BPLB2020-000778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
3 SONS PLUMBING INC
79295 CAMINO ROSADA
LA QUINTA, CA 92253
Tiht 4 e(P Q"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
PLUMBING/
BPLB2020-0007
54760 APOLLO CT
767790029
ROLF / (4) GAS LINE ADDITIONS AT SIDE YARD LOCATION
$1,000.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/27/2020
Owner:
BRIAN K. & ANDREA SITTIG ROLF
54760 APOLLO COURT
LA QUINTA, CA 92253
0 Tk ' �i� �Contractor:
(D D3 SONS PLUMBING INC
JAN 2 2020 79295 CAMINO ROSADA
LA QUINTA, CA 92253
CITY OF LA QUINTA (760)567-1570
DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 1031747
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. 74 t
OWNER�SUI that
I DECLARATION
I hereby affirm under penalty of per' that I am exempt from the Contractor's State
License Law for the following i n (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
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 Na
Lender's Add
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'
cam atian, as provided for by Section 3700 of the Labor Code, for the performance
Of e w or which this permit is issued.
ve and will maintain workers' compensation insurance, as required by
Secti 3700 of the Labor Code, for the performance of the work for which this permit is
issu d. My workers' compensation insurance carrier and policy number are:
Carrier: NQRGUARD INSURANCE COMPANY Policy Number: THWC014362
_ 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:. / -.23 Jd.,X R lie
WARNING: FAILURE TO SECURE WORK S' 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.
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. A
Date: L1J ' Signature (Applicant
11
Date
1/27/2020
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
3 SONS PLUMBING INC
79295 CAMINO ROSADA
LA QUINTA, CA 92253
BPLB2020-0007
54760 APOLLO CT
767790029
ROLF / (4) GAS LINE ADDITIONS AT SIDE YARD LOCATION
$1,000.00
Owner:
BRIAN K. & ANDREA SITTIG ROLF
54760 APOLLO COURT
LA QUINTA, CA 92253
Contractor:
3 SONS PLUMBING INC
79295 CAMINO ROSADA
LA QUINTA, CA 92253
(760)567-1570
Llc. No.: 1031747
Detail: CONNECT TO EXISTING 1-1/4" POLYETHYLENE LINE - NEW 10LF OF 1-1/4" POLYETHYLENE GAS LINE FOR (2) SPACE HEATERS (26,000BTU) WITH
BBQ (25,000BTU) TO 8LF OF 3/4" POLYETHYLENE TO PIZZA OVEN (38,000BTU)TO 32LF OF 3/4" POLYETHYLENE LINE TO FIRE RING (65,000BTU) AT SIDE
YARD LOCATION. GAS LINES TO BE FIELD VERIFIED BY INSPECTOR. THIS PERMIT DOES NOT INCLUDE ANY OTHER WORK BEYOND THE SCOPE OF THE
PERMIT PER 2019 CALIFORNIA BUILDING CODES.
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
$101.97
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
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PERMIT # � PLb 2DZD .
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PLAN LOCATION:
Project Address: 54160 AftLLQ cove-
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
Applicant Name:
Address:22
City, ST, Zip:
Telephone: W&I
Email: �-
Valuation of Project $ le
v
Contractor Name:
New SFD Construction:
Address:
Conditioned Space SF
City, St, Zip
Garage SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lie: 3l 7G City Bus Lie:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories: # Units:
Email:
State Lie: City Bus Lie:
Property Owner's Name: &' ' )/--7
New Commercial / Tenant Improvements:
Address: LI ,1, d _ pZZQ G
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone: ,)
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
54760 Apollo Court
La Quinta, CA 92253
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425-829-4869
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65,000 BTU
Fire Ring
3/4" sweep
25,000SW BBQGrdland
2 eac h 26,000 6r U 5 pace
11/4's wee p
38,000 BTU
Pizza Owen 3 0
$'
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3/9' sweep 6
1.9' polYpropyle-
gas pipe installed
by prior contractor
on a pri or p errnit.
CITY OF LA UINTi
BUILDING DIVISION
REMEWED FOR
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BUILDING DIVISION
REVIEWED FOR
CODE
COMPLIANCE
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