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13-0486 (RPL)�Y P.O. BOX 1504 T4hf d 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 4 Application Number: 13-00000486 Property Address: 51610 AVENIDA CARRANZA APN: 773-125-006-19 -000000- Application description: POOL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 22000 Applicant: Architect or Engineer: e4�� i W, 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 Lice�nsse�Cllass: C27-053 License No.: 859417 c, Date( SIje Q3 Contractor: A11AE� 6AISA 1. A( 0 I °L{ 1P + famCouS 0 'ice OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the followingreason(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 7,031.5 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 contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , BAP.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 Owner: HAYLOCK RESIDENCE 51-610 AVENIDA CARRANZA LA QUINTA, CA 92253 Fro Contractor: AMERICAN LANSCAPE/POOLS 85265 DAMASCUS AVENUE COACHELLA, CA 92236 (760)880-1173 LiC. No.: 859417 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/18/13 Lr -t 1 I 1 APR i CITY OF i' A Q 1U NTA FINANCE DEPT WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 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. _ 1 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 9033177 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 �shalllH'eh-es�ply with those provisions. Date: dF010 Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION VERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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, indemnity 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 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-countyj o enter upon the above-mentioned prop rt r in coon purposes. ww bet�eAv Signature (Applicant or Agent(: A Tti Application Number . . . . . 13-00000486 Permit . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 225.00 Plan Check Fee 146.25 Issue Date . . . . Valuation . . . . 22000 Expiration Date 10/15/13 Qty Unit Charge Per Extension BASE FEE 45.00 20.00 ---------------------------------------------------------------------------- - 9.0000 THOU BLDG 2,001-25,000 .180.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation 0 Expiration Date 10/15/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 ---------------------------------------------------------------------------- 9.0000 EA. MECH FURNACE <=100K 9.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25• Issue Date Valuation . . . . 0 Expiration Date 10/15/13 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 ... 10/15/13 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 Permit . . . . . . WALL/FENCE PERMIT LQPERMIT ,c P Application Number . . . . . 13-00000486 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 35.00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 1500 Expiration Date 10/15/13 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 2.0000 HND BLDG 501-2,000 20.00 ---------------------------------------------------------------------------- Special Notes and Comments SPOOL TYPE POOL BLOCK WALL 6 FT HT X 60 IN FT ORCO STANDARDS EQUIPMENT ECLOSURE ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2010 CBC.APPROVED S.T. ; ---------------------------------------- Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited ---------- ---------- Due ------------------------------------- Permit Fee Total 362.00 .00 .00 362.00 Plan Check Total 171.75 .00 .00 .111.75 Other Fee Total 1.00 .00 .00 1.00 Grand Total 534.75 .00 .00 534.75 0 GQPERMIT . r - Req'd wkw.. a Safety Division P.O. Box ISO4,-78-495 Cate Tampico Perirttt # 1 d.Qdbta, CA 92253 -x(760) 777-7012 L . inn.� Gly. of LQ QU%hta - Req'd wkw.. a Safety Division P.O. Box ISO4,-78-495 Cate Tampico Perirttt # 1 d.Qdbta, CA 92253 -x(760) 777-7012 L Building Permit Application and Tncfdng Sheet Project Addles: g: I D AA6,10- C Owner's Name:. A P. Ntmtbac Address: Legal Description: City. ST. Zip: Contractor Tdephaae: d Address: 't) LispU6— ProjectNscription: '5PXL bfSf 7 1 City.Sl.tip'. OA- ClZa-3) 6WCK(.1/4 L l l -i (DQ �.. V Review, ready for eorrtedoneasue Eitctrieal Tel pho=770— 2910-11-131. State LiG #: � - FiSet) City Lic. C _ Arch.. Eng+., Designer. -� r Address City. a, zip: Telephone: �. Construction Type: - moi' Oocatpaacy: State Lir. p: Project type (circle one): New Add'n Alta Repair Dano Name of Contact Person: Q Jp./ — i Sq. Ft : p Stories M Unit$: Telephone ii of Contad Person: . `� �, �3 >-40 g g i Esdroatod Value of Project APPLICANT: DO NOT WRITE BELOW THIS UNE A Submittal . t • PI9n Sett - Req'd ' B=e'd TRACiONG PERMIP FEES- - Plan Check submitted Item Amount Stmcloial Cafes. Reviewed, ready for eorrecdoas Plan Check Deposit. Trass Calor. Called Contact Person Plan Chale Balance. Title 24 Calea Plans picked up Construction Flood plain plus Pians resnbmifled: , Mechaeiicai Grading plan V Review, ready for eorrtedoneasue Eitctrieal Subeoataetor List Catlod Contact Person Pluatbing Grant Deed Plans pldied up S.M.I. H.O.A. Approval Plans resubmitted Grading WHOM- Review; ready for eorrcctionsAnuc Developer Impact Fee Plaaclag Approval. Called Contact Perron Ad.P.P'. Pub. Wks. Appr Date of permit Isme School Fees it Pecs �. CITY OF LA: QUINTA BUILDING & SAFETY DEPT. APPROVED FOR' CONSTRUCTION DATE t7 _BY�_ . t I-" HAYLOCK RESIDENCE 51-610 AVENIDA CARRANZA LA QUINTA, CA. GARAGE ENTRY DOOR CITYFLA QIJll N T; BUILDING & SAFETY DEPT, APPROVED FOR CONSTRUCTION DATE-J� BY 4;;"- GO GATE I" DRIVEWAY -3'0- 20'0 720, SPOOL WALL - - C1TY Ln QUINT CODE REQ BLOCK WALL 1 ----- 24'0--. -------- -- i DRIVEWAY 13'6 10'0 FRONT LANDSCAPE street 77i HAYLOCK RESIDENCE 51-610 AVENIDA CARRANZA LA QUINTA, CA. '�7r t GARAGE 1'I?� y � 6'0 1 GATE P 3'0 DRIVEWAY 20'0 3'0— F 16' SPOOL 5'0- NEW—. EW POOL WALL P/l EQUIP CITY LA QUINT CODE REQ r BLOCK I ALL Zo L �r �', 24'0 5IOdg OW SZ it N DRIVEWAY 13'6 10,:Q FRONT LANDSCAPE street CITY X LA QUANTA BUILDIPIG & SAFETY DEPT. APPROVED ENTRYDOOR FOR ONSTRI H-TUNKI '�7r t GARAGE 1'I?� y � 6'0 1 GATE P 3'0 DRIVEWAY 20'0 3'0— F 16' SPOOL 5'0- NEW—. EW POOL WALL P/l EQUIP CITY LA QUINT CODE REQ r BLOCK I ALL Zo L �r �', 24'0 5IOdg OW SZ it N DRIVEWAY 13'6 10,:Q FRONT LANDSCAPE street