The URL can be used to link to this page

BRES2017-0292r_, 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address:- APN: Application Description: Property Zoning: Application Valuation: Applicant: RICHARD ALLEN PAYNE 52565 AVENIDA BERMUDAS LA QUINTA, CA 92253 c&ty/ 4 4 Qubts DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BUILDING RESIDENTIAL/REMODEL BRES2017-0292 79730 RANCHO LA QUINTA DR 602210014 BETTENCOURT / GAS LINE AND ELECTRIC FOR BBQ 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: License.No.: 947805 vPM l� �Da j: 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 Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: MEREDITH BE—TENCOURT , 92253 Contractor: RICHARD ALLEN PAYNE 52565 AVENIDA BERMUDAS LA QUINTA, CA 92253 (760)578-6149 Llc. No.: 947805 Date: 10/11/2017 C� W � 0< a ¢w L ^� iu-w Q v �o v� O z 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 qk for which this permit is issued. I have and will maintain workers'=ompensation 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 insuranr= carrier and policy number are: W11not EMPT Policy Number: certify that in the performance or the work for which this permit is issued, I mploy any person in any manner so as to become subject to the workers' compensation laws of California, and agree fiat, if I should become subject to the workers' compensation provisions of Sectior 3700 of the Labor Code, I shall forthwith comply/ with those provisions.� //]j'_ Date:_L v (Applicant: film�" (/ WARNING: FAILURE TO SECURE WORKERS' OOMPENSATION 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 appScation 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 cancellati in. I certify that I have read this application and State that the above informati is correct. I agree to comply with all city and county orcinances and sta aws relati to b • ding construction, and hereby authorize represercatives of this cit to nt p n the abo mentione derry for inspection purposes:n rr -/� �'n ter.--,., n-..,... c 1' Application Number: BRES2017-0292 Property Address: 79730 RANCHO LA QUINTA DR APN: 602210014 Application Description: BETTENCOURT / GAS LINE AND ELECTRIC FOR BBQ Property Zoning: Application Valuation: Applicant: RICHARD ALLEN PAYNE 52565 AVENIDA BERMUDAS LA QUINTA, CA 92253 Owner: MEREDITH BETTENCOURT , 92253 Contractor: RICHARD ALLEN PAYNE 52565 AVENIDA BERMUDAS LA QUINTA, CA92253 Date: 10/11/2017 (760)578-6149 Llc. No.: 947805 -------------------------------------------------------------------------------------------- Detail: GAS LINE AND ELECTRICAL IN REAR YARD FOR FUTURE USE. 2016 CALIFORNIA BUILDING CODES. 0 r FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $26.01 Total Paid for ELECTRICAL: $52.02 DESCRIPTION ACCOUNT I 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 - MAJOR 101-0000-42416 0 $20.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $20.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMEL4T FEE: $5.00 C Bin# City of La Quinta Building & Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit# A.P. Number Legal Description: Ci S Zip: ^ , k C� V Contractor• Telephone: Project Descri tion: C; , J 22� State Lic. #: �� City Lie #: Arch, Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Construction Type: Occupancy: Proj. Type New Add'n Alter Repair Demo Name of Contac SgFt: #Stories # Units. Telephone of Contact _ I f Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT TEES 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 Cales 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 21 )K LANI-111U. I.MDLE CEIN5.TRUL; I lu M • NEW CONCRETE SLAB SHALL BE. POURED ALLED. • APROX: 4.9 C.Y @ 4" THICK as Grell - ler • . � "' 'Yip? :f re g eratorShelf ! - �; ,)s Drawer ?' -6.' -- CITY OF LA QUINTA BUILDING & SAFEiY DEPT. AlmPR0VED «{� FOR CONS U.CTION i o DATE a It �� C� i�