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13-0924 (RPL)r P. -O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 13-00000924 77511 CALLE ARROBA 774-155-022-2 -000000- POOL - RESIDENTIAL COVE RESIDENTIAL 23000 Tit(f 4.4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHIRK,RICHARD D & JANET 1180 BROOKGATE WAY NE ATLANTA, GA 30319 Architect or Engineer: D6awE rwft;c- Contractor: FAMILY POOLS CONSTR P O BOX 283 LA QUINTA, CA 92247 (760)564-3655 Lic. No.: 658996 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/25/13 ° D JUL 25 aot� OF I.A QUINTA ------------------rlicensed --- ---------------------------------------------------------------------- CNTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION I hereb affirm under penalty of perjury tha under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) f Division 3. of the Businesionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Licen las . CS License No.: 658996 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �( Date: Contractor: _ 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 I hereby ffirm under penalty of perjury that I aexempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Pr essions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any tructure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is censed 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.). (_) 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 Carrier I certify that, in the per rT1a person in any manne so nd agree that, iAWO 700 of the Lab Date: Applicant: WARNIN : FAIL RE TO SECUR SUBJECT AN EMPLOYER TO CRIMINAL 1 DOLLARS ($100,000). IN ADDITION TO SECTION 3706 OF THE LABOR CODE, IN Athicy Number 1344032-2013 e work for which this permit is issued, I shall not employ any become subject to the workers' compensation laws of California, me subject to the workers' compensation provisions of Section I forthwith comply with those provisions. COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Y LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN IST, 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 e� it. 2. Any permit issued as a result of this appli atio becomes null and void if work is not commenced within 180 days from date of issuance s ch permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state t t he ab ve information is correct. I agree to comply with all city and ountyordinances and state laws relati to b 'Idin construction, and hereby authorize representatives of this c unty ent//el�r, upon the above-mentio d grope r inspection purposes. ,pate: i �oignature (Applicant or Agentl: Application Number . . 13-00000924 Permit . . . POOL 2013 Additional desc . . - Permit Fee . . . . 178.75 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 1/21/14 Qty Unit Charge Per Extension 1.00 178.7500 EA MISC POOL/SPA 178.75 ---------------------------------------------------------------------------- Special Notes and Comments POOL AND SPA AT FRONT YARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE BLOCK WALLS OR PROPANE TANK INSTALLATION. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2010 CALIFORNIA BUILDING CODE. July 25, 2013 8:29:08 AM 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 J LQPERMIT Bin # City of La Qurnta' -Building&r Safe Division RECEIVED Safety P.O. Box 1504, 78-495 Calle Tamp' La Quinta, CA 92253 - (760) 777-7 2 J U L 22 2013 Building Permit Application and Tra piing Sheet Permit # Project Address:] Owner's Name: ELOPME T -A. P. Number: Address:' l/ ro kit/406 Legal Description: City, ST, Zip:j7 Contractor. / 8 Address: kgNg Telephone: �'x '1' Project Description: City, ST, Zip:7 ti. :,. 1 Telephone: ,.<: -, >.;,•.:`.:-. ,.. f State Lie. # : City Lic. C Arch., Engr., Designer. Address: City., ST, Zip: i Fns ` �-�:..�p.y, Telephone: rss >: h w ;': . AI•.h v - £.. �'-"{vim-•r f//i//f:. �: State Lic. #: y ?;;.;!ly.: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft: # Stories. # Units: Telephone # of Contact Person: .3 Estimated Value of Pro, ec . APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed 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 Titre 24 Cafes. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan' 2od Review, ready for correction0mue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`d Review, ready for correctionsrasne Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees � m +1211, Sp New Block Wall by Others - Front Yard F, Front. Porch. A. 0 15-! P! 12' 5'd Enter ted 14. A — f,4 CITY OF LA QU -NTA BUILDING & SAFETY 'DEPT. APPROVED A FOR CONSTRUC ION Gar -age - D By By n±Ak A. --AMLY P0045 CQNS7KlIC110N A 11•eA'--- ............................... 16 0) 6 4----�--56 C�1U�d IlkAkAA ?'1;AI Existing Block Wall I Jan Shirk 77511 Calle Arroba 'La L Q(Jin.ta ___._..._._._._----_.__ X013. ------------ 55