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13-0297 (RPL)
P.O. BOX 1504 J 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT kL ' Application Number: 13-00000297 Address: 52090 AVENIDA MENDOZA �Property . APN: 773-233-005-18 -000000- Application description: POOL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 16000 Applicant: Architect or Engineer: Owner: C7 PROPERTIES 3194 AIRPORT COSTA MESA, C. VOICE (760) 777-7012 FAX (760) 777-7011 J%NS (760) 777-7153 Contractor: %�_ LAGUNA FALLS CUSTOM POOL/SPAS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business ak Professionals Code and my License is in full force and effect- License ffect. LicensejClass: /C53 i R 18149 Date;,) / Contractor: OWNER -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 (5500).: (_ I 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 Name: fy�� Lender's Address: �( I.QPF.R1111T 3/18/13 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^Ak I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor �t Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NORGUARD INS Policy Number LAWC010355 certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to b ome subject to the workers' compensation laws of California, and agree that, if I should become ubject to the workers' compensation provisions of Section 0700 of the Labor Code, I shall for wi i e provisions. 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 1$100,0001. 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 I have read this application and state tJbuil 'bove information is correct. I agree to comply with all city and county ordinances and state laws relating tg constru ereby authorize representatives of this c myo center upon the above-mentioned pr i ecti rpos Date: 's / Signature (Applicant or Agent) P.O. BOX 2322 I 92202 (760)760) 347-7- 8977 Lic. No.: 818149 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business ak Professionals Code and my License is in full force and effect- License ffect. LicensejClass: /C53 i R 18149 Date;,) / Contractor: OWNER -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 (5500).: (_ I 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 Name: fy�� Lender's Address: �( I.QPF.R1111T 3/18/13 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^Ak I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor �t Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NORGUARD INS Policy Number LAWC010355 certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to b ome subject to the workers' compensation laws of California, and agree that, if I should become ubject to the workers' compensation provisions of Section 0700 of the Labor Code, I shall for wi i e provisions. 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 1$100,0001. 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 I have read this application and state tJbuil 'bove information is correct. I agree to comply with all city and county ordinances and state laws relating tg constru ereby authorize representatives of this c myo center upon the above-mentioned pr i ecti rpos Date: 's / Signature (Applicant or Agent) Application Number . . . . . 13-00000297 Permit BLDG POOL PERMIT Additional desc . ' Permit Fee . . . 171.00 Plan Check Fee 111.15 Issue Date . . . . Valuation . . . . 16000 Expiration Date 9/14/13 Qty Unit Charge Per Extension BASE FEE 45.00 14.00 9.0000 THOU BLDG 2,001-25,000 126.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL AND SPA ONLY, NO HEATER. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2010 CALIFORNIA BUILDING CODE. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary. Charged Paid Credited Due ----------------- Permit Fee Total ------------------------------ 171.00 .00 ---------- .00 171.00 Plan Check Total 111.15 .00 .00 111.15 Other Fee Total 1.00 .00 .00 1.00 Grand Total 283.15 .00 .00 283.15 LQPERNIIT Bin # Cit/ of La Quints Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 09,0 AV q4k <D • b -Z Owner's Name: /-o 'f r eJ 10i C- A. P. Number: Address: 319 `f,�,� W f �© �k a'- Z Legal Description: Contractor: �j^p, f epi City, ST, Zip: (p -s-& (1A 9 y Z6 fF.r%:};>;Y,.>r.:S ini {fiG{::': :v}•iv.: .n:: Telephone. Address: 7j © Gv`�" l�I SK 7— Project Description:Q,� City, ST, Zip: Telephone: 7b® I —,H/ ,i City Lic. #; State Lic. # : (-I Poo /Vo ,1/EA71F, e Arch., Engr., Designer- esignerAddress: Address: MAR 14 201 City., ST, Zip: Telephone: : 4:n:ta:;:<<:•.:.„;,,4.,, Construction Type: COMM �8 State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Name of Contact Person: .4 Telephone # of Contact Person: -1690 • M ' —J-7 /J�— Estimated Value of Project: IM0,00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd. Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Tide 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Grading plan 2"" Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: '"d 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 R1 III niNr. P. RAF:1-7ry 1 ermit Fees APPROVED FOR CONSTRUCTION LDATRII I L3 BY �_ 0 11111110 O OR IL 9 ft. GARAGE 0 3 RESIDENCE ELEOTRIWL AND PLUM&NG LEGEND EOUIPMEM UBT OF MATERIAL OlOL IW HT JUNOOON EOI EI FOOL EOUIPMEM Q PoµDARD WNNE PLABTER O DWL PORT BYJMMER PEMAIR WNIBFERFl018 NF PUMP IL- A ATFOOLWATEWNE OM1-1.1—AUTO FILL PEMAIR 2b 90. IT GARIWDGE FRIER Q TOEDONEBYGFNEWL IO BPIR MAW DRAIN ]OiDW POOL IKsNi Q 1D BERDONE BY GENERAL 8 ELECfRIGI PANEL BO% EB TOOL TME QOCR ELF momAND TO E DONEI BYGENERAL O GA9 METER �.�i POOL DEMEN910N9 Il�'Vf 11'.22 Oi RUM&NG LWE9 OSBIUAfiE RETURN LWE9 2M RUCTION UNEB � TO E DONE BY GENEWI 2112 PTC G CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE :// BY U SCALE: 1/8" =1' Laguna Falls Pools, Inc. Phone: (760) 347-8977 Designed by: LFP13-204 CT Properties, Inc. 81-730 Highway 111, Ste 2 Fax: (760) 347-8975 J. Mancilla Designed 52090 Avenida Mendoza Indio CA 92201 E -Mail: Jaime®lagunafallapoole.com 2/8/2013 for: La Quinta CA 92253