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12-1080 (RPL)
P`O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4'!t 4 4 Q" Application Number: 12-00001080 Property Address: 53600 AVENIDA CARRANZA APN: 774-121-006-19 -000000- Application description: POOL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 16000 A?bL-0404�_ Archit7�� ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I amlicensed 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 License No.: 946375 Date: Contractor: 2&1 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 (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).: (_) 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. , 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 Owner: RW REAL STATE INC P.O. BOX 447. LA QUINTA, CA 92247 (760)619-7611 Contractor: NOGUES, JULIO CESAR 46625 DESERT VILLA #1 INDIO, CA 92201 (760)397-7699 Lic. No.: 946375 VOICE (760) 77 FAX (760) 7 7-7011 INSPECTIONS (760) 777-7153 --------------- - - - WORKER'S COMPENSATION DECLARATION Date 9/'22/ LZ DILII 2 r)� 2012 CITY OF LA QUINTA =fMantt^.F nF�T 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 EXEMPT Policy Number EXEMPT I certify that, in the performance of the work for which this permit is issued, I 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 ��jj 3700 of the Labor Code, I shall forthwith comply with those provisions. Date:+2_52612 Applicant: UL I n C . ` a> 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 ($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, 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 to enter upon the above-mentioned property for inspection purposes. 40, Date: Signature (Applicant or Agent): (4. LQPERMIT Application Number . . . . . 12-00001080 Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/20/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 ---------------------------------------------------------------------------- Permit . . . BLDG POOL PERMIT Additional desc-. Permit Fee . . . . 171.00 Plan Check Fee 111.15 Issue Date . . . . Valuation . . . . 16000 Expiration Date 3/20/13 Qty Unit Charge Per Extension BASE FEE 45.00 14.00 9.0000 THOU BLDG 2,001-25,000 126.00 ---------------------------------------------------------------------------- Permit ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/20/13 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 . . 3/20/13 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 ---------------------------------------------------------------------------- Special Notes and Comments POOL / ALARMS/ BARRIERS SHALL BE IN Application Number . . . . . 12-00001080 ----------------------------------------------------------------------------- Special Notes and Comments PLACE AT PRE-PLASTERINSPECTION.EQUIPMNET ENCLOSURE NOT INCLUDED 2010 CODES. - --------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total -------------------- -275.00 .00 -------------------- .00 275.00 Plan Check Total 137.15 .00 .00 137.15 Other Fee Total 1.00 .00 .00 1.00 Grand Total 413.15 .00 .00 413.15 LQPERMIT /Z' /unci POOL ELEC EQUIPMENT ONE PUMF r TANING O 3" 3'6" SHAL W END L 4'I-� 5' DEEP END NEW GREY CONCRETE 5' BLOCK WALL 3' 4' SHALLOW END UMBRELLA SLEEVE FRONT DOOR GATE BY OTHERS BLOCK WALL BY OTHERS --{ 300 WATTS POOL LIGHT BENCH RESIDENCE CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE A/ 6Z BY ! 7 "" C'0/0y GARAGE 8y'1A'6ATc- ra,e. DRIVEWAY KANCUN POOLS FRONT YARD POOL AND TITLE 53-600 AVENIDA CARRANZA SPAS INC LA QUINTA CALIFORNIA, 92253 ------------------- i ------------------- t% C r':'- 'OFUY,•1gy "vA• 40B ADDRESS P BUILDEI a+ This orm shall be posted on fh12 job with the toft In= Wfn a cohslRz[C TW Only pers0e19 appearing on this list or th r eMeas uthorized to wort on this job. Any changes to this list must be by the ptvlsion p �r to commencement of work. Failure to comply vVM result In a st c and/or the voidanc( of building permit. For each avolicable trade, d bafow must be completed by soollt.ant. 'On File* Is not an aecetlffible respon . Trade / CtaWfieat0fContaeta` ► s!. ....: :..: :QOi11 Company Name y Carder Name Policy Number Exp. to bpfs>a9a too. Stun Fund, CalComp) 1126mrat Vedas) txxlxx/xx) (r lilbOttae:.:; . License Number Exp. Data (xxxx) lxxhtxhm) EARTHWORK (C-12) 9mau 125-13 3 . ►2. -12 CONCRETE (C-8) kit7 2 FRAMING (C-61 STRUCT. STEEL (C•61) kblzLhi Itlip1 ' Q 2. -1 042,91 12 -N -i2 MASONRY (C-29) K PLUMBING (C-36) Kmiuki .Tool -S1417 /121 / k-MYr LATH, PLASTER (C -3G) DRYWALL (C-9) HVAC (C•201 ELgCTRICAI. (C-10) ROOFING (0-381 SHEET METAL (C-43) FLO RING (x113) INSULATION (C-21 SBWAGII DISP. (C-42) PAINTING IC -33) CERAMIC TILE (C-64) P t) 1 C 5 y 6 121 . ErE/rt/ � rd l2- _12 CABINETS IC -8) FENCING (C-13) LANDSCAPING IC -27) POOL IC•63) X Isln Ir City of La Quinta Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico Quinta, CA 92253 - (760) 777-7012 t (f Building Permit Application and Tracking Sheet Permit # C?La Project Address:63-400 eNs Name: W I` AL e�TM f- I N C A. P. Number: rAddress:V_C)e qq Legal Description: ©O y ,n V Yuc Tt d T, Zip: L QoifidA CA 22 . Contractor: ele hon e: --111 j Address:G_ l_ �— Project Description: M \ City, ST, Zip: •1 10 A cl 22O i 131 1 Telephone:....... hone �^ 'j : q 6 V 3 q State Lic. # : L ( City Lic. Arch., Engr., Designer: M Address: City, ST, Zip: Con structton T�_e: Occupancy: ancy : , State Lic. # DemoProJe t t}Pec N ircle one): Add'n After Repair Name of Contact Person: �� L O 0 U S Sq. Ft.:# Stories: # Units: 3 6 t: Telephone # of Contact Person: 1 Estimated Value of Project: .vo o - APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted p Y f Item Amount Structural C9105. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"' Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up SALL II.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees