BPLB2016-003378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tit4t 4rw4"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPLB2016-0033
Property Address:
55695 PEBBLE BEACH
APN:
775130012
Application Description:
GRISA /GAS LINE FOR FUTURE BBQ AND FIRE PIT (NO ELECTRICAL) .
Property Zoning:
LA QUINTA, CA 92253
Application Valuation:
$3,400.00
Applicant:
LAGUNA FALLS CUSTOM
POOLS AND SPAS INC
P 0 BOX 2322
INDIO, CA 92202 '
�3
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: C53 License No.: 818149
Date: �? Contractor,:
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 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 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 Na
Lender's
11111111111111111111
48
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/17/2016
Owner:
GRISA
55695 PEBBLE BEACH
LA QUINTA, CA 92253
�3
Contractor:
LAGUNA FALLS CUSTOM
POOL'S AND SPAS INC
P O BOX 2322
INDIO, CA 92202
(760)347-8977
Llc. No.: 818149
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 issued.
I have and will maintain workers' compensation insurance, as required by
S cn 3
ti 700 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 th Labor Code, I shall forthwith
comply with those p ovisions.
Date: 2 �7 �I' Applicant:
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 en r upon the
above-mentioned property for inspection purposes.
Date: �� Signature (Applicant or Agent);
•RMATI•
DES cRI C yi
`"-"AC UNT"'
.Ip .
BSAS SB1473 FEE 101-0000-20306 0'
$1.00� $0.00
gg V.
'A4. M IN
I
13
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
CRIPTION'Skl..-
I UKR
ACCOUNTS
41
-,QT 6=�,�AM AMOUNT N:
ty T
PAID
I
AIDz,DATE,
iO
PERMIT ISSUANCE
101-0000-42404.
0 $91.85
$0:00
00
PAID.,
ZN51ZF }R METHOD"
RE CETT N
C �#g
�v-0-CHEW #
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
ul DESCRIPTIONg"
gi 4'!
gm
' 10 U
P
-GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$0.00
RECEIPT
`1�4CHECK ;' tlg. 'I
011t
R I t 4
"DEst PT ON,
A 'IVIOUNT,
AID,
`1
0AIDMATE1
�;"j' 0.�
GAS SYSTEM, 1-4 OUTLETS, PC
101-0000-42600.
0 $24'.17
$0.00
O.'N"-
IN'll' V
ON
tECEIRT4.1 aw
WRIM
Ey
CH E C K14
'.N,
MR
-n
I - -AN' W,
Total Paid for PLUMBING FEES: $36.26 $0.00
�JOTALS:�;''..
Description: GRISA / GAS LINE FOR FUTURE BBQ AND FIRE PIT (NO ELECTRICAL)
Type: PLUMBING Subtype: Status: UNDER REVIEW
Applied: 2/17/2016 SKH
Approved:
Parcel No: 775130012 Site Address: 55695 PEBBLE BEACH LA QUINTA,CA 92253
Subdivision: TR 20717-2 SEE ASSR MB 769 PGS 3134 Block: Lot: 20
Issued:
3536
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $3,400.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
FAX
Details: PLUMBING -GAS LINE FOR FUTURE BBQ AND FIRE PIT (NO ELECTRICAL). 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY STATE
ZIP
PHONE.,
FAX
EMAIL
APPLICANT
LAGUNA FALLS CUSTOM POOLS AND
SPAS INC
P 0 BOX 2322
INDIO CA
92202
(760)333-0004
CONTRACTOR
LAGUNA FALLS CUSTOM POOLS AND
SPAS INC
P 0 BOX 2322
INDIO CA
92202
(760)333-0004
OWNER
GRISA
55695 PEBBLE BEACH
LA QUINTA CA
92253
(760)333-0004
Printed, Wednesday, February 17, 2016 2:34:42 PM 1 of 2 C9?
SYSTEMS
INSPECTIONS
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$0.00
OUTLETS PC
Total Paid for PLUMBING FEES: $36.26 $0.00
• 00
INSPECTIONS
sn.#
Qty. Of QUInta
Butidlag at Safety Divlsion
P.O. Box 1504,78-495 Calle Tampico
ia.Quinta, CA 92253 • (760) 777-7012
— CD 3�Building Permit Application, and Tracking Sheet
Permit #
13FL&2_-c,
Project Address: rj S 6 Q S b-,4/, Ql
Owner's Name:.tc��-
A. P. Number:
Address: S S b 9T pG56�,c ,b-t�e i
Legal Description:
City, ST, Zip: 4t ({� r „r.. e/} 9 -z a d'7
Contractor: LKV,*. ,*. 1=PLt.-S 7>0,(_-5
Telephone: %L e - 33,1 -doe,
Project Description:
j' a+o� ac- �� �I +td..
Address: 51710 U Ill . N e
City.ST,Zip:
—hr. -Str n i
Telephone: 16p 3 %may %%trov
'A��/P+JI'u�
�� C iii !�k/1✓1�
State Lia # : F/ $ /City Lic #;
r r p f• Go-! �/ Ilr �k K n �/ ��dJ
Arch, Engr., Designer.
s U). -
Address:
2—s L-) l 'fa' fo.� y t/ �0� / it-t l�3 k
City, ST, Zip:
Telephone:
Construction Type:. Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: JRr t+t M! .114
sq. FL:
# Stories #Univ:
Telephone # of Contact Person: '!go- Zi 0 - �7���
Estimated Value of Project .? Mo,
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMfI' FEES
Plan Sets
Plan Cheek submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
'Dass Cales.
Called Contact Person
Pian Check Balance.
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'! Review, ready for corrections/issue
Electrical
Subcostactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
ILO.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
*Review; ready for correetionsAssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Laguna Falls Pools, Inc.
Phone:
(760) 347-8977
Designed by:
LFP16-217
Grisa Enterprises
81-730 Highway 111, Ste 2
Fax:
(760) 347-8975
J. Mancilla
Designed
55695 Pebble Beach
Indio CA 92201
E -Mail:
Jaime@lagunafallspools.com
2/17/2016
for:
La Quinta CA 92253
2" Poly Gas Line
,,,/—Main Gas Meter
i
W7Transition to
ptffq 2" Galvanized
Gas Line
Property line
SCALE: 3/32" =1'
GARAGE
2" Galvanized Gas Pipe.
Through wall, up to ceiling,
across ceiling, down wall and
through wall. Install brackets
to secure gas line.- (o' O. c
CITY OF LAQUINTA
BUILDING & SAFETY DEPT.
APPROVE®
FOR CONSTRUCTION
DATEZ 67 ,o/6 BY
Transition
to 2" Poly
Gas Line
Gas Riser Sweep
for future BBQ & Fire Pit
(230' ft,183k total BTUs)
0
tL
Laguna Falls Fools, Inc.
Phone: (760) 347-8977
Designed by;
LFP10*-217
Grisa Enterpri-see
81-730 Highway III, 5te 2
Fax: (7650) 347-8975
J.*Mancllla
Designed
55695 Pebble beach
Indio CA 92201
E=Mall: lalmeglaounafallo"91.,w.
2/22/20105
for.
La QuInta CA 92253
GARAGE
/—Main Gas Meter
/-2" Poly Gar, Line
2`0alvanlzed Car Pipe;
Transition toRun up exterior of wall, across roof,
Z'Galvanized /—down exterlor of wall.
Car Line Install Oracketsito secure dar, line.
CITY OF LA C)UHMITA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATF--�&By
Property line.
. .. .............
UN
SCALE; 3/32'? =.I'
Transiltion back
to 270.1y
Gar, Line
'Gas Riser Sweep
for future 1313Q & Fire Pit
(23& ft, 113M'total BTUs)
f