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BPOL2016-007778-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPOL2016-0077 Property Address: 59185 ALMERIA APN: 764660014 Application Description: TD DESERT DEV / BUBBLE SPRINGS/POOL SPA FIRE PIT Property Zoning: Application Valuation: $45,000.00 Applicant: JOHN L CAREY INC DBA BUBBLE SPRINGS P 0 BOX 1046 RANCHO MIRAGE, CA 92270 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 Professions Code, and my License is in full force and effect. License Class: C53, D35 License No.: 728796 Date: Contractor: OWNER -BUILDER DECLARATION ' Thereby 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).: U 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.j. (� 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 Lender's Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/7/2016 Owner: T D DESERT DEV 81570 CARBON ERAS LA QUINTA, CA 92253 Contractor: JOHN L CAREY INC DBA BUBBLE SPRINGS P 0 BOX 1046 RANCHO MIRAGE, CA 92270 (760)341-2336 Llc. No.: 728796 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 polity number are: Carrier: Policy Number: _ Icertify 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 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: 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 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 above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. . Date: ' Signature (Applicant or Agent): DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 6/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY Corena Killebrew CREDIT WEB858 2016060917525817244 ECON Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $2.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE Credit Card Fee 101-0000-43505 0 $8.06 $8.06 6/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY ' Corena Killebrew CREDIT WEB858244 2016060917525817 ECON Total Paid for Credit Card Fee: $8.06 $8.06 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 6/9/16 PAID BY METHOD- RECEIPT'# '• CHECK # CLTD BY Corena Killebrew CREDIT WEB858 2016060917525817244 ECON DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE' DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 6/9/16 PAID BY METHOD . RECEIPT #i CHECK # CLTD BY Corena Killebrew CREDIT WEB858 2016060917525817244 FEON Total Paid for ELECTRICAL: $48.34 $48.34 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $12.09 6/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY Corena Killebrew CREDIT WEB858 244 2016060917525817 ECON DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $24.17 6/9/16 PAID BY METHOD RECEIPT# CHECK # CLTD BY - Corena Killebrew CREDIT WEB858 2016060917525817 244 ECON Total Paid for PLUMBING FEES: $36.26 $36.26 DESCRIPTION - ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $181.29 6/9/16 - PAID BY METHOD RECEIPT # CHECK # CLTD BY Corena Killebrew CREDIT WEB858 20160602944 525817 ECON DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 $98.62 6/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY Corena Killebrew I CREDIT I WEB858 12016060244 5258171 ECON Total Paid for POOL/ SPA: $279.91 $279.91 Description: TD DESERT DEV / BUBBLE SPRINGS/POOL SPA FIRE PIT Type: POOL CONSTRUCTION Subtype: PRIVATE Status: ISSUED Applied: 5/24/2016 ECON (WEB) . Approved: 6/8/2016 BHA Parcel No: 764660014 Site Address: 59185 ALMERIA LA QUINTA,CA 92253 Subdivision: TR 31681-3 Block: Lot: 78 Issued: 6/9/2016 ECON Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $45,000.00 Occupancy Type: Construction Type: Expired: 12/6/2016 ECON No. Buildings: -0 No. Stories: 0 No. Unites: 0 CHRONOLOGY TYPE Details: POOL (34'X15') W/ SHEER WALL WATER FEATURE AT REAR WALL, SPA (7X7) 400,000 BTU HEATER (2 INCH GAS PIPING. THIS PERMIT INCLUDES FIRE PIT AND BBQ. 1' DIA. ELECTRICAL CONDUIT. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. (ENGINEERING; DENISE POELTLER) 15 1 __j Applied to Approved Approved to Issued Printed: Thursday, July 07, 2016 1:41:23 PM 1 of 4 NAS SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES E-MAIL BURT HANADA 5/25/2016 5/26/2016 Emailed Corrections for: 59185 ALMERIA Provide on plans: pool heater capacity, gas piping size and lengths for BBQ< Fire Pit and Pool Heater(s); Electrical conduit size and lengths. . E-MAIL BURT HANADA 6/8/2016 6/8/2016 emailed approval notification. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT JOHN L CAREY INC DBA BUBBLE SPRINGS P O BOX 1046 RANCHO MIRAGE CA 92270 (760)574-4822 IBUBBLESPRINGS@MSN COM Printed: Thursday, July 07, 2016 1:41:23 PM 1 of 4 NAS SYSTEMS Printed: Thursday, July 07,.2016 1:41:23 PM 2 of 4 NAPCROW SYSTEMS FINANCIAL INFORMATION PHONE _ FAX EMAIL NAME TYPE NAME ADDRESSI CONTACTS -CITY STATE ZIP CONTRACTOR JOHN L CAREY INC DBA BUBBLE SPRINGS P O BOX 1046 RANCHO MIRAGE CA 92270 (760)574-4822 BUBBLESPRINGS@MSN COM OWNER T D DESERT DEV 81570 CARBONERAS LA QUINTA CA '92253 (760)574-4822, mremilong@andalusia countryclub.com Printed: Thursday, July 07,.2016 1:41:23 PM 2 of 4 NAPCROW SYSTEMS FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY 201606091 BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 6/9/16 WEB858 752581724 CREDIT Corena Killebrew ECON 4 Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $2.00 BSA: Credit Card Fee 101-0000-43505 0 $8.06 $8.06 6/9/16 WEB858 1201606091 752581724 , CREDIT Corena Killebrew . ECON 4 Total Paid for Credit Card Fee: $8.06 $8.06 201606091 DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 6/9/16 WEB858 752581724 CREDIT Corena Killebrew ECON 4,: 201606091 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 6/9/16 WEB858 752581724 CREDIT Corena Killebrew ECON 4 Total Paid for ELECTRICAL: $48.34 $48.34 201606091 GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $12.09 6/9/16 WEB858 752581724 CREDIT Coeena Killebrew. ECON OUTLETS 4 201606091 GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $24.17 6/9/16 WEB858 752581724 CREDIT Corena Killebrew ECON OUTLETS PC 4 Total Paid for PLUMBING FEES: $36.26 $36.26 Printed: Thursday, July 07,.2016 1:41:23 PM 2 of 4 NAPCROW SYSTEMS BOND INI-L)KIVIA'I"ION RETURNED REVIEWS STATUS REMARKS Attachment Type REVIEW TYPE REVIEWER CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY DOC 6/8/2016 BURT HANADA ENGINEERING - 59185 ENGINEERING - 59185 1 Corrections for: 59185 ALMERIA BY BURTPiovide 5/24/2016 5/25/2016 5/25/2016 REVISIONS REQUIRED 0077.pdf on plans: pool heater capacity, gas piping 201606091 HANADA SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $181.29 6/9/16 WEB858 752581724 CREDIT Corena Killebrew ECON (s); Electrical conduit size and lengths. 2ND BLDG NS — BURT 1 6/8/2016 6/9/2016 6/8/2016 APPROVED 4 ' ETRAKIT (1 DAY) HANADA SWIMMING POOL/SPA201606091 101-0000-42600 0 $98.62 $98.62 6/9/16 WEB858 75258:724 CREDIT Corena Killebrew ECON PC 4 Total Paid for POOL / SPA: $279.91 $279.91 TOTALS: $374.57 $374.S7 BOND INI-L)KIVIA'I"ION RETURNED REVIEWS STATUS REMARKS Attachment Type REVIEW TYPE REVIEWER SENT DATE DUE DATE SUBDIR ETRAKIT ENABLED NOTES APPROVED APPROVED DATE DOC 6/8/2016 BURT HANADA ENGINEERING - 59185 ENGINEERING - 59185 1 Corrections for: 59185 ALMERIA 1ST BLDG NS - BURTPiovide 5/24/2016 5/25/2016 5/25/2016 REVISIONS REQUIRED 0077.pdf on plans: pool heater capacity, gas piping ETRAKIT (1 DAY) HANADA size and lengths for BBQ< Fire Pit and Pool Heater (s); Electrical conduit size and lengths. 2ND BLDG NS — BURT 1 6/8/2016 6/9/2016 6/8/2016 APPROVED ' ETRAKIT (1 DAY) HANADA BOND INI-L)KIVIA'I"ION ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED APPROVED APPROVED DOC 6/8/2016 BURT HANADA ENGINEERING - 59185 ENGINEERING - 59185 1 ALMERIA BPOL2016- ALMERIA BPOL2016- 0077.pdf 0077.pdf Printed: Thursday, July 07, 2016 1:41:23 PM 3 of 4 - NJ LJ SYS Tr:Iv1S Printed: Thursday, July 07, 2016 1:41:23 PM 4 of 4 EAff SYSTEMS ATTACHMENTS _ Attachment Type CREATED OWNER _ DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED APPROVED SITE PLAN - APPROVED SITE PLAN - DOC 6/8/2016 BURT HANADA 59185 ALMERIA 59185 ALMERIA 1 BPOL2016-0077.pdf BPOL2016-0077.pdf DOC 5/24/2016 EtrakitContractor Andalusia H078 Site Andalusia - H-078 0 Plan (4.26.2016).pdf DOC 5/24/2016 EtrakitContractor Andalusia Oce Tds015.pdf 0 Engineering plan g plan Andalusia - H-078 DOC 6/8/2016 EtrakitContractor Revised plan (4.26.2016) Permit 0 pl.pdf Printed: Thursday, July 07, 2016 1:41:23 PM 4 of 4 EAff SYSTEMS