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BRES2016-024378-495 CALLE TAMPICO Ct 0 44 0" LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2016-0243 Property Address: 56163 PEBBLE BEACH APN: 775131078 Application Description: JEFF PIERCE/ BBQ AND FIRE PIT Property Zoning: Application Valuation: $15,000.00 Applicant: RANDY G MYERS & NURSERIES 74773 JONI DR STE 4 PALM DESERT, CA 92260 I lQ AUG 24 2016 CITY OF LA OUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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: C27 License No.: 562935 Date: %- - t (' Contractor: �?"2t G- KTeA-S ¢ N`vyscm` VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/24/2016 Owner: ROBINSON, JEFFREY L & SHIRLEY 11215 LAS PALMAS CT DUBLIN, CA 94568 Contractor: RANDY G MYERS'& NURSERIES 74773 JONI DR STE 4 PALM DESERT, CA 92260. (760)776-4834 Llc. No.: 562935 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. kO''H 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: OWNER -BUILDER DECLARATION Carrier: ACE AMERICAN INSURANCE COMPANY Policy Number: RWCC48820785 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 . I certify that in the performance of the work for which this permit is issued, I city or county that requires a permit to construct, alter, improve, demolish, or repair shall not employ any person in any manner so as to become subject to the workers' any structure, prior to its issuance, also requires the applicant for the permit to file a compensation laws of California, and agree that, if I should become subject to the signed statement that he or she is licensed pursuant to the provisions of the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Contractor's State.License Law (Chapter 9 (commencing with Section 7000) of Division comply with those provisions. 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 Date: - Z b Applicant: 1 `-` S I`'��%ER•S permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, (1 I, as owner of the property, ormy employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO compensation, will do the work, and the structure is not intended or offered for sale. ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF (Sec.,7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT . within one year of completion, the owner -builder will have the burden of proving that IMPORTANT: Application is hereby made to the Building Official for a permit subject to he or she did not build or improve for the purpose of sale.). the conditions and restrictions set forth on this application. (� I, as owner of the property, am exclusively contracting with licensed contractors 1. Each person upon whose behalf this application is made, each person at whose to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' request and for whose benefit work is performed under or pursuant to any permit State License Law does not apply to an owner of property who builds or improves issued as a result of this application , the owner, and the applicant, each agrees to, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and the Contractors' State License Law.). employees for any act or omission related to the work being performed under or (_) I am exempt under Sec. B.&P.C. for this reason 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 Date: Owner: work for 180 days will subject permit'to cancellation. 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 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. Date: ��' (0 Signature,(Applicant or Agent): i Date: 8/24/2016 Application Number: BRES2016-0243 Owner: Property Address: 56163 PEBBLE BEACH ROBINSON, JEFFREY L & SHIRLEY APN: 775131078 11215 LAS PALMAS CT Application Description: JEFF PIERCE / BBQ AND FIRE PIT DUBLIN, CA 94568 Property Zoning: Application Valuation: $15,000.00 Applicant: Contractor: RANDY G MYERS & NURSERIES' RANDY G MYERS & NURSERIES 74773 JONI DR STE 4 74773 JONI DR STE 4 PALM DESERT, CA 92260 PALM DESERT, CA 92260 (760)776-4834 Llc: No.: 562935 Detail: INSTALL GAS LINE BBQ AND FIRE PLACE WITH 4 ELECTRICAL SWITCHES. 2013 CALIFORN(A BUILDING CODES. , DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT Credit -Card Fee 101-0000-43505 0 $7.14 Total Paid for Credit Card Feer $7.14 DESCRIPTION —ACCOUNT QTY AMOUNT OTHER ELECTRICAL EQUIPMENT 101-0000-42403 0 $96.68 DESCRIPTION ACCOUNT QTY AMOUNT OTHER ELECTRICAL EQUIPMENT PC 101-0000-42600 0 $96.68 Total Paid for ELECTRICAL: $193.36 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $91.85 Total Paid for PERMIT ISSUANCE:. $91.85 DESCRIPTION ACCOUNT QTY- AMOUNT GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 Total Paid for PLUMBING FEES: $36.26 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $1.95 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.95 . _ _ I V 1 ALJ: - „1331.Jb Bin .# QtY Of is Q(. inn. Building 8L Safety Division Pe # P.O. Box 1504,78-495 Calle Tampico �� La.Quinta, CA 92253 -:(760) 777-7012 4 7 Building Permit Application and Tracking Sheet Project Address: 5G -• k(o 3QEt�gIT �E �1C{�j Owner's Name:.'_ .R- CL A P. Number. Address: Legal Description: City, ST, Zip: (}� ( �,JT� ` dk 27,S3 Contractor: fir- .M (LS ' NIAQSERS Es -11 Telephone: Address: -?L\-77SOS 1�tE Svc Project Description: , SNSrA�� 6$ � `? � S2�Q�T .�w► ' - City, $T, Zip. ETK . CA A226p Telephone: `760- FSC,- _ °? • Q� �. 4CA State Lic. 4: -] 151-b1' ity Arch., Brig., Designer _ Address: City., ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone* # of Contact Person: eP Y. `� Construction Type: . Occupancy .' '~" Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: #units: L. Estimated Value of Project APPLICANT: DO. NOT WRITE BELOW THIS UNE d Submittal Req'd Recd TRACIONG PERMIT FEES Plan Sets Plan Check submitted item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted.. Mechanical Grading plan tad Review, ready for correctionslissue Electrical Subcontactor List Called Contact Person Plumbing I. Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resabmitted Grading HOUSE:- '^` Review', ready for correctioaslissue Developer Impact Fee Planning Approval. Called Contact Person AJ.P.P. Pub. Wks. Appr ' Date of permit Issue School Fees Total Permit Fees b 6 163 VHKIW, - t VAS ► � � 1 �� a �� , Le end NOIES: 24�� 4. �y1Qt I°1 -r. {'AVER BORDER CCNCB MAL, ACTUAL 80TDER TORE MBRr WON SITE UM NOPE OWNER D��` . F,o�ver vne �TMNaWNWALLPANTERTOBEREI�A�WALLR�AI�ffDAI�ANDPA�TOYAT ECEII%E� Jasmine An el Wi 4 Eb5IT1NGCGLOR I Snail Vine 8 8b5ITNGGATEFROMMOUE TONORTNWALL TOBEREMIWED ' I _ .�.� G�s Shrub. e�arai 4 -TOrAL L4NDSC.Q'E AND POM TO BE aGSTMG REIMM TIE SM£�LEVE. G..rl/i DRANAGE TNRour,Nour PRaPERrc J /��'- AUG 23 2 016 r ` c1myactusoca.Barrel 8 f � "_ s 77' CITY OF LA QIJINTA s{q MR14VE GQLD . n _ - \�_ 3, DESERTGOLbCO@BLE ,\ `\ " I _ T , _ r' -�� BouLc�ER� : o�sEl�r GGtD ` . r . \� a_ �. \ . _ + FIRE PR LLL TLff FF i �. .� .� \,�`r� ,'..r��,Y "\ �: i'� \, •\ y I \ \.off T •-�\� , \4Jtl-� T�.�'.\• I I 1 17 o. o o o I o I o o o 'o1. o I GAS LINE: I' IN SIZE TI IG PGi� IN BLUE, OEMO�MIWE,COFF' OTS 1,4N75C,4PE i _ j f .t Revision M Scale:.. --landscape Plan:. 1 i . ,Landscape: Design by: Miles.Myers ! { `Date: 8/16/16 111='s1 Pierce Residence ' RGM&N