BPLB2017-01024 441&
78-495 CALLE TAMPICO D
-LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPLB2017-0102
Property Address: 55228 TANGLEWOOD
APN: 775154001
Application -Description: BROWN / 90LF OF GAS LINE FOR BBQ AND FIRE PIT
Property Zoning:
Application Valuation: $4,800.00
Applicant:
LEAK SPECIALISTS INC DBA LEAK DETECTORS
P.0 BOX 727
THOUSAND PALMS, CA 92276
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: _ License No.: 618116
Date 7 I Contractors
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 improvesthereon, 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 Na
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/27/2017
Owner:
JANET BROWN
55228 TANGLEWOOD
LA QUINTA, CA 92253
Contractor:
LEAK SPECIALISTS INC DBA LEAK DETECTORS
P 0 BOX 727
THOUSAND PALMS, CA 92276
1 ,
(760)773-9070
Llc. No.: 618116
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'
compensat n, as provided for by Section 3700 of the Labor Code, for the performance
of th i k for which this permit is issued.
,4V 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: SECURITY NATIONAL INSURANCE COMPANY Policy Number:
SWC1152658
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 Code, I shall forthwith
comply with those provisions.
gate 7 /Applicant: fi
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.
Z7^'% 9
Date¢ Signature (Applicant or Agent)4./
Date: 7/27/2017
Application Number: BPLB2017-0102 Owner:
Property Address: 55228 TANGLEWOOD JANET BROWN
APN: 775154001 55228 TANGLEWOOD
Application Description: BROWN / 90LF OF GAS LINE FOR BBQ AND FIRE PIT LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $4,800.00
Applicant: Contractor:
LEAK SPECIALISTS INC DBA LEAK DETECTORS LEAK SPECIALISTS INC DBA LEAK DETECTORS
P 0 BOX 727 P 0 BOX 727
THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276
(760)773-9070
Llc. No.: 618116
------------------------------------------------------=----------
Detail: 90LF OF 1" GAS LINE FOR BBQ AND FIRE PIT PER APPROVED PLAN. 2016 CALIFORNIA BUILDING CODES.
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FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY' AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:. $1.00
DESCRIPTION
ACCOUNT
QTY
- AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT'
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.67
Total Paid for PLUMBING FEES: $25.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMEINT FEE
502-0000-43611
0
$5'00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
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Permit ;;
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Building & Safety Division
78-495 Calle Tampico
' La Quinta, CA 92253 - (760) 777-701.2
Building Permit Application and Tracking Sheet
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Project Description:
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Arch., Engr., Designer:
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�L�st'imated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rcc'd TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount'
Structural Cafes.
'
Reviewed, ready for corrections'
Plan Chcck Deposit
Truss Ca1e5..
Called Contact Person
Plan Check Balance.
Tift 24 Calcs.
Plans picked up
Construction
n.
Flood plain plan
Plans resubmitted
'Mechanical
Grading plan`
"•r
2" Revicty, ready for correclionsAssue .
Electrical
'SubcontactorList
Called ContactPcrson
Plumbing
Grant Deed
Plaits picked up '
'
S.M.I.
II.O.A. Approval '
flans resubmitted
y
Grading
IN If OUSE:-
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
'Called Contact Person
AJ.P.P. ,
I
Pub. IVl:s. Appr
Date•of permit issue
School Fees,
Total Permit Fees
JUL-26-2017 WED 06;32 AM Air Dreams International
PGA • WEST,.
RESIDENTIAL ASSOCIATION, INC..
July 24, 3017
Ms, Janet Brown
FAX N0. 7603418810
NOTICE TO PROCEED
55-228 Tangle%vood ,
La Quinta, CA 92253
Re: 55-228 Tanglewood -- Pavers. Barbecue. Fire Pit Gas Line. Low Wall. Ground Light Fixtures.
Irrigation and Landscaoine
Dear Ms. Brown,
P. 02
4
r '
The Architectural Committee has 'reviewed the requested grading and drainage plan submittal. The
submittal is acceptable in accordance with the Architectural Guidelines. Association CC&R's and
Maintenance and Indemnity A reement, therefore, you may proceed with your project.
This information supplements the requirements and conditions of our letters dated July 13 and July 21,
2017.
We reserve the right to make a final inspection of this change to make sure that it matches the original
request. An approval is based only, on the aesthetics of your proposed plan and should not be taken as any
certification as to the construction worthiness or structural integrity of the proposed change.
If I may be of further assistance, please contact me at the HOA office, (760) 771-1234, Extension 15.
Cordially,
Kell Galli CCAM PCAM .
Operations Manager
For the Architectural Committee F
KM/bvf
Cc: Architectural Committee
54-320 Southern Hills, La Quinta, California 92253-6665, Telephone 760-771-1234 FAX 760-771-51'
leakdetectors76@aol.com
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