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14-0410 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tit!� 4 4 Q" Application Number: 14-000004 10 Property Address: 47385 VIA CORDOVA APN: 643-100-026-205 -26152 - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1300 Applicant: Architect or Engineer: Myk BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: TORRES 47385 VIA CORDOVA LA QUINTA, CA 92253-6 Contractor: TESERRA P.O. BOX 1280 COACHELLA, CA 92236 476013"18-9222 . Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/11/14 U I y6- v��6 LICENSED TRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am li a ed under provisions of Chapter 9 (commencing with 1 hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Div' ion 3 of the Business and Pr essionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Clas C , 10 , 27 , 2 License No.: 656128 for by Section 3700 of. the Labor Code, for the performance of the work for which this permit is issued! Dat t Contractor:. 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 - OWNER -BUILDER DECLARATION W insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EVEREST NATL IN /sub't r 7600006481141 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance owhich this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to bto the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agr that, if I should becohe workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 70 f the Labor Code, I shallply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by [ �R.�,. any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: / ! Applicant:4-7 1 _) 1, 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 WARNIN FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT ' 1 _) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property' who builds or improves thereon, and who contracts for the projects with a contractods) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is. performed under or pursuant to any permit issued as a result of this application, 1 _) I am exempt under Sec. , B.&P.C. for this reason, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City I — C -i ff' d I f 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 Name: - - Lender's. Address: LQPERMIT - - - o Uinta, its o kers, agents an emp oyees or 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 o ork for 180 days will subject permit to cancellation. 1 certify that I have read this application and state that the above information f rrect. I agree to comply with all city and county ordinances and state laws relating to building construction, hereby authorize representatives of this countyen upon the above-mentioned property for inspectio urposes. - - De. e: - / /y Signature IADPlicant or Agentl: ° Application Number 14-00000410 Permit . . . PLUMBING 2013 Additional desc . Permit Fee . . . . 11.92 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 10/08/14 Qty Unit Charge Per Extension 1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS 11.92 r. Special Notes and Comments - ----------- .GAS LINE - 59LF OF 3/4 GAS LINE FOR FIRE PIT. 2013 CALIFORNIA BUILDING CODES. -------------------------------- Other Fees - PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, PLUMBING 23.83 Fee summary Charged Paid (rp-dit4d Dui: Permit Fee Total 11.92 00" .00 11.92 Plan Check Total .00 .00 .00 .00 Other Fee Total 114.40 .00 .00 114.40 Grand Total 126.32 .00 .00 126.32 .. LQPERMIT - _ . Bin # City Of La Q uln to :Building 8r Safety Division P.O. Box 1504,78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and i racking Sheet Permit # . 01 Project Address:3 IR S. Owner's Name: 0 R r A. P. Number: Address: 22 -S 114 L►o 12 DO%4 Legal Description: City, ST, Zip: ou 23 Contractor Telephone: s;e:<;;;•.•:,:;;>.::.::.:,.:><^z`:^->::: %>::�:#`:'•.•'•.>::.;r:.s.;>> •;>:.>:.;:. Address: O0 Project Description: S Lr r City, ST, Zip:C.CACA15--L—LA CA 223 C Telephone:;PICO 1 y State Lic. # : C. (Z 6 City Lic. C. Arch., Engr., Designer: Address: City., ST, Zip: ' Telephone: ;;:•:;,:v.::;;;;.>.<;::;;:::;. 24 Con§truction Type: Occupancy:' State Lic. #: Project type (Circe.on n Alter'Repair Demo Name of Contact Person:Sq. Ft.: #stories: # Units: Telephone #,of Contact Person: A00 2S O ?--3 Estimated Value of Project: 30 �. APPLICANT: DO NOT WRITE BELOW THIS LINE. r # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted . Item Amount Structural Cafes. 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 2od Review, ready for corrcctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Dccd Plans picked up Ii.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correct ionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees APN 0 2014: Total Permit F COMMUNITY DEVELOPMENT � r is • � _� r. .,TES -E1 is . • i©r 'RIA Q,;1•i • ■hl rY1 ■hl ® �' Builders Exceptional . • • • _ POOLS I SPAS I LANDSCAPE I MASONRY W100 Ave. 54 Coachella CA -92236 Tel. 760.398.9222 Fax 760.398.9255 PLANT KEY SHRW - WOUND COVERs LIGHTING 0 Vic ..: .,I ■� 1 ■�,, a I o f110 \ \ • \ " i� \ \ ` \\ \P"11 A;1a91 qqgm \, SIXF NO m IN 13 ZZ • C\\\`\.�;\�\�. \\\\\\\\, y ,I BlLiiili h. .E :r, i:7'�i: '�•r.:y,.. 101 1 _1 1mp, MAW .. I1 .. � ■ / /j/��� .. , a 1� � �1��fl+••• ;>//aqq��� Gip® q°r�1; �;;�.....;.. .•.mow. -:d, �/� 'GREGORYNo smo oil. DEVIU0404T GREGORY 1. PARCEL NO. I LOT NO. ORAINK Or. JESSE T./ jH 1 :u