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BPOL2015-020478-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 i,,;, ,,, 0. T-dy 4 Application Number: BPOL2015-0204 Property Address: 79925 CORTE CALERO APN: 609580051 Application Description: HUBBARD RESIDENCE Property Zoning: Application Valuation: $23,000.00 Applicant: AZURE POOLS & SPAS INC _ P 0 BOX 10641 PALM DESERT, CA 92255 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT SEP 23 2015 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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. Lice Class: C53 icense No.: 802919 Date:! Contractor: --�7 v OWNER -BUILDER DECLAR ON 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 ($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 am exempt under Sec. . B.&P.C. for this reason Date: I Owner: �i 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 Na Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/21/2015 Owner: JAMES HUBBARD Contractor: AZURE POOLS & SPAS INC P 0 BOX 10641 PALM DESERT, CA 92255 (760)322-7665 Llc. No.: 802919 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 e and will maintain workers' compensation insurance, as required by Sect n 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 wi h thosecovisi Date: I Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPE ATION 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 hererItaY-. thorize representatives of this cit to enter upon the above-mentioned profor inspection purposes. Date: . ( ignature (Applicant or Agent): FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID 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 CITY 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 CITY 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 CITY AMOUNT PAID PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY 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 • •• PW nmlu �etalIs RERKAR NUMBER �CBPOL2015-0204 -� ity of la Qu i nta Description: HUBBARD RESIDENCE Type: POOL Subtype: Status: APPROVED Applied: 9/18/2015 AZA Approved: 9/18/2015 KKI Parcel No: 609580051 Site Address: 79925 CORTE CALERO LA QUINTA,CA 92253 Subdivision: TR 29323-1 Block: Lot: 139 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $23,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CHRONOLOGY TYPE1 Details: POOL, SPA, AND GAS STUB FOR FUTURE USE. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. STEPHANIE KHATAMI 11 n R r J Applied to Approved F FINANCIAL INFORMATION Printed: Monday, September 21, 2015 10:11:17 AM 1 of 2 [J U V LJ SYSTEMS %` y .' a 1�Y v-µ.: F - rwn,, .. oi.� i•-�i" .a,,, HRONOLOGY r - i;,' �- a�+Y. yx['�'h�?t;, kr :ij CHRONOLOGY TYPE1 COMPLETION DATE qi 111111 STEPHANIE KHATAMI 90041 wNiMl S• fi `�S. f€ ...'',a':e u :1cCONDITIONS� F ' , l: i.'+S'K6:'!f:?=�:�t 4+' - s.• .z ��s r , . • VMS CONTACTS ;K j AZURE POOLS & SPAS INC P 0 BOX 10641 �® 10641 �® JAMES HUBBARD �® FINANCIAL INFORMATION Printed: Monday, September 21, 2015 10:11:17 AM 1 of 2 [J U V LJ SYSTEMS Printed: Monday, September 21, 2015 10:11:17 AM 2 of 2 00K SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY 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 Printed: Monday, September 21, 2015 10:11:17 AM 2 of 2 00K SYSTEMS Bin # City of La Quinta Building a 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 q 9j.5- -0 u le rG Owner's Name: /�1/ �J�D , ✓1'� A. P. Number: Legal Description: Address: ' City, ST, Zip: Contractor: 2 L4 R UU ff S r O S y9S Telephone - Project Description: Address:m (J ' x 0 City, ST, Zip• LAY% 1 cC'v/So A Telephone. 2 2 f c State Lic. # 41 City Lic. #: elr, Engr., Dwe- r: Address: City, ST, Zip: hi( 11LB7 Telephone:to l � ::I 1q,�• 7x. - State Lic. #: bO�j tF Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person - -7 T% Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god Review, ready for correctionsrssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees