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BPLB2014-104278-495 CALLE TAMPICO D VOICE (760)777-7125 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 11/26/2014 Application Number: BPLB2014-1042 Owner: Property Address: 80789 VIA SAVONA JOHN JIGANTI APN: 777130008 P O-BOX,606 Application Description: GAS LINE FOR FIREPIT AND FIRE FEATURE GIG HARBOR, WA 92253' Property Zoning: Application Valuation: $3,000.00 Applicant: Contractor: CALIFORNIA POOL MASTERS CALIFORNIA POOL MASTERS 71974 VISTA DEL RIO 71974 VISTA DEL RIO RANCHO MIRAGE, CA 92270 RANCHO MIRAGE, CA 92270 LICENSED CONTRACTOR'S DECLARATION 11 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 Professions Code, and my License is in full force and effect. License Class: C53 License' o.: 979/415-0 �,�( ,� ,Ole: (1 & 1 �ContractorCiAL FO � 4 fA �l. 1 6151 l, 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.): ( ) I, as owner of the property, am exclusively contra cting'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 Name: Lender's Address: (760)275-9779 Llc. No.: 979450 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 o1 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. My 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 3700 of the Labor Code, I shall forthwith comply with those provisions. ate: 11 l Applic nt:�!'1�1�/tN�• �OZA1J0 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 re ting to building construction, and hereby authorize representatives of thj�city tgentr upon the above- mentioned property for inspection purposes. 7 T T / n _Signature (Applicant or a." *.�ADESCRIPTIONS # t .r ACCOUNT -4' QTYyAMOUNT PAID DATE 4u s ad ,PATO BSAS SB1473 FEE ' 101-000040306 0 $1.00 $1.00 11/26/14- '.',.. '�:.a:, PAID,BY4 'f s n km- METHOD..'* �n v ,� K i8 ra '.�„- s RECEIPT#."e,"NCHECK# BYE �; _.:CLTD CALIFORNIA POOL MASTERS . CASH R3018 AZA Total Paid forBUILDING STANDARDS ADMINISTRATIONISA $1.00 $1.00 t eri� A � •-�' � - � x. . �.. y ��ax r; � ig A. ._MO3.U.,.< NESCRIPTIO � 'PAID DATE'JjS 4D„ PERMIT ISSUANCE 101-0000-42404 0 • $91.85 $91.85 ' -11/26/14 ,^ ",�#SdS PAID BYE M•+[ y�•R 'P 4�5''F METHOD ; #I._ e A F "i CI'ECK # �CLTD BYE 3 &M n e" p ;,�� `x ��RECEIPT ` CALIFORNIA POOL MASTERS CASH R3018 AZA Total Paid for PERMIT ISSUANCE: $91.85 $91.85 �, ACCOUNT QY UNTt s ��i PAID DATE`DESCRIPTION s L._ 4^ s GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 • • 0 $12.09 $12.09, 11/26/14. PAID BY #"a "�`r ' METHOD ;. �� a RECEIPT#, kl t' CHECK # CLTD BY t ; p dr# ," t u CALIFORNIA POOL MASTERS r CASH R3018 AZA •'' DESCRIPTION: ,:w `a ACCOUNT "4 QTY PAID PAID DATE r , � . A av'AMOUNT ,i<a r GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $24.17 -11/26/14 PAID BY s va' &" METHODtA RECEIPT# CHECK# r CALIFORNIA POOL MASTERS CASH R3018 '' AZA Total Paid for PLUMBING FEES: $36.26 $36.26 • Description: GAS LINE FOR FIREPIT AND FIRE FEATURE Type: PLUMBING Subtype.: Status: ISSUED Applied: 11/26/2014 AZA Approved: 11/26/2014 AZA Parcel No: 777130008 Site Address: 80789 VIA SAVONA LA QUINTA,CA 92253 Subdivision: TR 29894-2 Block: Lot: 108 Issued: 11/26/2014 AZA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: - Valuation- $3,000.00 Occupancy Type: Construction Type: Expired: 5/25/2015 AZA No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: ' w ! ii��i iii yl =� W li' i..li. W � � � • ,'� ��,FIh1ANCIAL�INFORMATION Printed: Wednesday, November 26, 2014 4:13:24 PM 1 of 2 raw - CONDITIONS_.__._.. DESCRIPTION ACCOUNT CITY • `AMOUNT PAID PAID DATE `RECEIPT #,: „CHECK`#' METHOD, PAID'BY CLTD r,BY .. M BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 11/26/14 R3018 CASH CALIFORNIA POOL AZA MASTERS. Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: PERMIT ISSUANCE 101-0000-42404 To $91.85 $91.85 11/26/14 R3018 CASH CALIFORNIA POOL AZA MASTERS Total Paid for PERMIT ISSUANCE: $91.85 $91.85 GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $12.09 11/26/14 R3018 CASH CALIFORNIA POOL AZA OUTLETS MASTERS GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $24.17 11/26/14 R3018 CASH CALIFORNIA POOL AZA OUTLETS PC MASTERS Total Paid for PLUMBING FEES: $36.26 $36.26 0 + t 1 Printed: Wednesday, November 26, 2014 4:13:24 PM' 2 of 2 Bi„ # Permit #P.O. ' Project Address: �0� A. P. Number: City of La Quinta Building 8t Safety Division Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking sheet... A C OrsA owne'r's Name: �pi�� . Z T Address: 0 Legal Description: City, ST,Zip• �,`�j J —_7 'Jj• 2 -7,23 Contractor:L� ��A�-- Telephone: ;;4:::::>:::;.;;<; `::>:> ::`•: Address: 1S ( ROu,2i O Project Description: City, ST, Zip: *\cl tAt R -Pi 6C- (ZA. 7 ZzKy 11o/;Y' Telephone: 0 VS 'i`"``':.>:•:>...::,::..::,,::....:.::.::::. :: �j (�r� �.�+ r� State Lica#:-9"-79. 'D City Lie. #.:::: Arch., Engr., Designer: tAl Address:. City., ST, -Zip: Telephone: :<:»« .......... r•:.? fS> <.'sirs>. ::t;:,r;<; :;;;:;:;; :: ::::z:>>.; Construction Type: Occupancy: State Lic. Project type circle one): New Add'n Alter Repair Demo Name of Contact Person: (45Tt � L � Sq. Ft.: # Stories: # Units: Telephone 11of Contact Person: 1 Estimated Value of Project:. Q 0 O . o.a APPLICANT: DO NOT WRITE BELOW THIS LINE t! Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets PIan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Clicck Deposit • Truss Calcs. Called Contact PersonPlan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical. Grading plan 2" Review, ready for correclionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. Ii.O.A. Approval Plans resubmitted Grading IN IiOUSE:- 3" Reyiew, ready for corrcctionstissuc Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue 1 School Fees Total Permit Fees