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BPOL2015-0128Lender's Address: Cup VOICE (760) 777-7125 78-495 CALLE TAMPICO D "� FAX (760)777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT.DEPARTMENT INSPECTIONS(760) 777-7153 BUILDING PERMIT Date: 6/19/2015 Application Number: BPOL2015-0128 Owner: . Property Address: 50980 CALLE OBISPO WALTER SEAY APN: 770104010: 52980 CALLE.OBISPO © Application Description: SEAY RESIDENCE FIRE PIT & GAS LINE LA QUINTA,'CA 92253 in Property Zoning: cc Application Valuation: $3,500.00 N z o i =w Applicant: Contractor:. 0 w SANDS TO GREENS LANDSCAPE INC SANDS TO GREENS LANDS + C l 'mow P0BOX 2913 P0BOX 2913 _5C-) INDIO, CA 92202 INDIO,:CA 92202. gR: (760)347-5022.' Llc.: No.: 891251... LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury.that I am licensed under provisions of Chapter . I hereby affirm.under penalty.,of perjury one of the following declarations: 9 (commencing.with Section 7000) of.Division.3 of the Business and Professions Code,. I have and will maintain:a certificate.of consent toaelf-insure for workers' and my. License is in'full force and effect. compensation, as provided for by Section 3700 of the labor Code, for the performance License Class: C27 D12 D06 License No.: 891251 of the work for which this permit is'issued. ,— h I have and will maintain workers' compensation insurance,as required by 1rUate— n Com on`tr or: Section 370Q of the Labor Code for the performance of the work for which this permit is issued. My workerscompensation insurance carrier and policy number are: OWNER -BUILDER DECLARATION:. Carrier: _. Policy Number;_ I hereby affirm under penalty of perjury that I am.exemptfrom the Contractor'sState' - I certify that.in'the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 70315; Businessand Professions Code: Any shall not employ any. person in, any manner sous to become'subject.to the workers' city or county that requires permit to construct; alter, improve, demolish, or repair compensation laws of California;,antl agreeahat, ifi should becomesubject to the 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 provisionsof the workers'.compensation provisions of Section 3700 of thp LaborCode, I shall forthwith comply with ose provisions. Contractor's State License Law.(Chapter 9,(commencing with Section, 7000) of Division 3 I r� of the Business and Professions Code):or.that he or she is exempt therefrom and the -- Da— te: :_' F p carif basis for the alleged exemption. Any violation of'Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND,SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (�.I, as owner of the property, or my.employees with wages as their sole ONE HUNDRED THOUSAND;DOLLARS ($100,000)_ IN ADDITION TO THE COST OF compensation; will do the work, and the structure. is not intended or offered forsale. ` COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706'OF..THE'LABOR CODE, (Sec. 7044, Business and Professions Code:'The Contractors' State License -Law does not INTEREST,, AND ATTORNEY'S FEES. apply to an owner of property who.builds,or improves thereon, and,."o,does the work himself or herself through his or her own employees, provided that the, improvements APPLICANT ACKNOWLEDGEMENT are not intended or offered for.sale. If, however, the building or improvement is sold'. IMPORTANT: Application is herebylmade to the Building Official for a:permit subject to within one year of completion; the,owner-builder will have the burden of proving that the conditions'and:restrictions set forth onahis application. he or she did not build or improve for the.purpose of sale:): 1. Each person ,upon whose behalf this application is made; each person at whose (� I, as owner of the property, am exclusively contracting with licensed contractors 'request and for.iwkose benefit.work is performed under or pursuant to any permit to construct the project.. (Sec. 7044; Business and Professions code: The Contractors' issued as a'result of this'application ; the owner, and the applicant, each agrees to, and State License Law does not apply. to an owner of propeity who builds or improves shall defend, indemnify and hbld;harmless;the City of La Quinta; its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of.this permit. (_) I am exempt under Sec. B.&P..C. for this reason 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 .subjecfpermitto cancellation. Date: Owner: I certify that I have read this application and state that the above information is correct. CONSTRUCTION LENDING AGENCY CONSTRUCTION .1 agree to.corriply with all city and county ordinances and state] to building (.hereby affirm under penalty of perjurythat there is a construction lending agency•for . construction, and hereby authorize representatives of this 'tity to enter upon the above• the performance of the work for which this permit is issued (Sec. -3097, Civ. C.). Lender's Name: - mentioned pyop" for inspection purposes. //�r/y/y�� Dar te: �/ / / !J 5ienature (Aoolicant or Aeentl Lender's Address: Bin # (/ City of rLa Quinta n.: Building 8r Safety Division' P.O. Box 1504;78 495 Calle„Tampico LiQuinta, CA 92253 - (760).-777-70 11 Building, Permit. Application„and Tracking Sheet Permit # Project Address: ISO . (le 6 6,5 `' Owner's Name: �.l c� e4 L A. P. Number: Address: _�_O "71dO� �7� ' 6, o Legal Description: City, ST, Zip: v�K �/r ��•J Contract r: 11 S �t�/1 ' I- // r �: � S %�-�0��4F� , ,Tel Telephone:, �>`•.<.'�'�'� Address:- �' �� A-Ve_f. u r_ ProjectDescription: City, ST, Zip: `' •NG t p / P lam. • '>.. � Lv1 ' Telephone: L — v. State Lic. # Arch., Engr., Designer: Address: City,, ST, Zip: < Telephone: e one: P Co nstru ti c on Type- ecu Y• Occupancy: P to Ste Lic. #: ct` a cir cle one ¢ wAlter New Add'n _Pro'eY h' � r Demo J P ReP ai Name of Contact Person: u �� / 1 V t. f CJei '. #Stories: #Units: Telephone # of Contact Person:. �j i���'8 �(— ` Estimated Value of Project:; [�'v APPLICANT: DO'NOT WRITE BELUW°THIS.LINE # Submittal Req'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 Calcs. Plans picked up Construction ' Flood plain plan Plans resubmitted y Mechanical Grading plan` '2°” 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 resubmittedGrading 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•a'ugx"sE'.ia _m '`.5- :i::vi' ":3 d i�.e, A,4i i,'iY . -' [: a§'T` - xk �'c;,"'-£ D.. '§ -: <" « >DESCRIPTION .Ery, -'ACCOUNT,,. TYr AMOUNT ' � PAIDgPAIDDA �3,a;s Qa.:...�,w�`aev:r . . a ..,tvr.f"r <a r BSAS SB1473 FEE 101 0000=20306 ` 0 - $'100 + a $0:00 ,—R-i:AS{ 4. ,,hLx„g,. h":�•; s3.F. ^s' .,. `".V' "k.fi 6'&r '' ? 2"• ;t - >.: y, �Ty`., "3F'M-_+i � 14H' ''.;� >4, ....•r u � � � METHOD-, M .f; �y�,�x? «- ��r ' ” :� : u i ,. BY,:.. , , x a PAIDsBY � . s � .:. . R CLTD .:e�'� Total Paid forBWILDING,STANDARDS ADMINISTRATION BSA' . ; 00. $0:00 , .$11. S(+R :FE:u �SsiYx1'S 7k11?':M'A R '� T' k x�� DESCRIBTION� .ki$"%?'g'_f f^- .fr �.'r"'"b ACCOUNT �.: ��:at:h.'.':a`ka� 1t•d 4.^�f'v„U !QTY=AINIONTP'AID D" :......_ ,is s:' `:x�C.'x "E,n.Yf :i'P4g +q. •"x'kt'§`+^ �. f:t'P.`''".; ;.:., .. x-. ?:`, >rA d? ii 3..t'1. w-ATE+: -7 PERMIT ISSUANCE 101`0000 42404 0 $0:00 t"a. ,t Wl ' 'PAID BYa REM`�`g?< :'''p ?"S"!----';. METHOD wh.,x�'a;z-.t% _ RECEIPT # rr""$"t: ,;4:€_°, 44E- err ' CHECK #a ?� �CLTDBY Total Paid`f *iPERMIT ISSUANCE $91 85 $0.00 , {`:3?x,s'+.�fx^.. fh': s"P:awI,w��s�.,,'i:�s�,«�s��sx:. ACCUUNT K �{ QTY&� "gAMOUNT PAID PAIDEDATE gDESGRIPTIONz: . ; a��U:r Q.�a ;xr a:,_ x��t�=�a.r._r�Y•� �?� &x � .. � �3K�,r�.a .v��n,.� � ;> GAS:SYSTEM,:1-4 OUTLETS 101-0000 42401,: 0 $12 09 .' $0.00 F L- st �y,>''4< .E} Q :-,</N ,zY `vR�*rYk :.', .gs:Er'%{@, rF ,( HODS � u'3�`}R-:., .9$ c�",� R,ECEIPT�#ail I Y`y$a,;-f'.%j9' CHECK BY tPAID.BY . F<h'�`C$..3•:4`:' _ x4Y'`: k F: r`,`a'�,.'� k ..X x s ; ;a I. . r i''IOi ,N xwY V '. y"A :a �Y'-r'd E .qa^, 1 {'% < #-'. ' •R G` - -rc Ax CCCYTOva Uttt NT �€E"�E: EQHTtM1F<Y`fY �.A§ M." iOce," UN„T J(eR �E... ._ -,PAID PALamID P AIaDw!�:,•TE` D�AaE3f rPT «a±.::.=•rsai! GAS SYSTEM„ 1'4 UT PC 101-0000-42600.., 0, $2'4 17 i $0.00, u �rPAy�I.D BYs&�� METHOD'.NO CLTD BYE i:4• T`"'dw-w+s. ` .5$.3` ]3!SE a..'h.> :. �,.a',P.�i tt>u ak« .R "..o`^xi,..rtr,.s` . 33'' 3�gg`F. $ :''y,' SSC.r•:.:?1.EXFI 6MXi^ .�'"a '" E 8T E�( " A DESCRIPTION v '&?, "k�i —1 xi ' � ACCOUNT � �� �' m QTY o• T3�hl"f':�`.; *r 4 Y'.e.a � AMOUNT :6 `..E' p 'T.,'. '+„Lv'.S°^r4� D i' �(� 0AID gE "SR. ..`k:& DATE & a .. .�g.,s c . _«:. a� �� x..�n :.� _.. �:»«��E PA N «M., w .� PAID F; m., x.z,kw :- GAS SYSTEM; 14 OUTCET5'PC 101-0000-42600: 0 $24 17 , $000 ta, F',g:^'t"8±;. f. a; :,.1` a 3&si S ;". i s'PAIDBY+."-'qOD� .:•4gzY aY`vi;TY.,a ._::e: ('f G:K,` Ydq�Es.* = a.. '"}� .i ..:t:'.;-.,: :.y' 'f `CLiECK# 4:CL`TD Jim- .a'`•C��..n':&Xv�v<;`Eik'ix'§n:'.YL«Fi:••4..."SFn.:c�A.edziX.n.:u:4G'xi.: s"T.'"".'s"'R`1...�R�«�. eRECEIPT`# S�i;,'£k,�4'(. v ; T�o6fPaidiforPLUMBIN $60 43 $0.00 ,FEES g iffiffiffli INMEMMARM } Description: SEAY RESIDENCE FIRE PIT & GAS LINE: Type: POOL Subtype: Status: APPROVED Applied: 6/19/2015 EVA Approved: 6/19/2015 EVA , Parcel No: 770304010 Site Address: 50980 CALLE OBISPO LA QUINTA,CA 92253 Subdivision: DESERT CLUB TR UNIT 5 Block: Lot: 82 Issued: Lot Sq Ft:0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $3,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 P 0 BOX 2913 Details: FIRE PIT AND GAS LINE ONLY. [3/4 INCH GAS PIPING 91 LF] THIS PERMIT DOES NOT INCLUDE ELECTRICAL. EQUIPMENT. 2013 CALIFORNIA BUILDING CODE. CONDITIONS CONTACTS NAME TYPE NAME ' ¢DDRESSI APPLICANT: SANDS TO GREENS LANDSCAPE INC P 0 BOX 2913. INDIO CA 92202 . CONTRACTOR SANDS TO GREENS LANDSCAPE INC P 0 BOX 2913 INDIO CA 92202 OWNER WALTER SEAY 52980 CALLE OBISPO LA QUINTA CA 92253 Printed: Friday, June 19, 2015 10:15:26 AM 1 of 2 SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT .. PAID PAID i)ATE : RECEIPT ii CHECK # METHOD:' PAID BY CLTD BY PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $0.00 OUTLETS GAS SYSTEM, 1-4 101-0000-42600 0, $24.17. $0.00 OUTLETS PC GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $0.00 OUTLETS PC Total Paid foirPLUMBING FEES: $60.43 $0.00 TOTALS: $153.28 0,6 BOND INFORMATION ATTACHMENTS Printed: Friday, lune 19, 2015 10:15:26 AM 2 of 2 SYS TEiv1S Fipc: PIT C� 16"20" J i 8" 01 4' NOT TO 5CALE WALTER &NILE SEAY RESIDENCE 50980 CALIF OBISPO LA QUINTX CA 92253 rm, i i i MAL eoX 5f*' GA5 LNE.91' LONG 77-6" TO END OF j P8FJVETER WALL CALLS 05EF0 WALKWAY /E)Xl5TNG 6 HT. WALL TO F53� N PLACE w Z HT. WALL CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DESIGN BY: LUIS ALVARADO SANDS TO GREENS LANDSCAPE INC. OFFICE: 760-347-5022 DRAWN BY: ADEN VASQUEZ P. O. BOX 2913 :k. LICENSE AND BONDED INDIO, CA 92202 /-w44 LICENSE: NO. C27-891251 DAM JUNE 17, 2015 LANDSCAPE SCALE: 3/32" = 1'- 0"