The URL can be used to link to this page

13-1583 (PLBG)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING '& SAFETY DEPARTMENT INSPECTIONS (760) 777-7153- BUILDING PERMIT Date: 12/09/13 Application Number: 13-00001583 Owner: Property Address: 51735 AVENIDA VALLEJO AARON THOMAS �APN: 773-131-026-12 '-000000- 51735-AVENIDA VALLEJO' Application description:. PLUMBING LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL (760) 880-4462 Application valuation: 600 r Contractor: Applicant: Architect or Engineer: QUALITY MECHANICAL PLUMBI 74525 DAY LILY DRIVE PALM DESERT, CA 92260 �} (760) 219-73712013 * �rl Lic. No.: 923620 C TY0-LA FINANCE DEPT QUIN --------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - I hereby affirm under penalty of perjury one of the following declarations: Section 70001 of.Division 3 of the Business and Professionals 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.: 923620- - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. - Date: Contracto . /w' 1 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 OWNER-BUILDER DECLARATION insurance carrier and policy number are: �l hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the carrier MARKEL INS CO Policy Number MWC0048359 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 work for 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 so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuanLto the provisions of the Contractor's State , and agree that, if 1, should become subject 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 C e, I shall forthwith 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: DatelIM5 -Applicant (_ I 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 WORKERS' 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 (5100,000). 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 will have the burden of proving that he or she did not build or- improve for the purpose•of sale.). APPLICANT ACKNOWLEDGEMENT (_) I, 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, (_ 1 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 harmlesstheCity 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 1 have read this application and state that the above information 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 building construction, and hereby authorize representatives of this county to enter upon the above-mentioned pafor insection purposes. Lender's Name: -��Date:��Signature (Applicant or Agens Lender's Address: LQPERMIT Application,Number 13-00001583 Permit PLUMBING 2013 * _ Additional.desc t - _ Permit Fee 11.92 Plan Check Fee .00 ' Issue Date -Valuation 0 Expiration ,Date 6/07/14' , ` Qty Unit Charge Per 'Extension 1.00. 11.9200 LS PLBG GAS SYS, .1-4 OUTLETS '11'.92. . Special Notes and 'Commen_ is �. PLUMBING - 46LF OF 3/4" GAS -LINE FROM - METER TO COOK,TOP AND WASHER/DRYER (HOT WATER HEATER NOT INCLUDED). 2010 - CALIFORNIA.BUILDING CODES. - ----------------- Other Fees . . . . I. . . BLDG STDS ADMIN .(SB1473) 1.00• PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK,. PLUMBING 23.83 = Fee summary' Charged Paid Credited Due --- 'Permit Fee Total • 11.92 .00'. ..00 11.92 Plan Check Total .00 .00 .00 •.00 ; Other Fee.Total 115.40. .00 .00. 115.40._ Grand Total. 127.3.2 .00 _ .00 l y 127.32 • LQPERNI[T - - - i Bin # City of Ja Qulnta Req'd :Building & Safety Division P.O., Box 1504, 78-495 Calle Tampico Permit # y r i I La Quinta, CA 92253 - (760) 777-7012 I Building Permit Application and Tracking Sheet :Project Address: 6/735 V a C ''Owner's Name: rry /ser•. s Address: $y YS'i 4P A. P. Number: ,el Legal Description: Ci STZi : ri. p /,ve.v co ezqar 5i Contractor: j -Tele hone: rbcs O K62 ��°r•r:��`�<< >:�F P C% % 84 �l ` /� :Address:29 r J Project Description: &As Lxnx . ! City, ST, Zip:-P.d/ft 44 Plan Check Deposit .g.� WAIM G O,7 V •ll • 0 slot Vm4tv ,Tele hone P 4O'b Z % <?•;?s%> • 7 M ,State Lic. # C,-$(. 2,+&2 City Lic. #; � . Adep/ 00.6— 0" Coot Taft .Awia Arch., Engr., Designer: Oqr ,�� O'bi� rl► INn ?'jib Address: SJOW-W N WAP !c fo 4sto 1$wV-14 City., ST, Zip: Plans picked up Telephone:>:;.;.;;;:::.r::.;y::;...<;..::;v>::•>::;::. `:;::'#>;::<::<:;>>>::<<::r:;;;>: ::::•>:;•::: Construction Type: Occupancy: xF�: yiY::}'r'i?ii+``-?i �'+�'i> vi � �vi:}yJ,• Plans resubmitted State Lic. #: is#:<_;.>:.;;:-::::_?;r:::;:::;,:::;::;n;:::::;: -::-f:>:<;<-><<>;•»>.;•<..r�:: , Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person:Q Sq. Ft.: #Stories: # Units: - Telephone #,of Contact Person 1160). grit) 44-i 2 Es imated Value of Project: #&Apo�+• APPLICANT- DO NOT WRITF RFI OW T14M i INF # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees' Total Permit Fees ----- --- -- ---- -- - - _.. L31-: _ LA 3 Ale I'll!- Ile _ k ' 47 _ t�'y;� s� - QGp �n. S.e _�<, ;t=om$ BUILDiN aA SA FE" DEP APPROVED DATE 2 1 BY