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BPOL2016-011878-495 CALLE TAMPICO (� V a& IN Qum& LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPOL2016-0118 Property Address: 81625 RUSTIC CANYON DR APN: 764540003 Application Description: KONIECZEK/POOL SPA ANDEQUIPMEN :WALE Property Zoning: Application Valuation: $29,000.001 0 VOICE (760) 777-7125 FAX (760) 777=7011 INSPECTIONS (760) 777-7153 Owner: RAY KONIECZEK 81625 RUSTIC CANYON LA QUINTA, CA 9253 AUG 1 #6 Applicant: Contractor: DESERT OUTDOORS INC (fl Y DESERT OUTDOORS INC 78065 MAIN STREET #205 pFl�lQr1DE 78065 MAIN STREET #205 � Q-'��Pn flEh�yL �Ogt(EQF�,�EWp!•(OEP,�''��1 LA QUINTA, CA 92253 u — LA QUINTA, CA 92253 (760)399-9600 Llc. No.: 964474 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 tM77 d Professions Code, and my License is in full force and effect. License Class: License No.: 9644741\ Date: J-14, 1 QP Contragtor I hereby affirm under penalty of per+ ry that I a exempt from the Contractor's State License Law for the following reason Sec. 70311, Business and Professions Code: Any city or county that requires a permit t constr , alter, improve, demolish, or repair . any structure, prior to its issuance, also equ' es 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 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 Lender's Date: 8/16/2016 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of fie following declarations: I have and will maintain a certificate :)f consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of thgvyEJk 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 perforrnance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: BENCHMARK INSURANCE COMPANY Policy Number: CST5007172 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 t ecome subject to the workers' compensation laws of California, and agree that. if sou geco a subject to the workers' compensation provisions of Section 3700 of de, I shall forthwith comply&—) I - with those provisions. Date: I� (� Aggl• ant: WARNING: FAILURE TO SECURE ORKERS' CO ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYJR TO CRIMI Q PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1001,900'. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PR IDES 9OR N 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 Cty 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 applicafion 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 for ion is correct. I agree to comply with all city and county ordina ces and state la s la ng to building construction, and hereby authorize representatives of this c' to er pon the above-mentioned properfyfor inspection purposes. Date:1�0' ( Signature (Applicant o - A nt): • If r Date: 8/16/2016 Application Number: BPOL2016-0118 . Owner: Property Address: 81625 RUSTIC CANYON DR RAY KONIECZEK , APN: 764540003 81625 RUSTIC CANYON Application Description: KONIECZEK / POOL SPA AND EQUIPMENT WALL LA QUINTA, CA 92253 Property Zoning: Application Valuation: $29,000.00 Applicant: Contractor. DESERT OUTDOORS INC DESERT OUTDOORS INC 78065 MAIN STREET 11205 78065 MAIN STREET #205 LA QUINTA, CA 92253 LA QUINTA, CA 92253 (760)399-9600 ---------------------------------------------------------------------------------------------- Llc. No.: 964474 Detail: ROOL,SPA, EQUIPMENT WALL, AND BBQ GAS LINE RELOCATION AT REAR YARD [DENISE POELTLER ENGINEERING]. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2C13 CALIFORNIA BUILDING CODE. C INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $2.00 Total Paid for BUILDING STANDARDS ADMINISTRATION IBSA: $2.00 DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86. DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 Total Paid for FENCE OR FREESTANDING WALL: $108.77 DESCRIPTION ACCOUNT QTY AMOUNT SWIMMING POOL/SPA 101-0000-42404 0 $181.29 DESCRIPTION ACCOUNT QTY' " " AMOUNT SWIMMING POOL/SPA-PC 101-0000-42600 0 $98.62 Total Paid for POOL/ SPA: $279.91 i Bin # 31?BUMS '�K8 City of La Quinta at Safety Dfvbfon P -a Box 1504,78-495 Cab Tampico La.Qufnta, CA 922S3 - {760} 777-7012 Building Permit Application and Tracidng Sheet Penult # Project Address: C�i Owner's Names A✓� E GO ' A. P. Number: Address: Z� lS C Legal Dcsa 'on: Amount City, ST, Zip: L A(`j i - C_' Contractor. Reviewed, ready for corrections Called Contact Person Telephone• ' pm*4 Desciption: Address: 7 (05 =,-A- City, ST, Zip: L P,r \S Pians picked up Telephone .3 Stale Lfe. # : CIW A.efi, Bngi. , Designer, Nt$z� I City Lie. #: Flood plain plan Address: Plans resubmitted Mecbarkcal Cary, ST, Zip: Grading plan Telephone: Stats Lia #: Name of Contact Person: Telephone # of Contact Pelson: N Submittal 'd - - Recd - - - �....v ■ •�n� �e oC�.VYY I fifes 4d1Vt TRACMW(-, ' PERM FEES Plan Sets Plan Check submitted Item Amount Structural Coles. Truss Cates. Reviewed, ready for corrections Called Contact Person Pian Ctn * Deposit Plan Clack Sainte. 1Ytic 24 Cake. Pians picked up Constrwdon Flood plain plan Plans resubmitted Mecbarkcal Grading plan 2u Review, ready for correcaon&jme Elecb le9l Subcontaetor List Called Contact Person Plumbing Grant Deed Plans picked up S.t LL H.O.A. Approval Plans resubmitted Grading W HOUSE% 3" RtAtw, ready for eorrectlonvIssae Develoixr Impact Fce Planning Approval Called Contact Person AyP.P. Pub. Wks. Appr School Fees Date of permit issue Total P:rmit Fees I - " . .. SPA JET DETAIL a r w� nx w.e-rr cnrrn. (NM' wur- OGUIiSE rLVMIIO) 9=1Mmss: ❑ awaao.vw� GOLF COURSE --------- -- g s ns >a to ns ns ®j I:,:�. .w ° -1 I I 0o9 � 0 5 U Z Vi W N W ft z Q m y U Q U U �? s N OD J .ammao =III _ _ POOL -III=III • PLANT SPECS. i - , EX19TIN6 - RESIDENCE w.r� vRr 5 g a RLR I 2 PAVER COPING AND DECK DETAIL SME Ts 8m e ' ' - - CITY OF LA QUINTA��`� BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION _ 6 m eR� DETAIL A D„ BY G FOR HOA APPROVAL 3-1 SCALE KTB OF SITE PLAN a. LEGEND DEEP ROOT BUBBLER SYSTEM 1 () VINE DETAIL * 10f8 MATERIALSELECTIONS: O4L°O` lUY 19.1. IOrR runRRmawRm mart reaiDR,R1 mmreu avmure R JONNlll - • - • DETAIL 4 ae a TS LraND 2 I I J 2 PPma[ a ara¢r w R x soanui a r¢ raP OL a1 oP.K�� '.. 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