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14-0476 (RPL)P.O. BOX 1504 . 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000476 Property Address: 80320 RIVIERA APN: 762-130-014-- Application 62-130-014 Application description: POOL - RESIDENTIAL Property Zoning: LOW-DENSITY RESIDENTIAL Application valuation: 55000 Apnt:. /��✓T/ plic6� A X Architect or� r: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LIC SED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjur a lice sed under provis ions of Chapter 9 (commencing with eA6siness J�,of M.naions of Chapter 9 (commencing with 7000) of Division 3 of the siness d ,off M.nals Code, and my License is in full force and effect. License las j C27� C53 License No.:. 964474 'OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that am exempt from the Contractor's State License Law for the following reason (Sec. 7031. , Business an Professions Code: Any city or county that requires a permit to construct, alter, improve, de olish, or repa' any structure, prior to its issuance, also requires the applicant for the permit to file a signed statem t that he or he is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (com ncing wit Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefr and th basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subject the ap licant to a civil penalty of not more than five hundred dollars ($500).: (_ 1 1, as owner of the property, 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.).. (_ 1 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.). (_) 1 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 Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/28/14 Owner: JAN CHRISTIAN 80320 RIVIERA D LA QUINTA, CA 92253 MAY0 201.4Contractor: DESERT OUTDOORS INC CITY OF LA QUINTA 78065 MAIN ST STE # OS FIN4NCEOEP? LA QUINTA, CA .92253 (760)399-9600 LiC. No.: 964474 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 AMTRUST' INS CO P i Number WWC3072369 _ I certify that, in the performance of he rk fo hich this permit is issued, I shall not employ any person in any manner so as to b ome u ' c to the workers' compensation laws of California, and agree that, if I should beco sub' to he workers' compensation provisions of Section 3700 of the Labor Code, I shall orth ' h mply with those provisions.' . Date�`l Applicant: WARNING: FAILURE TO SEC E WORKERS' 0 PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO RIMINAL PENA T S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND - DOLLARS ($100,000). IN AD ITION TO THE OST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LAB) CODE, INTER ST, AND ATTORNEY'S FEES. \ APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby the Director of Building and Safety 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 becom II and void if work is not commenced within 180 days from date of issuance of such permi or cessation of work for 180 days will subject permit to cancellation. I.certify that I have read this application and state that the i fo atio ,correct. I agree to comply with all city and county ordinances and state laws relating to ing can coon, d hereby authorize representatives of thi>P&Up<topmSr upon the above-mentioned p perty for in a ion S. I \ Date Signature (Applicant or Ager} ): Application Number . . . . . 14-00000476 Permit . . . POOL 2013 Additional desc . Permit Fee . . . . 178.75 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/25/14 Qty Unit Charge Per Extension 1.00 178.7500 EA MISC POOL/SPA ---------------------------------------------------------------------------- 178.75 Permit ELECTRICAL 2013 Additional desc BBQ ONLY Permit Fee 23.83 Plan Check Fee .00 Issue Date Valuation . . . 0 Expiration Date 10/25/14 Qty Unit Charge Per Extension 1.00 23.8300 LS ELEC DEVICES, FIRST 20 ---------------------------------------------------------------------------- 23.83 Permit . . . WALL/FENCE PERMIT 2013 Additional desc . Permit Fee . . . . -47.-19 Plan Check Fee .00 Issue.Date. Valuation . . 55000 Expiration Date 10/25/14 Qty Unit Charge Per - Extension 1.00• 47.1900 LS MISC WALL, FIRST 100 LF 47.19 -------------------------------------------------------------- Special Notes and Comments -------------- POOL, SPA, BBQ AND 25LF OF 6' HIGH BLOCK WALL AT REAR YARD [DENISE POELTLER ENGINEERING] .THIS PERMIT DOES NOT ti• INCLUDE EQUIPMENT ENCLOSURE OR WATER FEATURES. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. April 28, 2014 4:40:54 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 3.00 PLAN CHECK, ELECTRICAL. 23.83 PLAN CHECK, POOL 97.24 PLAN CHECK, WALLS 60.06 Fee summary Charged Paid Credited --------------------------------------------------------- Due LQPERMIT Application Number . . . 14-00000476 Permit Fee Total 249.77 .00 .00 249.77 Plan Check Total .00 .00 .00 .00 Other Fee Total 184.13 .00 .00 184.13 Grand Total 433.90 .00 .00 433.90 LQPERMIT Bin # City of La Quinta Building 8F Safety Division P.O Box 1504,79-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 1 " y�. Project Address: $O32Q Owner's Name. ? a S A. P. Number. Address: 030-32.0 law Legal Description: City, ST, Zip: LIN G t o —TIev Contractor: Telephone: ' Address: ?eo(DS 45r ISM 2PI5 Project Description: City, ST, Zip: LA QuCA 45E ,J fccL s r5 A Telephone , 3 40 3 s> 3 1 lA C State Lic. # : City Lia 9-- Arch, Engr., Designer. - Address: City, ST, Zip: Telephone: State Lia #: Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Ft.: T# stories: # Uaits: Name of Contact Person:Sq. Telephone # of Contact Person:. --7-2--59 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Req'd Recd TRACMG PERMIT FEES Plan SetsPlan Cheek submitted ' Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Trus Cates• Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Giading plan 2" Review, ready for correction sfissue Electrical SubcontactorList Called Contact Person Plumbing Grant Deed Pians picked up SAU H.O.A. Approval Plans resubmitted Grading IN ROUSE:- 7n° Review; ready for correetio eveloper Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees S� •qi I yr, 1%.