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BPOL2016-0055fl i - 78-495 CALLE TAMPICO Q�i U 40" - VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 011 FAX (760) 777-7ONS COMMUNITY DEVELOPMENT DEPARTMENT INSPECTI (760) 777-7011 53 BUILDING PERMIT Date: 4/28/2016 Application Number: BPOL2016-0055 Owner: Property Address: 79005 CALLE BRISA O'CALLAGHAN n APN: 602130037 79005 CALLE BRISA o Application Description: O'CALLAGHAN / POOL, SPA, ANFD FIRE PIT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $20,000.00 Applicant: Contractor: i'O^^���""" � BLACK DIAMOND POOLS & DESIGN' BLACK DIAMOND POOLS & q V r 88-351 AVENUE 58TH #6 88-351 AVENUE 58TH #6 ii c ry THERMAL, CA 92274 THERMAL, CA 92274ry a o rn rn C===3 a (760)619-1362 Llc. No.: 977341 �rm 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 forceand effect. License Class: C53 License No.. 977341 °yam`' _ ! C � Date: f— j'/'� -( Contractor /l OWNER -BUILDER ECLA ION I hereby affirm under penalty of perjury that I am tempt 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 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 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' co ensa as provided for by Section 3700 of the Labor Code, for the performance of t 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:_ Polity 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 worker ' compensation provisions of Sect 0 of the labor Code, I shall forthwith COM With those p visions. Date: Ze Applicant: WARNING: FAILURE TO SECURE WORKE S' COYPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRWINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0 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 thabove information is correct. I agree to comply with all city and county ordinance nd st a laws relating to building construction, and hereby authorize representatives oft ' ity o e r upon the above-mentioned property for inspection purposes. (tri Date: - Signature (Applicant or Age FINANCIAL INFORMATION DESCRIPTION 'ACCOUNT ' QTY AMOUNT PAIDPAID 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 GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 PAID BY :METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $36.26 $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: $279.91 $0.00 TOTALS:00 Description: O'CALLAGHAN / POOL, SPA, ANFD FIRE PIT Type: POOL Subtype:* Status: APPROVED Applied: 4/28/2016 SKH Approved: 4/28/2016 SKH Parcel No: 602130037 Site Address: 79005 CALLE BRISA LA QUINTA,CA 92253 Subdivision: TR 28640 Block: Lot: 35 Issued: Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $201000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME TYPE Details: POOL, SPA, AND BBQ. 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 ADDR�SS1 ' °"'° CITY '" „.STATE . ZIP PHONE FAX EMAIL APPLICANT BLACK DIAMOND POOLS & DESIGN 88-351 AVENUE 58TH THERMAL CA 92274 #6 CONTRACTOR BLACK DIAMOND POOLS & DESIGN 88-351 AVENUE 58TH THERMAL CA 92274 #6 OWNER O'CALLAGHAN 79005 CALLE BRISA LA QUINTA CA 92253 Printed: Thursday, April 28, 2016 11:27:39 AM 1 of 2 C sysTEMs DESCRIPTION ACCOUNT • QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: 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 101-0000-42600 0 $98.62 $0.00 PC Total Paid for POOL / SPA: $279.91 $0.00 TOTALS: INSPECTIONS BOND INFORMATION ATTACHMENTS Printed: Thursday, April 28, 2016 11:27:39 AM 2 of 2 SYS7EAAS Bin # City of La Q urn to Building 8t Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: _ FpCOP-�JIQ84 Owner's Name: ©C �I A. P. Number: 1 tAddress: Legal Description: : y City, ST, Zip: ' n / Contractor: Address:VU "Q�Wi 0 Telephone: Project Description: S e(jyV► o City, ST, Zip: Q rjq/lQil - - � Telephone: &0 \ 1 14-1 �6Z V&0) + r2, 11 State Lic. #: 3 �' CityLic. #. (qQ S' Arch., Engr., Designer- esignerAddress: Address: City., ST, Zip: Telephone:...... "j :;}}:; 4iri ii.'l:J.}�:j.�i:.{�;i:�,/•%/.$Si".':`.J i'F.`'`•. State Lic.#: '»''%ir;»:-<z<=.':.•:>::.;: < :•> !>`::= f ?i-. ' - Construction Type: YP Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # -Submittal Req'd Recd TRACIGNG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Clieck Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked,up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°! Review, ready for corrections issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for correctionslissue Developer Impact Fee. Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue - School Fees, Total Permit Fees