13-1311 (PLBG)P.O. BOX 1504�� . VOICE (760) 777-7012
< - 78-495 CALLE TAMPICO 414aFAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253. BUILDING & SAFETY- DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: • 10/15/13
Application Number: 13-00001311 Owner:
Property Address: ' 50092 AVENIDA VISTA BONITA PARTONECHARLES
APN: 658-260-050- - - 50092 AVENIDA VISTA BONITA.
Application description: PLUMBING LA QUINTA, . CA 92253 v
Property Zoning: LOW DENSITY RESIDENTIAL (951)205-'7313
Application valuation:- 3400
_ - Contractor: D e
Applicant: Architect or_Engineer:. AMEZCUA, CARLOS
3507 W'. STETSON AVENUE, 86 ��
HEMET, CA 92545 OCT, ::Q:U 0 (951)205-7313
t Lic. No:. 881717 ClTyOF
FINANCE DEPT
-----------
LICENSED CONTRACTOR'S DECLARATION ar WORKER'S COMPENSATION DECLARATION -
_ I hereby affirm under penalty of perjury that I am licensed under provisions 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 and 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 Class: B License No.: 881717 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
�+ issued.'
Date: % Contractor I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor -
�� f - Code, for the Performance of the work for which this Permit is issued. My workers' compensation -
f 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 EXEMPT Policy Number EXEMPT
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 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 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.. Cnnrrartor's State and agree LI rat, if I should become subject to the workers' compensation provisions of Section -
License Law IChapter.9 (commencing with. Section 7000) of Division 3 of the Business and Professions Code) or 37 0 of the Labor Code, 1 shall forthwithcomply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by - f�\ v�
- any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: `5- 1 PpIicanv J
O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and t_r
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: 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 -
( 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 contractor(s) 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,
(_ I 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
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. - V
_ Dater -r ' - Owner: - 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
- CONSTRUCTION LENDING AGENCY permit to cancellation. - -
1 hereby affirm under penalty of perjury that there is a construction lendingagency for the performance of the. I certify that I have read this application and state that the above information is correct. 1 agree to comply with all
work for which this permit is issued ISec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this couniN toe @\rfySpon the above-mentioned pro for in ecbon purposes.
- Lender's Name: )¢,1 ` I -
• Dater ( 11 Signature (Applicant or Agent):
Lender's Address:
LQPERMIT -
Application Number 13-00001311
Permit PLUMBING 2013
Additional desc .
Permit Fee 11.92 Plan Check Fee
.00
Issue Date . . . Valuation
0
Expiration Date 4/13/14
Qty Unit Charge Per
Extension
1.00 11.9200 EA PLBG FIXTURE/TRAP
11.92
----------------------------------------------------------------------------
Special Notes and Comments
PLUMBING - CHANGE SHOWER INTO ROLL IN
OIIOWI;R. 2010 CALIFORNIA 13U1LUlNU CODES.
---------------------------------- =---------------------- .-------------------•
Other Fees . . . . . PERMIT ISSUANCE M/P/E
-90.57
PLAN CHECK, PLUMBING.
11.92
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 102.49, .00 .00
102.49
Grand Total 114.41 .00 .00
114.41
�LQPERMIT
t
Bin #
.0ty Of La QUinta
Building &r SafetyDivision
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:' O 0v-*2—� 9q STp
Owner's Name0441-
A. P. Number:
Address: rjooq 2 Aie noc� 4GW YrP
Legal Description:
Contractor:
City, ST, Zip: L4- 6�3lpZ4 Cly C`1ZZ`Ap
telephone: TT k
Address: 3��� (�9� 57 � OrJ—t-28C
. Project Description:
City, ST, Zip: � " � "1'Z�y S
Ct e0v.
Telephone:
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State Lic. # : r _«��
City Lic. #;
Arch., Engr., Designer:
Address:
"
City., ST, Zip:
Telephone::.<.:
.x.,x.
:f:?•:r,F,rf?(i'J:j•}i i:: {:::nom:: ::.:.
•%iiii{sy.::r:�.�:'l.�:::?.i.:;<^:Y� Vii:>. <:ti:�i'�:.vti�:.
..
Construction Type: Occu ancY:
.
State Lic. #:ProJect
tYPa (circle
one): New Add'n Alter Repair Demo%
Name of Contact PersonP—tA1
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project � �CZ 7—
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 Clwck Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Tide 24 Calcs.
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:-
'd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person,
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Pew mit Fees
l
8►n #
. Crty of La Quinta
Building 8T Safety'Division
P.O. Box 1504, 78-495 Calle Tampico -
La Quinta, CA 92253 - (760) 777-7012
Building.Permit Application, and Tracking Sheet
Permit #
-Project Address:
ner's Name: CAc �• g
A. P. Number:
Address: 5-oa5 2 ►�1�r7�' �.�(p�. `'4
Legal Description:
City,.ST, Zip: (_
ontractorc)Y ,,,S LCA
Telephone:
Address: _35it''A- CP , j<"— *7- gE,
ject Description:
City, ST, Zip: rr( - S `\ S��
�T S
Tele hone: q "S' � �2= !�`� i 3
�:>;:;>;;:e-;: �<ir r-;:.,,;<N;<:•i:<•i:•�
. -
a
State Lic. # :
City Lic. #<
Arch., Engr., Designer:
Address:
City, ST,, Zip:
Telephone:
'Y;:j^{{:j:;$:.iiiii: is{^:'-+.
: << : ;:> ;::;;>.:;, :.: ;.... :.....<::'::<;
Construction Type: Occupancy:
State Lic. #
Project type (circle one): New A3d'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person:
stimated Value of Project: C>>U�
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 Ch-ck Deposit
Truss Cales.
Called Contact Person
Plan Ch ick Balance
Title 24 Calcs.
Plans picked up
Coustru:tion
Flood plain plan
Plans resubmitted
Mechanbcal
Grading plan
2°" Review, ready for corrections/issue
Electrical
,
Subcoutactor 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
School Fees
Total Permit Fees
�: y,
r
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CITY OF LLA
BUILDING, & SAFETY'DEPT.
APPROVED,
,
SOAP DISH
a 4. 12"x12... J a : VERTICAL GRAB BAR
TILE ON r = . +�' FIX SLIDE BAR WITH y J K
WALLS I ; .
T Q I . DETACHABLE SHOWER •HEAD.
J I SHOWER ROD
HORIZONTAL 6"x6" NON -SLIPPERY TILE -
GRAB BAR
44
ad�
+:'',. � y � •, "t }.` `y. _ rn, I = r � a Q' , f �" y T. �%.".Y "� .fc
. • �, .w
41-T
- s. � l , i! x, ,`'r irk -F ,-�^. . � Yt ��. '1t ;,- 4' i '"'� ,.i 'f -•��. .. #'
• ~ � , '�, • j- t � � ` -kY }• J } ..i t a , T, , 1 c. .."i ;,{ � n -.r 4 w. f r r e
Contractor. BATHROOM REMODEL: ROLL -IN SHOWER.,' SCALE: 1/2" = 1"
• MR. CHARLES PARTONE
Carlos Amezcua 50092 AVENIDA VISTA BONITA, LA QUINTA, CA 'A 2 1+ CLIENT: 'CQ
Lic #: 881717
PROPOSED. BATHROOM LAYOUT `
951-205-7313 � � ' J .. CONTRACTOR•.