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BPLB2018-0012r7 ' 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number:' Property Address: APN: Application Description:. Property Zoning: Application Valuation:, PLUMBING/ BPLB2018-0012 80125 VIA VALEROSA 777230017 20 LF GAS LINE $1,500.00 Applicant: HAMMER PLUMBING AND PUMPING INC P 0 BOX 2448 CATHEDRAL CITY, CA 92235 Tit�p D VOICE (760) 777-7125 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/24/2018 Owner: ® CHAD VON HAHN 80125 VIA VALEROSA LA QUINTA, CA 92253 ✓qN 2 q ciryo � 2018 ��1, 11iZ 14Q01 MMI d ractor. ��l�FpgRr CATHEDRAL 8 PLUMBINGAMMER AND PUMPING INC CITY, CA 92235 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 the Business and Professions Code, and my License is in full force and eff ct� License C ss: C42 36 D35 icense No.: 6610 8 Date: 2 I ©b Con ractori E OWNER -B ER 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 ProfessionsCode: The Contractors' State License Law does not applyto 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 Name: Lender's Address: (760)321-7448 Llc. No.: 661018 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. 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: Carrier: ACE AMERICAN INSURANCE COMPANY Policy Number: RWCC64391082 _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner -a to become s bject to the workers' compensation laws of California, and, gree that, I should b e ect to the workers' compensation provisions of Section 370 of the L o de, I hall forthwith comply with threvisions. Date:110r, 'Aiplicant: WARNING: FAILURE TO SECURE WO ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($300,000). IN ADDITION TO THE COST OF. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, NTEREST, 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. I 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 he above information is correct. I agree to comply with all city and county ordinap es and sta laws relating to building construction, and hereby authorize representatives of this city to enter he above4ionedperty for Inspection pur oses.Date:b Signature (Applica or A - Date: 1/24/2018 ' Application Number: BPLB201870012 Owner: Property Address: 80125 VIA VALEROSA CHAD VON HAHN APN: 777230017 80125 VIA VALEROSA Application Description: 20 LF GAS LINE LA QUINTA, CA 92253 Property Zoning: Application Valuation:. $1,500.00 Applicant: Contractor: HAMMER PLUMBING AND PUMPING INC HAMMER PLUMBING AND PUMPING INC P 0 BOX 2448 P-0 BOX 2448 CATHEDRAL CITY, CA 922.35. CATHEDRAL CITY, CA 92235 - (760)321-7448 LIC. No.: 661018 Detail: 20 LF OF GAS LINE FOR AS BUILT FIREPIT. PER 2016 CALIFORNIA BUILDING CODE FINANCIAL INFORMATION 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 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: $5.00 Vi I� I Vi �\ CM w r^ e ,j n D 0 r POOL. � foo ouo fru ZS • So;000 �cU `t I��Q�� iviAL •t�Tu PIT- Contractor Name: PERMIT # 'New SFD Construction: + PLAN LOCATION: Conditioned Space SF Project Address: �12 X 4, L E�05A Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN#: �o�asE Chi ti�� C� Fire Sprinklers SF State Lic:�e City Bus Lic: State Lic: ' City Bus Lic: Applicant Name:Ll� Address: L( City ST, Zip: Cor� Telephone: (® 0 3 Z i Email: x- �flal�� f Lur�lir.�(, Valuation of Project .$ 6c.► Contractor Name: T7u v ttj(.l 'New SFD Construction: + Address: ��j Z ; �.`.( Conditioned Space SF City, St, Zip . L U Garage SF. Telephone: '7 (.-(s Patio/Porch SF Email: � � of -5 ,-e-' Fire Sprinklers SF State Lic:�e City Bus Lic: State Lic: ' City Bus Lic: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip City, ST, Zip (_ a 0A Telephone:. Bedrooms: Stories: #Units: Email: State Lic: ' City Bus Lic: Property Owner's Name: � �}� v �f� �� "J New Commercial-/ Tenant Improvements: Address: kts �2 , Nc P Total Building SF. City, ST, Zip (_ a 0A Construction Type:. Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY Submittal Req'd Ree'd Plan Sets Structural Calcs r Truss Calcs Title 24 Calcs 'Soils Report , 1 Grading Plan (PM 10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees • Burrtec Debris Plan S ' Planning approval Public Works approval Fire approval City Business License