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14-0644 (SOTB)58074 Aracena IE P.O. BOX 1504 78-495 CALLE TAMPICO ? LA QUINTA, CALIFORNIA 92253 57T4hf 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 14-00000644 ----------------------------------------------— WORKER'S COMPENSATION DECLARATION Property Address: 58074 ARACENA I hereby affirm under penalty of perjury one of the following declarations: APN: 764-610-010- - - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 5000 "OolCode, Appl' _ for the performance of the work for which this permit is issued. My workers' compensation Architect or Engineer: insurance carrier and policy number are: I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the Owner: HOLMES DOROTHY 58074 ARACENA LA QUINTA, CA VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/16/14 92253 Contractor: TESERRA P.O. BOX 1280 COACHELLA, CA 922: (760)398-9222 Lic. No.: 656128 ------------------------------------------------- LICEN CONTRACTOR'S DECLARATION - ----------------------------------------------— WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I a icensed 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 a 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 Clas C8 0, 27, 2License No.: 656128 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Date: ,Z Contractor: issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor "OolCode, _ for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the Carrier EVEREST NATL IN Policy ber 7600006481141 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 thew rk or 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 beco s ject 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 andagreeagree that, if I should becomes b' t 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 3 0 of the Labor Code, I shall fort ith 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:/ Applicant: (_ 1 1, 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, 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. , 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 of such permit, o essation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above in rmation is correct. I agree to comply with all city and county ordinances and state laws relating to building co ruction, and hereby authorize representatives of this count o er upon the above-mentioned property for ' spection purposes. Date: Signature (Applicant or Agentl: Application Number . . 14-00000644 Permit . . . REMODEL 2013 Additional desc _ .-Permit Fee 143.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/12/14 Qty Unit Charge Per Extension 1.00 143.,0000 EA MISC FIREPLACE 143.00 ---------------------------------------------------------------------------- Special Notes and Comments DIRECT VENT FIREPLACE AT REAR PATIO [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE POOL, SPA, OR BBQ. 2013 CALIFORNIA BUILDING CODES. May 15, 2014 4:57:50 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, REMODEL 214.50 Fee summary Charged Paid Credited ----------------------------------------------- Due ---------- Permit Fee Total 143.00 .00 .00 143.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 215.50 .00 .00 215.50 Grand Total 358.50 .00 .00 358.50 k LQPERMIT 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 Per ' # Project Address: s gz4. c, A Owner's Name: M s A. P. Number: Address: s$ p Legal Description: City, ST, Zip5-3 Contractor: �'S ��Z� Telephone: " •< Address: 6(1/00 4 0E S Y Project Description: EIA/ �JQE n 14 City, ST, Zip: cD A, UPCUR- 2 0, (. OE Telephone:O 3 SV / c.- ZZ �7 State Lic. #: S % 2 City Lie. #; Arch., Engr., Designer: Address: City, ST, Zip: Telephone: p .�:i<!ti;vii::i>::ii:::i::iiC:iiin �iii�l ;::;..:::::..." x.,.::.:::::::::.....:.... <`>.;<< :-. ;:::;..:.>:.;::>;:•;:•»>:«:;:: 'M • ' Construction Type• Occupancy State Lic. #: Project type (circle one Add, n Alter Repair Demo Name of Contact Person: o Z Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person: 2 S0 27 1,9 Estimated Value of Project: "J"s,O O D APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted 5 1 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/iss a 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 correctio ssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 51 OUTDOOR NATURAL GAS FIREPLACE PRECAST CONCRETE CAPS WITH STUCO FACE TO MATCH STANDARD NATURAL GAS LOG KIT STUCCO FACE TO �`ll F MATCH HOUSE 8"X6° TILE -� QUARTZITE SOTNE DECKING TO SIT ON CONCRETE SUBBASE 1}" POLYETHYLENE GAS PIPE - w INSTALLATION OF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH SECTION 114 - MANDATORY REQUIREMENTS EXIT ALARMS TO BE INSTALLED ON ALL DOORS WITH DIRECT ACCESS TO THE POOL POOL HEATERS I PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FACTURER'S RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS ALL DECKING EXPANSION JOINTS FOR REPRESENTAION ONLY, FIELD LAYOUT WILL VARY A4.' M El El Ll. 2- 31" FIREBOWLS FULLY AUTOMATED 2" POLYETHYLENE GAS PIPE %� ►y:ob�N CITE' Or -LA QUINTA BUILD�I[IINNG & SAFETY T. TY DEP A CFj�O E,(®E D i FOR CONSTRUCTION DATE : BY�_ V �riK Sr.# RA&4* %466! u wLt ALEX ELEVATION CANT DECK DEEPEND RAMP LOVE SEAT SAFETY FEATURES: • ALL MTPFJRTRAAPMEERrT COVER NSTALIATAX YEETIN0 CURRENT STANDARDS OF 711E AYEAICAN CONCRETE REMOVAL LOADE SOCIETY FOR TESTING ANA WTETOAIS OR TIE AYERN•AM 80CffTY OF MECd1AHICAL FJAIREFRS (ASMET BOD REMOVAL L E LECTR I CAL' EOUIPOTENTIAL BDNCNO REONREIENTB SHALL BE INSTALLED TO ELIMINATE VOLTAGE TREE REMOVAL BY GRADIENTS IN THE POOL AREA AB FER CEC ART. S802e TILE 2013 CALIFORNIA BUILDING CODE (BASED ON 20081BC) \ 201 3 CALIFORNIA MECHANICAL CODE (BASEDON2Ip UMC) \■ 2013 CALIFORNIA PLUMBING CODE (BASEDON2WBPPC)-".- Maw 201 3 CALIFORNIA ELECTRICAL CODE (BASEDON2908�IE4) — 201 3 CALIFORNIA ENERGY EFFICIENCY BTAMDAPDB EVISIONS DATE: IN AN BBRGENCY. ANY PERSON . OOVERMIBTT CODE SECTION 12181. (y (1) EX THE CEPT REGIONAL 14 NO MP'nON CENTEt. ATLW74W WORDNG DAYS. BUT NOT MORE TXAN� PAYS, PRIOR COMENCNo TNAT IXGVATDN, IFTHE IXGVATIOM 1AA11 BE 7000HTAD! ACE NAND AREA THAT IS K ONM, OR REASONABLY SHOULD BE IOOWN, NSTMLATIONS OTNER THAN TXE UNDFRGROUND$FACWTIES OYYNED OR OPENIID BY THE ATE rt m PA1NTOR IMARgIID�xTHE SUITABLE ARE TO BE EXCAVATED GpC CONSTRUCTION AUTHORIZATION SALES FIELD DIG 11 11 FROM wLt ALEX ELEVATION CANT DECK DEEPEND RAMP LOVE SEAT OECC CONCRETE REMOVAL LOADE CURB STEP BOD REMOVAL L STEP TREE REMOVAL BY IRRIGATION REM OVAL BY TILE IRRIGATION REPAIR SANG 8'R&B:Fr RIS& I?FL Maw 18' Res. — 2P R&B. EVISIONS DATE: Sir ROC( POCK COPING TYPE CENTERSR.D.B. FACING SPILLWAY TYPE SUE PLUMBING STEL PROP.IXT. WALLS FILTER SUE puNfER Wal POOL PIMP SUE RETAINING WALLS - BOOSTER PUMP SIZE EOULP. WADS ADDL PUMP SUE FIREPrT NEW FIREPLACE REC ST ADDL PLMP SIZE P F B HEATER SUE PER PIAN TIME CL SUB PANEL ADDL OUTLETS SAMMFR TYPE FILL LIE PEBBLE PLASTER UGHTSPOOL GAS UNE STUBS UGNTSSPA FOW TAM S/SPRAYNEAD6 ROLLED BOND BEAM BEOND SP SHEER DESCENTS EYEBALLS UGHTS N pOOL IN SPA 8715 SETEOMPMENT FENCING rA FENCE TYPE PLUMBING 8I2E HEIGNT GATE GUNITE GATE REVERSAL DEEP END RAMP REMOVE 6 RE AMG E(TED 2nD STEP LOVESEAT SPILLWAY TYPE DON"�NTnN CANTILEVER COPING HER R.B.S. •SEE STEEL OWNER REBPONBIBIL 1 ONIER M. O ,y THE APPROXIMATE ELEVA OR SPA AT LAYOUT ON DAY OF EACAVATION W TARE NOTICE TINT POOL AND EDUPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF LOLL AALaw DEPARTMENT AT THE TWE OF LSM MMM OF PERNR. (S) NETWAII CONCRETE SIQLLAT LFAST 7VACE ONLY FOR 6EVEN DAYS AFTER SIS:1118INSTAUI-9. µ) ADREE TXAT TESEPM U NOT REBPONSJBRE FOR uNDEROR0IND WrArrIONs OR OBIECTS. ANDANY DH W TD CURBS. SIDEVVAIYA DRIVEVAYS. uVMB, OR OTEIR rtEH9IN TIO: ACCESS AREA (B PSEE RIOR iOTPPEPEN RFR BRSPEC110N. GARAGE DOORS ILEET LOCAL CAGES FOR A POOL ENCLOSURE W R4POOLBWEONTELY AFTER PLABTER(FOILOW USLnutTnns-DONOTUSERUSSEPROSE) m TAIOe NOTK:ETNT TSS yUMN018 TIE BOLE %ROPERTY OFTESEAHNANO TUTANY USE WMOUT wamB1 PERYSSION OFTFPQLRA U RIOILBDEO In uW. O W ®1 APRiDVEB PLAN roD L ANA eDuwmR LounoNe AND NAe ILEAD TIE RE9 V IAB AND NBrIrEs ABDYE eN3NATURf(S) wLt SWIMMING POOL PLAN FOR: E HOLMES RESIDENCE STREET JOB ADDRESS A CI LA QUINTA PHONE OFFI LOT 10-C RES ALUSIA PAGE BOOK MAP BOOK PAGE N 161IT MAIL ADDRESS CONSTRUCTION OFFICE PHONE NO. SCALE AD= 1' DA 04- DESIGNED BY JH PROJECT MGR ADAM G. KED BY JOB# EVISIONS DATE: SELECTIONS GOLDEN PLAINS 6"X6" DECK COLOR SOMBRERO BUFF CAPS • FIRE FIREBOWL 31" LEGACY BOWL, KHAKlApjjM PEBB/PLAS fe SIGNATURE DRAINAGE NOTE Drainage and "anon for planters and pots, by others, un)eas othenvise noted.