BSPN2016-005278-495 CALLE TAMPICO U XP VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760)777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT '
Date: 7/8/2016
Application Number: BSPN2016-0052 Owner:
Property Address: 79595 RANCHO SANTA MARGARITA DAVID THORNTON
APN: 602270002 79595 RANCHO SANTA MARGARITA
Application Description: DAVID THORNTON /SPECIAL INSPECTION POOL LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
Applicant: Contractor: U df DAVIDTHORNTON79595 RANCHO SANTA MARGARITA -JUL U 8 2016
LAQUINTA,CA9225,E.CITYOFLAQUINTA
COMMUNITY DEVELOPMENT DEPART
Llc. No.:
------.---------------------------------------------------------------------------------------
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: License No.:
Date:
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
( 00
s owner of the property, or my employees with wages as their sole
co sation, 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 ar of completion, the owner -builder will have the burden of proving that
id not build or improve for the purpose of sale.).
1 s owner of the property, am exclusively contracting with licensed contractors
t struct 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, Yd who contracts for the projects with a contractor(s) licensed pursuant to
Co actors' State License Law.).
m exempt under Sec. . B.&P.C. for this reason
V. Date:
Owner:
CONSTRUCTION LENDING AGETICYJ
I hereby affirm under penalty of perjury that there is a cdnsrruction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's N
Lender's Address:
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 3700 of the Labor Code, I shall 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 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 c' o enter upon the
above -mentioned -property for inspection purposes. ` N/7 'n
Date: . Q % L.i Signature (Applicant or Ag,,/(t ogez C -Al
A-
FINANCIAL ••
DESCRIPTION ax ACCOUNT `x .
, r E
li
;< QTY
� AMOUNT.."
Y ..s r
, _PAID
'PAID,DATE''.
SPECIAL INSPECTION
101-0000-42404
0
$72.52
$72.52
7/8/16
f
"PAID BY t
,RECEIPT #
fr - CHECK #—
CLTD BY,
DAVID THORNTON
DEBIT
R16916
RSE
DESCRIPTION `.: r
ACCOIINT� '
QTY
lA ` AINIOUNT""
' = `PAID
PAID DATE'
SPECIAL INSPECTION PC
101-0000-42600
0
$181.29
$181.29
7/8/16
r s PAID BY fm .p
METHOD. `
'.; RECEIPT #
CHECK # '
CLTD BY
DAVID THORNTON
DEBIT
R16916
RSE
Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION:
$253.81
$253.81
TOTALS:
Description: DAVID THORNTON / SPECIAL INSPECTION POOL
Type: SPECIAL INSPECTION
Subtype: Status: UNDER REVIEW
Applied: 7/8/2016 RSE.
Approved:
Parcel No: 602270002 ..Site Address: 79595 RANCHO SANTA MARGARITA LA QUINTA,CA
ADDRESSl w;
92253
STATE }ZIP 'PHbNE `_ '�'A FAX x EMAIL»
Subdivision: TR 28964
Block: Lot: 2
Issued:
Lot Sq Ft: 0 1
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $0.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites:0
Details: SPECIAL INSPECTION FOR POOL FINAL PERMIT REF [RPL -04-4054)
ADDITIONAL SITES
CONDITIONS
CONTACTS
NAME -TYPE r NAME. `'.
ADDRESSl w;
s._
CITY a;
STATE }ZIP 'PHbNE `_ '�'A FAX x EMAIL»
,
APPLICANT* DAVID THORNTON
79595 RANCHO SANTA
LA QUINTA
CA 92253
MARGARITA
OWNER DAVID THORNTON
79595 RANCHO SANTA
LA QUINTA
CA 92253
MARGARITA
Printed: Friday, July 08, 2016 10:50:31 AM 1 of 2 ,
0TWlYSTEMS
�`. BOND
INFORMATION
ATTACHMENTS
Bin #
City of La Quinta
Building Si Safety Division
.78-495 Calle Tampico
0 La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit W
�1
Project Address: Owner's Name:
A. P. Number: Address 796 5S- ?ewc v Sxti7/f wtle6,.eIZi4
Legal Description: City, ST, Zip: v//— ('A
Contractor: Telephone:
Address: Project Description:
.City, ST, Zip:
S a� r1Sc�n
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Telephone:
P
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bI 1
State Lic. # : City Lie. V.
Com' ..• .S . CX
Arch., Engr:, Designer: L Q 0s'L-4
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Address:
City., ST, Zip:
Telephone: n
Co structi n type: e• Occupancy:
Y P
State Li
c. te L►c. #: ProJect hPa (circle one)- New Add'n Alter Repair' Dem o
Name of Contact Person: Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
ti
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Iled Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resu ' itted
Mechanical
Grading plan
2"" Review, r d or• corrections/issue
Electrical
Subcontactor List
Called ontact Person
Plumbing
Grant Deed
PI s picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3r! Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date or permit issue
School Fees,'.
Total Permit Fees
• Financing available
No Money Down
• 100% Financing
• Debt Consolidation
Licensed, Bonded and Insured
4p
ROCKWEST. CUSTOM 1iOOL.1
CONTRACTOR LICENSE # 337702 ESTABLISHED 1977
CUSTOM D.ESIGNS
ROCK FORMATIONS
PATIO COVERS, DECKS
LANDSCAPING
Inland office 909-862-5658 -San Clemente office
949-369-7569
26235 E. 9" St. suite 033
Highland CA 92346
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PLOT PLAN
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