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BPOL2016-0107-- 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BPOL2016-0107 Property Address: 60980 LAGO CT CT APN: 764450029 Application Description: MARK KARBON / POOL Property Zoning: Application Valuation: $35,000.00 Applicant: DESERT OUTDOORS INC 78065 MAIN STREET #205 LA QUINTA, CA 92253 V VOICE (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT D Date: . 7/21/2016 Owner: FJUL 816 1 MICHAEL PATTERSON CITY OF LA QUAi COMML'I4ITY DR'ELOPA°EMT DEPARTMFNT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am lic sed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of ty)u,,nesstand Pfpfessions Code, and my License is in full force and effect. License Class: C53 License No.: 964474_x_ OWNER-BUILaDEC RATION I hereby affirm under penalty of perju m xempt from the Contractor's State License Law for the following reason (Sic. 1. , Business and Professions Code: Any city or county that requires a permit tou , alter, improve, demolish, or repair any structure, prior to its issuance, also s 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.). (� 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: Contractor: DESERT OUTDOORS INC 78065 MAIN STREET #205 LA QUINTA, CA 92253 , (760)399-9600 Llc. No.: 964474 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 ided for by Section 3700 of the Labor Code, for the performance of the wor which this permit is issued. A, 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: _ Policy Number: _ 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, hould b c me subject to the . workers' compensation provisions of Section 37 o the L o C e I shall forthwith comply with those provisions. n`arP• �' !Z' �LP ii— � C WARNING: FAILURE TO SECURE W ItKERS' CO ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL LA S ($10i IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PR IDED F7 IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 application and state that the aboN I agree to comply with all city and county ordinances and state construction, and hereby authorize representatives of this ci I above-mentioned property for inspection purposes. tae l UrSignature(AppliCant__,__o_rAg t)�� DESCRIPTION FINANCIAL ,•, ACCOUNT QTY AMOUNT PAID PAID DATE` BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 PAID BY METHOD. RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $0.00 DESCRIPTION . ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNTQTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 - $24.17 $0.00 PAID BY. METHOD RECEIPT# CHECK # CLTD BY Total Paid for ELECTRICAL: $48.34 .$0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT 'PAID PAID DATE WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY ' Total Paid for FENCE OR FREESTANDING WALL: $108.77 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY. DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 $0.00 PAID BY ^ METHOD RECEIPT # CHECK # CLTD BY Total Paid for POOL / SPA: $279.91 $0.00 TOTALS:0.00 Description: MARK KARBON / POOL Type: POOL Subtype: Status: APPROVED Applied: 7/20/2016 RSE Approved: 7/21/2016 DCL Parcel No: 764450029 Site Address: 60980 LAGO CT CT THERMAL,CA 92274 Subdivision: TR 30023-4 Block: Lot: 90 Issued: Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $35,000.00 Occupancy Type: Construction'Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 DUANE CLAYTON Details: POOL, SPA, AND BBQ AT REAR YARD, PLUS EQUIPMENT WALL AT SIDE YARD [DENISE POELTLER ENGINEERING]. THIS PERMIT DOES NOT INCLUDE PATIO COVER. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. FINANCIAL INFORMATION Printed: Thursday, July 21, 2016 3:44:29 PM 1 of 2 srsrrnns ADDITIONAL CHRONOLOGY TYPE STAFF NAME CHRONOLOGY ACTION DATE COMPLETION DATE NOTES TELEPHONE CALL DUANE CLAYTON 7/21/2016 7/21/2016 CONTACTED JOHN AND INFORMED HIM THAT PLANS WERE . APPROVED AND PERMIT IS READY TO ISSUE. CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT DESERT OUTDOORS INC 78065 MAIN STREET #205 LA QUINTA CA 92253 CONTRACTOR DESERT OUTDOORS INC 78065 MAIN STREET #20.5 LA QUINTA CA 92253 OWNER MICHAEL PATTERSON 2330 DOUGLASTON GLEN ESCONDIDO CA 92274 FINANCIAL INFORMATION Printed: Thursday, July 21, 2016 3:44:29 PM 1 of 2 srsrrnns DESCRIPTION. ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT# CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total. Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $0.00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 Total Paid for ELECTRICAL:' $48.34 $0.00 WALL/FENCE - FIRST 101-0000-42404 0 $47.86 $0.00 100 LF WALL/FENCE - FIRST 101-0000-42600 0 $60.91 $0.00 100 LF PC Total Paid for FENCE OR FREESTANDING WALL: •$108.77 $0.00 SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 SWIMMING POOL/SPA 101-0000-42600 0 $98.62 $0.00 PC Total Paid for POOL / SPA: $279.91 $0.00 TOTALS:0.00 INSPECTIONS PARENT PROJECTS ATTACHMENTS Printed:. Thursday, July 21, 2016 3:44:29 PM 2 of 2 c S YS7r: MS Fees 11 Bit # I 01 City of La Quinta Buil 9 er Safety Dimon P.O. Box 1504,'78.49S Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # NO Project Address:LA Owner's Name A. P. Number. Address: O B'S Legal on: City, ST, Zip: Contractor. Te "T Telephone: Address: `J$u(o5 City, ST, Zip: L A ^��fW Project Desmiption: Telephone .3Ot�� I 1 eCE t,liA State Lic. # : ? Ci Lia #; ArciL. Bngr , Designer. LMU 27. Address: City, ST, Zip. Telephone: Construction Type. Qpy,; State Lia #: '� �,' p Project type (ciccie New Name of Contact Person: one}; Add'n Alter Regain Demo Sq. Ft.: # Stories: # Unita: j F,siimabod Value of Project: Telephone # of Contact Person: "Z7 95.-72j45ct It Submittal APPUCANT: ReVd Recd DO NOT WRITE BELOW THIS UNE TRACKING PERMIT FEES Plan Sets Plan Cheek sabmitted Ivan Amount Structural Calea. Reviewed, ready for corrections Plan Chalk Deposit TMss (ales. Title 24 calm Flood plain plan Grading plan Caned Contact person Plans picked up Plans resubmitted 22` Review, ready for correcdousame Plan Check adanee Canstraelion Mechanical Electrical Subcoatactor List Grant Deed Called Contact Person Plans picked up Plumbing S.M.I. H.O.A. Approval IN HOUSE:. PlanolugApprovai Pub. Wks. Appr School Fees Plans resubmitted '"' Review, ready for cormtlons&mc Called Contact Person Date of permit Issue Grading Developer Impact Fee AIP.P_ Fees 11