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BRES2015-004778-495 CALLE TAMPbCO LA QUINTA, CALIFORNIAr� s COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2015-0047 Property Address: 55900 PEBBLE BEACH APN:- 775130019 Application Description: PGA STADIUM/JAC CONSTRUCTORS/50 LF OF GAS LINE/ELECTRICAL Property Zoning: Application Valuation: $7,500.00 Applicant: 1 A C CONSTRUCTORS 49-011 PLUMA VERDE PLACE COACHELLA, CA 92236 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, Ind my License is in full force and effect. LYtense Class: B License No.: 928466 -*-AQ Date: S Contracto ,i t, OWNER -BUILDER DECLARATION thereby 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 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 Lender's Address: Owner: ROBERT MOORE 184 SAND HILL CIR MENLO PARK, CA 9225 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: J A C CONSTRUCTORS 49-011 PLUMA VERDE COACHELLA, CA 92236 (760)200-6615 P Llc. No.: 928466 Date: 2/13/2015 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 pr for which this permit is issued. 3kJI 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:_ Polity 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 3�thheLaborCodI shallforthwith comply with those provisions. Date: �' Applicant: /f WARNING: FAILURE TO SECURE WORKERS' CIMPENSATfON 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 ter upon the above- mentioned property for inspection purposes. n ' /% Date ` I �^ J Signature (Applicant or A(41 DESCRIPTION , g' �; ' g# ` ACCOUNT as ,.QTY' ,` ` - AMOUNT . ` . PAID 'PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 $24.17 PAID BY q METHODRECEIPT # CHECK # y'CLTD BYp CLTU BY ,RECEIPT.#' � - ° ' •CHECK # : CLTD BY Total Paid'forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ' . ACCOUNT • ' k ' i QTY ' AMOUNT4T:. PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BYMETHOD PAID BY " : METHOD a , " RECEIPT # 'r.: - CHECK # CLTD BYx €DESCRIPTION.=r; ` $ ;;ACCOUNT QTY ° AMOUNT,:- PAID PAID. DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 $24.17 • c � PAID BY , ` ' ' .: ; , METHOD ... , CHECK # t CLTD BY CLTU BY ,RECEIPT.#' � - ° ' •CHECK # : CLTD BY E DESCRIPTION ,' �. vi ACCOUNT QTY AMOUNT= # P .AID -r tPAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 $0.00 PAID BYMETHOD ' RECEIPT # .CHECK # r CCTD BY DESCRIPTION F ` DESCRIPTION' ;, . '' ACCOUNTS P. o QTY AMOUNT:+:: s. PAID_ PAID:DATE DEVICES, FIRST 20 PC 101-0000-42401 101-0000-42600 0 $24.17 $0.00 ` tF'PAID,BY ... , 'RECEIPT # METHOD ' . p ,� .;; CLTU BY ,RECEIPT.#' � - ° ' •CHECK # : CLTD BY DESCRIPTION 'ACCOUNT. ,, e QTY . AMOUNT; "> PAID Total Paid forELECTRICAL: $96.68 $0.00 ` DESCRIPTION' ;, . �� ,ACCOUNT, .QTY' AMOUNT, ;PAID,• " PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 ` tF'PAID,BY , �} METHOD 2; 'RECEIPT # CHECK # CLTU BY DESCRIPTION 'ACCOUNT. ,, e QTY . AMOUNT; "> PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 Ay - D RECEIPT, CHECK ^CLTD BY DESCRIPTION:' < ACCOUNT'-. QTY `.AMOUNT. PAID PAID DATE _. GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24:17 $0.00 "PAID BY . "METHOD . �' . 1 RECEIPT # ' , +: ,CHECK # , ` CGTD BY. ' DESCRIPTION ACCOUNT" . QTY +,: AMOUNT' ; `. PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $0.00 PAID BY..METHOD -RECEIPT # CHECK #,' C LTD BY Total Paid forPLUMBING FEES: $72.52 $0.00 DESCRIPTION.: .. ACCO QTY r .. �~ AMOUNT �.- PAIDx PAIDyDATE J .{ .. �r � r `!' �' Description: PGA STADIUM/JAC CONSTRUCTORS/50 LF OF GAS LINE/ELECTRICAL Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED Applied: 2/13/2015 SKH Approved: Parcel No: 775130019 Site Address: 55900 PEBBLE BEACH LA QUINTA,CA 92253 Subdivision: TR 20717-2 SEE ASSR MB 769 PGS 3134 Block: Lot: 27 Issued: 3536 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $7,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 . No. Unites: 0 49-011 PLUMA VERDE PLACE Details: ADD GAS LINE FOR NEW FIREPIT, 50 LF, 4 BENCH LIGHTS ADDITIONAL SITES CHRONOLOGY CONDITIONS NAME TYPE NAME, ', ADDRESSl CONTACTS CITY STATE 3 ZIP = -PHONE FAX APPLICANT J A C CONSTRUCTORS 49-011 PLUMA VERDE PLACE COACHELLA CA 92236 CONTRACTOR J A C CONSTRUCTORS 49-011 PLUMA VERDE PLACE COACHELLA CA 92236 '.OWNER ROBERT MOORE _ 184 SAND HILL CIR MENLO PARK CA 92253 fi FINANCIAL INFORMATION • i' Printed: Friday, February 13, 2015 1:12:31 PM 1 of 3 M srs rr: Ms DESCRIPTION` 'ACCOUNT QTY AMOUNT PAID .'PAID DATE .RECEIPT # CHECK # METHOD PAID BYµ -CLT D a BY BSAS SB3473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 1$0.00 Total Paid for ELECTRICAL: $96.68 $0.00 GAS SYSTEM, 1=4 101-0000-42401 0 $12.09 $0.00 OUTLETS GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $0.00 OUTLETS GAS SYSTEM, 1-4 301-0000-42600 0 $24.17 $0.00 OUTLETS PC GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 - $0.00 OUTLETS PC , Total Paid forPLUMBING FEES: $72.52 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $0.98 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.98 $0.00 TOTALS:00 PARENT PROJECTS Printed: Friday, February 13, 2015 1:12:31 PM 2 of 3 y SYSTCMS "REVIEW TYPE'- l REVIEWER` SENT DATE I" DUE DATE RETURNED I STATUS. ;REMARKS M •NOTES a'I DATE i 777 Printed: Friday, February 13, 2015 1:12:31 PM 3 of 3. - sysreMs ' . Bin #Qty of La Q ufn to : ' Building 8i' Safety Division P.O. Box 1504, 78495 Calle Tampico . La Quinta CA 92253 - (760)'777-7012 Building Permit Application and Tracking Sheet Permit # ��5l��ls-jD Project Address:5 0 ® �� •� �,G ���l+t�') -' Owner'sName: Moo.a e e s A. P. Number: r Address: 5"0.0 PCro Ible Legal Description: City, ST, Zip: Contractor: . J �� �115�✓C. � � Telephone: >�::•,•,:>?;;x::>::?::>•><::•;:i:::<:�<:!< Address: d L( ^PI W.A V.(r. Project Description: *� ^•ew. City, ST, zip: %70Cc.0-G,e!) q C� If 2'Z_ *b ` . CZ4_ S L r k, . So L� Tele hone. P a- •2�u - r :.:: :�i�:. 4 �q� t e 7'� S r �. � State Lic. #,: 9 (p Cp City Lic.-#.-.. �/ ��--CL1 WO►I( N�"`j , Arch., Engr., Designer: D VZ A rr G1 S+-va (0 w Address: City, ST, Zip: Telephone: F ;.:<: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: (1O Zai l e:?— „ Sq. Ft.: # Stories: 11 Units: Telephone #,of Contact Person: -j �G 0U (� Ce (, 2 Estimated Value of Project:_ St/U APPLICANT: DO NOT WRITE BELOW THIS LINE tl Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural, Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cala.. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction'- onstruction ••Flood Floodplain plan Plans resubmitted Mechanical Grading plan 2"' Review, ready for.eorrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Dccd Plans picked up H.O.A. Approval Plans resubmitted' Grading IN HOUSE:- 7rd Reyicw, ready for corrcctionsrissue Developer Impact Fee Planning Approval Called.Contact Person A.1.P.P. Pub. Wks. Appr Date of permit issue School Fees . Total Permit Fc Jim Johnson From: Dazarchstudio <Daiarchstudio@yahoo.com> Sent: Friday, February 13, 2015 1:44 PM To: Jim Johnson Cc: <jacconstructors@gmail.com> Subject: Firepit plan at Pga west, city of la quinta Mr. Johnson, Dazarchstudio give permission to Jac contractors to revise the firepit plan with notes or, notes that needs to be revise. Any questions please call me or email me. Alberto Daza dAZ (760) 2853793 ' DAZ(a-)DC.RR.COM SEAL AIR TIGHT AND �- VENT TO OUTSIDE AIR SEAL AIR TIGHT 6" ABOVE SLAB MIN. (TYPICAL) r, TERMINATION IN STRUCTURE EAL SLEEVE AIR TIGHT AT BUILDING END SLEEVE TO BE ABS OR PVC SCHED 40 SLEEVE TO REMAIN OPEN AND EXTEND A MINIMUM OF 1 TO 12" BEYOND AREA WHERE SLEEVING REQUIRED TERMINATION OUTSIDE STRUCTURE /4 GAS SLEEVE DETAIL NO SCALE SITE rrv*LAwN'o SCALE: pd, f�,J%t-\7q�---n got c, Litre NEW 1" FHM 4~PIEQ-GAS PIPE SEE DETAIL A GAS PIPING BELOW GRADE IN PROTECTIVE SLEEVE -EXISTING ELECTRICAL MAIN PANEL -EXITING GAS METER MATCH LINE TO EXISTIN( FLU"OR" PLAN SCALE: 1/4"=1'-0" rj SCALE: 1/4"=1'-0" ,$.site notes.... REFERENCE NOTE ON PLAN TYPICAL NEW FIREPIT+12" FROM IFINSH FLOOR NEW BENCH +20" FROM'FINSH FLOOR 3 NEW 42" HEIGHT RAILING NEW ROLE LIGHT FIXTURE AROUND BENCH AND FIREPIT TO BE INSTALLED UNDERNEATH THE COPING i' NEVA EXTERIOR TWO LIGHT FIXTURES REVISIONS s" U opyrlgg DazarchStudio Ih- Z IZ 0 .r.r Cti dam' N M ov 'ow r I,r' c o a 400 rr+ uD G U7 e4 E O m CL co +I11 d LL c m a cz O � tit! ■ t� .W O W. IL BID DATE: JOB N MB R: RESREM.15-1975 PLOT IDATE: 01.28-15 SHEET TITLE: FIREPIT SHE NO: