10-0525 (PLBG)0
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN: • ,
Application description
Property Zoning:
Application valuation:
10-00000525
52280 AVENIDA VELASCO
773 -265 -002 -
PLUMBING
COVE RESIDENTIAL
9050
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer.
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/16/10
Owner:
LA QUINTA REDEVELOPMENT AGENCY
P O.tBOX 1504
LA QUINTA, CA•92247
Contractor: _ ,..... _..._ _r,...... _ . _..._.. _.
D &.J PLUMBING JUN I7 ZOO
67625 HIGHWAY 111
CATHEDRAL CITY, CA 9223
CITY OFLAQUINTia
(760) 322-7473 FWAPlrpnrDir
L i c. No.: 940758 —�--'-------
LICENSED CO TRACTOR'S DECLARATION - - -
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury t 1 a s under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Bu nes an P es ionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C36 License No.: 940758
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
"��� Aontractor: X____r
gate �
issued.
�. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor,
/YXL
Code, for the perforrnance of the work for which this permit is issued. My workers' compensation
WNER-BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier SOUTHERN INS Policy Number WE1002336201
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the or or which this permit is issued, I.shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner o as to e o e bject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I s o Id be ubi ct to the workers' compensation provisions of Section
License Law (Chapter'9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor d , I s 11 h ith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
42-149
' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.:
/
Date. ! scant: �^—
( 1 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
WARNING: FAILURE TO SECURE WORK E COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
- Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
-SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
" and who does the work himself or herself through his or her own employees, provided that the -
DOLLARS 1$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
one year of completion, the owner -builder wilr have the burden of proving that he or she did not build or
improve for the purpose of sale.).
APPLICANT ACKNOWLEDGEMENT
(_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
- 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1 . Each person upon whose behalf this application is made, each person at whose request and for
. pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ ) I am exempt under Sec. , B.&P.C. for this reason
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.
Date: Owner:
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
" CONSTRUCTION LENDING AGENCY
permit to cancellation. "
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
I certify that I have read this application and state that th bov in atio is correct. I agree to comply with all
work for which this permit is issued (sec. 3097, Civ. C.). -
city and county ordinances and state laws relating to b i g c ns r ction and hereby authorize representatives
of t i county to enter upon the above-mentioned pro y for n tion urposes.
• Lender's Name:
-
q JJ
Date �! —/0ignature (Applicant or Agent G
Lender's Address:
LQPERA11T
c
Application Number . . . 10-00000525
Permit PLUMBING"
Additional desc .
Permit -Fee 34.50 Plan Check Fee 8.63
Issue•Date Valuation 0
Expiration Date 12/13/10
Qty Unit Charge Per ` Extension
BASE FEE 15.00
1.00 6.0000 EA PLB FIXTURE 6.00
- 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50
2.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 6.00
------------------------------------------------------------=---------------
--.._..:_---_.-_-._.._.._..�.____._ ..-._ __�___-_.Special-Notes and -Comments--_ __._._._. ___-_._.._----•__--- ........-.-•---,......... .
ASSOCIATED PLUMBING FOR -LAUNDRY AND
WATER HEATER HOOK UP - SEWER, GAS AND.
WATER INSTALLATION. 2007 CALIFORNIA
PLUMBING CODE.
" June 16, 2010 4:46:05 PM AORTEGA
----------------.-------------------
__-.-
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00'
Fee summary Charged Paid Credited Due
Permit Fee Total 34.50 .00 .00 34.50
Plan Check Total 8.63 .00. .00 8.63
Other Fee Total 1.00 .00 .00 1.00
Grand Total 44:13 .00 .00 44.13 .
LQPERMIT '
JUN -09-10 12:16 PM ABC PLUMBING
E)&j
P
LUMBING
EXHIBIT 'A
322-7473 • (7S0) 341.3
FAX (76O) 324,5823 q
01Y (Wl"I'Quinta
7R495 Calle'J'allipici) 6 -OX- 10
La Y(III11a, Ca. 92247
Re: -522M) Velasco
lea Ouima
burnish all labor and material for the following.
Included in this pro'posal:,
One year warranty on all labor and material.
Sewer will be ABS' plastic pipe and rtting.
Witter will he type M copper tubing 'with lead free solder..
Gas wIII he black iron pipe and rating.
Qaraj,q:
Rel(icale existing sewer, water and gas to new washing machine and dryer location.
SaWGLffling and removal 01'existing concrete,
New sewer to wushin'gmachinc will tic into sewer located in front of'house.
I-lauling oll'demo concrete.
ReMucemcnt cif concrete.
• Revamp existing gas to inside of wall at water heater locution.
Ki1LhCI
Furnish and install I- chrO'nic Prollow PFLI,2001M chrome kitchen, sink Eau I cet.
.Furs' i S11,111d 'stall I - iSF badger V disposal
,install owner furnish dishwasher.
I look up'gus to range.
I-iook up ice maker water to rcilrigerator.
ims-t—t.4t I i ro o I i i:
Demoand hauling existing bathtub.
Furnish and install I < Lasco S'x32" 3,piecc fiberglass stub and shower.
Furnish and install I - chrome Moen positemp tub and shower valve..'
Revamp existing sewerandwater to lavatory.
Furnish and install I - 2W'x24" white cabinet and lavatory.
Furnish and install 1- cill-oille Proflow 'PVLL,j ol I M lavatory fiiucct.
Install owner I'Urnish toilet.
Mas -r athroom:
Demo and llaulihg existing shower.
-Furnish and install new Lasco 3 piece shower pan and walls.
Furnish and install I- chrome Moen positemp shower valve.
Fumish and install 1.24"x24" white cabinet and lavatory.
Furnish and ins(all 1- Chronic 11roflow PVI,L 1011 M lavatory faucet.
Install owner Furnish toilet.
67-625 HIGHWAY- 111 CATHEDRAL CI TY, CA 92234
I
JUN -09-10 12:16 PM ABC PLUMBING 760 3245623 P.03
D& -j1
1760) 322-74%3 • C760) 347 ` ..
33 .
LUMBINC�
FAX �Q) 324 -seg
L)ut xidc;
I'urnis'lt and relocate newresrure regulator. p r. hall valve and yard boa under ground.
1. l
ressure test gas piping. j
Not included in this prp, iosal
Furnish new appliances.
r
Sewer connected to city sewer.
Repair ol'drywall, file or.stuccu j
Dryer, venting.
New water'heater.
Toilels.
i
Prim fOr the ahuvc: $9O5U.OU i
Icrms proviress pa stents
David J. sun President Accepted
Liceme 1)40758 j
Bin #
'Z S w
City Of La Quints
City, ST, Zip: -
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Plumbing
Telephone:
Grant Deed
1.
;.�Nfs �`�y:,:,4RM
Building 8z Safety Divhlon
P.O. Box 1504, 78-495 Calle Tampico
Vvo e -�y
c� mac)
Permit #
10,052,15
Arch., Engr., Designer.
La Quinta, CA 92253 - (760) 777-7012
(1
Plans resubmitted
Address:
Grading
Building Permit Application and Tracking Sheet
Project Address: S _
e .
Owner's 1Vatitr
''d Review, ready for correctionstissue
Tele bone:
P
State Lic. #:
Z
Name ofiContact Person:
A. P. Number:
r
Address:
Sq. Ft.:
._
# Stories:
Legal Descriptions
}
Telephone,# of Contact Person: _'j L4 1 3
City, ST, Zip:
.Teleohone:
9 Q S Q �
Contractor: .P I, k.
Address: 1 _
'Z S w
Project Description:
City, ST, Zip: -
cl vj
Plumbing
Telephone:
Grant Deed
1.
;.�Nfs �`�y:,:,4RM
Pians picked up
L[
Stale Lic. # : L Jr 0
City Lie. c
Arch., Engr., Designer.
Plans resubmitted
Address:
Grading
City.,*, Zip:
''d Review, ready for correctionstissue
Tele bone:
P
State Lic. #:
Z
Name ofiContact Person:
a .
J '-1 >>ffr
p c, it d �:T
Construction Type: p cy:
Occu
project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
._
# Stories:
# Units:
}
Telephone,# of Contact Person: _'j L4 1 3
Estimated Value of Project:
9 Q S Q �
APPLICANT: DO NOT WRITE BELOW THIS LINE
Pub. Wks. Appr
#
Submittal
Req'd
Rec'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
Mechanical
Grading plan
2' Review, ready for correctionsfissue
Electrical
Total Permit Fees
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees