13-0786 (RPL)42
P.O. BOX 1504 IE
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00000786
Property Address: 49905 ALTHEA CT
APN: 649-520-999-1 -30331 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 38200
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BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
LIC ED CON ACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I m 'c der provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business d P e ' Is Code, and my License is in full force and effect.
License Class: C27-053 License No.: 964474
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of erjury that am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, usiness a Professions Code: Any city or county that requires a permit to
construct, alter, improve, demoli or r it any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement tha a 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 155001•:
1 _ 1 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.).
1 _ 1 1, 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 _ 1 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 cuiistructlon 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
Owner:
LOEPP KARL
49905 ALTHEA CT
LA QUINTA, CA 92253
Contractor:
DESERT OUTDOORS
78065 MAIN ST ST
LA QUINTA, CA 92
(760)399-9600
Lic. No.: 964474
oMC4
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 77777153
Date: 6/25/13
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 NORGUARD INS Policy Number DEWC338066
I certify that, in the performanc the ork for which this permit is issued, I shall not employ any
person in any manner so as eco subject a workers' compensation laws of California,
and agree that, if I should b c e b ect to a __kers' compensation provisions of Section
��//fI 37000 of the Labor Code, I s II fo ith mply with those provisions.
Date: && t 7Applicant:
WARNING: FAILURE TO SECU E WORKE COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO C IMINAL P ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,000)• IN ADD TION TO HE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR DE, I EREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to 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 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 subjart
permit to cancellation.
1 certify that I have read this application andstate that the above ' matio - correct. I agree to comply with all
city and county ordinances and state laws relating to building c strut on, her y authorize representatives
oft s county to enter upon the above-mentioned propert for ' specti n pose
Dat,Qr� Signature (Applicant or Agen
Application Number . . . . . 13-00000786
Permit . . . POOL 2013
Additional desc . .
Permit Fee . . 178.75 Plan Check Fee
.00
Issue Date . . . . Valuation . . . .
0
Expiration Date . . 12/22/13
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
178.75
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Special Notes and Comments
POOL, SPA, AND FIRE PIT AT REAR YARD
[DENISE POELTLER ENGINEERING] THIS
PERMIT DOES NOT INCLUDE EQUIPMENT
ENCLOSURE. ALARMS AND BARRIERS REQUIRED
TO BE INSTALLED AT PRE -PLASTER
INSPECTION. 2010 CALIFORNIA BUILDING
CODE.
June 25, 2013 8:,19:03 AM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
2.00
PLAN CHECK, POOL
97.24
Fee summary Charged
Permit Fee Total 178.75
Plan Check Total .00
Other Fee Total 99.24
Grand Total 277.99
LQPERMIT
Paid Credited Due
.00 .00 178.75
.00 .00 .00
.00 .00 99.24
.00 .00 277.99
#
. -
CIi}/ O Qt11�t�
. • . -Buiidulg 8t Safety Division .. _ - - " •
P.O Box 1504,78r495 Carie Tampico
La.Quhu4 CA 92253 -{760) 7777012
Building fennit -A001catioh' and Tracking Sheet
Permit #
ProjectAddtess: q l D L
-owner's Name:.
A P. Number.
Address i4 q 0 S. AL -r CT
Legal Description- `
city, ST, Zip:LA tio ►: 14 CA
Telephone:
contr wr. Desert Outdoors
Address 78 -065 -Main St. Ste: 205
PmjectDescrlption: S A
city. sr,ziip- La Quinta, Ca. 92253
ANO
Telephone: 760-399-9600
.,
stale Lia # : --c-53 964474 City Lic. fk-,
Arch., Engr., Designer. Flying Buttress
Reviewed, ready for corrections Plan Cheek Deposit_ .
Address: 77725•Enfield Ln. Ste. 130
Truss Calcs.
City; ST, Zip: , Palm Desert, CA. 92211
Telephone 760-772-4411
Construction Type:. O=pancy-.
State Lia #t 33446 _
Name of Coma Person: j
Pwjecttype (circle one): New Add'n Alter Repair Demo
Sq. FL-. # Stories: # Units:
Telephone # of Contact Person: - LP ' a—� S-• 73
P Estimated Valine of Projmt 2zK7
• APPLICANT: DO; NOT WRITE BELOW THIS UNE
#
Submittal
ReVd
Reed
TRACIMG PERMIT FEES•
PIan Sets
Plan Cherk submitted Item Amount
Structural CaICS.
Reviewed, ready for corrections Plan Cheek Deposit_ .
Truss Calcs.
Called Contact Person Plan Check Balance_
Title 24 Calcs.
Pians picked up Construcilm
Flood plain• plan
Pians resubmino.'. Mechanical
Grading play
2`j Review, ready for corcectionOwn Electrical
Subcontactor List
Called ContactPerson Plumbing
Grant Deed
Plans picked up S.M.
H.O.A• Approval
Plans resubmitted Grading
IN ROUSE:-
''d Review; ready for eorrectionsfissne Developer Impact Fee
Planning Approval.
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
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