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BPLB2018-002578-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: PLUMBING/. BPLB2018-0025 49730 ENTRADA CIR CIR 646230006 BELL / 471-1` GAS LINE $4,000.00 Applicant: FERRAUD INDUSTRIES INC DBA VALLEY PLUMBI 78886 AVENUE 41 BERMUDA DUNES, CA 92203 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT FEB 21 2018 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/21/2018 Owner: GERALD BELL P 0 BOX 572 CHAPEL HILL, NC 92253 Contractor: FERRAUD INDUSTRIES INC DBA VALLEY PLUMBI 78886 AVENUE 41 BERMUDA DUNES, CA 92203 (760)347-3629 Llc. No.: 273088. LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 1 hereby affirm under penalty of perjury one of the following declarations: (commencing with Section 7000) of Division 3 of the Business and Professions Code, and - I ho and will maintain a certificate of consent to self -insure for workers' my License is in full force and effect. compenRsi n, as provided for by Section 3700 of the Labor Code, for the performance License Class: C36 License No.: 273 8 ofro r which this permit is issued. Q� av nd will maintain workers' compensation insurance, as required by Date: I0 Contractor Se of the Labor Code, forthe performanceof the work for which this permit is l/Isorkers' compensation insurance carrier and policy number are: - OWNER-�UILDER,D CLARATION Carrier: ACE AMERICAN INSURANCE COMPANY__:_Policy Number: RWCC64403023 I hereby affirm under penalty of perjury that I a exempt from the Contractor's State _ License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any I certify that iri 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 any shall not employ any person in any manner so as to become subject to the workers' structure, prior to its issuance, also requires the applicant for the permit to file a signed compensation laws of California, and agree that, if I should become sub'ect to the statement that he or she is licensed pursuant to the provisions of the Contractor's State workers' compensation provisions of Section 370 of the Labor Co shall forthwith License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business comply with those provisions.. 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 Date: Applicant: subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) 1, as owner of the property, or my employees with wages as their sole WARNING: FAILURE TO SECURE WARXERS' COM ENSATION COVERAGE IS UNLAWFUL, compensation, will do the work, and the structure is not intended or offered for sale. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not ONE HUNDRED THOUSAND DOLLARS ($100,000 . IN ADDITION TO THE COST OF apply to an owner of property who builds or improves thereon, and who does the work COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, himself or herself through his or her own employees, provided that the improvements INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT or she did not build or improve for the purpose of sale.). IMPORTANT: Application is hereby made to the Building Official for a permit subject to (_) I, as owner of the property, am exclusively contracting with licensed contractors to the conditions and restrictions set forth on this application. construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State 1. Each person upon whose behalf this application is made, each person at whose License Law does not apply to an owner of property who builds or improves thereon, request and for whose benefit work is performed under or pursuant to any permit issued and who contracts for the projects with a contractor(s) licensed pursuant to the as a result of this application , the owner, and the applicant, each agrees to, and shall Contractors' State License Law.). defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and (_) I am exempt under Sec. . B.&P.C. for this reason 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 Date: Owner: commenced within 180 days from date of issuance of such permit, or cessation of 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 Address: 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 p building construction, and hereby authorize representatives of this c' y to ente70 up 5r the above- mentioned property for inspection purposes. Date: 2 - Z ) —)4 Signature (Applicant or Agen •r Date: 2/21/2018 Application Number: BPLB2018-0025 Owner: Property Address: 49730 ENTRADA CIR CIR GERALD BELL APN: 646230006 P 0 BOX 572 Application Description: BELL / 47LF GAS LINE CHAPEL HILL, NC 92253 Property Zoning: Application Valuation:. $4,000.00 Applicant: Contractor: FERRAUD INDUSTRIES INC DBA VALLEY PLUMBI FERRAUD INDUSTRIES INC DBA VALLEY PLUMBI 78886 AVENUE 41 78886 AVENUE 41 BERMUDA DUNES, CA 92203 BERMUDA DUNES, CA 92203 (760)347-3629 -----------------------------------------------------------------------------=------------- Llc. No.: 273088 - Detail: RUN 47LF OF NEW GAS LINE FROM METER TO WATER HEATER AND FURNACE. PER 2016 CALIFORNIA BUILDING CODE. 1`111ARCIAMFORI'TiATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $98.83 Total Paid for PERMIT ISSUANCE: $98.83 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS .101-0000-42401 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT .GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $26.01 Total Paid for PLUMBING FEES:. $39.01 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE 101=0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION. ACCOUNT QTY AMOUNT .TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.60 TOTALS: $153.8 l = W0"if a --- GEM �,p,b, O'ESEWr• .......... ... .... PERMIT # Q . PLAN LOCATION: Project Address: 6M-3 -Project. Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN M ' Applicant Name: Dli. A-1 City, St, Zip Address: Email: City, ST, Zip:CNy._� Telephone: p .Telephone: 7(.P cb g L bLt Email D - Cts••.-- � y� Valuation of Project $ LI' Dy . t MA Contractor Name: U Address: New SFD Construction: Address: City, ST, Zip Telephone: Conditioned Space SF City, St, Zip # Units: Email: Garage SF Telephone: p 3 t(l� (o� Patio/Porch SF Email: 1J _ C6� Fire Sprinklers SF State Lic: It Ci us Lic: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: 'City, St, Zip City, ST, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: -City Bus Lic: Property Owner's Name: New Commercial / Tenant Improvements: Address: 11 Total Building SF City, ST, Zip Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPIC.O LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Req'd -Ree'd' Plan Sets Structural Calcs Truss Calcs Title 24 Calcs Soils Report ' Grading Plan (PM 10) .Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire' approval City Business License - r• oog �j�73o ENTRAP ���• �� oog �j�73o ENTRAP ���• �� 71 v \! \ ` \r . ,. \ V /\v � / / / ,r AA vv )44 i a;-- ! UILDI'I�G & YAFFT�Y_D X�Xl no �— .DATE —,BY AV Google MLps Google Maps Page 1 of 1 Imagery ©2013 Google 2 ft https://www.google.com/maps/@33.6895396,-116.3017671,1 lm/data=!3ml ! 1 ;�3 2/21/2018