14-0212 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 14-00000212
Property Address: 80665 CEDAR CREST_
APN: 762-060-014- - -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 38700
Applicant: Architect or Engineer:
rk
' v
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
�+,R1MreswllL ��" �-a��SiL
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that i nsed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business Pr ssionals Code, and my License is in full force and effect.
xLicense Class: C27-053 License No.: 964474
Bate: r I�r ( Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of p 'ury that am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Bus ess an Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, o r 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 _ 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.).
I—) 1 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/28/14
Owner:
EARLE, RICHARD
Contractor:
DESERT OUTDOORS IN
78065 MAIN ST STE
LA QUINTA, CA 9225-1�.t
(760) 399-9600 MAR 102
Lic. No.: 964474
CIN OF !LA QUIN'
FINAIgCE 05PT,
------------------
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 policy number are:
Carrier AMTRUST INS CO Policy Number . WWC3072369
_ I certify that, in the performanc f the work for which this permit is issued, I shall not employ any
person in any manner so as o e e subject to the workers' compensation laws of California,
and agree that, if I should c m s bject the workers' compensation provisions of Section
3700 of the Labo ode, II or wit mply with those provisions.
CDate:�' I Applica t:
WARNING: FAILURE TO SE URE WORK RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER T CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). INA DITION T THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LAB CODE, I TEREST, 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 void if work is not commenced
within 180 days from date of issuance of such perm' , c sa n of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above nfor do is correct. I agree to comply with all
city and county ordinances and state laws relating to buil ' co stru ion, nd of
authorize representatives
of this coun,t!ty tVnter upon the above-mentioned pr erty fo on rposes.
[,Date: lu r 7 Signature (Applicant or Ag U:
Application Number . . . . . 14-00000212
.Permit . . . POOL 2013
Additional desc . .
Permit Fee . . . . 178.75 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 8/27/14
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
178.75
----------------7-----------------------------------------------------------
Special Notes and Comments
POOL AND SPA WITH EQUIPMENT WALL AT REAR
YARD (DENISE POELTLER ENGINEERING) THIS
PERMIT DOES NOT INCLUDE FIRE PIT, OR
BBQ. ALARMS AND BARRIERS REQUIRED TO BE'
INSTALLED AT'PRE-PLASTER INSPECTION.
2013 CALIFORNIA BUILDING CODE.
February 28, 2014 8:16:34 AM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
2.00
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 99.24 .00 .00
99.24
Grand Total 277.99 .00 .00
277.99
LQPERMIT
sin.#
Ci / of.La Quinta FEB .2 5 2014
Building 8r Safety Division
P.O Box 1504,78-495 Calle Tamplco CITY OF LA QUINTA*
La.Wnta, CA 92253 -4760) 777-70CDMMUNITY DEVELOPMENT
Building Permit Application and Tracking Sheet
Perinit #
Project Address:
Owner's Name:.
Address: gO
A. P. Number.
Legal Description:City,
ST, Zip: 1
Telephone:
Contractor. �
Address: `?gDGeq
Project Description:
City, ST, Zip: (— V
Telephone:
w
crk r
State Lic # :
City Lic. fk-
.
Archy FAW., Designer:
Address:
City., ST, Zip:
Telephone: Construction Type:. Occupancy:
State Lic. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq. FL: # Stories: #Units:
Telephone # of Contact Person: p.
Estimated Value of Projects ,
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACKING
PERMfrFEES-
Plan Sets
Plan Check submitted.Item
Amount
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit. .
Truss C21cs.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction
Flood plain pian
Plans resubmitted..
Mechanical
Grading plan
tad Review, ready for corrections/issue
Electrical
Subcostactor List
Called Contact Person
Plumbing
Grant Deed
I Plans picked up
ML
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE.,
'"' Review; ready for correctio s! �
Developer Impact Fee
Planning Approval
Called Contact Person
A.%P.P-
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees 1 q
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