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BPLB2014-100278-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: BPLB2014-1002 79670 CITRUS ST 776170008 92 LN FT GAS LIN $5,500.00 Applicant: DESERT SERVICES LANDSCAPING IN 69115 GARNER AVENUE CATHEDRAL CITY, c&u% °F 4' Q" COMMUNITY 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 Professions Code, and my License is in full force and effect. License Class: C27. C53 License No.: 925565 Date:., /° Contractor:_�/� Zi 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 Busine and Professions Code) or that he or she is exempt therefrom and the basis for the aIle e exemption. Any violation of Section 7031.5 by any applicant for a permit subjects th 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 contractors) 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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/2/2014 Owner: PETERSON RESIDENCE 79670 CITRUS LA QUINTA, CA 92253 Contractor: DESERT SERVICES LANDSCAPING IN P O BOX 881 CATHEDRAL CITY, CA 92235 (760)578-0568 Lic. No.: 925565 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. _ 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: _ _ I certify that in the performance of the work for which this permit is issued, 1 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. Date: Applicant: - I ;e!� � iTt Z 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. I 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. I / Date:�7Signature (Applicant or Agent): dY" - FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY, METHOD. , RECEIPT # CHECK # _ CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $90.57 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forPERMIT ISSUANCE: $90.57 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $11.92 $0.00 PAID BY METHOD. RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $23.83 $0.00 PAID BY METHOD RECEIPT# CHECK# CLTD BY Total Paid for PLUMBING FEES: $35.75 $0.00 TOTALS:00 Bin # City of La Quinta Building 8t' Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quints, CA 92253 - (760) 777 7012. Building Permit Application and Tracking-Sheet Permit # Project Address: �� O Owner's Name: 6 A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: Tele hone: Address: 1. Project Description: City, ST, Zip: az ll Telephone: AA `%.:<•: ::f;' >ti3{`.. State Lic. # : 5 City Lie. C _ 1 Arch., Engr., Designer: Address: City., ST, Zip: Telephone: p cy: Constrction Type: Occupancy: uT e• Project type circle one): e Add'n Alter Repair Demo State Lic. #: 'v r:ilt., i'•v.F'.:F:i}�:tj;.:,"{�ft:tf��iF:. •�- Ji's= v Name of Contact Person: L - Sq. Ft.: # Stories: # Units: Telephone *,of Contact Person:Estimated o " Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG PERMIT FEES. Plan Sets PIan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2' Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'rd Review, ready for corrections(ssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 6t' FRONT VIEW LEDGER STONE VEND �42'COUNT WRN IB'OVERHAI MASONRY WA GRANITE GRANITE COUNTER � COUNTER STUCCO AND - Y FACE TO HATCH HOUSE C.M.U. E]GSTING DECK ELEVATION FOOTING COUNTER CROSS SECTION 1/2"- V SCALE STREET UMBRELLA SLEEVE iN TO BE DETERMINED DWNETER LENE GAS UNE ONG WIRE G POOL ENT LOCATION GRANRE COUNTER J�CGER STONE FACE7 EXISTING DECK ELEVATION FOOTING BBQ CROSS SECTION 1/2--l-SCALE SUNWEST POOL, SPA AND LANDSCAPE LIC 092 SS65 760.3214790 I PETERSON RESIDENCE I LA QUINTA 1/8'I=1' SCALE 7/2/2014 Permit Reviews Enter Permit Number 'BPLB2014-1002 I View, Report] ..... ....... . .. . . ................... .... ..... I U1 1 1 of 1 Find Next . 9- ............. . ... ..... . ..... . ................ . .. ...... .. . .. ....... IVA Permit Reviews ti City of La Quanta or:llabvQ Permit Number: BPLB2014-1002 Description: 92 LN FTGAS LINE Appl led: 7/2/2014 Approved: Site Address: 79670 CrrRUS ST ST Issued: Finaled: City, State Zip Code: LA QUINTA, CA 92253 Status: SUBMITTED Applicant: DESERTSERVICES LANDSCAPING IN Parent Permit: Owner: PETERSON RESIDENCE Parent Project: Contractor: DESERT SERVICES LANDSCAPING IN Details: 92 LN X 1 " GAS LINE RUN TO BBQ APPROVED PER JJ 2013 CPC. LIST OF REVIEWS SENT DATERETURNED I DATE DUE DATE TYPE CONTACT STATUS REMARKS Review Group: AUTO 7/2/2014 7/7/2014 NON-STRUCTURAL BUILDING BUCKET Notes: Printed: Wednesday, 02 July, 2014 1 of 1 http:/Aaquinta.crw.con-Vtral4t9/DocumentViewer.asp)O&report--/Documents/PERMITS/Permit%2ORe\hews&ACTIVITYN0=BPLB2014-1002&group=PERMIT&U... 1/1