RPL (12-0166)52330 Avenida Martinez
12-0166
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12-00000166
Property Address: 52330 AVENIDA MARTINEZ
APN: 773-272-004-19 -000000-
Application description: POOL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 12000
T-ityl 4 4 0" -
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CONNOR,DARLENE
52330 AVENIDA MARTINEZ
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/27/12
Contractor: f i c1 i l
Applicant: 'Architect or Engineer: AZURE POOLS AND SPAS l! j
P.O. BOX 10641 j
PALM DESERT, CA 92255 1""R 2812
(760)322-7665
Lic. No.: 802919
P CITY OF LA QUINSiA
FIONA ,,(
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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 License No.: 802919 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
7 issued.
IL ntractor:it c.r -/ /. t I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
s Code, 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 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 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).:
(_ 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, 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
Carrier IMPERIUM INS Policy Number 04DKRM1202794
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, II forthwith comply
with those provisions.
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 work for 180 days will subject
permit to cancellation.
I certify that 1 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 thj 'county to enter upon the above-mentioned property for ' 9ction purposes.
datg Z ' Z 'nature (Applicant or Agent):
Application Number . . . . . 12-00000166
Permit . . .. BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . . 135.00 Plan Check Fee 87.75
Issue Date Valuation . . . . 12000
Expiration Date 8/25/12
Qty Unit Charge Per Extension
BASE FEE 45.00
10.00 9.0000 THOU BLDG 2,001-25,000 90.00
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Permit . . . MECH POOL
Additional desc .
Permit Fee 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date 8/25/12
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 11.0000 EA MECH FURNACE >100K 11.00
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Permit . . . ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . . 45.00 Plan Check Fee 11.2.5
Issue Date . . . . Valuation . . . . 0
Expiration Date 8/25/12
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00
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Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 33.00 Plan Check Fee 8.25
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/25/12
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
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Special Notes and Comments
POOL/SPA. ALARMS/BARRIERS SHALL BE IN
LQPERMIT
Application Number . . . . . 12-00000166
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Special Notes and
Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED..2010
CODES.
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary
-----------------
Charged
--------------------
Paid
Credited
--------------------
Due.
Permit Fee Total
239.00
.00
.00
239.00
Plan Check Total
113.75
.00
.00
113.75
Other Fee Total
1.00
.00
.00
1.00
Grand Total
353.75
.00
.00
353.75
LQPERMIT
f.
UC# C -S3, 802919
POOL SPECS
POOL SIZE: 7' X 21'
POOL AREA: 147 SF.
POOL PER: 56 FT.
STONE AREA: 94 SF.
ISTONE AREA: 87 SF. .
FINISHES
CONNOR
RESIDENCE
ADDRESS:52-330 AVENIDA MARTINEZ
CITY: LA QUINTA
1 "=8' SCALE
Azure Pools & Spas, Iuc.
P.O. Box 10641
Palm Desert, CA 92255
EXISTING
CONCRETE I I\
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATSL2 L Z BY
4'-0"
r )R.B.B. +12" x4' WIDE
WITH SCONCE WATERFEATURE
m
I
P/1
ti
POOL EQUIPMENT
S
Bin #
Permit #
•'L • Ol (p(Q
Project Address
A. P. Number:
GtY Of La Quin
Building a Safety Division
P.O. Box 1504, 78-495 Calle Ta
La Quinta, cA 92253 - (760) 77
Building Permit Application and 1
V / g Owner's Name: -
Contractor. —
Address: UI'8 ^ruvib M, --
ox 10641 '
City, ST, zip: Palm. -Desert. CA 92255
Telephone:
State Lic. #': Z t City Lic. #
Arch., Engr., Designer '
Address:
Address: 5 ',
City, ST, Zip:
Project Description:
City; ST, Zip:
mpico
Telephone:
'racking Sheet
C
Construction Type:
State Lie. #:
0jc type (circle one): Ne
Name of Contact Person;
AD Occupancy:
i
w Add'n Alter Repair Demo
Sq. Ft.: # Sa
Telephone # of Contact Person:
Q ,P-Zq--- ( Estimated
tem Amount .
value of Pmjxt:
Ian Check Balance
APPLICANT: DO NOTWRITE BELOW THIS
# Sabmithl Req'd
LINE
Reed
lumbing
TRACIQMG
Plan Sets
Plan Cheek submitted
Structural Cale.
. 1
Reviewed, ready for corrections
Truss Cala.
1
Called Contact Person
Energy Cale.
I
Plans Oicked.up
Flood plain plan
f
Plans resubmitted
Cradiag. plan'
l
2' Review, ready for corrections/issue
SubeonyctorList
----------1
Called -contact- Person
Grant Deed
1
Plans picked up
ILOA. Approval
Plans resubmitted
IN ROUSE:-'
8" Review, ready for. corrections/issue
Planning Approval
I
Called Contact Person
Pab, Wks' Appr
Date, of permit issue
School Fees
7
to .
mpico
r-7012
'racking Sheet
C
/ Y 4 fe
I),r
AD Occupancy:
i
w Add'n Alter Repair Demo
iries: :# Units:
`
PERMiT FEES
tem Amount .
Un Check Deposit
Ian Check Balance
'onstructton
fechanleal
Iectrical
lumbing
ALL,
trading
eveloper Impact Fee
.LP.P.
otal Permit Fees