BPLB2019-0134�
78-495 CALLE TAMPICO T44t 4
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: PLUMBING/
Application Number: BPLB2019-0134
Property Address: 50915 RAINBOW CT CT
APN: 770020013
Application Description: SEASONS AT LQ/ 90LF OF (2) GAS LINES FOR POOL EQ
Property Zoning:
Application Valuation: $4,500.00
Applicant: L!
BELLA GENERAL CONTRACTORS INC
P 0 BOX 1625P
CATHEDRAL CITY, CA 92235 OCT 0 3 2019
CITY OF LA QUINTA) 0
DESIGN & DEVELOPMENT DEPARTMENT
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: License No.: MQ522.,I
/)Date: '4 Contractor;�i�fl��,/j,
OWNER -BUILDER ECLARATION
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 N
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/3/2019
Owner:
LA QUINTA SENIORS
110 PINE AVE STE 525
LONG BEACH, CA 92253
Contractor:
BELLA GENERAL CONTRACTORS INC
P 0 BOX 1625
CATHEDRAL CITY, CA 92235
(760)324-3194
Llc. No.: 1010522
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 t Wave
for which this permit is issued.
Wave 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: UATIONALPolicy 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 Code, I shall forthwith
comply w�iryt those provisions.
V Date: o� i Applicant:
WARNING: FAILURE TO SECURE WORKERS' CO PENSATION 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 ATTORNEYS 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 rape. jy for inspection purposes.
[0
Date: �p
J ! ` Signature (Applicant or Agent): I¢u,W
Date: 10/3/2019
Application Number:
BPLB2019-0134
Property Address:
50915 RAINBOW CT CT
APN:
770020013
Application Description:
SEASONS AT LQ / 90LF OF (2) GAS LINES FOR POOL EQ
Property Zoning:
Application Valuation:
$4,500.00
Applicant:
BELLA GENERAL CONTRACTORS INC
P 0 BOX 1625
CATHEDRAL CITY, CA 92235
Owner:
LA QUINTA SENIORS
110 PINE AVE STE 525
LONG BEACH, CA 92253
Contractor:
BELLA GENERAL CONTRACTORS INC
P 0 BOX 1625
CATHEDRAL CITY, CA 92235
(760)324-3194
LIc. No.: 1010522
Detail: REPLACEMENT OF (2) EXISTING 2" GAS LINES FROM METER TO POOL EQUIPMENT APPROX. 901-F LIKE -FOR -LIKE TO BE FIELD VERIFIED BY
INSPECTIOR. NO NEW EQUIPMENT INSTALLATAIONS OR CHANGES. PER 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT CITY
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
$101.97
Total Paid for PERMIT ISSUANCE: $101.97
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$13.42
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$26.83
Total Paid for PLUMBING 2019: $40.25
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
CALIFORNIA
PERMIT # 8P J.VUt
-- O
PLAN LOCATION:
Project Address: �"l� IS ,7-?A IlVeo l CCV
/Project Description:
APN #:
111,1N/?r -, /) A
Applicant Name:
/1Y v?o,iC
�� z
Address: PQ �
City, ST, Zip:1/Zo�ri� �! ] CA
Telephone:
Email:
Project Valuation $
Contractor Name:
N 11(0 0(,1�6 f
New Construction:
Address:
Conditioned Space SF
City, St, Zip
Garage SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: C rG5
City Bus Lic:
10/0SZz
Architect/Engineer Name:
Construction Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories: # Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name:
New Commercial / Tenant Improvements:
Address: sa-A S h L Lf) ( oiAJ tf"-
Total Building SF
City, ST, Zip d� )S )2_A1/�1 S_pLj �p /t_
Construction Type: Occupancy:
Telephone: / A/-6J (�
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
Bella Blue Water
43763 ,Jackson St
Indio, CA 92201
timate
ADDRESS
Seasons at La Quinta
ATTN: = L.<DY- j f-e-f)CAndQz,
50915 Rainbow Court
La Quinta, CA 92253
SHIP TO
Seasons at La Quinta
ATTN: UP- L O I
50915 Rainbow Court
La Quinta, CA 92253
r�91�4
Bells Blue Water
ESTIMATE # 7452
DATE 09/13/2019
m anduL,
PLEASE DETACH TOP PORTION AND RETURN WITH YOUR PAYMENT,
ACTIVITY
GASLINE
POOL Heater - Run new underground 2" PVC pipe line and
tracer wire for natural gas pool heater (including trench) - 90 ft
- Includes connectors, sediment trap I SPA Heater - Run new
underground 2" PVC pipe line and tracer wire for natural gas
pool neater (using same trench) - 90 ft - Includes connectors,
sediment trap - All materials and labor
INSPECTION
City Inspection and Permits
OTY RATE
Certain jobs may require a separate contract, if this is not TOTAL
the case, this will serve as your contract. You have the right
to cancel this contract at any time prior to midnight of the
third business day after signing, for any reason without
penalty. All other clauses will be governed by the Laws of
The State of California.
The above is an estimate based on our inspection and does
not cover any additional parts or labor which may be
required after the equipment has been opened up. If any
addional work is required a second estimate will be sent
before proceeding.
Accepted B
3,750.00
Accepted Date
Bella Blue Water
(760) 851-9577
License # 1023986
poolsCabellabl uewate r.com
www.bellabluewater.com
AMOUNT
3,750.00
300.00
$4,D50.00
Pool
i Spa
Equipment
■
obi
Gas Meter
(2) Gas lines R pt
2' Polyethylene Pipe
90 linear feet each E iis- 1 t4 G GAV'S U n] Z5
Ci ICE -P YL -l"v E_
Blue sky Way
Blue Sky Way
sploguiq 11 o 134
S09 15 2AWBOW CT
41
M
0
I
ial
North
Blue Sky Way I
Client:
Seasons at La Quinta
5091 S Rainbow Court,
La Quinta, CA 92253
Contractor:
Bella General Contractors, Inc
PO Box 1625,
Cathedral City, CA 92235
760.668.0922
Lic. B C53 1010522
CITY OF LA QUNTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
9E LIMLO I Q - 013y