BPLB2019-0152I L c&ty/ 4v Q
78-495 CALLE TAMPICO 4u&&
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: PLUMBING/
Application Number:
BPLB2019-0152
Property Address:
46285 CAMEO PALMS DR
APN:
643181021
Application Description:
KUNTZ / CHANGEOUT OF
SHOWER DRAINS, VALVE AND KITCHEN
Property Zoning:
SINK
Application Valuation:
Applicant.
L�
TONI RINGLEIN - MY GENERAL CONSTRUCTION INC
P
160 N LURING SUITE C
NOV 2 6 2019
PALM SPRINGS, CA 92262
CITY OF LA QUINTA
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: B License No.: 1029958
Date: Contractor:
OWNER -BUILDER DE LA TION
I hereby affirm under penalty of perjury that I am x pt from the Contractor's State
License Law for the following reason (Sec. 7031.5, usiness 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 Addres!
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/26/2019
Owner:
JULIE KUNTZ
46285 CAMEO PALMS DR
LA QUINTA, CA 92253
Contractor:
MY GENERAL CONSTRUCTION INC
160 N LURING SUITE C
PALM SPRINGS, CA 92262
(760)864-7364
Llc. No.: 1029958
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 Far which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Sect o 3700 of the Labor Code, for the performance of the work for which this permit is
issue . My workers' compensation insurance carrier and policy number are:
Carrier: ACE AMER&AN (INSURANCE COMPANY Policy Number: C65218331
_ 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 he Labor Code, I shall forthwith
comply with those provisions.
Date: f IL Applicant:
r
WARNING: FAILURE TO SECURE WORKERS' CO r
SA710N COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMI NALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,00 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 ofthis 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 ftry
er upon the above -
mentioned property for inspection purposes. -,-7
Date: ? ? I f Signature (Applicant or Agent)
Date: 11/26/2019
Application Number:
BPLB2019-0152
Owner:
Property Address:
46285 CAMEO PALMS DR
JULIE KUNTZ
APN:
643181021
46285 CAMEO PALMS DR
Application Description:
KUNTZ / CHANGEOUT OF SHOWER DRAINS, VALVE AND KITCHEN SINK
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$5,000.00
Applicant:
Contractor:
TONI RINGLEIN - MY GENERAL CONSTRUCTION INC
MY GENERAL CONSTRUCTION INC
160 N LURING SUITE C
160 N LURING SUITE C
PALM SPRINGS, CA 92262
PALM SPRINGS, CA 92262
(760)864-7364
LIc. No.: 1029958
Detail: CHANGEOUT OF (2) SHOWER PANS, (2) DRAINS, VALVES AND (1) KITCHEN SINK TO BE FIELD VERIFIED BY INSPECTOR. SHOWER PANS, VALVES,
AND KITCHEN SINK TO REMAIN IN EXISTING LOCATION. PER 2019 CALIFORNIA BUILDING CODES.
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
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.97
Total Paid for PERMIT ISSUANCE: $101.97
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$40.26
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$40.26
Total Paid for PLUMBING 2019: $80.52
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:
CALIFORNIA
PERMIT #
PLAN LOCATION:
Project Address: li. 28� bgil( U �l s �Z
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
N L--! S POwo2- tDaftiNS 4 vitL ki, Z
Applicant Name: L L)LL e SwL
Address: I (pZ?) S CMVAtED S b2
City, ST, Zip: (� C;2,U i ti riot C Gl Z ZCa �
Telephone: , (
: �
Valuation of Project $ rfioC'3 �
Contractor Name: V V l y G C—
New SFD Construction:
Address: 40 U LU(1.1 /Q& DfL
Conditioned Space SF
City, St, Zip ?lj4t_(�,k S PfLl CGS
Garage SF
Telephone: —7(v 0 Z-7G (-P(-P 7 %
Patio/Porch SF
Email: l; (JAY&O p�) GVt,,yq-iL , CO yA
Fire Sprinklers SF
State Lic: D Z 77 5 U City Bus Lic: 769 S / Q
—TZ�)N(--760606(003
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories: # Units:
Email:
State Lic: City Bus Lic:
SVLIE KUNTZ 1
Property Owner's Name: S �..
New Commercial / Tenant Improvements:
Address:Ltrf"I I--
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone:
Email_
/8495 C;ALLE TAMPICO LA QUINTA, CA 92253 (760)777-7125
WWW.LAQUINTACA.GOV
OFFICE USE ONLY
# Submittal Req'd Ree'd
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
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