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13-1585 (PLBG)r P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001585 Property Address: 53782 VIA DONA APN: 777 -420 -015 - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application trali .9tion• 14500 T4t!t 4 4v Q" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT. BUILDING PERMIT Owner: SAL PUGLISI 53782 VIA DONA LA QUINTA, CA 92253 ------------------ 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 Diylsion 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C3 License No.: 8 9 6 Z2 3 DateeContractor: NER-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 notmore 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.l. (_ 1 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 Name: _ Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/09/13 Contractor: D d BLUE WATER PLUMBING P.O. BOX 89 DESERT HOT SPRINGS, CA 9 4 PFC 0 1 20133C�1 (760)408-9192 L• (g, Lic. No.: 896723 OI�'OFLA �FIMwti,� Qu�NZA ----------------------------------------------- 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 ffttyy�� issued. U(N l have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor '1TD1V Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier WESCO INS CO Policy Number SWC1023020 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 3700 of the Labor Code, I shall fort) with comply with those pr visions. Dat r Appli aunt: WARNING: FAILURE TO SECURE WORKERS' CO PENSATION 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 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 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 county to enter upon the above-mentioned property for inspection purposes. Date: Signature or Agent): /% �� Application Number . . . . . 13-00001585 Permit . . . PLUMBING 2013 Additional desc . . Permit Fee . . . . 11.92 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/07/14 Qty Unit Charge Per Extension 1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS 11.92 ---------------------------------------------------------------------------- Cpccial Notco and Commcnto INSTALL 135 L.F. OF 2 INCH GAS LINE FROM METER ON FRONT WEST SIDE OF THE HOUSE TO REAR YARD FOR NEW FIREPIT. 2010 CALIFORNIA BUILDING CODES. ----------------------------------------------------------------------------- Other Fees . . . . . . . . . PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, PLUMBING 23.83 Fee summary Charged Paid Credited ------------------------------ Due --------------------------- 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 Quinta Req'd Building a SafetyDivision P.O. Box 1504, 78-495 Calle Tampico Permit # PERMIT FEES La Quinta, CA 92253 - (760) 777-7012 P Building Permit Application and Tracking Sheet Project Address: -7 Z V, A �� Owner's Name: Item A. P. Number: Address: 573 7 82 Structural Calcs. Legal Description: City, ST, Zip: r Contractor: Telephone: Address: Project Description: City, ST, Zip: G ii Plan Check Balance Telephone:Z9- 110 f! - ::«<>`.::3s:''s^E's?••'">< z<` State Lic. # : f 7 Z 3 City Lic. Plans picked up Arch., Engr., Designer: ��—� S 6 r �• Address: City., ST, Zip: Telephone: Construction Type: Occupancy: Mechanical State Lic. #: : >.:::•< :;.<.;;.ri : > ? 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 # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Derosit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cities. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" 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 HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue Schodl Fees Total Permit Fees 71*1 ��-evo IF LA QUINTA I & SAFETY DEPT. :)ROVED 74STRUCTION -6YG�>