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RPL (12-0143)P.O." OX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: C12-0000014 3 Property Address: 57214 MERION �_ APN: 762-031-028- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 25000 Ta�/ 4 4 Q" Applicant: Architect or Engineer: ----------------- LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 11­16ate iibi��ractor: L OWNER -B LDER 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 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.). (_) 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 contractorls) licensed pursuant to the Contractors' State License Law.). I—) I am exempt under Sec. , B.&P.C. for this reason 9 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 Owner: VIONELL JACOBSON 57214 MERION LA QUINTA, CA 92253 Contractor: n MCRAE POOL & SPAS iJ 79105 DESERT STREAM DR LA QUINTA, CA 92253 (760)774-6343 Lic. No.: 823017 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: . 2/16/12 G �I FEB 21 101 CITY OF !_A ------------------ WORKER'S COMPENSATION DECLARATION 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. V 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 STATE FUND Policy Number 1950505 _ I certify that, in the performance of the work for which this permit is issued,.l 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, all forthwith ose provisions. late: I plican WARNING: FAI RE 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). INADDITIONTO 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 isperformedunder or pursuant to any permit issued as a iesult of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Ouinta, 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 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 enter up n the above-mentioned property for i ection Date: v ,' nature (Applicant of Agent): Application -Number . . . . . 12-00000143 : Permit BLDG POOL PERMIT " Additional desc . Permit Fee . . . . 252.00 Plan Check Fee 163.80 Issue Date . . . . Valuation . _ 25000 Expiration Date 8/14/12 Qty Unit Charge Per Extension BASE FEE 45.00 23.00• 9.0000 ---------------------------------------------------------------------------- THOU BLDG'2,001-25,000 207.00 Permit MECH POOL Additional desc . Permit Fee . . 26.00 Plan Check Fee 6.50' " Issue Date . . . . Valuation 0 Expiration Date 8/14/12 Qty Unit Charge Per' .Extension BASE FEE 15:00 1.00 11.0000•EA MECH FURNACE >100K 11.OA Permit ELEC POOL PERMIT -RES Additional desc , Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . Valuation . . 0 Expiration Date 8/14/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 -------------------------------------------------------------------- EA ELEC PRIVATE SWIMMING POOL 30.00 Permit . . . PLUMBING Additional desc Permit Fee . . . 33.00 Plan Check Fee 8.25 Issue Date Valuation . . . 0 Expiration Date 8/14/12 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 ------------------------------ ---------------------------------------------- Special Notes and Comments POOL/SPA, BBQ & FIREPIT. ALARMS/BARRIERS LQPERMIT Application Number 12-00000143 -------------------------------------------------- Special Notes and Comments ----------------- SHALL BE IN-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 356.00 .00 --- ---- .00 -- - - - - - - 356.00 Plan Check Total 189.80 .00 .00 189.80 Other Fee Total 1.00,_ .00. .00 1.00 Grand Total, 546.80 .00 .00 546.'80 LQPERMIT PGA AATST II RESIDENTIAL ASSOCIATION, INC. 39755 BERKEY DRIVE STE A PALM DESERT, CA 92211 PCIA MRIWIP PHONE (760) 776-5100 FAX (760) 776-5111 n February 13, 2011 Vionell (Jared) Jacobson 2404 Park Ave. Brandon, Manitoba f, Canada R7B OS3 Reference: 57-214Merion, La Quinta, CA 92253 Architectural Change Request — Pool/Spa, Pavers, Barbecue, Firepit Dear Vionell (Jared) Jacobson: The Architectural Committee met on. February 9, 2012 and reviewed and approved your architectural plans with the following conditions being met. • The contractor shall ensure the make-up water for the. automatic water feed device be tapped ahead. of the main dwelling shutoff. Existing hose bibs cannot be used for this purpose. • A Covenant and Maintenance Agreement will be required, one will be sent to you for proper execution as soon as it is prepared by counsel. • Your contractor must meet withBob;Pantanella,:.Director. of Community Services.prior"to any work commencing on this project, Mr. Pantanella's phone number is 7.50:564-1032. ' • If at any time in the future pavers need to be removed due to irrigation line issues, it will be your responsibility to remove and re-install the pavers. • All other PGA WEST Il Residential Association Architectural Rules & Regulations dated ` 8/1/07 pertain to this project. Review by fhe Committee is only for general conformance with the Architectural Ru/es. it is the responsibility of the owner to fully understand and conform to the Architectural Rules criteria whether or not all deficiencies are noted during review. It is also the owner's full reseeas ility ho field verify all existing aondibons. The Committee's decision with regard to proiect-desran will be final. Please refer to the Architectural Rules for all reguired submittals. Please contacti".' Landscape. at 760/346-3999and. Joanne Rose, Association ::Mans er at 760/776-5100 ext. 320 prior to an g p y , irrigation modifications associated with this change. Damage to the la'nds'caping, i.e. shrubs, trees, flowers and tiirf is the responsibility of the contractor. The original landscaping must be brought back to its original condition when the project is completed. Approvals given by the Architectural Committee are good for only six months from the date on the approval letter. It construction has not commenced within six months after the project .approval date, a new application must be submitted. Upon completion of your project, please complete and return The Notice of Completion of Architectural Change. 8'-0' COUNTER TOP TILE TO BE SELECTED BBQ TO BE SELECTED -- ACCESS DOOR, FINISH TO 'BE SELECTED MINI REFRIGERATOR TO BE SELECTED i� SCALE 1/29- T -V HBO 008 POOL EQUIPMENT PENTAIR INTELL FIO 4X160US PUMP PENTAIR CIEAN & CLEAR FILTER 320 PENTAIR MASTER TEMP HEATER —400.00 BTV FINISH TO BE SELECTED L TY OF Lq QUINTA LDING & SAFETY DEPT, APPROVED FOR CONSTRUCTION o2 /(o Z By pools , 44 . `- . pax k # .4 ulol 047/0 J U L 7 _ IY Bin # City ®f :La Qurnta Building 8t 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: 7 .Miff Owner's Name: U I 0 6'ZJAC-Ohsopy A. P. Number: Address: S 7.21 Ll M 1Q Legal Description: City: ST, Zip: LA QViNTA CA22.5 Contractor: / C J JTelePhone: Address: 7 9 -APS S 20 q 76 D Project Description: O L S City, ST, Zip: C4 2X3 _ Cp Telephone-. • �% % 7 �.? ; < :< . ,;,:,_,x..< »>..>:::.:..,:::. State Lie. # 7 City Lie. #.: Arch., Engr., Designer: Address: n City, ST, Zip: Telephone: P State Lie. #: ::3+`t'r"::,\,`N..:::�vr;`;,.;�`�:�:t}4i::.c:p:y .,: c>•.;y"or '; "i Construction Type: Occupancy: ProJect tyPe (circle one): New Add;n Alter Repair Demo Name of Contact Person: 13�//rre7' Sq. Ft.: # Stories: #Units: Telephone # of Contact Person:16-0 0 - % 7 Y. • 93 Y.2 I 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 V 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:- Review, ready for•correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees