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13-1406 (RPL)C:. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 13-00001406 53630 AVENIDA CARRANZA 774-121-007-18 -000000- POOL - RESIDENTIAL COVE RESIDENTIAL 14000 Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: RW REAL ESTATE, INC. 72605 HIGHWAY 111, #B2 PALM DESERT, CA 92260 Fro 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. License Class: C53 License No.: 946375 D5te:� Contractor:.�Qwo e—,_rAe k%r,()Es 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).: (_ 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.). (_ 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 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 Contractor: NOGUES, JULIO CESAR 46625 DESERT VILLA #1 INDIO, CA 92201 (760)397-7699 Lic. No.: 946375 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/05/13 Li NOV 05 20 13 D QUINTA WORKER'S COMPENSATION DECLARATION 1 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 C� 3700 of th ' or Code, I shall forthwith comply with those provisions. fo Date: Applicant: S 0WO r 1=� 1 Q— 66 Oft - 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 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 applica ' nand state that the above information is correct. I agree to comply with all city and county ordinances and s to laws relating to building construction, and hereby authorize representatives of 5 is county to enter upon t above-mentioned property or irpection purposes. ate. ^ S� Signature (Applicant or Agent): �� Application Number . . . . . 13-00001406 Permit . . . POOL 2013 Additional desc . Permit Fee . . . . 178.75 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/04/14 Qty Unit Charge' Per Extension 1.00 178.7500 EA MISC POOL/SPA 178.75 ---------------------------------------=------------------------------------ Special Notes and Comments POOL, SPA [10 L.F. OF 1 1/2 INCH GAS LINE] EQUIPMENT SHALL BE INSTALLED IN. ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2010 CALIFORNIA BUILDING " CODE. ---------------------------------------------------------------------------- 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 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 Permit # 3�/ J,�%� "/'�/ Project Address: — i J Owner's Name: lr'V P—IF At— —5-6PkTP— ti L A. P. Number: Address: `.) Legal Description: City, ST, Zip: Contractor: (j1r U — L telephone:.>;.::•:,;::.::�::::<:.;:;,:`.x.,:,::;;'s:>: . Address: ' V 5 5 H MILL) io Project Description: vvi,_ /SNP ?1A City, ST, Zip: I Tj D l C) e-. A C1 22v l VL '11 U i 1 6. /-1` Telephone: J(L M7-76 Id State Lie. #: C 5 $ City Lic. C I Q 2 g Arch., Engr., Designer: Address: City, ST, Zip: Telephone:...... State Lie. #: f� i �:} 1+ryv::yl�yY'�h':`N�.'•ii:?. 1.y.}Y>�%� *k Construction Type: Occupancy: Project type (circle one): ew Add'n Alter Repair Demo Name of Contact Person: 3VLk C7 Sq. Ft.: "' # Stories: #Units: Telephone # of Contact Person: —14,4 cl I Estimated Value of Project: % APPLICANT: DO NOT WRITE BELOW THIS LINE if Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance • Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan tad Review, ready for correction li ue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- "d 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 BUILDIN To 1 Permit Fees FOR CONSTRUCTION DATE BY GARAGE 0 RAISED 6" O p DRIVEWAY y` GO s6' 31 � 20' GAS LINE DRIVEWAY 5' O o0 m C) � BLE)GK WALL CITY OF LA QUINTA BUILDING & SAFETY DEPT. 13' TO CURB BY OTHERS APPROVED FOR CONSTRUCTION KAN C U N pool and spa construction DATEJI�-i3 BY �-� - POOLS TITLE & 53630 AVENIDA CARRANZA, SPAS-INC LA QUINTA CALIFORNIA 92253 SIZE CAGE CODE DWG NO REV ----- A4 ------------------ SCALE SHEET AVENIDA CARRANZA STREET 2 CITY OF LA QUINTA-SUB-CONTRACTOR wLI T JOB ADDRESS31v?7DP,�iG ��'-PERMIT NUMBER OWNER. 7��f-BUILDERUO �� i�161 �c 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 authorized to wl 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 voidar of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. de C a sio :. ::..::; :z:`S a I s f -cat - V. e n Contractor : =:a::>`: tate:::Contrac Tr ltor. s License . • :..... :> :;' Workeis Cc�mnensaLonarisuraoce: `:::.: :::::.:. :<:::.; CitBusiness license:::::. License Number Exp. Date Carrier Name Policy Number (xxxxxx) (xx/xx/xx) (e.g. State Fund, CalComp) (Format Varies) �1 / 163 -7 C 3O-? y x��_ 47 M,V -3o-J1i q637'�_ I, V_,70-/24 IS Exp. Date License Number Exp. Da (xx/xx/xx) I I (xx/xx/x q3- l)i WO 11F_ Company Name Classification (e.g. A. B, C-8) EARTHWORK (C712) _ ;. ` C C 53 CONCRETE .PV •' FRAMING FRAMING :(C-5) STRUCT':'STEEL-(d':61) [ c) MASONRY �� MBING (C -36j !< C� _ (ATH; PLASTER (C-35) vZ Ji -1 C 53 DRYWALL (C-9)..., _: HVAC- (C720) • :.: `:. -:: % D` ELECTRICAL. (C=10) :. . , j�/� C - r0 RQOFING �SHEETMETAL (C'--431 • �= GLAZING (C-:' .... INSULATION:`(C-2) . SEWAGE DISP -(6-43 ) PAINTING 0A ERAMIC TILE (C-54) - —5� CABINETS IC -6) FENCING (C-13) LANDSCAPING (C:-27).--'.:' A O.OL (C-53) License Number Exp. Date Carrier Name Policy Number (xxxxxx) (xx/xx/xx) (e.g. State Fund, CalComp) (Format Varies) �1 / 163 -7 C 3O-? y x��_ 47 M,V -3o-J1i q637'�_ I, V_,70-/24 IS Exp. Date License Number Exp. Da (xx/xx/xx) I I (xx/xx/x q3- l)i WO