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BPOL2015-021678-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BPOL2015-0216 Property Address: 80110 VIA CAPRI APN: 777100065 Application Description: FLEENOR RESIDENCE Property Zoning: Application Valuation: $68,900.00 Applicant: DESERT MIRAGE POOLS & SPAS 84267 MIRAMAR COURT COACHELLA, CA 92236 c&tv 4 4Quilt r COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATI I hereby affirm under penalty of perjury that I am licensed un er provi s of Chapter 9 (commencing with Section 7000) of Division 3 of the Busin s and P o essions Code, and my License is in full force and effect. License Class: C53 License No.: 999928 EDa�l V (� Cb amYF` eto'' I hereby affirm under penalty of perjury th I am exem t from the Contractor's State License Law for the following reason (Sec. 31.5, Busi ess and Professions Code: Any city or county that requires a permit to cons uct, alte , improve, demolish, or repair any structure, prior to its issuance, also requi sthe pplicant 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 41 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/5/2015 Owner: ROBERT MCDONALD 2110 A BOCA RATON NO 200 6 AUSTIN, TX 0 c n C=) T p a T as.- D —1 Contractor: m p DESERT MIRAGE POOLS & �A_-S� N O 84267 MIRAMAR COURT a vLill COACHELLA, CA 92236 V (760)702-9222 Llc. No.: 999928 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 r it is issued, shall not employ any person in any manner so as to become bject t t workers' compensation laws of California, and agree that, if I should ecome u ect to the workers' compensation provisions of Section 3700 of the bor C e shall forthwith comply with those provisions. Applicant WARNING: FAILURE TO SECURE WORKERS' OIGI�EN ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TC CRI NAL NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100 000). N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED F 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 cessationof work for 180 days will subject permit to cancellation. / I certify that I have read this application and state that the above inform ion is o ect. I agree to comply with all city and county ordinances and state laws rel ing illcling e construction, and hereby authorize representatives of this city to It po t e above-mentioned property for inspection purposes. OaCe=— --SQL � _A Signature plicant or Agent): DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY . AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $3.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING.STANDARDS ADMINISTRATION BSA: $3.00 $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 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER FEATURE 101-0000-42404 0 $181.29 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER FEATURE PC 101-0000-42600 0 '$98:62 $0.00 PAID BY METHOD :: RECEIPT # CHECK # CLTD BY Total Paid for POOL / SPA: $559.82 $0.00 TOTALS:00 Permit Details PERMIT NUMBER City of La Quinta BP062�0 15=02" � Ifs Description: FLEENOR RESIDENCE Type: POOL Subtype: Status: APPROVED Applied: 10/2/2015 AZA Approved: 10/2/2015 KKI Parcel No: 777100065 Site Address: 80110 VIA CAPRI LA QUINTA,CA 92253 Subdivision: TR 29894-2 Block: Lot: 39 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $68,900.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: POOL, SPA, AND COURTYARD FOUNTAIN [180 LINEAL FT. OF 2 INCH GAS PIPING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT SCREEN BLOCK WALL. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. PER 2013 CALIFORNIA BUILDING CODE. Printed: Wednesday, October 07, 2015 9:22:22 AM 1 of 2 C SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE MARY FASANO 10/2/2015 10/5/2015 sent back 1/2/15 CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT DESERT MIRAGE POOLS & SPAS 84267 MIRAMAR COURT COACHELLA CA .92236 CONTRACTOR DESERT MIRAGE POOLS & SPAS 84267 MIRAMAR COURT COACHELLA CA 92236 OWNER ROBERT MCDONALD 2110 A BOCA RATON NO 206 AUSTIN TX 0 Printed: Wednesday, October 07, 2015 9:22:22 AM 1 of 2 C SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $3.00 $3.00 10/7/15 R9832 1020 CHECK DESERT MIRAGE SKH POOLS & SPAS Total Paid for BUILDING STANDARDS ADMINISTRATION $3.00 $3.00 BSA: SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $181.29 10/7/15 R9832 1020 CHECK DESERT MIRAGE SKH POOLS & SPAS SWIMMING POOL/SPA 101-0000-42600 0 $98.62 $98.62 10/7/15 R9832 1020 CHECK DESERT MIRAGE SKH PC POOLS & SPAS WATER FEATURE 101-0000-42404 0 $181.29 $181.29 10/7/15 R9832 1020 CHECK DESERT MIRAGE SKH POOLS &SPAS WATER FEATURE PC 101-0000-42600 0 $98.62 $98.62 10/7/15 R9832 1020 CHECK DESERT MIRAGE SKH POOLS & SPAS Total Paid for POOL / SPA: $559.82 $559.82 TOTALS: INSPECTIONS ATTACHMFNTS Printed: Wednesday, October 07, 2015 9:22:22 AM 2 of 2 SYSTEMS Qin ## Permit #I Project Address: G Qty of La Q uin to Building a Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Ogg, o '. Owner's Name: A. P. Number: Address: 00-//0VI CI Legal Description: City, ST, Zip: La Ocjai In C-1 Contractor: r' o . Telephone: I, Address: 94- 267 r Project Description: City, ST, Zip: 00 Z 36 ((�`d -foa Telephone 7 a State Lic. # : City Lic. #: U4 No Wtill Arch., Engr., Designer:ct S Address: - /UV 1✓r % ' City., ST, Zip: Telephone:hone: Occupancy: Construction TY Pe: • State Lic. #. Demo oJet type circle one):: New Add'n Alter Repair Name of Contact Person: rr V Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Q Z - 9Z Z Z Estimated Value of Project: 0 APPLICANT: DO NOT WRITE BELOW THIS LINE tl Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. RevieNved, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up. Construction Flood plain plan . Plans resubmitted Mechanical Grading plan 2°" Review, ready for-corrections/issue Electrical SubcontactorList Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Jrd Review, ready for corrcctions(ssuc Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fecs EXISTING / PLANTER \ \ GRASSES i LAWN �O Jy� t i . POOL AND SPA NOTES 1.) 8'x 8' SPA 2.) 10 JETS 3.) (4) PUSH BUTTON IGNITORS 4.) 42" x 84" FIRE PIT 5.) 5` x 12' WATER FEATURE, SET AT +12" /, ... V / R a�,„ S LC EA / (3) 4 x 4 Plinths PLANTER LAWN PLANTER Important Notice_- Underground Service Alert �EFORe raG Section 4216/4217 of the Government Code requires y a e Dig Alert Identification Number be issued before a `Permit to Excavate' will be valid. For your Dig Alert Identification Number call Underqround Service Alert TOLL FREE at 1-800-227-2600 two working days before you dig. Construction contractor agrees that in accordance with generally accepted construction practices, construction contractor will be required to assume sole and complete responsibility for job kite cnnditions during the course of construction of the project, includinq safety of all persons and property; that this requirement shall be made to apply continuously and not be limited to normal working hours, and construction contractor further agrees to defend, indemnify and hold design professional harmless from any and all liability, real or alleged, in connection with the performance of work on this project, exceptinq liability arising from the sole negligence of design professional. FiFFOR OF L,)\ QUINTA I_DING & SAFE -1 -TY DEPt. APPROVED /)CONSTf�UCTf©N l/ I I XBY SCALE: 1/8' = 11-0-11 W � a D Z w O � a W Q w C"i U � N v � Q � 00 Q o? Z Q d Q � r U 3 d Q z d a. �a 0 0 a REVISIONS Date Description of Change 8.11.2015 s -n -is SHEET #