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BPOL2015-0050 (BPOL)IIIIIIIIVIIIIIIVIIIIIII 69 IE 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tit�p4vei� Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPOL2015-0050 Owner: Property Address: 81759 ANDALUSIA T D DESERT DEV APN: 764670041 81570 CARBONERAS Application Description: POOL, SPA, BBQ & FIREPIT AT REAR YARD LA QUINTA, CA 0 Property Zoning: Application Valuation: $50,000.00 Applicant: Contractor: BUBBLE SPRINGS JOHN L CAREY INC DI 0 OUTSIDE CITY LIMITS P O BOX 1046 LA QUINTA, CA 92253 RANCHO MIRAGE, 0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: License No.: 728796 Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt mthe Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he 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 ($500).: ( ) 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.). ( ) 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.). (� 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 construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Lender's (760)341-2336 Llc. No.: 728796 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/31/2015 (CZ::71 N BUB LEI S12�7 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 oft or for which this permit is issued. yhave and will maintain workers' compensation insurance, as required by Sect' 3700 of the Labor Code, for the performance of the work for which this permit i ssued. My workers' compensation insurance carrier and policy number are: Carrier: _ Policy Number: _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 sh I forthwith comply with those provisions. ol Date: J Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVE/RA/GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANMIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 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 city to enter upon the abov mentioned property for inspection purposes. Date: Signature (Applicant or Agent): cy v 7c �Zv rtAr A�0g7c A y, ° iii p m F 3 .��, m 30 3 ,�-�, N � w r °� m m � m { A oT v °� Q v X R< 7330 syx N m w x m w rn N in s y b fD m V: N I TT N A Y 1u y 8 V N r m + b b ,D f1 N d ,p. w = n < cn n n O rm � p��r�iaao z�v cncnoo �-0 m � 0im;000 ��D -0vyD �0 � v m� ��cOU U'i�a) mm's cf)- rnr rn -' F o F- 0 cu -n 0DoOT C' ;U 0 z v mzFwv� -V C: c m mm. m - Dv rnm� r -z< vM=D m C) _ -c= rmD mm m--1 o0 �nrr-� DD G) O-iD XD! �mz cn0-jrn rn W Dz-i r-mr->0 �m -0m� mZ ZOO mffi �mn0 mD M-ncO oro i cn Cn Cn=z m� -on X m � m m n z Cn = m �� m D -_ c O cn = rn cn D� r- z F- m p X F D m v � m D. Dmao- m -{D0 m� D m m D n z 0 0 r v 1 cn�i cv'n0Xmcn AE a T C 060 � oD� C<m0. _+m � C z 0.0 -��> m 0 C Z m z O D O z E2 X m z n m O ANDALUSIA LOT #H071 ° ° °" ° ° � O� g 81-759 Andalusia Drive �� = i U-BBLE SPRINGS La Quanta, Ca 92253 POOL CONSTRUCTION V cn T --4X m m :2r m m j mCR z D G) < O r r m D D z0 n m D -0 < O0 r O m < cn �U) m D D z zm r - 0U) XCn cm Coz Co M = [r- U) D D r m� mCq m m m v v _ PO Box 1046 Rancho Mirage, Ca 92270 Bubblesprings@msn. com 760.341.2336 office 760.837.9018 fax `D m n Oc z m O OD Cv C r _ M m y W r- (n D z 0 z m m X -n z in C cnca = X z m r n � m Cn r m m m O ANDALUSIA LOT #H071 ° ° °" ° ° � O� g 81-759 Andalusia Drive �� = i U-BBLE SPRINGS La Quanta, Ca 92253 POOL CONSTRUCTION V cn T --4X m m :2r m m j mCR z D G) < O r r m D D z0 n m D -0 < O0 r O m < cn �U) m D D z zm r - 0U) XCn cm Coz Co M = [r- U) D D r m� mCq m m m v v _ PO Box 1046 Rancho Mirage, Ca 92270 Bubblesprings@msn. com 760.341.2336 office 760.837.9018 fax BIn.;Y Pmt # VOL 2 D& Project Address City of La Qu%hI.A Brg*g 8[ Safety DhWon P.O. Box 1504,'78-495 Cage Tamptco La.QWnta, CA 92253 •.{760) 777-7012 ooS O. Building PenWt'Appticadorr and Tracking Sheet F} 0-71) •Owner's Name:. T.*D,. p e r i- ev Men3 A. P. Number. Aid,=: Legal Description Contractor. City. ST, Zip: r~ QuintA, Cc, Telephone: l 0) 171 • I q q Pmject Description: pa o' Ad&=: p City. ST. Zip: 1 n 0. �ZZ%D Telephone: 6 N 1 ' Stat Lia # : Arc1i, Eng., Designs. City Lic #c 6 tl Add ress: CRY, ST, Zip: Telephone: State Lia #: Construction Type: Occapatuy. . Project type (circle one): ew Add'n Alter Rgm's Demo Name of Coctct Person: Sq. Ft.: # Stories: #Units; Telephone # of Contact Person: D I I 1 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE 0 Submittal RWd Recd TRACKING PERMIT FEES P[anSets PI"Chc&subudtted Item Amount Structural Cases. Rcviowed, ready for coand m; Plan CheekDeposlt Truss Cala. Called Contact Person Plan Check Balance. met ?A Cates. Plans picked up CouapueBon F]aod plata plea Plans resubmitted Mechadical Gi tding plan 2" Review, ready for correctlensilssue Electrical Subeontaetor List Called Contact Pew Pivaibing . Grant Deed Plans #ieked up SM.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- rK Uvtew, ready for m Mj n evdoper impact Fee Planning Approval Called Contact Person A J.P.P, Pub. Wb. Apps' Date of permit issue Sekool Fees Total Permit Fees FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $48.34 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total"Paid for PLUMBING FEES: $36.26 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 $0.00 ' PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for POOL/ SPA: $279.91 $0.00 TOTALS:0• Description: POOL, SPA, BBQ & FIREPIT AT REAR YARD Type: POOL Subtype: Status: APPROVED Applied: 3/25/20151FU Approved: 3/25/2015 JFU Parcel No: 764670041 Site Address: 81759 ANDALUSIA LA QUINTA,CA 92253 Subdivision: TR 31681-3 Block: Lot: 71 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $50,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: POOL, SPA, BBQ, AND FIRE PIT AT REAR YARD [DENISE POELTLER ENGINEERING) THIS PERMIT DOES NOT INCLUDE COURTYARD FIRE FEATURE OR EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. Printed: Tuesday, March 31, 2015 2:48:17 PM 1 of 3 CR SYS TF. AAS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTIFIED CORENA W/ BUBBLE SPRINGS PLANS WERE TELEPHONE CALL JAKE FUSON 3/25/2015 3/25/2015 APPROVED AND PERMIT WAS READY TO ISSUE. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT BUBBLE SPRINGS 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 CONTRACTOR JOHN L CAREY INC DBA BUBBLE SP P 0 BOX 1046 RANCHO CA 92270 MIRAGE OWNER T D DESERT DEV 81570 CARBONERAS LA QUINTA CA 0 Printed: Tuesday, March 31, 2015 2:48:17 PM 1 of 3 CR SYS TF. AAS DESCRIPTION ACCOUNT- QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $0.00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 Total Paid for ELECTRICAL: $48.34 $0.00 GAS.SYSTEM, 1-4 101-0000-42401 0 $12.09 $0.00 OUTLETS GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $0.00 OUTLETS PC Total Paid for PLUMBING FEES: $36.26 $0.00 SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 SWIMMING POOL/SPA 101-0000-42600 0 $98.62 $0.00 PC Total Paid for POOL / SPA: $279.91 $0.00 TOTALS:00 PARENT PROJECTS Printed: Tuesday, March 31, 2015 2:48:17 PM 2 of 3 C UU SYSTEMS BOND INFORMATION ATTACHMENTS Printed: Tuesday, March 31, 2015 2:48:17 PM 3 of 3 0:,,,. ' SYS7k'ti1S