BRES2017-026578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
BUILDING RESIDENTIAL/REMODEL
Application Number:
BRES2017-0265
Property Address:
60950 LIVING STONE DR
APN:
764440032
Application Description:
GALE RESIDENCE/ FIRE PIT, LIGHTI
Property Zoning:
Application Valuation:
$6,000.00
Applicant:
SANDS TO GREENS LANDSCAPE INC
P 0 BOX 2913
INDIO, CA 92202
VOICE (760) 777-7125
FAX j760) 777-7011
INSPECTIONS (760) 777-7153
L__C�m & LA QUINTA
COMMUMM DEVELOPMEM DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
pLice�nse Class: 27 D12 D06 License No.: 89125
Date:3 O vU / 7 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 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
Lenders Add
Date: 9/26/2017
Contractor:
SANDS TO GREENS LANDSCAPE INC
P 0 BOX 2913
INDIO, CA 92202
(760)347-5022
Llc. No.: 891251
WORKER'S COMPENSA710N DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certifica`.e 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
Section 3700 of the Labor Code, for the perfo, mance of the work for which this permit
is issued. My workers' compensation insuran_e carrier and policy number are:
Carrier: INSURANCE COMPANY OF THE WEST Policy Number: WSD503609600
1 certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner se 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 II forthwith
comply with pose provisions.
D, Applicant/
WARNI G: FAILURE TO SECURE WORKERS' CCMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIM114AL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,090). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNCIIJVLEDGEMENT
IMPORTANT: Application is hereby made to tF a Building Official for a permit subject to
the conditions and restrictions setforth on this application.
1. Each person upon whose behalf this appl cation 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 he 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 slate 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 represent.Yives of this city to enter upon the
above-mentio ed prope/rty�ffor inspection purF-oses.
Dat ( �ignature (ApPlicantor Aiena.,_12e' Ct—�
Owner:
Q60950
SCOTT GALE
LIVING STONE DR
LA QUINTA, CA 92253
B�t 2 6 2017
-
L__C�m & LA QUINTA
COMMUMM DEVELOPMEM DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
pLice�nse Class: 27 D12 D06 License No.: 89125
Date:3 O vU / 7 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 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
Lenders Add
Date: 9/26/2017
Contractor:
SANDS TO GREENS LANDSCAPE INC
P 0 BOX 2913
INDIO, CA 92202
(760)347-5022
Llc. No.: 891251
WORKER'S COMPENSA710N DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certifica`.e 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
Section 3700 of the Labor Code, for the perfo, mance of the work for which this permit
is issued. My workers' compensation insuran_e carrier and policy number are:
Carrier: INSURANCE COMPANY OF THE WEST Policy Number: WSD503609600
1 certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner se 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 II forthwith
comply with pose provisions.
D, Applicant/
WARNI G: FAILURE TO SECURE WORKERS' CCMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIM114AL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,090). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNCIIJVLEDGEMENT
IMPORTANT: Application is hereby made to tF a Building Official for a permit subject to
the conditions and restrictions setforth on this application.
1. Each person upon whose behalf this appl cation 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 he 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 slate 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 represent.Yives of this city to enter upon the
above-mentio ed prope/rty�ffor inspection purF-oses.
Dat ( �ignature (ApPlicantor Aiena.,_12e' Ct—�
4
Date: 9/26/2017
Application Number:
BRES2017-0265
Owner:
Property Address:
60950 LIVING STONE DR
SCOTT GALE
APN:
764440032
60950 LIVING STONE DR
Application Description:
GALE RESIDENCE / FIRE PIT, LIGHTING AND BBQ
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$6,000.00
Applicant:
Contractor:
SANDS TO GREENS LANDSCAPE INC
SANDS TO GREENS LANDSCAPE INC
P 0 BOX 2913
P O BOX 2913
INDIO, CA 92202
INDIO, CA 92202
(760)347-5022
---------------------------------------------------------------------------------------------
Llc. No.: 891251
Detail: FIRE PIT, LIGHTING, AND BBQ. PER 2016 CALIFORNIA BUILDILNG CODE
4
FINANCIAL INFORMATION
DESCRIPTION ACCOUNTQTY AMOUNT
BSAS 581473 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
$3.45 .
Total Paid for Credit Card Fee: $3.45
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$25.33
Total Paid for ELE IRICAL: $50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSLANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$25.33
Total Paid for PLUMBING FEES: $38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308•
0
$0.78
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.78
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
n
G
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin#
City of La Quinta
Building & Safety Division
/ 78-495 Calle Tampico
ll:�J La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit#
Project Address: /1 �r5 !K q�f`
Owner's Name: aI
C�eo
A.P. Number
Address:
1 i ✓t rt 5 tit
Legal Description:
City, ST, Zip:
Address:
G�_C/
Project Description:
7/
City, ST_
, b
5
Telephone: _ �1
t�vC l
State Lic. #: City Lic #:
7 S
Arch, Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type:
Occupancy:
State Lic. #:
Proj. Type
New
Add'n
Alter
Repair
Demo
Name of Contact:
SgFt:
#Stories
# Units:
Telephone of Contact:
Estimated Value of Project:
00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check Submitted
Item
Amount
Structural Calcs
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
2nd Rev, Ready for corrections /
Electrical:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P:P.
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees