BPLB2019-004878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
MELCO CONSTRUCTION
P 0 BOX 141
THOUSAND PALMS, CA 92276
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
PLUMBING/
BPLB2019-0048
50735 CALLE QUITO
770095011
LOOMIS/ REPLACE 30OLF OF GAS LINE
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
JAMES AND LINDA LOOMIS
27552 SAN BLAS
MISSION VIEJO, CA 92692-1211
$8,000.00 a
Contractor:
MELCO CONSTRUCTION
MAR 2 8 2019 P 0 BOX 141
THOUSAND PALMS, CA 92276
CITY OF LAQUINTA
DESIGN & DEVELOPMENT DEPARTMENT (760)409-6703
Llc. No.: 683274
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 Prof -ons Code,
and my License is in full force and effect.
License Class: B License No.: 683274
Date: Contractor:
r i
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 Name:
Lender's Address'
Date: 3/28/2019
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:
Car I r' EMPT Paficy Number: _
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 hall forthwith
comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 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 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 property for inspection purposes.
,Dafe et Signature (Applicant or Agent):
Date: 3/28/2019
Application Number: BPLB2019-0048
Owner:
Property Address: 50735 CALLE QUITO
JAMES AND LINDA LOOMIS
APN: 770095011
27552 SAN BLAS
Application Description: LOOMIS/ REPLACE 300LF OF GAS LINE
MISSION VIEJO, CA 92692-1211
Property Zoning:
Application Valuation: $8,000.00
Applicant:
Contractor:
MELCO CONSTRUCTION
MELCO CONSTRUCTION
PO BOX141
P0BOX 141
THOUSAND PALMS, CA 92276
THOUSAND PALMS, CA 92276
A
(760)409-6703
Llc. No.: 683274
------------------------------------------------------------L
---------------------------------
Detail: REPLACE 300LF OF EXISTING GAS LINE WITH 2" P.E. FLEX TO POOL EQUIPMENTIN REAR YARD. TO BE FIELD VERIFIED BY INSPECTOR. PER 2016
CALIFORNIA BUILDING CODES
DESCRIPTION
ACCOUNT QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404 0
$101.40
Total Paid for PERMIT ISSUANCE:
$101.40
DESCRIPTION
ACCOUNT QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600 0
$26.68
Total Paid for PLUMBING FEES:
$40.02
DESCRIPTION
ACCOUNT CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416 0
$10.00
Total Paid for RECORDS MANAGFMENT FFF-
41n nn
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
ta Qa�fra
— Cal 11 ORNIA
Project Address: 5
APN #:
Applicant Name:
Address:
City, ST, Zip:
Telephone:
Email:
PERMIT # nIJ[Al( 1 01`1-
PLAN LOCATION:
Project Description:
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a
Valuation of Project $�� C�J'
Architect/Engineer Name: Construction Occupancy:
Address: Grading:
City, St, Zip
Telephone: Bedrooms: Stories: # Units:
Email:
State Lic: City Bus Lic:
/8495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
r
OFFICE USE ONLY
#
Submittal Required Received
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
CVWD Fire Flow Letter
Soils Report
Grading Plan (PM10)
Landscape Plan
Replacing
2" P.E. Fie
Gas Line
150 ft
Replacing P.E. Flex Gas Line
Site Plan
Pool Eq
Under Ground
18" to 24"
X`
CITY OF Q INTA
BUILDING & SAFE DEPT.
APP OV ED
FOR CON TRU TION
.3oo 4F
Pool
Under Ground 18" to 24"
i
J�
1
Replacing 2" P.E Flex Gas Line
150 ft
Address W
50735 Calle Quito S N
La Quinta, CA 92253 E
107JS C&OLF GWi7'v
Casita
Main House
Gas Meter
Main Hous(
/JV