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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. } " i i 1 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 x Bin lI_ Permit ;; L5 EO OICO- "10ject Address: 2Z t6 i t�` y �'f I`r F iCY ^� ' Qty 1 l 1 Building & Safety Division 78-495 Calle Tampico ' La Quinta, CA 92253 - (760) 777-701.2 Building Permit Application and Tracking Sheet Y /L-` ooa Owner's Name: • � �'� P()�tJ'N A. P. Number: Address: ,�� Z 7z Legal Description: y City, ST, Zip: �l C 0n t r:' r-a c t 0 L D� n Tele ho c: P ........................................: Atddmss: Q(�.�, �Z? Project Description: fC�irty, ST, Zip: on Tele . P a 7� 0 � : t L � SCa e Lic. # : C l l 6.. City Lic.: l 1, Arch., Engr., Designer: Address: ~• . City, ST, Zip: :.::: r,.;::.::;;;..: an Occupancy: cY :Telephone: nstraction Type: CoP S tate Lic: #: ter Repair 'n 1 R d A Dem ro�ect e circle one : Ne w Ad o P P J P NNarn of Contact Person: = K(S U..... Sq..Ft.: # Stories: # Units: Biletl• phone # of Contact Person: �Fj Q 'z'� Z 'Zd "�� �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 I IN