BRES2016-024178-495 CALLE TAMPICO D �NMNCl/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRES2016-0241 Owner:
Property Address: 81396 PEARY PL EAST OF MADISON
APN: 767680027 P O BOX 1482
Application Description: TIM BREMMER / BBQ AND FIRE PIT LA QUINTA, CA 0
Property Zoning:
Application Valuation: $10,000.00
Applicant:
DISCOVERY BUILDERS CALIFORNIA INC DBA DB
14605 N 73RD.STREET
crnrrrf:�I F 417 35760
VOICE (760) 777-7125
FAX (760)'777-7011
INSPECTIONS (760) 777-7153
Date: 8/24/2016
AUG
24 !Z0!!16Jf Contractor:
DISCOVERY BUILDERS CALIFORNIA INC DBA DB
CffYOFLpQU4iJTA 14605 N 73RD STREET
00MMUNITYDE`IELOPMENiDEPAR�MEN7 SCOTTSDALE, AZ 85260
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: B License No.: 9156-
33
Date:, r_ Coht_--
racor:
OWNER-BUILDE/DLARATION
I hereby affirm under penalty of perjury thaxempt from the Contractor's State
License Law for the following reason (Sec. 7usiness and Professions Code: Any
city or county that requires a permit to conlter, 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 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
Lender's
(480)624-5200
Llc No.: 915336
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
e wo or which this permit is issued.
have and will maintain workers' compensation insurance, as required by
Sectio 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: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy
Number: YJUB282D7797
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 sh Id become subject to the
workers' compensation provisions of Section 3700 of a Labor Code, I shall forthwith
comply with those provisiiions.
Date: Applic .
c -
WARNING: AILURE TO SECURE WORKERS' C PENS TI r COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRI NAL PEN ES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($10 ,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 law elating to building
construction, and hereby authorize representatives of this cit ter upon the
above-men)ioneV property for inspection purposes.
Date: Signature (Applican
.l
Date: 8/24/2016
Application Number:
BRES2016-0241
Owner:
Property Address:
81396 PEARY PL
EAST OF MADISON
APN:
767680027
P 0 BOX 1482
Application Description:
TIM BREMMER / BBQ AND FIRE PIT
LA QUINTA, CA 0
Property Zoning:
Application Valuation:
$10,000.00
Applicant:
Contractor:
DISCOVERY BUILDERS CALIFORNIA INC DBA DB
DISCOVERY BUILDERS CALIFORNIA INC DBA DB
14605 N 73RD STREET
14605 N 73RD STREET
SCOTTSDALE, AZ 85260
SCOTTSDALE, AZ 85260
(480)624-5200
Llc. No.: 915336
r
1
.l
i
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
' DESCRIPTION.
ACCOUNT
QTY
AMOUNT
Credit'Card Fee
101-0000-43505
0
$3.93
Total Paid for Credit Card Fee: $3.93
DESCRIPTION
ACCOUNT
QTY
AMOUNT
OTHER ELECTRICAL EQUIPMENT
101-0000-42403
• 0
$24.17
DESCRIPTION
ACCOUNT
QTY
AMOUNT
OTHER ELECTRICAL EQUIPMENT PC
101-0000-42600
0
$24.17
Total Paid for ELECTRICAL: $48.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE -
101-0000-42404
0
$91.85
Total Paid for PERMIT ISSUANCE: $91.85 •
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
- - DESCRIPTION-
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600.0
$24.17
Total Paid for PLUMBING FEES: $36.26
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308 `
0
$1.30
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.30
Bin #
city . of La Quinta
Building &r Safety Division
P.O. Box 1504,76-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 491
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Telephone:
Address: To
Project Description:
City, ST, Zip:
Telephone:7w
M
k -,-c -POW v-- L F
State Lic. 4 M I S-T(O
City Lic. 0-10470(1
Z0 C r -
Arch., Engr., Designer: 60t A.,�,-.7D±,,
5( 66 Ckc, QNLY' L-I-R&Rjr kZ&6t-)1jQ&-)
Address: *7
City, ST, Zip:(_,,
bDY
Telephone:
State Lic. 9:
Constructi on Type: Occ'upan'cy:
Project type (circle on Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: &S -&O
g Stories:- (
To Units-,
Telephone # of Contact Person: 0 '57) t 5-811
Estimated Value of Project: (C.4> CCO. oc>
APPLICANT: DO NOT WRITE BELOW THIS LINE
9
'Submittal
Reqld
Rec'd
TRACMG PERMIT FEES
Plan Sets
Plan Check submitted Item Amount'
Structural Cafes.
Reviewed, ready for corrections Plan Check Deposit
Truss Cates.
Called Contact Person Plan Check Balance.
Tide 24 Cates.
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.L
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
Review, ready for co rrections/issue Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees