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BRES2016-007878-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BRES2016-0078 Property Address: 55940 PINEHURST APN: 775241019 Application Description: WILLIAMS / BBQ ISLAND Property Zoning: Application Valuation: $2,300.00 Applicant: LEAK DETECTORS OUTSIDE CITY LIMITS c&'it 4 4 09&r(u COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 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 Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: _ License No�.::LIC�00�03326 Date: Cod nitractor: 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).: (1 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 or1mproves 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 ) 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. C.). Lender's Name: Lender's Address: 11111111111111111111 35 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/23/2016 Owner: RONALD & MARGARET WILLIAMS 55940 PINEHURST TA, A 53 (j I �----,FD Nli t%k v 2 K".. o Llc. No.: :LIC -0003326 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' compensa ' n, as provided for by Section 3700 of the Labor Code, for the performance of the, I 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. Date: 3 Applica�' 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 relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. �e' —7 - -) V • Sion yature (A� plicarrt o Agent): FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 3/23/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY' LEAK DETECTORS CHECK MR284 4402 RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:' $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID. PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 3/23/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LEAK DETECTORS CHECK MR284 4402 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 3/23/16 PAID BY • METHOD RECEIPT # CHECK # CLTD BY LEAK DETECTORS CHECK MR284 4402 RSE Total Paid for ELECTRICAL: $48.34 $48.34 . DESCRIPTION -ACCOUNT QTY AMOUNT PAID • PAID DATE GAS SYSTEM, 1-4 OUTLETS • 101-0000-42401 0 $12.09 $12.09 3/23/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LEAK DETECTORS CHECK MR284 4402 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $24.17 3/23/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LEAK DETECTORS CHECK MR284 4402 RSE Total Paid for PLUMBING FEES: $36.26 $36.26 DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $0.50 $0.50 3/23/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LEAK DETECTORS' CHECK MR284 4402 RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.50 TOTALS:• Description: WILLIAMS / BBQ ISLAND Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: UNDER REVIEW Applied: 3/23/2016 RSE Approved: Parcel No: 775241019 Site Address: 55940 PINEHURST LA QUINTA,CA 92253 Subdivision: TR 21381-1 CM 059/074 SEE ASR MB Block: Lot: 2 Issued: , 769/41 FOR CM • • • • Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $2,300.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME Details: MASONRY BBQ ISLAND ELECTRICAL GFI AND GAS TIE IN FOR BBQ. 2013 CALIFORNIA BUILDING CODES. Printed: Wednesday, March 23, 2016 12:29:10 PM 1 of 2 CP NAJF SYSTEMS ADDITIONAL • • • • CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT LEAK DETECTORS OUTSIDE CITY LIMITS CONTRACTOR LEAK DETECTORS OUTSIDE CITY LIMITS OWNER RONALD & MARGARET WILLIAMS 55940 PINEHURST LA QUINTA CA 92253 Printed: Wednesday, March 23, 2016 12:29:10 PM 1 of 2 CP NAJF SYSTEMS PARENT PROJECTS Printed: Wednesday, March 23, 2016 12:29:10 PM 2 of 2 �fJ Li �SYSTEiMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY DEVICES, FIRST 20 101-0000-42403 0• $24.17 $24.17 3/23/16 MR284 4402 CHECK LEAK DETECTORS RSE • DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 3/23/16 MR284 4402 CHECK LEAK DETECTORS RSE Total Paid for ELECTRICAL: $48.34 $48.34 GAS SYSTEM, 1-4 101-0000-42401 0 • $12.09. $12.09 3/23/16 MR284 4402 CHECK LEAK DETECTORS RSE OUTLETS GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $24.17 3/23/16 MR284 4402 CHECK LEAK DETECTORS RSE OUTLETS PC Total Paid for PLUMBING FEES: $36.26 $36.26 SMI - RESIDENTIAL 101-0000-20308 0 $0.50 $0.50 1 3/23/16 1 MR284 1 4402 1 CHECK LEAK DETECTORS RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.50 TOTALS: $86.10 $86.10 PARENT PROJECTS Printed: Wednesday, March 23, 2016 12:29:10 PM 2 of 2 �fJ Li �SYSTEiMS E i 2 L- M� V 11 Z 'RECEVE 2 3 2016 CITY OF LA QUINTS COMMUNITY DEVELOP _.I m _ W � I Chi a z -- p Z O Bin # City of La Quinta Buitding 8i Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 -7- Building Permit Application and Tracking Sheet Permit # — p Project Address: 59600- P W Owner's Name: ET. Arms A. P. Number: Address: S 96 y O P / W� +1 u eS / Legal Description: City, ST, Zip: Cts leo ntr r Co acto . Telephone: ele one: P Address: T, 0ROX 7 Z Project Description: Mwoll BAlL D City, ST, Zip: Vt AWID AM ZZ7 ele h e: TPon 760° 0 E State Lie. # : ( City Lie. _ N Arch., Cngn, Designer: Address: City, ST, Zip: Telephone:hone: ...................................................... aneY Construction e• Occupancy: n TY P • State Lie. #: Project tyPaic� rete one • New Add'n Alter Repair' Demo Name,of Contact Person: * C U Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: p � � Z Z Z Q �p P- Estimated Value of Project: 2— APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Ree'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. 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 2"' Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. li.O.A. Approval Plans resubmitted Grading IN IAOUSE:- Reyiew, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees Existing Pool 11 Stucco BBQ exterior to match house Granite top to match existing countertops Stainless Steel appliances / Hardware New BBQ size 10'long x 30" deep x 39" high Williams Residence 55940 Piehurst dr La Quinta, Ca. 92253 (SUS) 679-5320 Planter Area New BBQ location Planter Area orth ; The Leak Detectors 760 773-9070 800 765 -LEAK Lic# 618116 Fax 760 320-1785 P.O. Box 727 Thousand Palms, Ca.92276 Plans Prepared by: MU ke L U AW Phone: -70 2--72- - tz.o E -Mail: VY1 I KE: LT1. 0 @ A6 Pinehurst Dr r Y OF LA QUINTA DING & SAFE DEPT. PPROOR CONSTRUGTION 2S Lb BY-&-----' V�a t ^ t