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14-0671 (PAT)L P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tityl 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: 14-00000671 Owner: Property Address: 52990 AVENIDA CARRANZA ZABALA III ERNEST ANTHONY APN: 773-322-013-14 -000000- 52990 AVENIDA CARRANZA Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL Application valuation: 17827 Contractor: Applicant: Architect or Engineer: AMERICAN HERITAGE POOL CORPORA PO BOX 11996 PALM DESERT, CA 92255 9A-(760) 340-2588 Lic. No.: 945084 LICENSED RA OR'S DECLARATION I hereby affirm under penalty of per' I am lice se er rovisions of ha ter 9 (commencingwith Section 7000) of Division 3 9f�tf a Business a Prof ss' de, and m icense is in full force and effect. License Class:) C53 _� fff��i nse No.: 45084 Date: a. r7— ontraJ,ehp.tirany OWNER-BUILDE DEC RATION I hereby affirm under pen tym exempt from th tractor's State License Law for the following reason (Sec. 703rofessions Code: Any city or county that requires a permit to construct, alter, improve, destructure, 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, 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, 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. , 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 Date: 5/20/14 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 polic number are: Carrier E�PTT . Number E T �I certify that ' the performance of thew rk for whit this a it isnson shall not employ any person ' an manner so as to become ub'ect tVer rs con laws of California, Y I and at, become sub' ct to the co peovisions of Section 37 of the Labor Code, I s forthits prov WARNING: FAILURE TO SEO EWORKERS' COM NSATION COVERAGE 11 UNLAVVUL, AND SHALL SUBJECT AN EMPLOYER TO CRI NA p.= HALT: AND CIVIL FINES UP TO kNE HU DRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DA 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 vo' ork is not commenced within 180 days from date of issuance of ' , or cessatio of ork for 180 days will subject permit to cancellation. I certify that I have read this ap ' on and to he above inf rmation i c rect. I agree to comply with all city and co my ordinances a d state laws r sting to buili7i const ction,.a ere uthorize representatives of this c ty t enter upon the above -me boned property fo ins ection p q,5es. Date: Signature (Applicant o Agent): Application Number . . . . . 14-00000671 Permit . . . POOL 2013 Additional desc . Permit Fee . . . . 178.75 Plan Check Fee .00 Issue Date . . . Valuation . . . . 0 Expiration Date . . 11/16/14 Qty Unit Charge Per Extension 1.00 178.7500 EA MISC POOL/SPA 178.75 =--------------------------------------------------------------------------- Special Notes and Comments POOL AT FRONT YARD ONLY [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE BLOCK WALLS OR ADDITION TO EXISTING BLOCK WALLS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT -PRE-PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. May 20, 2014 4:34:04 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, POOL 97.24 Fee summary Charged _Paid Credited Due ----------------------------------------------- Permit Fee Total 178.75 .00 ---------- .00 178.75 Plan Check Total .00 .00 .00 .00 Other Fee Total 98.24 .00 :00 98.24 Grand Total 276.99 .00 .00 276.99 LQPERMIT r CITY OF LA QUINTA SUB-CONTFACTOR.LIST . JOB ADDRESS�L'q`7�!kyeg J w,�t,✓ PERMIT NUMBER OWNER ( .Z: Ik . _ -BUILDER 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 authori ed to work 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 voidance. of building permit. For each applicable trade, all intormation requested below must be completed by applicant. "On File" is not an acceptable response. a x::Classi ic�tion:>:.::;:::::<:>:::;:....:::>::>::.::::>::>.<:;:> r de.... T / I...........................................................1................................................................................. ......... .:........ .oritractor:;::::::::;::::>::>«a':::ss:;:::>:::::'`::>:::<:>:::>::::<:::::::.... I .. State. Contractor...s:::License...::. :::......:.:..:.:..........::.;:::;•::.;:.:.:.; .......I.............. :..:::::.;;:;:<;:::;;...;::;::.;::;<:.;;:;:::..;.:;; >s::>;. WorkerS..Co.m .ensation.insurance ....................................................Cit P 1..................Y.................... ;::::.:.:.:... . ness.. Lic nse..:...:: e . Company Name Classification License Number Exp. Date Carrier Name Number PolicYNum ExP Date License Number Exp Dateto A B C-8 (xxxx x1 (xx/xx xx (e. . State Fund, CaIComP Format cries xx xx xx1 xxxx )(e. xx xx x x E11:R:T:F ORK. ✓i'(r b ��fGSb `� 0 6 Iii �w� /D d 9S o / I / a y /d ��i� 3a y CONCRETE.:.(8);:.::;:.: ;;:..: 1 • r ' r i� i C. y Y S► S PLU.MBIN:GlC=36:)>>:>>>:>>: >/ 6 l v 8Z`f r LATM>PLA`STFR> C=35':»` . oo 5 Biu G- 3 q6 D� lzo�5' 6 Z- '.>::.;:........ ... FI '00 IN 15 INSlJ1'ATIO .'.:N>(C=2 -3. t f . J ;:FEN.CIC.' 13. ;.:. LA N 12SCAPI N G:(:C'=2:7: jz'»' II , 5' I%t el '[o PL 1n �o 2 11/2,-, /�� —EYP St-Gi w 157"INL Jc'SL�P � � �J L1, NOTES ANN Puy PL REs. 56 Bin # City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Per 'it # t • �, Project Address:5_2'-JyO Owner's Name: y f — mi 1� A. P. Number: Address: S'jQt 1-� Legal Description: City, ST, Zip: Z ZSR Contractor:P(/• l//T (f Telephone: /�!?�;.<;,::•.:::...:::;>:•:::.;.:»;«::.»;: Address: P - Project Description: , Q City, ST, Zip: Telephone:U' ...............................:................ State Lic. # : y�� City Lic. #; /08 96 Arch., Engr., Designer: MAY j 5 Address: CITY nF_ City., ST, Zip:/ Ir/a" fZZ/ Telephone: State Lic. #:� MIA MMUNITY DEVE Construction Type: Occupancy: Project type (circle one): weAdd+ n Alter Repair Demo Name of Contact Person: K�l 06 L Sq. Ft.: #Stories: 1 # Units: Telephone # of Contact Person: 6 — ' /Z(j 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 20'. Review, ready for corrections/issue 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 corrections/ s Developer Impact Fee Planning Approval Called Contact Person It A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 15 130 W s��cyT