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RPL (14-0245)0? r.. ~ P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/11/14 Application Number: 14-00000245 Owner: Property Address: 58420 MIJAS TD DESERT DEVELOPMENT APN: Application description: 764-200-999-61 -316812- POOL - RESIDENTIAL 81570 CARBONERAS LA QUINTA, CA 92253 c Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 40000 ? ` ,ai�►t� 2011; Contractor: i Applicant: Architect or Engineer- BUBBLE SPRINGS P.O. BOX 1046 CITY AF ` A QUIN FA D — �+'_ RANCHO MIRAGE, CA 92270 FIrtA(`ICEItJEPT. ! I�„Ay�ar1� �i1l�r✓` W& � (760)341-2336 �—" Lia. No.: 728796 ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectii i on 7000) of Dsion 3 of the Business an Professionals C e, and my License is in full force and effect. License Cie : CS P35 Li se No.: 728796 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 ISec. 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 allegedexemption. 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 1, 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 _ 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 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 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 d4for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ave 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 EVEREST NATL Policy Number 76001635131 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 b subject to the wo ers' compensation laws of California, and agree that, if I should bec a bject to the wor s' compensation provisions of Section 37 0 of the Labor Code, I all f hwith comply hose provisions. ' 41 ate: Vplicant: 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 that the abov of mation is corre . I agree to comply with all city and co ty or nances and state laws relating to buildin ons coon, and h by a rize resentatives of this cou y to ntej u n the above-mentioned property or i pe ion purpo rDate: ��jignature (Applicant or Agent): r Application Number . . . . . 14-00000245 Permit . . . POOL 2013 Additional desc . . Permit Fee . . . . 178.75 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/07/14 Qty Unit Charge Per Extension 1.00 178.7500 EA MISC POOL/SPA ---------------------------------------------------------------------------- 178.75 Permit . . . ELECTRICAL 2013 Additional desc . . BBQ ONLY Permit Fee . . . . 23.83 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 9/07/14 Qty Unit Charge 'Per Extension 1.00 23.8300 LS ELEC DEVICES, FIRST 20 ---------------------------------------------------------------------------- 23.83 Permit . . . PLUMBING 2013 Additional desc . . BBQ AND FIRE PIT Permit Fee . . . . 11.92 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/07/14 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 BBQ AT REAR YARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. March 11, 2014 4:48:10 PM AORTEGA ---------------------------------------------------------------------------- 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 ------------------------------------•--------------------- Permit Fee Total 214.50 .00 .00 214.50 LQPERMIT Application Number . . . . . 14-00000245 Plan Check Total .00 .00 .00 .00 Other Fee Total 146.90 .00 .00 146.90 Grand Total 361.40 .00 00 361.40 LQPERMIT Bin.# City of, La Quinta Building 8L Safety Division P.O. Box 1504,78-495 Calle Tampico CA 92253 •:(760) 777-7012 Building Permit Application' and Tracking Sheet Permit # /tta.Quinta, -146 'I Project Address: �� - C'Z I Owner's Name:. 'T . � �•Q se✓ 2l.A. P. Number. . . . Address: I G i l ✓� Legal Description: Contractor.' U ,Q� S Y � 5 - City, ST, Zip. J► Telephone: Address: F . C) . 3 vIIX C)q Project Description: City, ST, Zip: U ✓PrA q92-76) Telephone: L 2 :3 p �- State Lie. # : 2 % 9 Co City Lic. M. Arch., Engr., Designer: Address: City, ST, Zip: " Telephone: ;M r State Lic. #: ., �..w "::.. »� ;• Name of Contact Person: by Construction Type: _ � Occupancy: . Project type (circle one): New Add'n Alter Repair Demo Sq. FL: # torics: # Units-. Telephone # of Contact Person: Estimated Value of Proj -- APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. I Reviewed, ready for corrections Plan Check Deposit. . Russ C�lcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mecharilcal Grading plan 2'' Review, ready for correcGohufisshte Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review; ready for correetio Developer Impact Fee Planning Approval Called Contact Person p,I p,p, Pub. Wks. 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