Loading...
BELC2014-10026/30/2014 - PERMIT NO BELC2014-1002 f ® ® 1 of 2 ? 78-495 CALLETAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: Building Permit ¢ Find I Next ........ ..... _... __._.._........................... .......................... _... _.._._....__._.............. ..... ............ ......... Tw�p44aw COMMUNITY DEVELOPMENT DEPARTMENT BELC2014-1002 S679S JACK NICKLAUS 762070010 ELECTRICAL FOR FUTURE BBQ $300.00. BUILDING PERMIT View Report VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/30/2014 Owner: STUART BRISCOE Contra ctor: HERMOSA LANDSCAPE \ J 54-415 AVE RUBIO CA CA 92 LA QUI NTA, 92253 (760)831-8749 \� `1Ll c. No.: 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 ofthe Business and Professions Code, and my License is in full force and effect. License Class: LICENSE CLASSIFICATION License No.: _ 30/'�/ D te: 6/Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat 1 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 a ny structure, prior to its issuance, also requires the a pplica nt for the permit to file a signed statement that he or she is licensed pursuant to the provisions ofthe Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 ofthe Business and Professions Code) orthat he or she is exempt therefrom and the basis for the alleged exemption. Any violation of5ection 7031.5 by any applicant for a permit subjects the applicant to a civil Pena ltyofnot more than five hundred dollars ($500).: (__) I, as owner ofthe 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 cfpropertywho builds or improves thereon; and who does the work himselfor herselfthrough 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 ofcompletion, the owner -builder will have the burden ofproving that he or she did not build or improve forthe purpose ofsale.). (__) I, as ownerofthe property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not a pply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s)licensed pursuant to the Contra ctors'State License Law.). U I am exempt under Seca . B.&P.C. for this reason Date: Owner, CONSTRUCTION LENDING AGENCY I hereby affirm under penaltyofperjurythat there is a construction lending agency for the performance ofthe work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one ofthe following declarations: —I have and will maintain a certificate ofconsent to self -insure for workers'compensation, as provided for by5ection 3700 ofthe Labor Code, for the performance ofthe workforwhich this permit is issued. _ I have and will maintain workers'compensation insurance, as required by5ection 3700 ofthe Labor Code, forthe performance ofthe work for which this permit is issued. My workers'compensation insurance carrier and policy number are: Carrier _ Policy Number:_ _ I certifythat in the performance ofthe 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 of5ection 3700 ofthe Labor Code/, IIsshall forthwith compSywwiith/tFjpse provisions. Ddfe: �!J �� cJAPP icaf nt: 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 fora permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalfthis application is made, each person at whose request and forwhose benefit work is performed underor pursuant to any permit issued as a result ofthis application, the owner, and the applicant, each agrees to, and shall defend, indemnifyand hold harmless the CityofLa Quinta, its officers, agents, and employees for anyact or omission related to the work being performed under or following issuance ofthis permit. 2. Any permit issued as a result ofthis application becomes null and void if work is not commenced within 180 daysfrom date of issuance ofsuch permit, or cessation ofworkfor 180 days will subject permit to cancellation. I certifythat I have read this application and state that the above information is correct. I agree to comply with all cityand county ordinances and state laws relating to building construction, and hereby authorize representatives ofthis city toejn%�upon the above -mention opertyforinspection purp segs• 17 Date: 6: 6/ W2%"�Signature (Applicant or Agent): http:/Aaq uinta.crw.corm traldt9/Docurr>antViewer.aspx?&report=/Documents/PERM ITS/Building %2OPermit&ACTIVITYN O=BELC2014-1002&g roup=PERMIT&U ... 1/2 "' a� Permit Reviews City of La Quinta 4 SENT DATE Permit Number: BELC2014-1002 Description: ELECTRICAL FOR FUTURE BBQ Applied: 6/30/2014 Approved: 6/30/2014 Site Address: 56795 JACK NICKLAUS Issued: 6/30/2014 Fina Ied: . City, State Zip Code: LA QUINTA, CA 92253 Status: ISSUED Applicant: <NONE> Parent Permit: BPLB2014-1001 Owner: STUART BRISCOE Parent Project: e Contractor: HERMOSA LANDSCAPE Details: ELECTRICAL - 116V OUTLET FOR FUTURE BBQ. 2013 CALIFORNIA BUILDING CODES. LIST OF REVIEWS SENT DATE RETURNED DATE DUE DATE TYPE CONTACT STATUS REMARKS Review Group: AUTO 6/30/2014 6/30/2014 7/5/2014 NON-STRUCTURAL BUILDING BUCKET. APPROVED Notes: t Printed: Monday, 30 June, 2014 1 of 1" srs�:�:.tic http://I aq uinta.crw.com/traldt9/DocumerTtV ev,er.aspx?&report=/Documents/PERM ITS/Permit%2ORe\iews&ACTIVITYN O=BELC2014-1002&g roup=PERMIT&U DESCRIPTION PermitTRAK ACCOUNTQTY PAID $174.98 BELC2014-1002 Address: 56795 JACK NICKLAUS .. Apn:762070010 $48.66 BUILDING STANDARDS ADMINISTRATION BSA $1.00 BSAS 561473 FEE 101-0000-20306 0 $1.00 ELECTRICAL $47.66 DEVICES, FIRST 20 PC 101-0000-42403 0 $23.83 DEVICES, FIRST 20 101-0000-42403 0 $23.83 BPLB2014-1001 Address: 56795 JACK NICKLAUS Apn: 762070010 $126.32 PERMIT ISSUANCE $90.57 PERMIT ISSUANCE 101-0000-42404 0 $90.57 PLUMBING FEES $35.75 GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42401 0 $23.83 GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $11.92 TOTAL FEES .. , $174.98 Date Paid: Tuesday, July 01, 2014 Paid By: HERMOSA LANDSCAPE Cashier: AZA Pay Method: CASH Printed: Monday, June 30, 2014 5:21 PM 1 of 1 CYCTGwAC Yr r os 3ax+yi, 3 3 {e g �-i, ', �a ya_?t tf, a s•;. ,y ,ter �Satd a r <, o �`y It K x• CITY Orb� QUINTA y ry BUILDING & SAFETY DEPT.$« APPROVED n FOR CONSTRUCTION �A�� � r4 q �.. t rT 1p b F 1000loo i + 5 r1 " a r _ems 4 u* �' t r • 'F 3 Lx 6„ ` .wf S9s`': ri♦ a..Y �{..,r, 6 - e: �' ii'�»�„y � �� i��iQt 55 sr r.,y:y i`<"" u_ w4 ME r3►,�# City of La Quint Building &r Safety Division / P.O. Box 1504, 78-495 Calle Tampico. Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Perm't # Project Address: Owner's Name: A,/' A. P. Number: Address:'?&A 3 Legal Description: City,ST Zip: 22S Contractor: ,,,,' � �c9 �� •.�.� – Telephone: Address: Project Description: City, ST, Zip: AS ti.e_,� -t-b '-i4-_4v L3 Q Telephone: :r: i:viF:�:::%i. tii:. �.. f•+riy 4irjl::i :%'r!:. •/•••:..�'fid; :i iii U: ::.%•;::>;::;:s>.;;:y.;y.;:i:::>,:;,:>:,�•:%..-.%>i�:>"<: State Lie. #: City Lie. C Arch., Engr., Designer: kv W . A %I DV I ?Vl r 4. :Iti— (5616. Aylen Address: City, ST, Zip. Telephone: ep State Lie. #: r�#?r:.:;::::<:.`v<:>:<::<•'::: .i;•::r.;,:_y,.:e;;:<:h;<!.i:.;<•<!.> Construction Type Occupancy: circle o ne): New ddn Alter Repair Demo Name of Contact Person: .0 Sar Sq. Ft :# Stories: # Units: Telephone #,of Contact Person: D > y,3 I – 7 U Cj Estimated Value of Project: ; ?© APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACMG PERMIT FEES Plan Sets Plan Check submitted ' Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance Title 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2' Review, ready for correctionsfissue 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 correctionslissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees