13-1408 (RPL)i.
P.O. BOX 1504
787495 CALLE TAMPICO
LA QUIN TA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
13-00001408
52665 AVENIDA OBREGON
773-284-020-7 -000000-
POOL - RESIDENTIAL
COVE RESIDENTIAL
14000
Tavl 4 4 0"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
RW REAL ESTATE
P.O. BOX 447
LA QUINTA, CA
INC.
92253
Contractor: `
NOGUES, JULIO CESAR D
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/05/13
46625 DESERT,VILLA #1 I
IN0CA 92201 5 2013. J .
(760).).pp���V �.397-7699 14
Lic. No.: 946375
CITY OF LA QUINTA-
r FINANCE DEPT_
LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under: provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division.3 of the Business and Professionals Code, and my, ,License'is:i-full force and effect. 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided -
Lice 3 lass: C5 - - • ., License No.: •946375 - - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
y,Loll issued.
Date: l .Contractor: -Tt7L,,ib. C�S�'-� � IiL�, _ I have and will maintain workers' compensation insurance, as required 6y Section 3700 of the Labor
Code' for the performance.ofjthe work for which this permit is issued. My workers' compensation
OWNER-BUILDER-0ECLARATION - - - ! insurance carrier and policy number are:
1 hereby -affirm under penalty of perjury that I am exempt.from.the Contractor's•State.License Law for; the Carrier EXED'IPT� - Policy Number •EXEMPT- -
followingreason(Sec: 7031.5�Business and Professions Codd:;4nyjcity or�pounty that requires a permit to ' _ I certify that, in the performance of the work•for which this permit:is,issued, I shall not employ -any .
construct, -alter, improve, demolish, or repair any structure; prior to its issuance, also requires the'applicant for the. person in any; manner so as t6 become subject fo the workers' compensation laws of California,
permit4o file a signed statement that he or she is licensed°pursuant to -the provisions of the Contractor's State and agree that, if I 'should become subject to the workers' compensation'provisions of Section
` License Law (Chapter 9 (commencing with'Section 7000) of Division 3.of the Business and Professions Code) or._ 370.0 of the Labor Code, I,shall forthwith comply with those provisions. '
that he'orshe is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 byj�•'
any applicant fora permit subjects theapplicantto a civil penalty of not more than-fivehundred dollars ($500);- D4£e_:;u Applicant 1( )LJ -'•�.. .1�VL][)E'�
1 _'1 I, as owner.of the property, or my employees with wages as their sole compensation, will, do the work and
thestructure is not•intended-or,offered for sale (Sec. 7044, Business and.Professions Code: The- WARNING: FAILURE TO SECURE WORKERS' -COMPENSATION COVERAGE IS UNLAWFUU, AND SHALL
Contractors! State License.Law does,not-apply-to;an owner of property who builds pr improves thereon, SUBJECT AN'EMPLOYER T0; CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through,his'or, her own employees, provided that the DOLLARS ($100,000)• IN ADDITIONJO THE COST OFLCOMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements`are not intended or offered for sale +,If,.however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE'INTEREST, AND ATTORNEY'S FEES.
_ one year•of completion, the owner -builder willhave the burden of proving that he.or. she did not build or
improve foraliepurpose of sale.). ,e t- - - - APPLICANT ACKNOWLEDGEMENT - -
(_ 1 I, as owner of the property, am exclusively coritracting with licensed contractors to construct the. project (Sec. IMPORTANT Application is hereby,made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set,forth on.this application.
property who builds or improves thereon; and who contracts for the projects with a contractor(s) licensed. 1 . Each person upon whose behalf this application is made, each person at whose request and'for
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result.of this application,
I—) I am exempt under Sec. BAP.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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 Address:
LQPER.MIT
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 county to enter upon the above-mentioned property r in ection purposes.
Date: -coJ3 Sign" ature (Applicant or Agent): on
Application Number . . . . 13-00001408
Permit . . POOL 2013
'
Additional desc .
Permit Fee. 178.75 Plan Check Fee
.00
Issue Date . . . . Valuation
0,
Expiration Date 5/04/14
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
178.75
Special `Notes and -<Comments
POOL; SPA'" [-10`L.F. OF 1.•1/2':INCH..GAS_ r
-
LINE].EQUIPMtkT SHALL BE -INSTALLED IN
ACCORDANCE"WITH'`MANUFACTURER '
SPEC2FICATIONS•. 'ALARMS AND;' BARRIERS
:.
REQUIRED TO. BE INSTAI�LED`AT PRE -PLASTER .-
:.' .INSPECTION:• 2O1D CALIFORNIA BUILDING
'CODE k
,. ------ -- --- ---------------- ---------------------
Other Fees" =BLDG $TDSF7ADMIN„ (SB1473•)
1.00
PliAN -CHECK,, -POOL.'
97.:24
Fee summary Charged• " Paid Credited
Due
-- -'-- ---- -- -- ----- - ----------
7,
Permit `Fee Total 178:::75 00 .00
178.75
-.
Plan Total 00 00 . 0,0
0.0
Other Fee Total 9.8;24' 00 00
"98._24 -
:Grand Total 276:99. 00 .00
.276.99
Bin #
Qty of La Qutnta
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 2
Owner's Name: iJtJ /JL
A. P. Number:
9 •
Address: V) ('�13
Legal Description:
City, ST, Zip: J - GA �~ f? 7
Contractor: &- V
Telephone: ;,�::s{:?;: s. ;> ;;�:.:;: }4:3•
Address: O 55� �GL�
Project Desctription: EJc:a1,_ j\NP c,?/A.
City, ST, Zip: l t
L v 2G
II
l VL 'T1 U eN {n /1` L.
Telephone:
4y�Y.i<y�•-'Sflr:tii^r::il v`: i}ii''•-
:
:;c">.><<:.<:::
State Lie. # : - 5,3 g 1
Arch., Engr., Designer:
City Lie. #; 0q2 $
Address:
City., ST, Zip:
Telephone:
p
`> ' 'y% :`;'v:':�:
::>`'s ;:s:y'>'x
Construction Type: Occupancy:
Project type (circle one): ew Add'n Alter Repair Demo
State Lie. #:
><;:;syt>;:� lri;v .;;;`;:
Name of Contact Person:
Sq. Ft.:
# Stories: -F
Units:
Telephone # of Contact Person:
71
•- — Q
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW. THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plari Check submitted �`P
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person.
Plan Check Balance.
Title 24 Cates.
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
21a Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
-Plans resubmitted
Grading
IN HOUSE:-
'nd Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
4
LAI FETY®EPT.
A 1-t2122
tal Per it Fees
L
CONSTRUCTION
____—EY_=---
GARAGE
LIVING ROOM
0
w
RAISED 6"
O
0o
DRIVEWAY
20'
GAS LINE
DRIVEWAY
5'
O
Or�
m
p F
BLOCK WALL
13' TO CURB BY OTHERS
KANCUN
pool and spa construction
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
POOLS
TITLE
DATE 3o sv �7
SPAS
LA QUINTA CALIFORNIA 92253
CAGE CODE
DWG NO REV
------ -INC ---SIZE
------------------
SCALE
SHEET
STREET
JOB.ADDRESS ` � vLK °��'�
HERMIT NUMBER /�3 ��y�� OWNER � p- i�l- BUILDER Un
L �4tC X16(,
This form shall, be. posted on the job with the Building
Inspection Card at all times in a conspicuous place. Only persons appearing on this list: or their employees are authorized to -
on tris job. Any-changes to this list.must be approved by. the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the void
of building permit. For each applicable trade, all. information requested below must be completed by applicant. "On File" is not an acceptable response.
•
Trade ! Classification anon
....
act
Contr or ' :. .; .-':'
;.:. t--6` .. ..•
:. :., ..
:>::':>:``:�:=:'?<:::Sta e:;C ::.. .:.:.: -.::;
.........:...... .. t .. ontracto .s L�censs
t
:. .
�...�- ....:::.
� ��. Workers Cd � � ensation•�Irsurance�:� � ����?�'•�••: `���-':`.:�����
mp
• •��Cit � �Biisiness Lige-• �`e
y ns
Company Name_
Classification_
License..Number
Ezp. Date .
- Carrier Name
Porcy Number
Exp. Date
License. Number .
-Exp. I
(e.g. A, 13, C-8)
(xxxxxx)
(xx/xx/xx)
(e.g. State.Fund, CalComp).
(Format Varies)
(zx/xx/xx)
(xxxx)
(xx/x)
9kEARTHWORK
(C712.
C.o c
5
" '
"CONCRETE (P-'8)'%* '
FRAMING :(C
-STRUCT.STEEL
(C 5a)
�� r� 6C
C_s3
��
�3a 1 �r
�. ,..
�. �--
2
..
I2 • l
n�
s
NtASUNRY'C>2
(9) :.
f� —I L
-)
I �S .
5 5 7.-
q39 ,1-S..
�' C�
�.
- o-l.�i,
81
t -
(ATH PLASTER (G35)Z
1VV
C 3
jj
- 06V
DRYWALL (C-9)..::
• ..
HVAC..-(C 2U)
:
- : : _
_
ELECTRICAL (C-10) :.:
JO
JA4 ?Z
..
R,O.OFING •.(C=391. � .
t •
SHEET•METAL (.'0-43) •;:
95
GLAZING (C
INSULgT10N (C-21.
SEWAGE DISP (6-42)
PAINTING (C-:33)'.-:
0�
ERAMIC T)LE. (C-54)
-
�53
j
1
�/ v�
0�2 I
2
CABINETS (C-6) :.
FENCING (C-13)
LANDSCAPING (C=27.)
L (c-531
3i -