BPLB2018-012278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
T4tv, 4 eti� Q"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
PLUMBING/
BPLB2018-0122
78230 CALLE LAS RAMBLAS
770014015
PODGORSKI / 3/4" GAS LINE FOR BBQ AND FIRE PIT
$18,000.00
Applicant:
QUALITY GREEN LANDSCAPING
P0BOX 172
THOUSAND PALMS, CA 92276
OCT 0 5 2018
CITY OFLA QUINTA -"
C-OM iUNnYDEVELOPMENTWAgUIENT
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.
License Class: C27 License No.: 704900 A
Date: lfl/U ) I t5 Contractor
OWNER -BUILDER DECLARATION D
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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/5/2018
Owner:
KAREN PODGORSKI
78230 CALLE LAS RAMBLAS
LA QUINTA, CA 92253
Contractor:
QUALITY GREEN LANDSCAPING
P0BOX 172
THOUSAND PALMS, CA 92276
(760)347-4640
Llc. No.: 704900
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one ofthe 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.
LLVALV�have and will maintain workers' compensation insurance, as required by
Section 370b 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: STATE CQMPENSATIONA Policy Number: 9044629
_ I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so 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 shall forthwith
comply with those provisions.
Date: whApplicant: fha
WARMING: FAILURE TO SECURE WORKERS' COMPENSATION C VERAGE 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 application becomes null and void if work is not
commenced within 190 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 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 roperty for inspection purposes.
Date: Signature (Applicant or Agent]: 6�
Application Number:
BPLB2018-0122
Property Address:
78230 CALLE LAS RAMBLAS
APN:
770014015
Application Description:
PODGORSKI / 3/4" GAS LINE FOR BBQ AND FIRE PIT
Property Zoning:
Application Valuation:
$18,000.00
Applicant:
QUALITY GREEN LANDSCAPING
P 0 BOX 172
THOUSAND PALMS, CA 92276
Owner:
KAREN PODGORSKI
78230 CALLE LAS RAMBLAS
LA QUINTA, CA 92253
Contractor:
QUALITY GREEN LANDSCAPING
P 0 BOX 172
THOUSAND PALMS, CA 92276
(760)347-4640
Llc. No.: 704900
Date: 10/5/2018
------------------------------------------------------- ---------------------------------------
Detail: CONNECT NEW 3/4" GAS LINE TO EXISTING STUB OUT FOR NEW BBQ AND FIRE PIT. THIS PERMIT DOES NOT INCLUDE ANY OTHER WORK. PER
2016 CALIFORNIA PLUMBING CODE.
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
$13.34
DESCRIPTION
ACCOUNT QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600 0
$26.68
Total Paid for PLUMBING FEES:
$40.02
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
r1'LI
PERMIT # lot- t? ;LD ( 01 pt -a
PLAN LOCATION:
Project Address:
- 050 a s
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
aS (-YW-
Vix vae G
fisl�d
Applicant Name:
r 0 K'
Address: 1 U 2 3c) C,� J e 1 clrn �G S
City, ST, Zip:
L q Q_01 1
Telephone:
Email:
Valuation of Project $- , �j � O n e)
Contractor Name:
Address:
City, St, Zip
Telephone: ] _
Email: Cho I �S vA l T`
State Lic: "70yf00 Uty Bus 1
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic:
City Bus Lic:
IkK
New SFD Construction:
D Conditioned Space
Garage
Patio/Porch
Fire Sprinklers
Construction Type:
Gradine:
SF
SF
SF
SF
Uccupancy:
Bedrooms: I Stories: I # Units:
Property Owner's Name:
New Commercial / Tenant Improvements:
Address: c'
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
It
fi�
m
l 03
PIZZA OVEN I eLE ORg�
5TAINLE55 STEEL DOOR
WOOD STORAGE
STORAGE DRAWER
BBp ISLAND ELEVATION
MARD5CAPE/ LAYOUT PLAN
re,
ELECTRICAL
OUTLET
0 0
POLISHED
CONCRETE
FINISH
GREY
FLAG5TONE
FIN15H
REFERENCE NOTES SCHEDULE
SYMBOL DESCRIPTION
QTY
i
Land:capft
ro oa�.x
n.U-4 pd., •:K
1221
I760,M?4K4W
L 1 ;
New concrete layout
�2
Proposed fire pit
W
Q
Proposed 151and w/ BBQ, storage and Pizza Oven
Z
®
Existing Fan Palms to remain
w
15 J
Steel header board to delineate turf from gravel
Ill 9 F
LIGHTING SCHEDULE
Y
SYMBOL MANUFACTURER/MODEUDESCRIPTION QTY DETAIL
.�
Kichler Path Lights - 15570 AZT27R 2
r
(OD n
CITY OF Imo► QUINTA
o
O
BUILDING & SAFETY DEPT.
FIRE PIT wl APPROVED
FINISH:
CONCRETE CAP FOR CONSTRUCTION
Grey Broom
g
m
FIRE RING DA BY
Z
GAS
KEYLU$
b°
U�.
GREY FLAGSTONE
FINISH
C,
`
,a
memo
GA5 LINE
_
FIRE PIT SECTION
°�`!
C.MARTINEZ
oarE:
9/18/18
MEW-
SCALE 1/4"-7' d'
a