BPLB2019-008978-495 CALLE TAMPICO D 'i�CtJ
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: PLUMBING/
Application Number:
BPLB2019-0089
Property Address:
57995 S VALLEY LN
APN:
762250001
Application Description:
MCCARTHY / (2) GAS LINE STUB -OUTS FOR FUTURE OUTDOOR
Property Zoning:
HEATERS
Application Valuation:
$1,800.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/7/2019
Owner:
PATRICK K. & MONICA R. MCCARTHY
57995 S. VALLEY LANE
LA QU I NTA, CA 92253
Applicant: Contractor:
E Z PLUMBING E Z PLUMBING
82579 BARI LANE 82579 BARI LANE
INDIO, CA 92201 J M 0 7 2019 INDIO, CA 92201
CITY QE LA ObINA, (760)641-9683
DE$ICN & DEVELOPMENT MPARTIMT LIc. No.: 948340
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: 60_?_ . I 9 Contracto
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 Secticin 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'iState
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 Addre!
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: 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.
Date: (d `7' 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.
e
Date: Signature (Applicant or A .01
Date: 6/7/2019
Application Number:
BPLB2019-0089
Owner:
Property Address:
57995 S VALLEY LN
PATRICK K. & MONICA R. MCCARTHY
APN:
762250001
57995 S. VALLEY LANE
Application Description:
MCCARTHY / (2) GAS LINE STUB -OUTS FOR FUTURE OUTDOOR HEATERS
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$1,800.00
Applicant:
Contractor:
E Z PLUMBING
E Z PLUMBING
82579 BARI LANE
82579 BARI LANE
INDIO, CA 92201
INDIO, CA 92201
(760)641-9683
Llc. No.: 948340
Detail: ADD NEW 80' OF 1.5" & 3/4" TOTAL GAS LINE AND (2) STUB -OUTS TO BACKYARD FOR FUTURE OUTDOOR HEATERS. PER 2016 CALIFORNIA
PLUMBING CODE. FUTURE OUTDOOR HEATERS WILL REQUIRE A SEPARATE PERMIT PRIOR TO INSTALLATION.
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
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
PERMIT # ice' L-1� Zp( 00
PLAN LOCATION:
Project Address: 511 l E S. qLU LA Project Description:
APN #: , .} � I j I r, , .
Applicant Name: Elio
Address: 4� �`
City, ST, Zip:
Telephone:
Email:
Architect/Engineer Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic: City Bus Lic:
Property Owner's Name: le
Address:
City, ST, Zip t_
Telephone:
Email:
Valuation of Project $��
Construction
Grading:
Bedrooms: Stories:
Occupancy:
# Units:
{f New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
Submittal Required Received
-#T,
1 Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
i
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
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91
CITY OFLA C INTA
BUILDING DIVISION
REVIEWED FOR
CODE
C,O4APLIANCE Kjexf,
?P� o pewry i NE
Valley Ln
(d -7 201
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to
June 6, 2019
Patrick and Monica McCarthy
57995 South Valley Lane
La Quinta, CA 92253
RE: Pergola Construction Proiect — 57995 S. Valley LN.
To: The City of La Quinta
To Whom It May Concern,
Be advised that E.Z Associates Inc. (Licence Number 948340) has been chosen as the Plumbing
and pipe fitting (gas) contractor for the above noted project. Please accept this letter as
permission to have them request the necessary permits and associated inspections pursuant to
their scope of work.
If you have any question or concerns please feel free to contact me at (780)235-7737.
Regards,
Partrick McCarthy
Monica MM�Carthy
HOM