12-0464 (PLBG):_'. `4
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: C:
12-00000464
Property Address: `—
49463 VIA CONQUISTADOR
APN:
649-600-010- -
Application description:
PLUMBING
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
2700
Applicant:
T4ht °f 4 Q"
Architect or Engineer:
PSP
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
DENNIS
49463 VIA
LA QUINTA,
CONQUISTADOR
CA 92253
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 9223
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/27/12
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury thatl am licensed under provisioris of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations: -
Section 7000) of Division 3 of the Business 4nd Professionals 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 Cl C8 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 '
_
�Z
issued. :Y.
ate: Co or:
_Y, 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
OWNER -BUILDER DECLARATION-
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 Policy Number 7600006481121
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall riot 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 become subject to 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 agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or ,.
) 3700 of the Labor Code, I a_ll forthwith comply with those provisions. -
that he or she is exempt therefrom and the basis for the alleged exemption. Any vi
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 (5500).:ate:
scant:
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, an '
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING: FAIL RE 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.).
(_ 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
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. CJ.
Lender's Name: )
Lender's Address: I �(
LQPERMIT-,dA-...��
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, indemnity 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 i - rma . on is correct. I agree to comply with all.
city and county ordinances and state laws relating to building con u n, and hereby authorize representatives
of this countV ente upon the above-mentioned property for in ton purposes.
te:/ igna de (Applicant or Agent): -
--=LQPERMIT -_�- -
Application Number
. . . . .
12-00000464
Permit
PLUMBING
Additional desc .
Permit Fee . . .
18.00
Plan Check Fee
4.50
Issue Date . .
Valuation . . .
. 0
Expiration Date '.
10/24/12
Qty Unit Charge Per.
Extension
BASE
FEE
15.00
1.00 3.0000 -EA PLB
GAS PIPE 1-4 OUTLETS
3.00
Special Notes and Comments
27 L.F. 1/1/2" GAS
LINE FOR NEW
FIRE
PIT. 2010 CODES.
- ----- ----- --_---
Other Fees
_----------•--------------------------------------
BLDG STDS ADMIN (SB1473)
1.00
Fee summary
Charged
Paid Credited
Due :
----
Permit Fee Total
---------
18.00
--------------------
.00 .00
------ -
18.00
Plan Check Total
4.50
.00 .00
4.50
Other Fee Total
1.00
.00 .00
1.00
Grand Total
23.50
.00 .00,
23.50
--=LQPERMIT -_�- -
Bin. #
City. of La Quinta
Bulldlrlg 8L Safety Division
Box 1504,78-495 Calle Tampico
La -Quanta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
Project Address:
Owner's Name:.
A. P. Number.
Address:
zhzCo1ZS-rA--T�MrZ
Legal Description:
Contracto
City, ST, Zip: utnT - 2 3
telephone:
Address:/ooIr-
Project Description:
City, ST, Zip: ozZ3 C
1
ice• K
Telephone: p
i( ew , T
State Lie. #: $ / 2.8 City Lie.•#: •_
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone:
State Lie. #: '
-; .. :...:
Construction Type:. Occupancy:
Project type (circle oncCNew Add'n Alter ' Repair Demo
Name of Con tacx Person: J o ,Ki
Sq. Ft.: # Stories:
# Unit�
Telephone # of Contact Person: 6 0 2 -So 2-3 IR
Estimated Value of Project: [�
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Plan Sets
Rcq'd
Recd
TRACKING
Plan Check submitted 1
PERMIT FEES
item Amount
Structural Cafes.Reviewed,
ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Persou
Plan Check Balance -
Tide 24 Calcs.
Pians picked up
Construction
Hood plain plan
Plans resubmitted
Mechanical
Grading plan
2id Review, ready for correctionsfissae
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
VMI.
H.O.A. Approval
Plans resubmitted
Grading
IN IiAiISE%'
Review, ready for correctionsfissae
Developer. Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
• NO EXISTING LANDSCAPE LIGHTING IN REAR YARD
• NO EXISTING OVERHEAD UTILITY LIKES. IN REAR YARD
• PATIO FURNITURE FOR ILLUSTRATION PURPOSES ONLY
RI
PI
NI
T,
NEW CONCRETE OVERLAY BY I
CONCEPTS. COLOR AND LAYOI
MONACO CONCEPTS TO SAW CUT M
CONCRETE FRO NEW PLANTER BED
NEW CONCRETE OVERLAYBY MONACO
CONCEPTS, COLOR AND LAYOUT PER PHOTO
MONACO OVERLAYFINISH TO
STOP AT FRONT GATE
INSTALLATION OF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH
SECTION 114 - MANDATORY REQUIREMENTS
EXIT ALARMS TO BE INSTALLED ON ALL DOORS VATH DIRECT ACCESS
TO THE POOL
POOL HEATERS I PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FACTURER'S
RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS
ALL DECKING EXPANSION JOINTS FOR REPRESENTAION ONLY,
FIELD LAYOUT WfUL VARY
V FIREPR 6.91418• WITH STONE VENEER
(CRETE CAP, CONCRETE CAP OVERLAY
AONACO CONCEPTS
OVE. ALL EXISTING QUARTZITE STONE IN
L, SPA AND BARBECUE AND REPLACE WITH
QUARTZITE STONE
I BROWN IN COLOR
IEW Ir GAS LINE TO FIREPIT OFF BARBECUE GAS LINE
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
F/OR CCONSTRUCTIONDATE `/-7-1'BY_ I
EXISTING Ir GAS LINE TO BARBECUE
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SAFETY FEATURES:
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