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RPL (13-0872)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 13-00000872 56685 MERION 762-023-025- - - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 20000 Architect or Engineer: -,,&t4XPa�rr�v BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/15/13 Owner: MILLARD ROBINSON 56685 MERION - LA QUINTA, CA 9225 Contractor: MCRAE POOL & SPAS 79105 DESERT STRE LA QUINTA, 922 //JY- (760)774-634343 Lic. No.: 823017 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C53 -C27 License No.: 823017 QDate: `�S ` /2'Co?tr actor: 1OV4 OWNER -BUILD DECLARATION✓ I hereby affirm under penalty of perjury that I am exempt from he 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 Codel 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).: (_ 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' 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: Lender's Address: LQPERMIT JUL 13 2013 DR CITY QF LA QUINTA 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, 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 EXEMPT Policy Number EXEMPT r� I 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 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, I shall forthwith comply with those provisions. e DatVJ(Applicant:�yis rvit11• Z,;:9'0V 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$100,000). 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. 1 certify that I 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 this county toenterupon the above-mentioned property for ins Date�J ` ..Signature (Applicant or Agent). Sic Application Number . . . . . 13-00000872 Permit . . . . . POOL 2013 Additional desc . . Permit Fee . . . . 178.75 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date . . 1/08/14 Qty Unit Charge Per Extension 1.00 178.7500 ---------------------------------------------------------------------------- EA MISC POOL/SPA 178.75 Permit PLUMBING 2013 Additional desc . . Permit Fee . . . . 11.92 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/08/14 Qty Unit Charge Per Extension 1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS 11.92 ---------------------------------------------------------------------------- Special Notes and Comments INSTALL NEW POOL, WATER FEATURE, FIREPIT, 20 L.F. GAS LINE, PER APPROVED PLANS. 2010 CALIFORNIA BUILDING CODES. ----=----------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN -CHECK, POOL 97.24 PLAN CHECK, PLUMBING 23.83 Fee summary Charged ---------- Paid Credited ------------------------------ Due ----------------- Permit Fee Total 190.67 .00 .00 190.67 Plan Check Total .00 .00 .00 .00 Other Fee Total 122.07 .00 .00 122.07 Grand Total 312.74 .00 .00 312.74 LQPERMIT Bin # Permit # Project Address- City of LQ QUtnta But7din8 Safety 8L Safe Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Owner's Name:Ae A. P. Number: Address: - CIA, oC Legal Description: City, ST, Zip:! 2 ZS 1 Contractor.(� S v ,S 3 m w:Ls`•.'' Telephone: Project Description: pool [0-4-xV r -*0r r Address: -77, Q . S + i r ` City, ST, Zip: 1 Telephone: ��� Y3 i v ... �. State Lic. # :a 2-101 City Lie. #; Arch., Engr., Designer. Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: AA Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft: # Stories: # Units: Telephone # of Contact Person: (9 -IL/ Estimated Value of Project: _20, ©O APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted 11(Q Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Pians picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correcti ue � Electrical Subeontaetor 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 correctionstiissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees :A? IN- L� Total Permit Fees 2Q� _ UILL1l040 t~ J,�i-L r L, L: i . APPROVED-"L~�� FOR CONSTRUCTION DATE,_, -,---- BY 5z �� �� n�'���A ®DMMUN `P NT CITY OF LA QUINTA'SUB-CONTRACTOR LIST JOB ADDRESS 56 6 VS - AP321W PERMIT NUMBER OWNER BUILDER . C This form shall be posted 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 au horized to woi on this job. Any changes 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 voidanc 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 Con tractor State Contractor s License :w p rlsation:Irisurance: :" : `:`:. •.<;:;:.: orkers Come Cit y Business 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. Dat( (xx/xx/xx EARTHWORK (C-12) :.; -30-1 t a; I -1-13 7 CONCRETE FRAMING :(C-51 . STEEL -id -51) ��. GIN � 50 g Y6.: - 3ogq QST PuT -T-o _ �6 rZl ro - - �o �7,S-7STRUCT MASONRY (C-29) `. �j PLUMBING (C-361 LATH; PLASTER (035) / I DRYWALL (C-9) ..:..: HVAC. ©� ELECTRICAL. (6101":'* ROOFING`.IC.=$9)`:.' SHEET METAL (C=43) FLOOORING (d --A 5): GLAZING (0-17);.? j INSULATION:: (C7 -2).w SEWAGE DISP (6.-42) . PAINTING (C'33)'-: 7. CERAMIC TILE (C-54) CABINETS (C-6) FENCING (C-13) C=27.).. LANDSCAPING (C=27).,-`,- POOL (C-53) POOL It PROPERTY LINE CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION OA _� _ OWNER: ROBIN -SON RESIDENCE SHEET TITLE: CONSTRUCTION PLAN NOTES: Q U z Q co Lo M: N W N 2 0 L Q _Z Lo 0 W Q J � Q OWNER: ROBIN -SON RESIDENCE SHEET TITLE: CONSTRUCTION PLAN NOTES: 1