.: �:::::::: ):..::::.::::::::
SEWAG5-.OISP ;(.G 42i
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CERAMIC:: TILE:(:CS:.:):..::::::.
CAB INET.S.:L)
LANbS;CAP:ING:CC-27j:
2 - D1 AKMED Dn-rC !A/1-rU r%E)AIRI Ar'E: 0- irmlf-A-rinm lov n-rLArnc,1%
I!
T WITH EXISTING
BLOCK BBQ AT +36"
;ED BAR WITH 12" OVERHANG
I AT TOP AND SIDES
/NER SUPPLIED BBQ EQUIPMENT
,L CONNECTIONS BY OTHERS
FHERS)
-c/
90LF3/*" POLY-ETHELENE GAS LINE
TO 40,000 BTU BBQ GRILL (BY OTHERS)
95LF ELECTRICAL CONDUIT
Z & GUAGE WIRING TO BBQ ISLAND (BY OTHERS)
Construction is HT PEr"API r1i, FO
on the following Ccde Holidays:
New Year's Day
Dr, Maritin Luther KingJr. Day
Presidcrit's Day
Menivial Day
In4e
L4 ceadence Day
Labor Day
�,,n
191S np
Le,r a ,y
T,,arj;,.,-,jvj,qg Cay
Chr:Etmas Day
_ i I JT RUCTION HOU-1118
0,,!tof--r 1,1 - April 30
Mcwdlq - Friday: 7.01; a.m. to 5:30 p.m.
S, x t r Y: VMT a.m. to 5:03 p.m.
'None
C -over -1r.cut Cede Nolidays: None
-j-tcirber 30th
F-idxy: 6:00 a.m. to 7:00 p.m.
1 c.P a.m. to 5:00 P.M.
N,3qe
�,rrment Code Holidays: None
48579 CAMINO MAYA
COACUELLA, ("A 92236
PI -I (760) 989-8500
LIC #958188
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DAT
A RE -INSPECTION FEE OF $ 1
WILL BE CHARGED IF THE APPROVED
PLANS AND JOB CARL' ARE NOT ON
THE SITE FOR A SCHEDULED
INSPECTION
NO EXCEPTIONS!
"AN ADEQUATELY SIZED DEBRIS CONTAINER
IS REQUIRED ON THE JOB SITE DUrRING ALL
P44SES OF CONSTIRUCTION AND MUTT BE
F%7TIELD AS NECE'EjS,,',PY FAILURE TO DO SO
I �y CATO` - 7-1[ CITY TO HATE THE CONTAINER
Til',E EXPENSE OF THE OWNER/
f%T �
-,�, I UR.11
CONCRETE: SEE NOTES
STONE: SEE NOTES
SHEET TITLE:
1550 PLAN
mini MERNW.
SCALE 1 /5" = I'
DESIGN BY GREG M.