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13-0049 (RPL)4u�jct' P..O. BOX 1504 ^' VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING ' PERMIT Date: 1/16/13 Application Number: 13-00000049 _j: Owner: Property Address: 78340 BIRKDALE CT TERRENCE A LARSEN APN: 770-280-008- - - Property Zoning: LOW DENSITY RESIDENTIAL D -Application valuation: 24500 Contractor: JAN 1 � 2013 Applicant: Architect or Engineer: AZURE POOLS AND SPAS P.O. BOX 10 641CITY �� LA QUINTA PALM DESERT, CA 92255 PIMA hulo?%1=?r, (760) Lic. Noo..:: 802 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 Professionals Code, and my License is in full force and effect. License Class: C53 License No.: 802919 Dat.:/ /,f' -I? �oContractor: 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 70001 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, 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 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.). (_ 1 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: LQPERMIT 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 SOUTHERN INSe Policy Number PWC002199-12 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 3700 of the Labor Code all 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 Director of Building and Safety 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 lawsrelating to building c ns uction, and hereby authorize representatives of this county to enter upon the above-mentioned property for n ection purposes. Dat/, �/_ Signature (Applicant or Agent): 4' Application Number . . . . . 13-00000049 Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/15/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 --------------------------------------------------------- EA MECH FURNACE >100K ------------------- 11.00 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 252.00 Plan Check Fee 163.80 Issue Date . . . . Valuation . . . . 24500 Expiration Date 7/15/13 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 ----------------=----------------------------------------------------------- THOU BLDG 2;001-25,000 207.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/15/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 ----------------------------------------------------------------------------- EA ELEC PRIVATE SWIMMING POOL 30.00 Permit PLUMBING Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . •0 Expiration Date 7/15/13 Qty Unit Charge Per Extension BASE FEE 15.00. 2.00 6.0000 EA PLB FIXTURE 12.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA. GAS LINE TO FIRE PIT. LQPERMIT r' % 1 Application Number . . . . . 13-00000049 -----------=---------------------------------------------------------------- Special Notes and Comments ALARM/BARRIERS-SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2010 CODES. WATER FEATURE AND VAULT BY SEPARATE PERMITS. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid --------------------------- Credited ---------- Due ---------- Permit Fee Total 356.00 .00 ---------- .00 356.00 Plan Check Total 189.80 .00 .00 189.80 Other Fee Total 1.00 .00 .00 1.00 Grand Total 546.80 .00 .00 546.80 LQPERMIT + j " Bin. f/ QtY Of La uffita Building & Safety Division Permit # P.O. Box 1504,18-495 Calle Tampico [a.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet ProjectAddress: -3 ND / 2yD14eeGST. Owner's Name:. A P. Number. i Address: . j Legal Description: City, ST, Zip: i Contractor. 1192( ,� Address: rj i3d �( gg- GGG Telephone. b r a ,g s (j (o �// Project Description: City, $T, Zip• /7l /t% DG:S� /t / �2S 5. i Telephone: GG - 3 2Z - 7% 6,S .c `, 3 Ery " a ^ ^� GO G— G1 /�'1 G state Lia # : Oa CI C'" S3 city Lic. #; F/ Arch, Engr., Designer I/ U rhPl' Address: 5 1S Cl oZ % 7 City., ST, Zip: Tel6phone: Stat tc #: u' Construction Type: . Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: VY Sq. Ft : #Stories: #Units: Telephone # of Contact Person: �.. �jZZ Estimated Value of Project APPLICANT: DO NOT WRITE BELOW THIS UNE -� # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcc. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Personplan Check Balance Title 24 Cates. Pians picked up Construction Flood plalu_pl_a_n_ _ dans"resubmitted — - - -Mechanical Grading plan 2" Review, ready for correctionstissue Electrical -- Snbcontector List - - - _�-- Called Contact Person Plumbing - - --- -" , Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- 3a Review{ ready for corrections/issue Developer Impact Fee Planning Approval. Called Contact Person AXP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 0 U�Am a 0 I C i O� 35 ny1nyD 1 T T- L 6g q �m m 1D T 70 6 5 u 1 3 m 1 1 I I I 1 a 1 I ° \. A. =rOm GOR \ NW.9 0 A I C i O� 35 ny1nyD 1 T T- L 6g q �m m 1D T 70 6 5 u 1 3 m 1 1 I I I 1 a 1 I ° \. 2.00" n u 1 1 0 0 T 7ftLE= CONSTRUCTION DETAILS JECT: LARSEN RESIDENCE 11-A OLWrACA, Azure Pool s & Spas, In FEDDERLY AND ASSOCIATES PO Box 10641 LARSEN RESIDENCE Palm Desert, CA 92255 78-340 BIRKDALE CT -TRADITIONS LA QUINTA, CA A. \ 2.00" n u 1 1 0 0 T 7ftLE= CONSTRUCTION DETAILS JECT: LARSEN RESIDENCE 11-A OLWrACA, Azure Pool s & Spas, In FEDDERLY AND ASSOCIATES PO Box 10641 LARSEN RESIDENCE Palm Desert, CA 92255 78-340 BIRKDALE CT -TRADITIONS LA QUINTA, CA A. 2.00" n u 1 1 0 0 T 7ftLE= CONSTRUCTION DETAILS JECT: LARSEN RESIDENCE 11-A OLWrACA, Azure Pool s & Spas, In FEDDERLY AND ASSOCIATES PO Box 10641 LARSEN RESIDENCE Palm Desert, CA 92255 78-340 BIRKDALE CT -TRADITIONS LA QUINTA, CA �� — `i�1� r� ■�_� X11 M WON.�.I�����Iri MW I's Imo■ Q .'-,R M o-4 =07rnoM, DTM,c o mm 0 n D Z- �D 70 O 4 T- mD N D y Q O D Z O Q �aEo-Oz O m r ((j 1 v $� -0E < o Q .'-,R M o-4 =07rnoM, DTM,c o mm 0 n D Z- �D 70 O 4 3 mD N D ° O D Z O D �aEo-Oz O m ((j 1 r- $� -0E < o n�rnbn> r 0' D� z 3 Z rn [� �E_rlIc Z � Ao ° rn A n s L �� U ��, r- z rn MD�3 Mi s -O rn rn m r � Z 70 cn r ;d rn A 3 b rn n rn rn *04 112111 F>— o-4 =07rnoM, DTM,c o mm 0 M r v rn O V, mD D M ° M see rLm ra• rtew E ,. M FLAM— v �� ° -111111 IIIA III 111111 EH O D �aEo-Oz ((j 1 n $� -0E G%�1ED n�rnbn> 0' D� z 7700D (PA Z rn [� �E_rlIc Ao Mo rn A �A s L �� U ��, r- z rn MD�3 Mi s -O rn rn m r � Z 70 cn r ;d rn A -170 O b rn n rn see rLm ra• rtew Jill ,. M FLAM— v �� see rLm ra• rtew Wl I> Jill ,. M FLAM— 3 �BOIII �� Sp0 O D Wl I> Jill ,. M FLAM— o�Q ((j 1 n $� N F u � a 1 Z I O I 1 1 1 1 1 O O g SHEET MLE, �'- CONSTRUCTION DETAILS € ■$I la ry v 11 LARSEN RESIDENCE U OUWA,CA ill" I - Azure Pool s & Spas, Inc. FEDDERLY AND ASSOCIATES PO Box 10641 LARSEN RESIDENCE Palm Desert, CA 92255 78-340 BIRKDALE CT -TRADITIONS LA QUINTA, CA FLAM— ((j 1 $� A s L M x j Mi s A u F u � a 1 Z I O I 1 1 1 1 1 O O g SHEET MLE, �'- CONSTRUCTION DETAILS € ■$I la ry v 11 LARSEN RESIDENCE U OUWA,CA ill" I - Azure Pool s & Spas, Inc. FEDDERLY AND ASSOCIATES PO Box 10641 LARSEN RESIDENCE Palm Desert, CA 92255 78-340 BIRKDALE CT -TRADITIONS LA QUINTA, CA