13-1689 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00001689
Property Address: 54620 AVENIDA CARRANZA
APN: 774-275-006-19 -000000-
Application description: POOL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 12000
T_&f
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/20/14
Applican Archite t or E eer:
Owner:
CORONEL ENTERPRISES
77935 CALLE TAMPICO
LA QUINTA, CA 92253
Contractor:
CORONEL ENTERPRISES
42760 MADIO STREET
INDIO, CA 92201
(760)775-1234
Lic. No.: 727199
INC
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LICENSED CONT TOR'S DE RA ON
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perj hat I m licensed der provision of Chafer 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Busin ss an Profession Is Code, and y Licenr�sse is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B icensa No.: 727 99
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
� 1�1
, actor:
Date: �� Contr
— 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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier DESERT EMPIRE Policy Number 096
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
is issued, I shall not employ any '
_ I certify that, in the performance of the work for whiVworkers
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any m er so as t become sub' t,to compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, i I s ould be ome subject o the pensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labo Co e, I sh II forthwith omply ovisions.
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).:
Date: Applicant:
1 _ 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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGEI NLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE•HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
1 _ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ I I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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
of La Quetta, 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 i t commenced
within 180 days from date of issuance of such permit, or cessation of wor or 18 days will subject
permit to cancellation.
I certify that I have read this application and state loprty
ab a informatio is correct. I agree o comply with all
city and county ordinances and state laws relatinging construction, and hereby uthori representatives
of this county to enter upon the above-mentioned for nspection p poses.
bate: � `' %ignature (Applicant or Agen
Application Number . . . . . 13-00001689
Permit . . . POOL 2013
Additional desc .
f Permit Fee . . . 178.75 Plan Check
Fee
.00
.
Issue Date . . . . Valuation
. . .
. 0
Expiration Date 8/19/14
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
178.75
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Special Notes and Comments
-----------------
POOL AND SPA AT FRONT YARD (CARLOS ELIAS
ENGINEERING] THIS PERMIT DOES NOT
INCLUDE ENCLOSURE FOR POOL, EQUIPMENT OR
PROPANE TANK. ALARMS AND BARRIERS
REQUIRED TO BE INSTALLED AT PRE -PLASTER
INSPECTION. 2010 CALIFORNIA BUILDING
CODE.
January. 7, 2014 10:47:55 AM AORTEGA
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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
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