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BPOL2015-023078-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4tit 4 4 Qa4tro COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 52 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS(760)777-7153 Date: 10/19/2015 Application Number: BPOL2015-0230 Owner: Property Address: 54525 AVENIDA VALLEJO CLARENCE BARNES APN: 774281026 24007E 1ST AVE Application Description: BARNES / POOL AND SPA ONLY LIBERTY LAKE, WA 0 0 Property Zoning: c Application Valuation: $25,000.00 O _ Applicant: Contractor: 2 0 SUNTERRA BUILDERS SUNTERRA BUILDERS 78-930 STARLIGHT LANE 78-930 STARLIGHT LANE BERMUDA DUNES, CA 92203 BERMUDA DUNES, CA 92203 m n L (760)702-5772 ti y Llc. No.: 788530 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 'cense No.: 78308 Dat€� i� Contractor:! w— 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, 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: WORKER'S COMPENSATION DECLARATION 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' )mpensation, as provided for by Section 3700 of the Labor Code, for the performance f the work for which this permit is issued. 6( � 1 have and will maintain workers' compensation insurance, as required by k ion300 of the Labor Code, for the performance of the work for which this permit issued. M orkers' compensation insurance carrier and policy number are: arrier: Z Policy Number: _ VII certify that in the performance of the work for which this permit is issued, I still not employ any person in any manner so as to become subject to the workers' ompensation laws of California, and agree that, if I should become subject to the orkers' compensation provisions of Section 37 0 of the Labor Code, I shall forthwith :)mp�ly with those provisions. 6t�f Applican /ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COV RAGE IS UNLAWFUL, ND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, 4TEREST, AND ATTORNEY'S FEES. a APPLICANT ACKNOWLEDGEMENT VIPORTANT: Application is hereby made to the Building Official for a permit subject to ie conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose quest and for whose benefit work is performed under or pursuant to any permit sued as a result of this application , the owner, and the applicant, each agrees to, and hall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and mployees for any act or omission related to the work being performed under or )Ilowing issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is of commenced within 180 days from date of issuance of such permit, or cessation of cork for 180 days will subject permit to cancellation. certify that I have read this application and state that the above information is correct. agree to comply with all city and county ordinances and state laws relating to building onstruction, and hereby authorize representatives of this city enter upon bove-mentioned operty for inspection purposes. a e Signature (Applicant or Agent). �— FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $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 Total Paid for POOL / SPA: TOTALS::0 $279.91 $0.00 0• Description: BARNES / POOL AND SPA ONLY Type: POOL Subtype: Status: UNDER REVIEW Applied: 10/19/2015 SKH Approved: Parcel No: 774281026 Site Address: 54525 AVENIDA VALLEJO LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 306 Lot: 2 Issued: UNIT 28 Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $25,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ADDRESSI Details: POOL'AND SPA ONLY. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT SUNTERRA BUILDERS 78-930 STARLIGHT LANE BERMUDA DUNES CA 92203 CONTRACTOR SUNTERRA BUILDERS 78-930 STARLIGHT LANE BERMUDA DUNES CA 92203 OWNER CLARENCE BARNES 24007 E 1ST AVE LIBERTY LAKE WA 0 Printed: Monday, October 19, 2015 2:17:36 PM 1 of 2 C"W SY57EM5 Permit Details PERMIT NUMBER r BPOL2015-02,30 City of La Quinta DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD T PAID BY Y CLT D - BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 SWIMMING POOL/SPA 101-0000-42600 0 $98.62 $0.00 PC Total PaidforPOOL / SPA: $279.91 $0.00 J a '-:, amiss • : 1 1 1 1IN AW*' ,L - - :'pyy.<; : vr + F L �: i i `PARENT PROJECTS • _ �. z,# rti .�aa+E Printed: Monday, October 19, 2015 2:17:36 PM 2 of 2 OfiRpu SYSTEMS Bin # City of La Quinta Building &T Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 15 3<n Building Permit Application. and Tracking Sheet Project Address: 5 • X526 A, VF_ v.4 f o Owner's Name: f`ARev'/LE SAP.A 6 A. P. Number:Z �. 0 _ Address: A✓G Vim/ Legal Description: City, ST, Zip: v�^/� .Contractor: o. VN /ER�A v /�A�tit Telephone:hone: SO 212 -6 - SAddress:. ................ Address: . Z O rA.0V_`16WT ��� Project Description: City,ST,Zip; ',9F—RMJDA vNE (off 2.Slx /S� OOH X% $ X_ . Telephone: O Z .::::................ ..................... State Lic. #: l7 City Lie. Arch., Engr., Designer: / 2 Address:. City, ST, Zip: Telephone: ..ancY Con truction Occupancy:- Type: e• ic.# PrJecto'State nPa (circle one New Add'n Alter Repair Demo Name of Contact Person: O Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: n� APPLICANT: DO NOT WRITE BELOW THIS LINE H 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 Calcs. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan I Plans resubmitted Mechanical Grading plan 2nd.Review, ready for correclionsfissue Electrical Subcontoctor List � Called ContactPcrson Plumbing Grant Deed 7 • Plans picked up S.M.I. 4b Ii.O.A. Approval Plans resubmitted Grading IN HOUSE:- X. ''� Review, ready for corrections/issue Developer Impact Fee Planning Approval N" J Called Contact Person A.I.P.P. Pub. Wks. Appr Da of permit issue School Fees Total Permit Fees ! ' ^ CITY. O ` JOB ADDRESS B0LDE This form shall be posted on the Inspection Card at all times in a corispicuous place. Only. persons appearing on this list or their employees are authorized to vxprk on this 'ob. Any changes to this. list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work. and/or the. voidance. i building'permit. For each applicable trade, all-.intormatiori requested below must be compi.eted by applicant. "On File" is not an acceptable response. -- - ------------------------- - - ------ _ -- - -- ���� _. �� - W . _,_._ __ -m _ - -- - - - - - - -- ---- ---- .a o . �,.� m ®....e� -� .a o�m.�m� �m d 1 i _ T _ _ i iti r' Tr" ('( 1 r p-,. ;�;(r 'r' T,, i --- - - -- -- „ lyA.,P.,t�t: wf°IT',,..,,_.v.,.l_;_i.._UNAY J::,PA':',I()T;itVc�FF,; 'R i. T'ri :,C,� i'I I ii al ;`'C' ,j r , f'r , `- �. ! + -. r ! v �, E + i I i 7 atRIFY tUONNEt Tlt)i'� +GIN; S F OR POWER TELEPHONE AiID %AT'•I {S i Ei�'iS RiCj - r _ _ E , ori , _1 _ . ,r� _. :341PJ Iu,,ItJNE, : , _ .: ,Cr_. - n. T A,! ,%'ORK 'A, LEu rOR IPI THESE PI ANc SHAT! 5E E XL:�d Eu � .: ;�'_i ;'CJN T r�AC?ORS SriAIL ,ISI . HE JO `-1:._ tl T SIN G HOi; t : { --' --'III - -_ _-- ., -, , ,; :, C^. Q11i -�, r•r-,� n.,-, r r. 1, ., -r,,, ,•, r• ; 3 APPROXIMATE C'\ ,Y !-i LOCATIONS r�, t+ t• _--. A ,7 w' r R t (! , ry\ I CONSTRUCTION luT �i it TlC (V NPPR I. 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L. a,,- S'''! .,_{'ti -+') `DF',O i; 7r:;S DESILNER AS EMPLi)YEES, ;SND ENG E , A `, t D a 1 - r T" Y• I - c,.- INE R.- GAIN-'rAN AN f_ 3 i r I 3 f __._ __._ -.;_ ,3 DIGGING FENCE POS? HOLES ILL, C, !. �EY WILL `,UP, i_, iNFiORMA I ION OR LOCATE ,AND "IARK rEr aEc i1ERNIPt6S AGE�,6:Y' _1ALPILi LAIM APrA r A, :7- I _ - 9 l7tJ AND . C'ObT'> OF DEFENSE RISINt� 0"U E � r' { � I r. :,! �, ; t. ± i , 1 i ANY UNDERGROUND FACILMESS -_.. _.__.__.. __. -,�,_f.rM; S-! , J. F� , e,' 'r+' vE ;d{ ,TI J 'i - '.5.+ ! I %'7(" -.-,A �'' !'! C ! 1 ^' m T R, ..S '1C , q-, 5', �., t 1 -' - i 1-... R , V� ..'.. , 7 1_F . A _ .A }•3, L _1L. P., n r - L „i J _ TS ;-',�' -r, v r ,I ; i' ;I L r' .OPER 1: LINES, EASEMENT•] AND BUILDINGS 50 F3 r tISTIItG ANL , RiiP+_,.JEf.', ARE SI C!VV ) I,il ,ITE. PLAfv. {� R!.CRS OR 3M1.�SSON.. tUR ; lt•.JLIGc aT ACI :_ {JScU B • ! 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(Jf'- - - - -- ----- - - - - - --- -- ..--- - -- __ - - N � ----- Rr f FI �1R ;I } ! r, R, r, CONST, r r1 , n,' ! It •5..:_ :.i�r<'.F ; HE PERSON MAKING '.)k ` �.a >iNG T IE SAME h. i J W,� W� r —• -_� _ : ,aux _ - <-tea :-. .� - - ,-Pt ,k- ,, r, +.;U'': H 4Ny ,,nh1,,, RUCTION AND Hr i_'_ REPOR I , i _- - - -- - - - - - - - - - - - - cnDESIGNERn� L,, CONFO, ! 1 r r' ,�_ i' _ L _ELN _ ., , y ) RF _,r T'i ({ . C� - - - ---- - - - ii! -;.CI Of — --- - -- -- ER. PRIOR r'' _ REVIEWED _, n HE 7, ._C , _. OR .._ I1r . RM, I .,T +J I�r: ��r:- - 3 ,,,r,, 'U±SCREPA It i"() T! I,'- ;DES1GN' RO --t . - - -�' � {j - - I a Quints-- - - ' n _ �', i . , •\, yr ;� ,',r 'r\f! i"". HE, E ?�1N,✓. !-, i 4 '� ,,\_ n' - ,- - _- -- __ - w - __ -___ _ _ ,h. HOaL� ANY DE,IA.11+-M -'SE It,ur.. `x - ji - --' i h4�r1ENCiNt�Ai�',y,i - - - t - _ - - j �',+.4 ! "-.'rI.\n ;51 , '^, T'r' 1; '{� TZ'r .('#''i`'�i�` I �1�. 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