BPLB2017-0066i
D "i �W{II�Cl/ VOICE (760) 777-7125
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/10/2017
Application Number: BPLB2017-0066 Owner:
Property Address: 44900 VIA ALONDRA VICHO KOCEJO
APN: 604590009 44900 VIA ALONDRA
Application Description: KOCE10 / ADD 1" FIRE PIT GAS LINE LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $400.00
Applicant: Contractor:
CASCIO LANDSCAPE CONSTRUCTION CASCIO LANDSCAPE CONSTRUCTION
40101 MONTEREY AVE STE B-1 2017 40101 MONTEREY AVE STE B-1
RANCHO MIRAGE, CA 92270 MAY 0 9 RANCHO MIRAGE, CA 92270
J
CI� OF LAQUINTA (760)567-4070
ESIGN AND DEVELOPMENT DEPARTMENT
Llc. No.: 920960
D
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chaptee 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: C27, B License No.: 920,960
Qate - .� �� _ I 1Contractor:
r
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 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 Name:
Lender's Address:
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-workfor which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by
Secfion 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: FALLS LAKE FIRE AND CASUALTY COMPANY Policy Number: FLD00460500
_ 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 0 of the Labor Code, I shall forthwith
comply with those provisions`.
N
Date: G -` /
/ ( 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. j
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 nter upon the above-
mentioned property for inspection purposes.
Date: �� 1 Signature (Applicant or Agent):
e
Date: 5/10/2017
Application Number BPLB2017-0066
Owner:
Property Address: 44900 VIA ALONDRA
VICHO KOCEJO
APN: 604590009
44900 VIA ALONDRA
Application Description: KOCEJO / ADD 1" FIRE PIT GAS LINE
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $400.00
Applicant:
Contractor:
CASCIO LANDSCAPE CONSTRUCTION
CASCIO LANDSCAPE CONSTRUCTION
40101 MONTEREY AVE STE B-1
40101 MONTEREY AVE STE B-1
RANCHO MIRAGE, CA 92270
RANCHO MIRAGE, CA 92270
(760)567-4070
Llc. No.: 920960
Detail: ADD 1" FIRE PIT GAS LINE IN THE REAR THIS PERMIT DOES NOT INCLUDE WATER FEATURE IN REAR. PER 2016 CALIFORNIA PLUMBING CODE
INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
e 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
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$2S.33
Total Paid for PLUMBING FEES: $38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
I
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Permit 7'1'
Pr.`oJect Address.�7 y 7100
City, of LaQuinta
tBoUding 8i Safety Division
78-495 Calle Tampico
.' La Quinia,-CA 92253 -'(760) 777-701:2
Building Pemlit Application and Tracking Sheet
A. P. Number:t
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Projecibescript
City- ST, Zip.-� IV 0� O
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Telephone: 6 U
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State Lic. # : ac (p G
City Lie. #.
Arch., Engr., Designer:
Address:
City, ST, Zip:
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Telephone:
e:
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Construction Type: Occupancy:
cY
State a
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L
Je t type circle one): Nev Add'n Alter Re air. Demo
Maine of Coma ICITM-son;:
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Sq. Ft.:
# Stories:
- Units:
Telepho i# o Contac" Pe on:
7 (� U
Lst�rn' ated %l7a u of P,,roject:
APPLICANT: DO NOT WRITE BELOW THIS LINE
it
Submittal
Req'd
Rcc'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.'.-
n':Flood
Floodplain plan
Plans resubmitted
Mechanical
Grading plan,
2"" Revicly, ready for corrcctions/issue
Electrical
SubcontaetorList
`Callcd Contact Person
Plumbing
Grant Decd-,
Plans picked up
S.M.I. '
11.0.A: Approval,
flans resubmitted
Grading
IN I1OUSE:-
''" Reyiew, ready for corrections /issue
Developer Impact Fee
Planning Approval
_ -
Called Contact Person
A.1.P.P.
Pub. Ms. APPr
Date orpermit issue
School Fees,
r
Total fermi( Fees
• 1.
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