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13-0847 (RPL)111111411111111 02 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4hf4 w `o BUILDING & SAIETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/11/13 Application Number: 13-00000847 Owner: Property Address: 81631 ANDALUSIA TD DESERT DEVELOPMENT APN: 764-670-025- - - 81570 CARBONERAS Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 27000 Contractor: Apr/5ant: Architect or Engineer: TESERRA 4 C� /l l �2 ✓ �/ C !� •� /Ji 1 P.O. BOX 1280 p COACHELLA, CA 92236 (760)398-9222 JUL1 Lic. No.: 656128 U 12 2013 01 "F l A QUINra P1NAhJCF ---- --- --------------------- ---------------------------------- UCENS ONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I a Ii nsed under provisions of Chapter 9 (commencing with 1 hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business an P ofessionals 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 LicenseClass C8 10, 27, 2 License No.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: / �C tractor: 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 OWNER -BUILDER DECLARATION insurance carrier and policy ber are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EVEREST NATL IN Policy Number 7600006481131 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the perfor n 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 manners 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 n agree that, if I show 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 00 of the Labor Co e, I 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: pplicant: (_ 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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.). 1 _ 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 I am exempt under Sec. , BAP.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 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 fbuildionstruction, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state thormation is correct. I agree to comply with all city and county ordinances and state laws relating to and hereby authorize representatives of this county o ter upon the above-mentioned prction purposes. Date: / mature (Applicant or Agent): Application Number . . . . 13-00000847 Permit ELECTRICAL 2013 Additional desc . . Permit Fee . . . . 23.83 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/07/14 Qty Unit Charge Per Extension 1.00 23.8300 LS ELEC FIXTURES, FIRST 20 ---------------------------------------------------------------------------- 23.83 Pcrmit POOL 2013 Additional desc . Permit Fee . . . . 178.75 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/07/14 Qty Unit Charge Per Extension 1.00 178.7500 EA MISC POOL/SPA ---------------------------------------------------------------------------- 178.75 Permit PLUMBING 2013 Additional desc . Permit Fee . . . . 11.92 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/07/14 Qty Unit Charge Per Extension 1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS 11.92 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA, BBQ, FIREPIT,FIREBOWLS, 1971LF OF 1 1/2 LN FT GAS LINEFOR FIRE BOWLS 188 LN FT OF 2" GAS LINE FOR FIREPIT & BBQ. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2010 CALIFORNIA BUILDING CODE., ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, POOL 97.24 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 214.50 .00 .00 214.50 Plan Check Total .00 .00 .00 .00 LQPERMIT Application Number Other Fee Total Grand Total LQPERMIT . . . . 13-00000847 188.81 .00 403.31 .00 00 188.81 00 403.31 Bin # City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �j Project Address: 8 l 3� v-vA W S t Owner's Name: ArD,11'W za- - s S A. P. Number: Address: 8/ 6' 3 / Aj A wsa Legal Description: City, ST, Zip: &A C?ul,,rT,-,q-e% 22 S 3 Contractor'--/-"i-5—(S6 (Z�l�/k' Telephone: �.>..r.. Address:6///00 +1,16 S Project Description: S City, ST, Zip: C61�GlL CA- 9Z Z3 [ c P �G .� �� f Z 2 Z... Tele hone: t7 ' `: > <#":> ?.:::; ..... ::::... c L� o /� Lf n+ t✓ State Lic. # : S ('1.2- City Lic. Or Z �� Arch., Engr., Designer: Address: City, ST, Zip: Telephone: ;:.... xi onstructi n Type: Occupancy: Lic. 4: Nw Add'n Alter Repair Demotate roJecttyP circle n e Name of Contact Person: ,L . Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: Q s 6 2-3 T 8 Estimated Value of Project: Q ()'o APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted 7 Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°"Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees QJINTA BUILDING & SAFE YODERTit ces .APPROVED FOR CONSTRUCTION DATE B