BPLB2019-003578-495 CALLE TAMPICO c% U ZP ii.1IL1�1/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
PLUMBING/
Application Number:
BPLB2019-0035
Property Address:
51275 AVENIDA JUAREZ
APN:
773042021
Application Description-,
WATSON / [2) GAS OUTLETS FOR POOL HEATER AND FIRE PIT
Property Zoning:
Application Valuation:
$1,000.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
WATSON JAMES & ROCHELLE
51275 AVENIDA JUAREZ
LA QUINTA, CA 92253
Date: 3/11/2020
Applicant: Contractor:
ROCHELLE WATSOND
/ L� \ FIVE KIDS INC DBA CLASSIC POOLS & SPAS
51275 AVENIDA JUAREZ L�—,_� 79-461 AVENUE 40
LA QUINTA, CA 92253 INDIO, CA 92201
MAR 13 2019
(760)345-8302
CITYOFLAQUINTA Llc. No.: 634338
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 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C10, C53 License No.: 634338
Date:3_ P3 7 ContractorAwhcm� I4arl54--/ -_
7' 7
OWNER -BUILDER DECLARATION om ETI? 4KL-r
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. , BAP.C. for this reason
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 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: EVEREST NATIONAL INSURANCE COMPANY Policy Number:
7600014354201
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. A r
/&_4Date: '� I I /I� Applicant: HO+ydna rtay Jrr�any,�v�y
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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.
Date: LJA Signature (Applicant or Agent): rA, i- GiGi
51Jwd 6 n m_kKIT
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
ROCHELLE WATSON
51275 AVENIDAJUAREZ
LA QUINTA, CA 92253
BPLB2019-0035
51275 AVENIDAJUAREZ
773042021
WATSON / [2] GAS OUTLETS FOR POOL HEATER AND FIRE PIT
$1,000.00
Date: 3/11/2020
Owner:
WATSON JAMES & ROCHELLE
51275 AVENIDAJUAREZ
LA QUINTA, CA 92253
Contractor:
FIVE KIDS INC DBA CLASSIC POOLS & SPAS
79-461 AVENUE 40
INDIO, CA 92201
(760)345-8302
Llc. No.: 634338
Detail: [2]GAS OUTLETS FOR POOL HEATER AND FIRE PITAT SIDE YARD. THIS PERMIT DOES NOT INCLUDE ANY ELECTRICAL OR PLUMBING. 2016 CALIFORNIA
BUILDING CODES.
DESCRIPTION
ACCOUNT QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION ACCOUNT
QTY AMOUNT
Credit Card Fee 101-0000-43505
0 $2.83
Total Paid for Credit Card Fee: $2.83
DESCRIPTION
ACCOUNT QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404 0
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$26.68
Total Paid for PLUMBING FEES: $40.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
I 502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Contractor Name: rlv)l
GENT fJr DGtiPRT -
Address: � q L4.1 n 1
PERMIT
PLAN LOCATION:
Project Address
Telephone: —�
Patio/Porch SF
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
State Lic: U`S Jb f City Bus Lic: 16— "141 Ln 1
State Lic: ?) L_I LP City Bus Lic:
1n0( a
Applicant Name:`
1
Address: 12—)
City, ST, Zip:
N 6Y)tC\
Telephone:)
Email:
`_
lidM
Valuation of Project $ Al, on
Contractor Name: rlv)l
New SFD Construction:
Address: � q L4.1 n 1
Conditioned Space SF
City, St, Zip �` " G .
Garage SF
Telephone: —�
Patio/Porch SF
Email: C112(Y)IS r rl Q, \I
Fire Sprinklers SF
State Lic: U`S Jb f City Bus Lic: 16— "141 Ln 1
State Lic: ?) L_I LP City Bus Lic:
Arch/Eng Name:Construction
Type: Occupancy:
Address: 1 & a
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone: �—�� O> �, 2. _
Bedrooms: Stories:
# Units:
Email:
State Lic: ?) L_I LP City Bus Lic:
Property Owner's Name: 1
New Commercial /Tenant Improvements:
Address:5anSt�V r
Total Building SF
City, ST, Zip G
Construction Type: Occupancy:
Telephone: �
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
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