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BPOL2014-107878-495 CALLE TAMPkO LA QUINTA, CALIFORNIA 92253 Application Number: BPOL2014-1078 4 4v COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Property Address: 79175 RANCHO LA QUINTA DR APN: 602100015 Application Description: Property Zoning: Application Valuation: POOL REMODEL, BBQ AND FIRE PIT $52,000.00 D' Applicant: SEP 3 ® 2014 UNITED STATES POOLS CORPORTION 0 OUTSIDE CITY LIMITS CITY (}�iNTA OF UN MENT DEPART LA QUINTA, CA 92253 COMMUNITY DEVELOPMENT 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.: :LIC -0103153 Date Contractor: OWNER -BUILDER DECLARATION I hereby affirm underpenalty 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_).: (--j 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.). (_ 11, 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 perjurythat there is a construction lending agency for' the performance of the work for which this permit is issued (Sec. 3097, Civ. Q. Lender's Name: Lender's Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760).777-7153 Date: 9/30/2014 Owner: RALPH BAKER 79175 RANCHO La QUINTA DRIVE LA QUINTA, CA 9253 Contractor: UNITED STATES POOLS CORPORTION 0 OUTSIDE CITY LIMITS LA QUINTA, CA 9:2253 (760)674-9700 Llc. No.: :LIC -010:3153 WORKER'S COMPENSA—ION DECLARATION I hereby affirm under penalty of perjury one, of the following declarations: _I 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 se 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, l 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on the application. 1..Each person upon whose behalf this appdcation is made, each person at whose request and for whose benefit work is performed under.or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless tha City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. . 2. Any permit issued as a result of this app4cation becomes null and void if work is not commenced within 180 days from date o$ 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 :.tate 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 city to enter upon the above- mentioned property for inspection purposes. Date: Signature (Applicant or Agent): :,..5 Description: POOL REMODEL, BBQ AND FIRE PIT Type' POOL Subtype: Statu,s: SUBMITTED Applied: 9/30/2014 MFA Approved: Parcel No: 602100015 Site Address: 79175 RANCHO LA QUINTA DR LA QUINTACA 9*2253 Subdivision: TR 27840 Block: Lot: 55 Issued: Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $52,000.00 Occupancy,Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: REMODEL POOL, NEW FIRE PIT, AND BBQ [2 INCH GAS PIPING/N AWG IN 1 INCH CONDUIT ELECTRICAL] THI . S PERMIT DOES NOT INCLUDE ELECTRICAL AT BBQ. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2010 CALIFORNIA BUILDING CODE. CONDITIONS Printed: Tuesday, September 3lZO1411:53:58AM 1ofZ ___ . CONTACTS APPLICANT UNITED STATES POOLS CORPORTION 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 ( QUINTA DRIVE Printed: Tuesday, September 3lZO1411:53:58AM 1ofZ ___ . DESCRIPTION; ACCOUNT QTY .' AMOUNT PAID...:, PAID DATE P RECEIPT # ,CHECK :#., METHOD , .:'PAID DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 Total Paid for ELECTRICAL: $48.34 $0.00 GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $0.00 OUTLETS GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $0.00 OUTLETS PC Total Paid for PLUMBING FEES: $36.26 $0.00 SWIMMING POOL/SPA. 101-0000-42404 0 $181.29 $0.00 SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 $0.00 Total Paid for POOL / SPA: $279.91 $0.00 00 .....PARENT PROJECTS REVIEWS RETURNED - STATUS REMARKS REVIEW TYPE REVIEWER SENT'DATE DUE DATE NOTES Printed: Tuesday, September. 30, 2014 11:53:58 AM 2 of 2 Bin #City Rcq'd of U- QUrnta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit # Project Address: 7 7I 7S- jjoko � to lie �r. Owner's Name: c t � 7 e r A. P. Number: Item Address: 7f 75 LA eWMA -I)f-, Legal Description: , City, ST, Zip: a Qu�� CA" q a� ntract Co r•. o . s S h - ss�<. - Address: L�� rdwGl Called Contact Person Project.Description: l O City, ST, Zip: < < D/ICIL ��15+q�� i Vi%rSly� Ge SY/i� 7(p() L3 7� :Telephoner :::::......., � w „ 9�P l�e stateLic.#. &%lq city Lig#ti f E -40ve -.D Le 0141 14e {0 felt /C0,,k Arch., Engr., Designer: Mechanical K Address: 2" Review, ready for corrections/issue ..,ty, ST, Zip. Electrical SubcontactorList Ce]ephone: Construction Type: Occupancy: ata #: to Lic. J ecttYPc(circle one): New Add'n Alter Repair ai Pro r Demo o Larne of Contact Person: r-0n`)�4pr Grant Deed Sq. FL:, #Stories: Units: elephone # of Contact Person: 7ir,,-O qct 3 7q H.O.A. Approval Estimated Value of Project: 5'p 0700 APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Rcq'd Rcc'd TRACKMTG PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance. T.Mc 24,Cslcs. Plans picked up Construction ` Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical SubcontactorList Callcd Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading INIIOUSE:- '`" Review, ready for correctionstiissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Aper Date of permit issue School Fees Total Permit Fees