The URL can be used to link to this page

BPLB2019-007978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: LAUREN MAWHINNEY 17250 ROSY SKY CIRC RIVERSIDE, CA 92503 PLUMBING/ BPLB2019-0079 53246 ROSS AVE T4hf at Sep QU&M DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT 767680013 ANDREWS / GAS STUB OUT FOR 1 BBQ AND 2 FIRE PITS VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: BLAKE ANDREWS 53246 ROSS AVE LA QUINTA, CA 92253 Date: 5/13/2019 $1,900.00 Contractor: P DD THE ROCK MAN "ROCK POOL BUILDER" MAY 14 2019 2625 TAYLOR AVE CORONA, CA 92882 CITY OF LA QUINTA (951)256-6156 DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 789720 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: JCC$J _ LicenseNo.: Date: ` Contractor?50EP�LA OWNER-BilON 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).: (_) 1, 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 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 th rk for which this permit is issued. 1 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9247470 _ 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 roovlisions. Date: I I V r Applicant; z 42 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 (S1130,000j, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICA NT ACKNO W LE D G EM ENT 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. Date: I I�f Signature (Applicant or Agent):. Date: 5/13/2019 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: LAUREN MAWHINNEY 17250 ROSY SKY CIRC RIVERSIDE, CA 92503 BPLB2019-0079 53246 ROSS AVE 767680013 ANDREWS / GAS STUB OUT FOR 1 BBQ AND 2 FIRE PITS $1,900.00 Detail: ADD 298LF EXTERIOR GAS LINE AND 3 STUB OUTS. PER2016 CALIFORNIA PWIVIBING CODE Owner: BLAKE ANDREWS 53246 ROSS AVE LA QUINTA, CA 92253 Contractor: THE ROCK MAN "ROCK POOL BUILDER" 2625 TAYLOR AVE CORONA, CA 92882 (951)256-6156 Llc. No.: 789720 RCOS SR1a74 FFF 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 CITY 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 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 taPERMIT # BE L V PLAN O TION: Project Address: Project Description: APN #: Ncw cgnsmkmrin omt \ow A Applicant Name: Li.AI.Igrn ma�vhlr� e C�OSC,IC��SCYI YISiYv tAu Address: City, ST, Zip: t � rr G W V I DY Telephone: ��- �U��-�VZ 1 �� 1 ?-1 S Email: b YY1Cl�UJ�lY�Y1� �4 � � ap'1 Valuation of Project $ ON Architect/Engineer Name: Construction Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: ?,\4t end Ce w S New Commercial / Tenant Improvements: Address: 5�' LEu V-U5s IN-C Total Building SF City, ST, Zip c,�qVinval Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # 1 Submittal f Required I Received Plan Sets Structural Calcs Truss Calcs Title 24 Calcs Soils Report Grading Plan (PM10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License ---T- - tam r,*D r i-t(CIL) 1 N .c New AD rr ,Is F r'C Pits 0cAdi SS LCJ Qt-+il1611 (n CITY OF LA QUINTA BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE io' tam Vrw . N �f eca IOU S,ee� 0 PE ClaS li vie, Zotai ►cig#1•, 501 1pM N Fr�� piny `hard Gay 2" PEfirow nTr C10'.'% �fi 2,YX'k uc - �otfr lbtal tmlh fit' RO t Lt( HDO, -uOO ff U boo yb(amoBT14 hre P t 51k "() 6W �-A5;000 eCll m 2 2" p E caas L (ne. e, c4sl ol, 1 p' �e, q, bN4d cloc)0fq zA icd F, -Tcc N 7 ^g S114L P.OSS AVE SPLI32DI9- 0019 AGENT AUTHORIZATION FORM I, Martin Cervantes, (Contractor) hereby authorize Lauren Mawhinney to pull any and all permits for home improvement projects on behalf of The Rock Man (Lic #789720) at residence 53246 Ross Ave, La Quinta. Sincerely, Martin Cervantes The Rock Man (Lic #789720) Martin Cervantes Date