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RPL (14-0123)P.O. BOX 1504 78-495 CALLE TAMPICO LA Q.UINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 14-00000123 61765 MESA CT 764-280-999-57 -300237- POOL - RESIDENTIAL MEDIUM HIGH DENSITY RES. 44000 T-vy 4 v4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I lice ed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a d ro sio Is Code, and my License is in full force and effect: L' nse Class: C27-053 License No.: 964474 Date: • 7% Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of peri ry that I m exempt from the Contractor's State License Law for the ` following reason (Sec. 7031.5, Busi ss an rofessions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or r 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).: (_ 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.). ' ('_ 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.). (_ 1 1 am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 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: KIRSHNER BRUCE 61765 MESA CT LA QUINTA, CA (760)399-9600 AND THERESA 92253 Contractor: DESERT OUTDOORS INC 78065 MAIN ST STE #205 LA QUINTA, CA 92253 (760)399-9600 Lic. No.: 964474 VOICE (760) 777-7012-' FAX (760) 777-7011, INSPECTIONS (760) 777-7153 Dater 2/10/14 ----------------------------------------------— 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 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 AMTRUST INS CO Policy Number . WWC3072369 I certify that, in the performance of t ewo for which this permit is issued, I shall not employ any person in any manner so as to c m u ject to the workers' compensation laws of California, and agree that, if I should beco su jec to the workers' compensation provisions of Section 3700 of the Labor Cod s I rt wit comply with those provisions. )(pate: *1Z 161 Applicant: WARNING: FAILURE TO SECU WORKER COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C IMINAL PE LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN AD ITION TO E COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABO CODE, IN EREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is here b a 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 nuvoid if work is not commenced . within 180 days from date of issuance of such permit, or es tion of work for 180 days will subject permit to cancellation. certify that I have read this application and state that the ab a in m ion is correct. I agree to comply with all city and county ordinances and state laws relating to building con U. on, and hereby authorize representatives of this county to enter upon the above-mentioned p y f s e on purposes. KDate: '11111 Signature (Applicant or A m): f Application Number . . . . . 14-00000123 ' y Permit . . . ELECTRICAL 2013 Additional desc BBQ Permit Fee 23.83 Plan Check Fee .00 -'� Issue Date Valuation . . . 0 Expiration Date 8/09/14 Qty , Unit Charge Per Extension - 1.00 23.8300 LS ELEC DEVICES, FIRST 20 ----------------------------------------------------------------------- • 23.83 - Permit . . POOL 2013 Additional desc.. POOL/SPA AND WATER FEATURE Permit Fee . . . . 357.50 Plan Check Fee .00 ` Issue Date . . :Valuation 0 Expiration Date 8/09/14 Qty -Unit-Charge Per Extension 2.00 178.750.0 EA MISC POOL/SPA -----------------------------------------------.-------------------------=---- 357.50 - Permit .. . . . PLUMBING 2013 , ' Additional desc BBQ AND FIRE PIT Permit Fee 11.92 'Plan Check Fee .00 Issue Date . . . Valuation 0 Expiration Date 8/09/14 3 Qty Unit Charge Per Extension 1:00 11.9200. LS PLBG GAS SYS, 1-4 OUTLETS 11.92 ----------------------------------------------------------------------------- Special Notes and Comments POOL, SPA, FIRE PIT AND WATER FEATURE AT REAR YARD W/BBQ AT SIDE YARD (DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE OR, RELOCATION OF EXISTING MECHANICAL EQUIPMENT. BBQ SINK MAY NOT DRAIN INTO SEWER OR SITE STORM WATER DRAINAGE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. February 10, 2014 4:52:41 PM AORTEGA w -------------------------------------------------------- --------------------- Other Fees . . . . . . . BLDG.STDS ADMIN (SB1473) 2.00 PLAN CHECK, ELECTRICAL 23.83 PLAN CHECK, POOL 97.24 PLAN CHECK, PLUMBING 23.83 Fee summary Charged Paid Credited Due LQPERMIT Application Number . . . . . 14-00000123 ----------------- ---------- _"' Permit Fee -Total 393.25 ---------- -------- .00 ------------ .00 393.25 Plan Check Total .00 .00 .00 .•00 Other Fee Total 146.90 .00 .00 146.90 Grand Total. 540.15 .00 .00 540.15 LQPERA7IT Bla# ' City, of" La Quints -8ultdmg 8E Safety Division Box 1504,78-495 Calle Tampico 4.Qlmlt4 CA 92253 -:(760) 777-7012 Building Permit pp A lication and Tracking Sheet P mlit #P.O. project Address: I T s Owner's Name:.G ♦ 1 A. P. Number. Address: "� iOx . ES Legal Description: City, ST, Zip: v� Contractor. SST' V V't1D Ota S " Telephone✓%ipb p 0 Address: 7194c, S Project Description: City, ST,•Zip: LA U t �') • �,y►1 Telephone: .'S �,j' �.{ •�•• State Lic. # : -%44-714-City Lic. #; Arch., Engr., Designer. J Address: City., ST, Zip: Telephone: State Lie. #: a3t0 Name of Contact Person: v Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Sq. FL: # Stories: #Units: Demo Telephone # of Contact PersonMOM• y Estimated Value of Project j>Ov APPLICANT: DO NOT WRITE BELOW THIS UNE M Submittal Req'd -Reed TRACMG PERMIT FEES Pian Sets ' Plan Cheek submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit_ . Truss Cates. Called Contact Person Plan Check Balance Title 24 Calci. Pians picked up Construction ' Flood plain plan Pians resubmitted.'. Mechanical Grading plan V Review, ready for corrections/issue Electrical Subtontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading INHOUSE:- '^' Review; dy for correettonsf Developer Impact Fee Planning Approval • Called Contac AXP.P. " Pub. Wks. Appr " Date of permit issue School Fees Total Permit Fees 1 Q W!M II=111=1IIIIII TPOOL P*EBBUI PLASTECOPING/DECKING DETAIL SCALE: N.T.B. CpKAflER.vER OR SIa4CIJ.TN Y4� W OESEf1rt FAF.LLE. (Ei I1 annE� EIYv F•IM FS [[E �� oY GRme -- Ens cwa ro• W.,IERIMI 1 raE oR saw vE+�EEF R.em 2 RAISED BOND BEAM DETAIL SCALE s g L GC 3 TYP. JET LOCATION DETAIL SG111~ N.TS. ErmED�EGH, �. 4, FIREPIT DETAIL W!M GC • 5 WATERFEATURE DETAIL - 4W4 YARD 1 6REE7 KY.S S • , � ` „ ► " ` "� �' �, „ �>-_nom- �.,� • 0 1 s ��OimN a MATERIAL SELECTIONS:FEE, Y 111ri1,MMNlp 3 eo[ mamma ov n e 7. 2014 RDDI/Ae — — �— IRRIGATION NOTE: (ALL �= �« E , N 11.11'0• ONO '1 ov�wlmm 1� ■,. 40) 1 Of] �� m I!�l�=.:i �■�i uvaearr- � ��l�, r�� 'a•�.ma�,tc-_L .. .,:.. ■ ■�-■ �■Irl ■ ��1 I!■ \ i iii 9 1 .. 1 I If J1,11YAti� i�ii�d► � ��. • �u. • ii� a i�. nij F. i! all fi* SCALE-' N.Ts. �BCJLLE: )b' = 7'-0• ILK 909 5 WATERFEATURE DETAIL - 4W4 YARD 1 6REE7 KY.S S REFURBMHED DR REPLACED AS NECESSARY. 0 1 s ��OimN a MATERIAL SELECTIONS:FEE, Y 111ri1,MMNlp 3 eo[ mamma ov n e 7. 2014 RDDI/Ae — — �— IRRIGATION NOTE: (ALL �= �« E , N 11.11'0• ONO IRRIGATION IS SCHEDULE 40) 1 Of] m 909