The URL can be used to link to this page

BPLB2016-0104I 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:. BPLB2016-0104 Property Address: 51050 CALLE OBISPO APN: 770142001 Application Description: ABBRUZZESE RESIDENCE / Property Zoning: Application Valuation: .$3,316.00 Applicant: A R S AMERICAN RESIDENTIAL SERVICES OF C 965 RIDGE LAKE BLVD SUITE 201 MEMPHIS, TN 38120 Td - / aw DESIGN& DEVELOPMENT 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 Business and Profe 'ons Code, and my License is in full force and effect. License Class: C36, C42, A License No.: 765155 Dater-^� �C�ontractor 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. 7031.51 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: VOICE (760) 777-7125 FAX (760)777-7011 INSPECTIONS (760) 7774153 Date: 8/9/2016 Owner: JUDITH ABBRUZZESE 51050 CALLE OBISPO LA QUINTA, C4.922S3 Contractor: A R S AMERICAN RESIDENTIAL SERVICES OF C 965 RIDGE LAKE BLVD'SUITE 201 MEMPHIS, TN 38120 (901)271-9700 Llc. No.: 765155 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. 1 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: LIBERTY INSURANCE CORPORATION Policy Number: WC7631508631 I certify that in'the performance of the work for which this permit is issued, I shall not employ anyperson in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should beco ject tot e workers' compensation provisions of Section 3700 of the L ode, I orthw comply with those provisions. Da✓O xAPpl' can 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. CONSTRUCTIONLENDING AGENCY I certify that I have read this application and state that the above information i correct. I hereby affirm under penalty of perjury that there isa construction lending agency for I agree to comply with all city and county ordinances and state laws relati o buil the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authohze representatives of this city to enter on th above-mentioned property for inspection purposes. Lender's Name: .[0 Date. Signature'('Applicant or Agent): Lender's Address: Application Number: BPLB2016-0104 Property Address: 51050 CALLE OBISPO APN: 770142001 Application Description: ABBRUZZESE RESIDENCE / PLUMBING Property Zoning: . Application Valuation: $3,316.00 Applicant: A R S AMERICAN RESIDENTIAL SERVICES OF C 965 RIDGE LAKE BLVD SUITE 201 MEMPHIS, TN 38120 Date: 8/9/2016 Owner: JUDITH ABBRUZZESE 51050 CALLE OBISPO LA QUINTA, CA 92253 Contractor: A R S AMERICAN RESIDENTIAL SERVICES OF C 965 RIDGE LAKE BLVD SUITE 201 MEMPHIS, TN 38120 (901)271-9700 Llc. No.: 765155 Detail: INSTALL DUAL SWEEP CLEANOUTS ON SEWER LINE IN FRONT YARD. PER 2013 CALIFORNIA BUILDING CODE . x ' `DESCRIPTION �`QTY -'A OLIN AMOUNT- BSAS SB1473 FEEr 101-0000-20306 s0 $1.00 Total Paid for. BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION— -ACCOUNT" QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $91.85 Total Paid for PERMIT ISSUANCE: $91.85 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $12.09 DESCRIPTION ACCOUNT„ QTY AMOUNT FIXTURE/TRAP PC 101-0000-426000 $12.09 Total Paid for PLUMBING FEES: $24.18 Y Bin.# Cl/ Of ic7 QUI1td Building &,,Safety Division P.O. Box 1504,70-495 Calle Tamp/co La.Quinta, CA 92253 -:(760) 777-7012 Buildin Permit A Ircat[on and Trackrn Sheet g: pp.� g, Permit # nn n(,�f Project Address: DIS c7 C I D ,IIS ON .Owner's Name:. — ` •i f A. P. Number. Address: Legal Description: City,.ST, Zip: L Contractor e_Sf UC Telephone: :�'1D 5 3a�► ``' Address: O L C it }- Project Description: I g t>A I SviC Q QS City, ST, Zip: i V4,,�G( t Telephone: "-1 10111 a?';£? ;� �Q�✓i: City Lia #: + (off State Lic. # : (p��/S Arch., Engr., Designer- esignerAddress: Address: City., ST, Zip: s . Telephone: l.� Y : ` .��, . ��. ` y.,rV Construction Type:. Occupancy: State Lic. #: Project type,(circleone): New Add'n Alter Repair Demo . Ft : # Stories: # Units: Name of Contact Person: Telephone # of Contact Person: LSq timated Value of Project: .S I U? APPLICANT:; DO NOTiWRITE'BELOW THIS LINE , # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed,;ready for:cori ectlons Plan Chc*Deposit. . Truss Calcs. Called Contact Person Plan Check Balance Tide 24 Cates. -Pians picked up Construction Flood plain plan Pians resubmitted Mechanical Grading plan 2°° Review; ready for corrections/issue ;Electrical Subcontactor List Called Coutact Person -Plumb[ng Grant Deed Plans'picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '30 Review; ready for eorrections/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 5i 0�o C a lle Obispo 0