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BPLB2015-006678-495 CALLE TAMPICO D �N.NIICl/ LA QUINTA,CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPLB2015-0066 Property Address: 51184 AVENIDA HERRERAfi APN: 773064010n Owner: Application Description: LUKE VACATION HOMES FIRE PIT U Property Zoning: APR 2 4 2015 Application Valuation: $3,500.00 Applicant: CADD WORKS INC 000TSIDE CITY LIMITS LA QUINTA, CA 92253 L_TY OF LA QUINTA COMMUNITY DEVELOPMENT DEMITMI" LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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. D06. C29 License No.: 917955 Date: 4, Z4, 201 Contractor: CAM w0tifGS t Io 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.). (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 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 Na Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: CADD WORKS INC 31475 CALLE HELENE THOUSAND PALMS, CA 92276 (760)272-5183 Llc. No.: 917955 Date: 4/24/2015 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. 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 that, if I should become subject to the workers' compensation provisions of Section 370 of the Labor Code, I shall forthwith comply with those provisions. Date: 4'24'�I Appli �' WARNING: FAILURE TO SECURE WORKERS' COMPE SATION 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. 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: 4 24-7-o(S Signature (Applicant or A -\vanoda Mairvairm z m 13 > Z- -n -4 z lot ----,r ! rng - .100, - — - — - — - - — - — - — - — - — - — - PROPERTY LINE ,�STRUCTIIONI FOR Cot PAI By FINANCIAL INFORMATION DESCRIPTION ACCOUNT , ,: QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 4/24/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY CADD WORKS INC CHECK R5434 1186 MFA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTION ACCOUNT. QTY. AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 4/24/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY CADD WORKS INC CHECK R5434 1186 MFA Total Paid for PERMIT ISSUANCE: $91.85 $91.85 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $12.09 4/24/15 PAID BY METHOD RECEIPT # CHECK # {LTD BY CADD WORKS INC CHECK R5434 1186 MFA DESCRIPTION ACCOUNT QTY, - AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $24.17 4/24/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY CADD WORKS INC CHECK R5434 1186 MFA Total Paid forPLUMBING FEES: $36.26 $36.26 Description: LUKE VACATION HOMES FIRE PIT CHRONOLOGY Type: PLUMBING Subtype: Status: ISSUED Applied: 4/24/2015 MFA Approved: 4/24/2015 MFA Parcel No: 773064010 Site Addeess: 51184 AVENIDA HERRERA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 70 Lot: 14 Issued: 4/24/2015 MFA UNIT 9 CA 92276 (760)272-5180 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $3,500.00 Occupancy Type: Construction Type: Expired: 10/21/2015 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: FIRE PITWITH 25' GAS LINE IN BACK YARD PER 2013 CBC .�J..rr...._ ... .err, ....... . . Approved to Issued. . ADDITIONAL CHRONOLOGY CONTACTSCONDITIONS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT CADD WORKS INC 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 (760)272-5180 CONTRACTOR CADD WORKS INC 31475 CALLE HELENE THOUSAND PALMS CA 92276 (760)272-5180 Printed: Friday, April 24, 2015 3:11:51 PM 1 of 2 er SYSTEhIS DESCRIPTION ACCOUNT Q AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY C LTD BY BY PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 4/24/15 R5434 1186 CHECK CADD WORKS INC MFA Total Paid for PERMIT ISSUANCE: $91.85 $91.85 GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $12.09 4/24/15 R5434 1186 CHECK CADD WORKS INC MFA OUTLETS GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $24.17 4/24/15 - R5434 1186 CHECK CADD WORKS INC MFA OUTLETS PC Total Paid forPLUMBING FEES: $36.26 $36.26 BOND INFORMATION ATTACHMENTS Printed: Friday, April 24, 2015 3:11:51 PM 2 of 2,,, SYSTEMS