13-0868 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00000868
Property Address: 81140 GOLF VIEW DR
APN: 762-280-024- -
C Application description: PLUMBING
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 22400
- Applicant:
TWT
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
MPi
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 P fess' als ode, and my License is in full force and effect.
License Class: C27-053 ense No.: 964474
Date:14 ' 11 Contractor:
- OWNER -BUILDER DECLARATION
I hereby affirm under penalty of p rjury that. am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, B smess d Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolis, or r air any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement t e 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.). ,
1 _ 1 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
Dater
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:
LQPERMIT
Owner:
BRENT TAYLOR
81140 GOLF VIEW DRIVE
LA QUINTA, CA 92253
(
Contractor:
DESERT OUTDOORS INC
78065 MAIN ST STE 4205
LA QUINTA, CA 92253
(760)399-9600
Lic. No.: 964474
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/22/13
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
sued.
.11 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 NORGUARDINS Policy Number DEWC338066
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in an=AND
o as to com ubject to the workers' compensation laws of California,
and agree thld-be a su ' ct to t workers' compensation provisions of Section
3700 of the e, I s fort ith c ply with those provisions.
'ZZ.I�
Date! Applic'
WARNING: FAILURE TO SE ` S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJEC�AN EMPLOYER TL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). INATHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LAB. INTEREST. AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety 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 abovePucti
o is orrect. I agree to comply with all
city and.couniy ordinances and state laws relating to building coand ereby authorize representatives
of /t!hiscounty to enter upon the above-menttioned property for inurp ses.
Date,: Z- I") Signature (Applican ,or Agent):
Application Number . . . . . 13-00000868
Permit . . . PLUMBING 2013
Additional desc .
Permit Fee 11.92 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 1/13/14
Qty Unit Charge Per
Extension
1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS
-------------------------------------------------- -------------------------
11.92
Permit . . . ELECTRICAL 2013
Additional desc .
Permit Fee . . . 23.83 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date .. 1/13/14
Qty Unit Charge Per
Extension
1.00 23.8300 LS ELEC FIXTURES, FIRST 20
23.83
----------------------------------------------------------------------------
Special Notes and Comments
NEW BBQ AND FIRE PIT - DOES NOT INCLUDE
PATIO COVER OR POOL REMODEL -NO PERMIT
REQUIRED (TILE AND PAVERS ONLY) [2 INCH
GAS PIPING/##8 AWG IN 1 INCH CONDUIT
ELECTRICAL). EQUIPMENT SHALL BE
INSTALLED IN ACCORDANCE WITH
MANUFACTURER SPECIFICATIONS. 2010
CALIFORNIA BUILDING CODE
----------------------------------------------------------------------------
Other Fees . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PERMIT ISSUANCE M/P/E
90.57
Fee summary Charged Paid Credited
Due
---------------------------------------------------------
Permit Fee Total 35.75 .00 .00
35.75
Plan Check Total .00 .00 .00
.00
Other Fee Total 91.57 .00 .00
91.57
Grand Total 127.32 .00 .00
127.32
LQPERMIT
RECFIVFn
APPROVED. : ,00#
FOR CONSTRUCTION , r
1 DAT�r
X/c 0 :57e
Cir}/• Of La QudCIta - - .
Buitatng $r safety Division JUL Q 9 2 0
P.O Box 1504, -7&495 Calle Tampico
La.QltW4 CA 92233 -{760} 777-7012 roMMUN CF QUI Tq
Miding Pennit -Application and Tracking Sheet I7Y 0EYEL M
Permit #
PmjectAddress: ' IqQ
Owner'sName:.lAZ
A P. Number.
Address: f5 1 j C D 1 W,
Legal Description:
City, ST, Zip. n U%IJ 1 O
Contractor: Desert Outdoors
Telephone
Address: 78-065 Main St. Ste. 205
Predict Description:
city. ST, zip- La Quinta, Ca. 92253
f
Telephone: 760-399-9600:
f 9L!� I 4i yr �
state Lia # : --c-53 964474 1 City L,G go,
AmEL, Engr., Designer. Flying Buttress
Adder: - 77725,Enfield Ln. Ste. 130
4 C✓
city, ST, zip: Palm Desert, CA. 92211
Telephone: 760-772-4411 Construction Type: - Occupancy.
State Lia #: 33446 Project We (circle one): Naw Add'n Alter Repair Demo
Name of Contact Person: Sq. FL: # Stories: # Units:
Telephone # of Contact Person: • . Estimated Valine of Project
APPUCANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd TRACMG
PERM rFEES•
Plan Sets
PlanChecksubmitted
Vic)
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called cantaet Person
Plan Check Balance
Titre 24 Caics.
Plans pica ed up
Consstrned.
Flood ptahr plan
Plans resubmitted..
Meebmiieal
Giading play
Z'! Review, ready for correctio rssue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
ML
H.O.A. Approval
Plans resubmitted
Grading
IN ROM:-
'"' Review; ready for cormtionsfissae
Developer Impact Fee
PlanningApproval.
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
IINTA-
EPT.
®.
Total Permit Fees
APPROVED. : ,00#
FOR CONSTRUCTION , r
1 DAT�r
X/c 0 :57e
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I'■=
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EXISTING
RE5IDENGE
REPAIfl ANY DAMAGE
TO DRAINAGE SYSTEM
STUB NEWIRRIGATMNI
FOR FUTURE PLANTWGS
STUBMGMTIMG WIRE MUSS
FOR FUTURE LANDSCAPE
LIGMTUIG. Fl MRESSNOWN
OO AREAPPROAUAATE.RELO
VERIFY
GAP AND REROUTE MRIGATIOM
TO ENSURE ALL EALSRMO FLANT
MATER-REMAINSL TEREO
CITY OF LA QQINTA
BUILDING & SAFETY DEPT.
APPROVOD
FOR CONSTRUC11ON
DATE BY J� - - - -
FOR
CONSTRUCTION
RECEp 0-p
JUL 0 9 2013
CITY OF LA
QUINTA
NEW SITE PLAN
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