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13-0900 (RPL)IIIIIIIIIIIIIIIIIIIII1 26 it!t 0 IE P.O. BOX 1504 78-495 CALLE TAMPICO ✓ 17 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 13-00000900 Property Address: 81663 ANDALUSIA APN: 764-670-029- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 55000 Applicant: Architect or Engineer: LICE ED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that a licensed under p visions hapter 9 (commencing with Section 70001 9f Division 3 of the Busine a Professionals C de, and icensa is in full force and effect. License Glass:/ C53 D35 Li OSA Nmi�796 Date: 1// %/ / Contractor: OWNM-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the 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 70001 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 1$5001.: 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 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 pursuantto the Contractors' State License Law.). I—) 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 Name: _ Lender's Address: .fes LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/17/13 Owner: TD DESERT DEVELOPMENT D e 81570 CARBONERAS 111 LA QUINTA, CA 92253 �If JUL 19 2013 Contractor: BUBBLE SPRINGS P.O. BOX 1046 RANCHO MIRAGE, CA 92270 (760)341-2336 . Lic. No.: 728796 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 EVEREST NATL Policy Number 76001635131 _ 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 become subject to a workers' pensation laws of California, d agree that, if I should a me subject to th kers' p sation provisions of Section 700 of the Labor Cod , I all forthwith co with t se ovisions. Date Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of rk for 180 days will subject permit to cancellation. I certify that I have read this application and state that the a ve ' formation is rrect. I a to comply with all city and co my o dinances and state laws relating to buil ' g co struction, a ereby a on representatives of this co ty t enter upon the above-mentioned prope y for spection p o s. Date: Signature (Applicant or Agent): Application Number Plan Check Total Other Fee Total Grand Total LQPERMIT . . . . . 13-00000900 .00 .00 .00 195.48 .00 .00 588.73 .00 .00 .00 195.48 588.73 (fin. # city of. La Qt Gita -Building &r Safety Division P.O. Box 1504,78-495 Calle Tampico CA 92253 •:(760) 777-7012 Building Permit Applicatlon' and Tracking Sheet Permit # lLa.Quinta, ProjectAddress: ,. Cl, 5 JC,_ Dr .. Owner's Name:. A. P. Number. Address: . Legal Description: City, ST, `Lip: Contracton u�$ f3z • Telephone:. Address: , 6"66 Project Description: City, ST, Zip: 7 LC 6 /� �Z V 1 f Telephone: 233 p�v / City Lie. #; State Lie. # : Arch., Engr., Designer Address: city, ST, zip: Telephone: Construction Type:. Occupancy: State Lie. #:� � ' � r Project type (circle one)' a Add'n Alter Repair Demo. Name of Contact Person: Sq. Ft.: torics: # Units: Telephone # of Contact Person: Estimated Value of Proj O - � = APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Rcq'd ' Rec'd TRACIQMG PERMIT FEES Plan Sets Plan Check submitted �� Item Amount IStructural Cates. Reviewed, ready for corrections .Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'" Review, ready for correcfionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L MOA. Approval Plans resubmitted Grading IM HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P, Pub. Wigs. Appr ' Date of permit issue School Fees CITY OFUIN BUILDING & SAF to Permit Fees AFFHOVED FOR CONSTRUCTION DATE BY I +12' Water basin with tile spillway; V) colored broom concrete cap; tile sides C cfl cO 00 and waterline; pebble plaster M CO 0 VO r" M M N 00 CO (0 +6* Water basin with the spillway; colored 0 waterline; pebble plaster UA tv I +12' Water basin with tile spillway; V) colored broom concrete cap; tile sides and waterline; pebble plaster +6* Water basin with the spillway; colored broom concrete cap; the sides and waterline; pebble plaster "RA -0- elevation Water basin with tile spillway; colored broom concrete cap; the sides and waterline; pebble plaster. LA V -j Z' Scale: F SPA: -0- elevation; tile at waterline, pebble plaster DECK: Colored broom finish; color to be selected. PLANTING AREA EQUIPMENT LOCATION: located 25' from back corner of house; equipment in inset; equipment location is 5' to property line wall CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION POOL: -0- elevation; tile at waterline, pebble plaster COVERED PA ANDALUSIA LOT # h-059 00 CA 8NO2L31 as Andalusia Drive La Quinta, Ca 92253 5.0' FIRE ROCK: Custom Firerock Art, includes gas line, fire and ice glass rock and valve. TANNING SHELF: top step elevation with umbrella sleeve. \I 3.5' OUTDOOR KITCHEN: Tile countertop to match pool waterline; stucco on sides to match house; includes 30° Alfresco grill, stainless steel access doors and light. RESIDENCE Bubble Springs Pool Construction PO Box 1046 760.341.2336 office Rancho Mirage, Ca 92270 760.275.7676 cell Bubblesprings@msn.com 760.837.9018 fax C POOL SPECS SIZE: 14.5' X 35' SQFr: 452 SQ.Fr. DEPTH: 3.S TO 5.0' PERIMETER: 97* TILE: to be selected INTERIOR MATERIAL: Pebble Plaster NOTES: SPA SPECS SIZE: 9'x 6' SQFr: 54 sq.ft DEPTH: 3.5 PERIMETER: 30' RAISED HEIGHT: -0- SPILLWAY: Ole THE: to be selected INTERIOR MATERIAL: Pebble Plaster NOTES: DECK DECK TYPE: Colored Broom Rnish TOTAL DECK SQFr: 1086 sg.fL NOTES: Includes: pool deck, covered patio, and equipment pad F SPA: -0- elevation; tile at waterline, pebble plaster DECK: Colored broom finish; color to be selected. PLANTING AREA EQUIPMENT LOCATION: located 25' from back corner of house; equipment in inset; equipment location is 5' to property line wall CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION POOL: -0- elevation; tile at waterline, pebble plaster COVERED PA ANDALUSIA LOT # h-059 00 CA 8NO2L31 as Andalusia Drive La Quinta, Ca 92253 5.0' FIRE ROCK: Custom Firerock Art, includes gas line, fire and ice glass rock and valve. TANNING SHELF: top step elevation with umbrella sleeve. \I 3.5' OUTDOOR KITCHEN: Tile countertop to match pool waterline; stucco on sides to match house; includes 30° Alfresco grill, stainless steel access doors and light. RESIDENCE Bubble Springs Pool Construction PO Box 1046 760.341.2336 office Rancho Mirage, Ca 92270 760.275.7676 cell Bubblesprings@msn.com 760.837.9018 fax