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BPLB2015-006478-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4t�t440" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPLB2015-0064 Property Address: 78740 AVENIDA LA 1ARITA APN: 770144006 Application Description: ROPER MORRIS 75 LN FT OF ONE INCH PER PLAN Property Zoning: Application Valuation: $750.00 Applicant: Q ROPER MORRIS CONSTRUCTION I 50855 WASHINGTON ST STE C-21 LA QUINTA, CA 92253 1 APR 20 2015 jO CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed uer provisions of Chapter 9 {commencing with Section 7000) of Division 3 of the Busin ss and Professions Code, and my License is in full force and Yeffect. License.Class: B License No.: 867583 Date: `' �' j Contractor: 11A( OWNER-BUILDE 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 Divisio 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 fo a permit subjects the applicant to a civil penalty of not'more than five hundred dollar ($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 N Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/20/2015 Owner: MORRIS, JUSTIN & KELLY 50855 WASHINGTON ST # C-216 LA QUINTA, CA 92253 Contractor: ROPER MORRIS CONSTRUCTION INC 50855 WASHINGTON ST STE C-216 LA QUINTA, CA 92253 (760)272-9292 Llc. No.: 867583 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 work for which this permit is issued. 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 th if rphhJuld become subject to the workers' compensation provisions of Section 0 f e Labor Code, I shall forthwith comply with those provisions. i L( 1d. Date: L � t Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPEN5PON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINALPElTALTIES 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 I ws r lating to building construction, and hereby authorize representatives of this cit; ent up above- mentioned property for inspection purposes. II ate: `"�' 6 ' L�Signature (Applicant or Agent): i FINANCIAL •• • DESCRIPTION - ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $36.26 $0.00 TOTALS:00 Description: ROPER MORRIS 75 LN FT OF ONE INCH PER PLAN CHRONOLOGY Type: PLUMBING Subtype: Status: UNDER REVIEW Applied: 4/20/2015 PJU Approved: Parcel No: 770144006 Site Address: 78740 AVENIDA LA JARITALA QUINTA,CA 92253 Subdivision: DESERT CLUB TR UNIT 5 Block: Lot: 128 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $750.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0. Details: 75 LN FT OF 1 "GAS LINE FOR BBQ & FIREPIT PER APPROVED PLAN & 2013CALIFORNIA PLUMBING CODES. FINANCIAL INFORMATION Printed: Monday, April 20, 2015 9:28:41 AM 1 of 2 CRWYSTEMS CHRONOLOGY CONDITIONS FINANCIAL INFORMATION Printed: Monday, April 20, 2015 9:28:41 AM 1 of 2 CRWYSTEMS INSPECTIONS SEQID INSPECTION TYPE'.INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE PLUMBING FINAL"* BLD PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE BOND INFORMATION CL DESCRIPTIONT— ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 1 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING 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:• 0• INSPECTIONS SEQID INSPECTION TYPE'.INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE PLUMBING FINAL"* BLD PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE Printed: Monday, April 20, 2015 9:28:41 AM 2 of 2 CRWSYSTEMS BOND INFORMATION ATTACHMENTS Printed: Monday, April 20, 2015 9:28:41 AM 2 of 2 CRWSYSTEMS Qin # Qty Of La QUinta Building 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 # Project Address: _7617/0 A7, /770,77,7 1�'i hol Owner's Name:is S d,2f A. P. Number: K/8'(!/ Address: S-0 B� A /kd i� �l Ct , C d& Legal Description: Ape, t, ` City, ST, Zip: tq hone•Contractor: TeleP - Address:�Q(� �� / �►- •Ca� Project Description: City, ST, Zip: lY C� Fay �3 G.�-s &az /Nwy, 5 • Q T ne• ele h Po . Da i a -s 10 Five— State Lic. # : 6 7 505 3 City Lia# Arch., Engr., Designer: Address: City., ST, Zip: 17 � 75� V Telephone: <<# << €> State ic. t L #: :. Construction T Occupancy: cu Oc P c7': Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE tl Submittal Req'd Recd 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 20° 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 ROUSE:- 'rd 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 . IJ�JI ��j