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13-1531 (RPL)P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 13-00001531 Property Address: 53405 AVENIDA MENDOZA APN: 774-092-020-8 -000000- Application description: POOL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 16000 Applicant: Architect or Engineer: ----------------- I LICENSED CONTRACTOR'S DECLARATION I hereby affirm oder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 001 f' Division 3 of the Bu 'Hess and Professi nals Code, and my icense is in fu I force and effect. License CI ss: License No.: 583 D S Contract/ V�� 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 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 apermit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _ 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 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' StateLicenseLaw.). 1 ) I am exempt under Seca , 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: ' V LQPERMIT Owner: ROPER MORRIS CONSTRUCTION 51200 CALLE PALOMA LA QUINTA, CA 92253 Contractor: MORRIS CONSTRUCTION 50855 WASHINGTON ST, LA QUINTA, CA 92253 (760)272-9292 Lic- No.: 867583 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/02/13 ------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, forthe performance of the work for which this permit is issued. 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 EXEMPT Policy Number EXEMPT 1 certify that, in the performance of he ork for which this permit is issued, I shall not employ any person in any manner s to b o e su ' t to the workers' compensation laws of California, nd agree that, if I s u bec s the workers' compensation provisions of Section 70 of the Labor d I shall f rt i -comply with those provisions. Date: V 1 pplicant:� r WARNING: FAILURE TO SECURE KERS' COMP SATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI (NAL PENAL 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 I have read this application and state that a bovin motion is correct. I agree to comply with all city and cou y ordinances and state laws relating to it g co and hereby authorize representatives of this c ter upon the above-mentioned pro rt for in n urposes. Date: Signature (Applicant or Agent) ' Application Number . . . . 13-00001531 Permit . . . . POOL 2013 Additional desc . Permit Fee . . . . 178.75 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/31/14 Qty Unit Charge Per Extension 1.00 178.7500 EA MISC POOL/SPA 178.75 Special Notes and Comments POOL AND SPA AT FRONT YARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE POOL OR EQUIPMENT ENCLOSURES. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2010 CALIFORNIA BUILDING CODE. December 2, 2013 12:33:09 PM AORTEGA -----------------_--------------------- Other Fees .. . BLDG STDS ADMIN (SB1473) 1.00 - PLAN CHECK, POOL, 97.24 Fee summary Charged Paid Credited ---------- ---------- ---------- ---------- Due ----------------- Permit Fee Total 178.75 .00 .00 178.75 Plan Check Total .00 .00 .00 .00 Other Fee Total 98.24 .00 .00 98.24 Grand Total 276.99 .00 .00 276.99 LQPERMIT Bin # City �C of La numta Building &r SafetyDivision P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 13- 15$1 Project Address: S3 Yo r A -v. AUS 20 2%+)— Owner's Name: _4AMt 4 A. P. Number: ' . 7 % 01O • Od-p Address: Legal Description: City, ST, Zip: Contractor: 0 e r Tele hone: Address: 100 $6S P f A-Stry nf4 9- C d J l✓ Project Description: City, ST, Zip: b* GIA!"K QaaS 3 001 �tdiYu�fi ow Telephone: 60-a7a- gag lJ i}i:'::::::«ti':>t.:4:rii:::<n>4}:;S•:v::;�:.j:::}: :iY. +' k. State Lie. # : (0 % S-9 3 City Lic. #; 10 4133 1 Arch., Engr., Designer: NOV 2 + Address: CI TY ng City, ST, Zip:OMWIN [A MUNITY pE Telephone: }:' :::, : }"}::'::}`: :}` >::c:s:::<;;->}a:<:<<.?;>;>:<>z::<..<:>.: ''''`" ^' ' `}}}' %"' '' Construction Type: Occupancy: yP �/ 61% State Lic. # Project type (circle one) N Add'n Alter Repair Demo Name of Contact Person: Q Q f?jj/�s Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person: -7 (p 0 - d% �k ' 94 903— Estimated Value of Project: 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 Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue 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 corrections ue Developer Impact Fee Planning Approval Called Contact Person i r A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees nip 12121Uri - AaiD'E to dna w�toWr*V 0. ��� NA CITY OF LA QUINTA-SUB-CONTRACTOR LIST JOB ADDRESS PERMIT NUMBER ��J- l� ( OWNER-P` brt&,cs(BUIWER This form shall be costed on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. all to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Trade Classification or ::::... Tr / n ....:.....:.. . :.:;::::>::_:-:::::. :::: ::.::.....:.. .. State..:Contractor s License :: '..:: : " ' ' :. Workers Coniperisataon insuranc':" :: '>;. ';•:.::::.:: City'.Biisr)e5s License>':..:: Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund; CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-12) . "- �I4�114' W,0 &Q �- J.Ct v Al /{,gH6517$ N I�. S�Gusi�t i�(�ioub\ sWL1030�t,�' .10 ! W-0-7 5-1 % CONCRETE (C-8) FRAMING STRUCT.`S7EEL (C-51) tVllfI 14c,b�cu('6 �W c l o3p MASONRY (C-29) PLUMBING' IC-36j'16 a l S s LATH; PLASTER (C 35) DRYWALL (C-9)..::-.• .: HVAC. (C-20).:.::' j 11 ELECTRICAL.(C=10)': .': �+rl%00 �p0'l Core C-s3 ��a��o �� a� �it�urp�rlCG �a►3o2o12.g2 s ly SHEET.METAL (C43)'' =: FLOORING (C-,T:!-!5) GLAZING (C-17)".` ::...,. INSULATION'(C72) . .: SEWAGE.DISP-(0--421' `. PAINTING (C=33) - y CERAMIC TILE (C-54) CABINETS (C-6) FENCING (C713) LANDSCAPING (C=27) onn1 if- cam► t i, 10 51 G u F. y n® II llll,�L ----- -----ZIL------o } `�" in Q- -ill m0mml