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12-1455 (RPL) ' IIIIIIIIIIIIE IIIIIIIIIIIIII 41 Tiht P.O. BOX 1504 VOICE(760) 777-7012 78-495 CALLE TAMPICO FAX(760)777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING& SAFETY DEPARTMENT INSPECTIONS (760)777-7153 BUILDING PERMIT Date: 12/19/12 Application Number: 12-00001455 Owner: Property Address: 81441 ANDALUSIA TD DESERT DEVELOPMENT APN: 764-620-032- - - 81570 CARBONERAS Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 72860 Contractor: Applicant: Architect or Engineer. BUBBLE SPRINGS P-O;. BOX 1046 - RANCHO MIRAGE, CA 92270 (760)341-2336 Lic. No. : 728796 -- - ------- -- ------ -------- ---- ------- ----- ---------------- ------------------ --------- ----- -- -- --- 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 in full force and effect. _ I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided License Class: C53 D35 _ License No.: 728796 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is ,/ issued. ntra ctor:_�� ,�_..,�T'�a�. /`I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor T Code,for the performance of the work for which this permit is issued. My workers'compensation OWNER-BUILDER DECLARATION 1!!5� insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EVEREST NATL Policy Number 7600001635121 following reason(Sec.7031.5,Business and Professions Code: Any city or county 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 to become subject to the workers'compensation laws of California, permit to 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 3700'of.,.tr�i�e Labor Code;l shall forthwith.comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by 2 1 9 C. any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: ate: plicant: (_) I,as owner of the property,or my employees with wages as their sole compensation,will do the work,and G' the structure is not intended or offered for sale(Sec.7044,Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWF L,AND SHALL Contractors'State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO 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 ADDITION TO THE COST OF COMPENSATION,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 will have the burden of proving that he or she did not build or improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT (_1 1,as owner of the property,am exclusively contracting 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 contractorls)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, (_1 I am exempt under Sec. ,B.&P.C.for this reason 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. Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued(Sec.3097,Civ.C.). city and county ordinances and state laws relating to building construction,and hereby authorize representatives eta his county to enter upon the above-mentioned property for inspection purposes. Lender's Name: nature(Applicant or Agent): Lender's Address: LQPERN11T • l Application Number . . . . . 12-00001455 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 518.00 Plan Check Fee 336.70 Issue Date . . . . Valuation . . . . 72860 Expiration Date 6/17/13 Qty Unit Charge Per Extension BASE FEE 414.50 ' 23.00 4.5000 THOU BLDG 50,001-100, 000 103.50 ---------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/17/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 ------------------------------------7--------------------------------------- Permit . . . ELEC POOL PERMIT-RES Additional desc . . Permit Fee 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/17/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 ---------------------------------------------------------------------------- Permit . . PLUMBING Additional desc . . Permit Fee . . . . 33 .00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/17/13 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA, BBQ, FIREPIT, 2 FIRE POTS. LQPERMIT . Application Number . . . . . 12-00001455 . ---------------------------------------------------------------------------- Special Notes and Comments ALARMS/BARRIERS SHALL BE IN PLACE AT PRE-PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN ,(SB1473) 3.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 622.00 .00 .00 622.00 Plan Check Total 362.70 .00 .00 362.70 Other Fee Total 3.00 .00 .00 3.00 Grand Total 987.70 .00 .00 987.70 LQPERMIT Bin.# Cr�jr Of Ld Qulntd Building 8t Safety Division ° Perinit# P.O.Box 1504,78-495 Calle Tampko La.Quinta,CA 92253-(760) 777-7012 (� Building Permit Application and Tracking Sheet Project Address: /�.f/� LA- Owner's Name:. A.P.Number. Address: L-g WA /! Legal Description: City,ST,Zip: Contractor. Telephone: I �` '': I Address:7/f--5 �Ge Project Description Lf_ Jd!G 3ffj7,tJ City,ST,Zip: ,4,� e-4' Tele hone. p '7Lo— State Lie.#: City Lic.#; Arch.,Engr.,Designer. Address: City.,ST,Zip: Telephoner Construction Type: . Occupancy: State Lie.#: z'i ` ..;<��4 �`--'�»,su'i�'. Project type(circle one): New Add'n Alter Repair Demo Name of Contact Person: `/ c�,It• �,y p� Sq.Ft.: #Stories: #Unity: Telephone#of Contact Person: 7-r-- ;7,-76 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACICTPIG PERMIT FEES- Plan Sets PIan Check submitted Item Amount Structural Caks. Reviewed,ready for corrections Plan Check Deposit. . 'ham Calcs. Called Contact Person Plan Check Balance Title 24 Calci. Pians picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 21'Review,ready for correctionsliissue Electrical Subeontactor List Caped Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A.Approval Plans resubmitted Grading IPI HOUSE:- '^'Review;ready for correctionsAssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub.Wks.Appr Date of permit issue School Fees Total Permit Fees I j i mom + 18" RAISED PILLAR WITH 30" CASTSTONE , (3) AERATORS O �, FIREPOT; STONE TILE CITY ®F va QUJ�� / � AND CONCRETE CAP BUILDING &SAFETY' DEPT. VCts C.0 00 AP� Oii�l� m n FOR CONSTRUCTION + 18 RAISED �'� DA ?'1��BYE- — � N PILLAER WITH 30 r-4 iu� Cly dr N M CASTSTONE C1 N o0 FIREPOT• STONE O 0 0 0 TILE AND U CONCRETE CAP O O Ct � O U SWIM OUT WITH \ / p q ' Qji $:� 000tbA UMBRELLA SLEEVE as - O � C) two SWIM OUT WITH � Q + 12" FIRE WALL; , CONCRETE CAP AND UMBRELLA ^SLEEVE STONE TILE SIDES NIP U; m STUCCO _ r , T SIDES TO MATCH OP STEP DEPTH WITH UMBRELLA HOUSE, STONE SLEEVE TILE ON TOP ` fi�sw � ; Ilk) i e 1 0 00W o � M C Co Lo 0 PLANTING AREA N N N E F— U) O Co POOL 'SiPECSU J Co (3) SIZE: 45' x 30' x 10.5' SQFT: 1103 qft s DEPTH: 0 - 3.5' - 5.0' _ .� PERIMETER:. 189 sq.ft. PLANTING AREA Q co SKIMMERS: 2 INTERIOR MATERIAL: PEBBLE PLASTER r TILE: STONE TILE Co NOTES: FEATURES: POOL INCLUDES (1) SWIMOUT WITH UMBRELLS SLEEVE; (1) TANNING f J 11 o Co SHELF WITH UMBRELLA SLEEVE, (2) PILLARS WITH 24 CAST STONE POTS OFR G Q T 2 PILLARS WITH 30" CAST STONE FIRE POTS PLANTS; O OO O SPA SPECS z V SIZE: AX 8 SQFT: 64 SQ-FT. PLANTING AREA Q DEPTH: 3.5' PERIMETER: 32' RAISED HEIGHT: _-0- SPILLWAY: STONE TILE SPILLOVER PLANTING AREA TILE: STONE TILE INTERIOR MATERIAL: PEBBLE PLASTER NOTES: Scale : DECK DECK TYPE: STAMPED CONCRETE TOTAL DECK SQFT: 2056 SQ.FT. POOL DECK PILLAR CAP FIRE WALL CAP AND E NOTES: INCLUDES. 00 UIPMENT LOCATION 1 /4 1ESI DENCEQ wou � �