BPLB2018-0106 New Poly Gas PipeDescription: MORROW / NEW GAS LINE FOE PROPERTY
Type: PLUMBING Subtype: Status: FINALED
Applied: 8/16/2018 AHI
Approved: 8/16/2018 AHI
Parcel No: 767580013 Site Address: 55075 MONROE ST ST LA QUINTA,CA 92253
Subdivision: Block: Lot:
Issued: 8/16/2018 AHI
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled: 9/25/2020 AOR
Valuation: $13,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: NEW 2"-3" POLY GAS PIPE THROUGH OUT PROPERTY FOR FUTURE FIRE PIT, BBQ AND OTHER EXISTING APPLIANCES PER 2016
CALIFORNIA BUILDING CODE.
771 0
�0
I Applied to Approved
Approved to Issued
Issued to Finaled
•
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
E Z PLUMBING
82579 BARI LANE
INDIO
CA
92201
(949)533-5050
CONTRACTOR
E Z PLUMBING
82579 BARI LANE
INDIO
CA
92201
(949)533 5050
OWNER
SCOTT MORROW
55075 MONROE ST
LA QUINTA
CA
92253
(949)533-5050
Printed: Monday, April 26, 20219:26:27 AM 1 of 2
WSYSiEMS
■ ■
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
PERMIT ISSUANCE
101-0000-42404
0
$98.83
$98.83
8/16/18
MR609
0001
DEBIT
E Z PLUMBING
AHI
Total Paid for PERMIT ISSUANCE: $98.83 $98.83
GAS SYSTEM, 1-4
101-0000-42401
0
$13.00
$13.00
8/16/18
MR609
0001
DEBIT
E Z PLUMBING
AHI
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$26.01
$26.01
8/16/18
MR609
0001
DEBIT
E Z PLUMBING
AHI
OUTLETS PC
Total Paid for PLUMBING FEES: $39.01 $39.01
RECORDS
101-0000-42416
0
$10.00
$10.00
8/16/18
MR609
0001
DEBIT
E Z PLUMBING
AHI
MANAGEMENT FEE
Total Paid for RECORDS MANAGEMENT FEE: $10.00 $10.00
TECHNOLOGY
502-0000-43611
0
$5.00
$5.00
8/16/18
MR609
0001
DEBIT
E Z PLUMBING
AHI
ENHANCEMENT FEE
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 $5.00
TOTALS::4 $153.84
Ammli
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
COMPLETED
RESULT
REMARKS
NOTES
DATE
DATE
UNDERGROUND GAS
DCL
8/24/2018
8/24/2018
APPROVED
FINAL"
JFU
9/25/2020
9/25/2020
APPROVED
SEE BSPN2020-0015 FOR INSPECTION
INFORMATION.
Printed: Monday, April 26, 20219:26:27 AM 2 of 2
WsYsrEMS
,L Je 3r1J " Q�i
78-495 CALLE TAMPICO U VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/16/2018
Permit Type/Subtype: PLUMBING/ Owner:
Application Number: BPLB2018-0106 SCOTT MORROW
Property Address: 55075 MONROE ST ST 55075 MONROE ST
APN: 767580013 LA QUINTA, CA 92253
Application Description: MORROW / NEW GAS LINE FOE PROPERTY
Property Zoning:
Application Valuation: $13,000.00
Applicant: I ® Contractor:
E Z PLUMBING DE Z PLUMBING
82579 BARI LANE 82579 BARI LANE
INDIO, CA 92201 AUG 16 2018 INDIO, CA 92201
C)TY10FLAQUINTA (760)6Llc. No.:: 948 3 .
DESIGNANDDEVELAPMENTDEPARTMFNt 48340
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: C36 License No.: 948340
.Date: �/6 /�l 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 Name:
Lender's Address:
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 Section3700 of the Labor Code, for the performance
of the work for which this permit is issued.
shave 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: RWCC65188107
_ 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.
Dater LS'�� VQ 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.
r[�'�O Date: �� Signature (Applicant or A
�.
Date: 8/16/2018
Application Number:.
BPLB2018-0106
Owner:
Property Address:
55075 MONROE ST ST
SCOTT MORROW
APN:
767580013
55075 MONROE ST
Application Description:
MORROW / NEW GAS LINE FOE PROPERTY
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$13,000.00
Applicant:
Contractor:
E Z PLUMBING
E Z PLUMBING
82579 BAR] LANE
82579 BARI LANE
INDIO, CA 92201
INDIO, CA 92201
Llc. No.: 948340
Detail: NEW 2"-3" POLY GAS PIPE THROUGHOUT PROPERTY FOR FUTURE FIRE PIT, BBQ AND OTHER EXISTING APPLIANCES PER 2016 CALIFORNIA
BUILDING CODE.
e
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY 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
10170000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: $98.83
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$13.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$26.01
Total Paid for PLUMBING FEES: $39.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0'
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:
w
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BUILDING DIVISION
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PERMIT #
.
PLAN LOCATION:
Project Address: S' S� S C
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
A,/ 444.1
Applicant Name:
Address: �, v
City, ST, Zip: �� f ytgb G/zZCj
Telephone:
Email: (� t w� j I . G�w�
Valuation of Project
Contractor Name:EZ '
PIUAn
-New SFD Construction:
Address:
Conditioned Space SF
City, St, Zip
Garage .SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: (� 3 l V City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
itUnits:
Email:
State Lic: City Bus Lic:
Property Owner's Name: SCCfi _ o
New Commercial / Tenant Improvements:
Address:
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone: ftf— 533 "SoSG
Email:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
A
OFFICE USE ONLY
Submittal
Req'd
-Rec'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
%
Soils Report
Grading Plan (PM 10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License