BPLB2015-0012Ni
78-495 CXLL&ICO
LA;t.1,U NTA; CALIFORNIA 92253��
Application Number:
Property Address:
APN:
Application Description
Property"Zoning:
Application Valuation:
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BPLB2015-0012
4
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
81802 SUN CACTUS LN LN
764340046
REPLACE GAS LINE 40LF OF 3/4" PE
$1,700.00
Owner:
GLENN SMITH
, 92253
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Applicant: Contractor:
FERRAUD INDUSTRIES INC DBA VAL FERRAUD INDUSTRIES INC DBA
78886 AVENUE 41 78886 AVENUE 41
BERMUDA DUNES, CA 92203 BERMUDA DUNES, CA 92203
(760)347-3629
Llc. No.: 273088
-------------------------------------------------=------------------------------
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.: 273088
Dat e'1 /`26- /S Contractor',
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).:
(_) 1, 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:
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
Lender's Address:
Date: 1/26/2015
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 w91k for which this permit is issued.
F 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, 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.
Date: I -A -).S Applicant-
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 t e above-
mentioned property for inspection purposes. A fl^
DatM / _ 26 ` �� Signature (Applicant or Agent):�l►
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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 w91k for which this permit is issued.
F 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, 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.
Date: I -A -).S Applicant-
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 t e above-
mentioned property for inspection purposes. A fl^
DatM / _ 26 ` �� Signature (Applicant or Agent):�l►
FINANCIALI INFORMATION
DESCRIPTION
ACCOUNT ,°,s QTY AMOUNT "PAID .'PAID C--ATE'
1
,;
BSAS SB1473 FEE .
'101-0000-20306
0
$1.00 $0.00
q �PAIDBY,-.,
RECEIPT# ' CHECK# �'', *,CLTD;BY'
r
F
" Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION. ; :',, ' .. .?•'.
ACCOUNT ,,�w
"QTY
"AMOUNT
r PAID`
PAID DATE
PERMIT ISSUANCE
'101-0000-42404
0
$91.85
$0.00 .
t < ,PAID BY '
THOD ' _ t.
F
RECEIPT #
CHECK # "
y,; [LTD BY.f
i
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
ACCOUNT` -
QTY_
AMOUNT
a PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$0.00.
µ
y.=. 'PAID BY
v.
`
,' r4 METHOD, < „
RECEIPT #
,
CHECK # .` {
CLTD'BY .
DESCRIPTION
- :ACCOUNT -
QTY
"AMOUNT
PAID ` s
RAID DATE'
F r.
a
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
$0.00
PAID Bi,
METHOD `''
RECEIPT # -x _ {,
CHECK #'
[LTG BY
Total Paid for PLUMBING FEES: $36.26 $0.00
• 1 00
r
-
F
Description: REPLACE GAS LINE 40LF OF 3/4" PE
Type: PLUMBING
Subtype:'
Status: -UNDER REVIEW
Applied: 1/26/2015 SKH
Approved:
Parcel No: 764340046 Site Address: 81802 SUN CACTUS LN LN LA QUINTA,CA 92253
Subdivision: TR 30023-1
Block:
Lot: 101
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning: -
Finaled:
Valuation- $1,700.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
_
Details: PLUMBING -REPLACE 40LF OF NATURAL GAS LINE W/ 3/4"PE. 2013 CALIFORNIA BUILDING CODES. .
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
FINANCIAL INFORMATION
Printed: Monday, January 26, 2015 2:47:51 PM 1 of 2 C
RY.CTFMR
DESCRIPTION
ACCOUNT
—�—
QTY;,
.AMOUNT'
"PAID
PAID DATE,`
RECEIPT W;
'CHECK #
A METHOD;
,. PAID BY ,
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00 .
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
` Total Paid forPERMIT ISSUANCE: $91.85 $0.00
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$0.00
OUTLETS PC
Total Paid forPLUMBING FEES: $36.26 $0.00
TOTALS:00
INSPECTIONS
SEQID INSPECTION TYPE.' INSPECTOR : ' SCHEDULED COMPLETED'
-`:RESULT - REMARKS NOTES _`.�� : µ�.•,_.
ry "b DATE :.DATE=
PLUMBING FINAL"
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
T Printed: Monday, January 26, 2015 2:47:51 PM 2 of 2 C .
.SV.CTFM.S
Bin. #
City. of 4 Qur.nta
Bullding 8L Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253-:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Projeci Address; 81-802 Sun Cactus Lane
owners Name:. Mike Cadi an
----------------
A. P. Number.
Address:81-802 Sun Cactus Lane
Legal Description:
Contractor. Valley Plumbing Company
Address: 78886 Avenue 41 .
City, ST, Zip: La Quinta, Ca. 92253
Telephones (626) 665-5884
Project Description: Replace the existing natural gas
City, ST, Zip: :Bermuda Dunes, Ca. 92203
piping in the rear of the residence feeding the BBQ
Telephone: (760) 347-3629
-� ,,. " "' =
An fireplace.
G
State Lie. #:. CSLB #273088
City Lic. #;
Arch., Engr., Designer
Address:
City, ST, Zip: .
Telephone: n
State Lie. #:
Name of Contact Person:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:.
# Stories:
# Units.
Telephone # of Contact Person:
Estimated Value of Project~ $1700. .
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Beed
TRACE NG
PERMIT FEES
Plan Sets
Plan Check submitted
item Amount
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Ce Med Contact Person
Plan Check Balance
Tide 24 Calcs.
Plans picked up _~
Construction
Flood plain plan
Plans resubmitted.-.
Mechanical
Grading plan
2id Review, ready for correctioneiissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
S.M.L
H.O.A. ApprovalPlans
resubmitted
Grading
IN HOUSE:-
'^' Review; ready for correctionsAssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
289-199 (Rev. 06/2009)
•
• SITE PLAN
SITE ADDRESS • 81-802 Sun Cactus Lane - La Quinta, Ca. 92253
ASSESSORS PARCEL NUMBER
Provide North Arrow= REAR PROPERTY LINE
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289-199 (Rev. 06/2009)
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