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12-1148 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Iw �?2, M - Application Number: 12-00001148 Property Address: 81176 CASPIAN CT AM 764-280-004-24 -35996 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 27500. Applicant: Architect or Engineer: PAO ------------------- LICENSED CONTRACTOR'SDECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury, that 1 am'licensed under provisions of Chapter 9 (ogmmencing with Section 7000) of Division 3,01 the Business and Professionals Code, and my License is in full force and effect. License Class: C27-053 License No.: 9644.74_ Date: Contractor:. OWNER -BUILDER DECLARATION I hereby affirm, Linder. 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, akar, 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 700%of Division 3 ofthe-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 appficanufor a.par m subjects the applicant to a civil penalty -of not more -than five hundred dollars (8500).: (_ 1 1, as owner of the property, or my employees with wages; as their sole compensation, will do the work, and the structure isnot intended or offered for sale;(Sec. 7044; Business and Professions Code: The Contractors' State License Law does not apply to anownerof property,who builds or improves.thereon, and who does the.work,himself or herself through his or bar own employees, provided that the improvements are not intended or offered for sale. If, however, the building orimprovemerK.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 projectewith a contractor(i)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 effirm'under penalty of perjury that.thersia 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: I:QPMMIT Owner: LUDEVIG VOICE (760) 6 FAX (760) INSPECTIONS (760) 777-7153 Date: 10/09/12 81176 CASPIAN COURT LA QUINTA, CA 92253 WFINANCEDE1 Contractor:DESERT OUTDOORS INC 78065 MAIN ST :STE #205LA QUINTA, CA 92253 (760)399=9600 LiC. No.: 964414 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ Fhave and will'maiMain a.certificate of consent=to sett -Insure for workers' oompensation, as provided for by;Section 3700 of the Labor Code, for the performance of the work for which,thia permit is Issued. _ I have,and will.maintaln workers' compensation Insurance,.as;required by Section 3700 of the Labor Code,forthe performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier NORGUARD INS Pollcy Number DEWC229889 _ I certify that„in the performance of the work for which,this.permit is Issued, Fshall riot 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,subjecrto the workers' compensation provisions of Section / 3700 of the Labor Viawith those Louis ons. Date: I'1 Applican 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 (6100;000). IN. ADDITION TO THE COST OF COMPENSATION, DAMAGES'AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT' ACKNOWLEDGEMENT IMPORTANT Application is hereby made to.the Director of Building and Safety fora 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'permk'issued as a result of this application, the owner; and the applicant, each agrees to,.and shall defend, Indemnify antd hold harmless. the City of La Ouinta, its officers, agentsandemployees for any act or omission related,to the work being performed.under or following issuance of this permit. 2. Any permiflssued as a result of: this application becomes null and void'If.work is not oommenced within 160 days from date of issuance of such permit, or ceasation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that thwabove informationis. correct. I agree to comply -with -all city and county ordinances and state laws relating to building construction,and hereby'authcrize represent etIves of this county to enter upon the above-mentioned or ns Date: E4 1 Signature (Applicant orAgen Application Number . . . . . 12-00001148 PermitBLDG POOL PERMIT Additional desc . Permit Fee 27.1.50 Plan Check Fee . Issue Date Valuation . . . . Expiration Date 4/07/13 , 176.48 27500 Qty Unit Charge Per Extension BASE FEE 252.00 3.00 6.5000 THOU BLDG 25,001-50,000 19.50 --------------------------------- Permit... . . . MECH POOL Additionaldesc.. . Permit.Fee . . . . 26.00 Issue Date . . . . Expiration Date . . 4/07/13 Plan Check Fee . . 6.50 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 PermitELEC POOL PERMIT-RES ldesc . . Permit Fee 45.00 Plan Check Fee .11:.25 Issue Date . . . Valuation 0 Expiration Date 4/07/13 Qty Unit. Charge Per Extension, BASE FEE 15.00 1..00 30.0000 --------------------------------------------------------- EA 'ELEC PRIVATE SWIMMING POOL 30.00 PermitPLUMBING Additional•desc . Permit Fee . . . . 3.3.00 Plan Check Fee 8.25 Issue. Date Valuation. 0 Expiration Date 4/07/13 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 PIPN'1-4 OUTLETS.. 3.00 Permit- . . . . WALL/FENCE PERMIT LQpeRMrr Application Number . . . . . 12-0000.1148 Permit. . . . WALL/FENCE PERMIT Additionaldesc.. . Permit Fee . . . . 15..00 Plan Check Fee . Issue Date . . . Valuation . . . . Expiration Date . . 4/07/13 :00 260 Qty Unit Charge Per Extension BASE FEE 15.00 ------- ----------------------- Special Notes and Comments POOL/SPA, 12 L.F. 416" EQUIPMENT WALL, CITY STANDARD. ALARMS/BARRIERS SHALL.BE IN PLACE AT PRE -PLASTER INSPECTION. 2010 CODES. ----------------------------------------------------------------------------- Other Fees . . . . BLDG STDS ADMIN (SB1473) 2,.00 Fee summary Charged Paid Credited Due --------- ---- -------------------- --- - -- Permit Fee Total 390.50 .00 .00 390.50 Plan Check Total 202.48 .00 .00 202.48 Other Fee Total 2.00 .00 .00 2.00 Grand Total 594.98 .00 .00 594.98 LQPERMIT man -TOPOFOUHRe b;•�:. � WWTFAItlOi MM 4 AT LOM 4 .amna'.�.•., m ALL DRAINAGE BY DRAINLINE TO STREET ALL GRADING DIRECTED TO DRAIN GRATES 7PLAMRE PROPERTY OF DESERT ARE NOT INTENDED FOR OR USE WITHOUT THE SERT OUTDOORS. 8 u ei LEGI 1. FINISH GRADE 2 BUBBLER HEAD 3. 12" PVC SCHEDULE 60 RISER 4. PVL SCHEDULE 40 STREET ELL 5. PVC SCHEDULE 40 TEE AND ELL 6. CLASS 200 PVC LATERAL 7. 4- A.D.S. PERFORATED PIPE 42' LONG W/ ONE BUBBLER 8. 3/4- PEA GRAVEL 9. DRAIN GRATE A Lu U Q 8 � Z W CL W MJ m 0*(D®o 11J V' 000€ If 8 8 u ei LEGI 1. FINISH GRADE 2 BUBBLER HEAD 3. 12" PVC SCHEDULE 60 RISER 4. PVL SCHEDULE 40 STREET ELL 5. PVC SCHEDULE 40 TEE AND ELL 6. CLASS 200 PVC LATERAL 7. 4- A.D.S. PERFORATED PIPE 42' LONG W/ ONE BUBBLER 8. 3/4- PEA GRAVEL 9. DRAIN GRATE A Lu U � W CL 11J V' s J mxw Pr. MM rL If " rx'av un PAVM ieL PAYM OBOIY BF: u. IM1B! M R1R aD9.F.Gmma..pwo PM PBffAM-VAWMVM w Comm MWAM-EW=M Me oil I I F 54444 IgN 5fMZ N M W. jam/= Imm vgwl4' AM RAM ow 1or1 Bk Oty Of La Quanta Mft arSaky Da► sim P.O Baa 1504, X78-495 Cage Tampko (aQtth" CA 92253 -:(760) 777-7012 Buili tg Permlt Application and Tracking Sheet �- l Otoc , -Owna'sNmm. A. P. Nm*w. �: eA L S , r i- Gwt sT.zip: LA dai Wm' Conftacoc Desert Outdoors Tdephon Adder: 78-065 Main St. Ste. 205 P<olean cur.sr,zip. La Quinta, Ca. 92253,r L . Telma= 760-399-9600 V 2 sbtai k # : --c-53 964474 ArcL., sw., Dmipw. Flying Buttress A&d = - 77725•Enfield Ln. Ste.130 Cigr,sr.z~p: Palm Desert, CA. 92211 T .760-772-4411 Ga onTypa - �p�4"- Sbft Lia �: 33446e�,� Project � (auk one):. New Add'n Ahm Repair Demo Nana of contact Paso®: +.,F� 1��IJ -,Sq. FL: # st dis: # Units: Telephone # of contact Prion: n �3 Estimabod VaEue of Pro; �� APPLU;AW: DO NOT WME BELLOW TM UNE d SWM*W Raga Peed 1HACI�IG PP;R11+IIi FEFS M= Seb Pian CLait nnbudua IEe® Amoaat saw c m Rwkw4 rad;' hr ownwdoae Pian Cly Deponit. - TM" Cake. cww.CoubetPaaon Pian C6erh Balance• TNIdZA Cake. Plate pid" up co ca PAWpidwelan PlagsresuitailNed• , ll�eleal t tadbig plan 2" Ratew, ready for eorr Aon%%= Fdeetr[al Sut+eonttebr List Called C'oaeaet Perron Ptambind GsaatDud Phan** ap 3+flf:b SOA. Approval Plaa rsvbmt4ed .IN SOUS&- ''• Bevlen; reedy for oorreetlo a Dew"w Impact Fee Pl m ft Apprwd- enued camel Prion A".P Pabi.Wlo<Appr • - Dare o[permit bsae " School Fen IT402dPa=ftFem