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BPOL2015-024578-495 CALLE TAMPICO LA QUINTA,.CALIFORNIA 92233 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: AZURE POOLS & SPAS INC P 0 BOX 10641 PALM DESERT, CA 92255 T4t!t 4 4 Qalitr(v COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7-153 BPOL2015-0245 - - -50 --" Owner: 52578 VIA DONA VIA DONA 777410002 296 E 5TH AVE STE 300 KANTER / POOL WITH (2) FIRE FEATURES, SPA, AND FIRE PIT EUGENE, OR 0 $28,000.00 n� Contractor: AZURE POOLS & SPAS INC 2015 P 0 Box 10641 PALM DESERT, CA 92255 l� vl'J r;y� JUNTA (760)322-7665 Llc. No.: 802919 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 License No.: 802919 /7 Date: 1.2-3 " lJr Contractor: / OWNER -BUILDER DECLARATION I hereby 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).: I 11, 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 Na Lender's Ad Date: 11/23/2015 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: _ 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, if I should become subject to the workers' compensation provisions of Section 3700of the Labor Code, I shall forthwith comply with those provisions. Date: /gd 3-1-r 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 toupon the above-mentioned property for inspection purposes. Date: -3 `IJ Signature (Applicant or Agent): FINANOAL e• e rrUESCRIPTION ACCOTY AMOIJ T PLAIDI?AID��DE` 'CowlIm BSAS SB3473 FIE 101-0000-20306 0 $2.00 -- $000 Bl x RECE .. ECK'� � CMETHOD Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:., $2.00 $0.00' t` �y€DESCRIPTION" ,.,..�..r:s�ssxx�r CO NT �� ANIOUfVT PAID PAID�A�TE GAS SYSTEM, 1-4 OUTLETS -. 101-0000-42401 0 $12.09 ., $0.00 PAID BYE' * " METHO RECEIPT W. $` c CHECK # ,_ CLT�BY DESCRIPTION�ACCOUNT` CITY AM UNT' PAID ' PAID DATE. GAS SYSTEM, 1-4 OUTLETS PC 3 ,:'101-0000-42600 0 $24.17 $0.00 B 'M ��, :" .. RECCE P # a C�WECK1 �r 'L,TOBY Total Paid for PLUMBING FEES:. $36.26 $0.00 t<�; iii nib Ao7 . '..�,.., ,.r . �ACCOUN� r a �s . r �CZTY` AMbU '.4 s . �� NT „ P141 g ID DATE SWIMMING POOL/SPA 101=0000-42404 0 $181.29 $0.00 ?3PAID BYMI METHODS ;�� RECEIPT # r Y CHECKS# CLTD BY ` DESCRIPTION AMOU T r PAID ADD SWIMMING POOL/SPA PC 101-0000-42600 -0 $98.62. $0.00 PAID BY rYMSE HAS p i RECEIP #� sem... CFIE K#: V'CLTUY ar r r Total Paid for POOL / SPA: $279.91 $0.00 •318.17 $0.00 i 4 Description: KANTER / POOL WITH (2) FIRE FEATURES, SPA, AND FIRE PIT Type: POOL Subtype: Status: APPROVED Applied: 11/19/2015 SGU Approved: 11/20/2015 KKI Parcel No: 777410002 Site Address: 52578 VIA DONA LA QUINTA,CA 92253 Subdivision: TR 29894-4 Block: Lot: 2 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $28,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 KIRK KIRKLAND Details: 11/23/2015 _-._.I! Applied to Approved Printed: Monday, November 23, 2015 2:20:30 PM 1 of 2 CA.,___, ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE KIRK KIRKLAND 11/20/2015 11/23/2015 sent back to maty 11/20/15 CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT AZURE POOLS & SPAS INC P O BOX 10641 PALM DESERT CA 92255 RENEE@AZUREPOOLSA N DS PAS.COM CONTRACTOR AZURE POOLS & SPAS INC P O BOX 10641 PALM DESERT CA 92255 RENEE@AZUREPOOLSA NDSPAS.COM OWNER VIA DONA 296 E 5TH AVE STE 300 1 EUGENE I OR 1 0 Printed: Monday, November 23, 2015 2:20:30 PM 1 of 2 CA.,___, PARENT PROJECTS Printed: Monday, November 23, 2015 2:20:30 PM 2 of 2 ora ........ CLTD DESCRIPTION ACCOUNT QTY . AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $0.00 BSA: GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $0.00 OUTLETS GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $0.00 OUTLETS PC Total Paid for PLUMBING FEES: $36.26 $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 TnTALS: $318.17 $0.00 PARENT PROJECTS Printed: Monday, November 23, 2015 2:20:30 PM 2 of 2 ora ........ lain # City of La Quin to Building &' Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit#f 210 gj�CL !1 Project Address: Z� �( Owner's Name: -�� us A. P. Number: Address2-6-7 f W (, Legal Description:City, ST, Zip: 1 Contractor: .l S Telephone: h ne: Address: Q Project De cription: l City, ST, Zip! Telephone: r State Lic. # : U ( City Lie. Arch., Engr., Designer: OnAl t Address: h , City, ST, Zip: h n •Tele n tructi n TYPe: Occupancy: cY State to Lre. Project type circle ne • N ew Add'n Alter Repairair Demo Name of Contact Person: Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: D27 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. 1{.O.A. Approval Plans resubmitted Grading IN ROUSE:- Jrd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees Qin #City of La Quinta Building & Safety Division Z4t 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # - Project Address: �� 1Q Owner's Name: A. P. Number: Address: VI'A Legal Description: City, ST, Zip: CA2 Co ntract r o. Sd h n • Te leP o e. Address: kUJ4 I Project Description: City, ST, Zip: r' 14 Jll� e P Telho ne: Z Le — State Lie. # : City Lie. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: �I D 16D ...................................................... • Construction TYPe• Occupancy: cY Lie. #: L oState Project bP (circle ne • New Add'n Alter Repair air De Name of Contact Person: KhU Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: O Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2wd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"! Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue Schodl Fees, Total Permit Fees //a 0 qlJON ..s1oz;Nvro�^....__..._:xo �4 �i��,L`,.. .3 :nnlv_ao. 1N3 tl1N� 0 40.�1� :311j 6[•OTLLV9i A0d GOL9TL[99L 00WM01 I ILL W W97 t�1a'0 990V p00! a010d0N 11l'R S3.LOI�I '8 SrIIt' K ONI.LNd'ld, 2 O3 9;'I 1213HS 33S , 9411V01d10ads Sa3ML7vaw,,H aid saalwive 1008 'load d330 C. 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M 5.3 VNYINVI alaana ` �'•J ; q.��0p/ ) .O 3.o \ sm 153Wdvf lam? p ISS � NSVaI PVY q-) �• (/�/ 1 f" (-•8001)=3d 0l 101 C Y SnN r , gsUS.33 L QI F U, QUINT, , BUILDING & SAFETY DEPT. APPROVED 0 oo° FOR CONSTRUCTION DATE�&W.i , BY _4 (. — 11*'*