Loading...
14-0228 (RPL)ced!t 4 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA' 92253 BUILDING & dETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/04/14 Application Number: 14-00000228 Owner: Property Address: 78645 CARNES CIR TAJCHMAN JOSHUA R APN: 604-223-026-69 -23268 - 78645 CARNES CIR Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL P;F1NA,t1qCE Application valuation: 25000 Contractor: MAR 0 c; 2014Applicant: Architect or Engineer: VACATION POOLS INC P.O. BOX 10940 INDIO, CA 92202 ITY OF LA QUINTAp��i�G(760>77.: 856pEPT. I Lic. No.: 856835--._T1- ------------------ 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 Professionals Code, and my License is in full force and effect. License Class: C53 Licen NoI.: 856835 pate: ^ Contractor: N �/ OWNER -BUILDER DECLARATION 1 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 Icommencing 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).: 1—) 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.). 1 _ 1 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.). (_ 1 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: LQPERMIT --------------- - - - 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 STATE FUND PoI' Number 1948584-2013 _ I certify that, in the performance of the ork for which this permit is issued, I shall not employ any person in any manner so s to beco a subject to the workers' compensation laws of California, and agree that, if I sho become bject to the workers' mpensation provisions of Section L 3700 of the Labor C e{l all f hwith comply Lose provisions. 00 Date. _ I a� Applicant: WARNING: FAILURE TO S WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER 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 Director of Building and Safety 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 Mand void if work is not commenced within 180 days from date of issuance of such permit, c sation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the infor tion is correct. 1 agree to comply with all city and county ordinances and state laws relating to bui in construc on, and hereby authorize representatives of this yquntyto enter upon the above-mentioned prop or inspe on purposes. Date:,'//dv//% _`/�/ Signature (Applicant or Age Application Number . . . . . 14-00000228 Permit . . . POOL 2013 Additional desc . Permit Fee . . . . 178.75 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/31/14 Qty Unit Charge Per Extension 1.00 178.7500 EA MISC POOL/SPA ---------------------------------------------------------------------------- 178.75 Permit . . . WALL/FENCE PERMIT 2013 Additional desc . . Permit Fee 47.19 Plan Check Fee .00 Issue Date . . Valuation . . . . 25000 Expiration Date 8/31/14 Qty Unit Charge Per Extension 1.00 47.1900 LS MISC WALL, FIRST 100 LF 47.19 -----------'----------------------------------------------------------------- Special Notes and Comments POOL ONLY AT REAR YARD WITH EQUIPMENT ENCLOSURE WALL (POOL ENGINEERING INC] THIS PERMIT DOES NOT INCLUDE FIRE PIT, BBQ OR HEATERS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING. CODE. March 4, 2014 9:20:56 AM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, POOL 97.24 PLAN CHECK, WALLS 60.06 Fee summary Charged Paid Credited --------------------------- Due ------------------------------ Permit Fee Total 225.94 .00 .00 225.94 Plan Check Total .00 .00 .00 .00 Other Fee Total 158.30 .00 .00 158.30 Grand Total '384.24 .00 .00 384.24 LQPERMIT Din # G City of La Q uin taR E C E IV E Building 8t• Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 MAR 0 3 2014 Permit Application and Trackin Sheet Q11- ITAITA� Permit # `!JBuilding Proje6A ct Address: `-'l �� �� {rN'�S Owner's Name: Tq - DEVELOPMENT A. P. Number: C Address: Legal Description: City, ST, Zip: Contractor: � Q CQ +�6 I.J %,tip S Telephone: Address: po Qd T q()p Project Description: City, ST, Zip: ` O (� i a-ON6 It YYl n'(e lq c, Telephone: ?(oQ, -7% j - O .................................................... State Lic. # : 5- 6? 873 City Lic. #.. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: "'>'' z:;>e,>-'>.."'°"" "` '" ..................................... ............ Construction Type: Occupancy: State Lic. Project type circle one) ew 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 . Rec'd 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 Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan tad Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correction issu Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees :%qZ '7 jq u t 4 — ?OOL, hA%---i a4" ip I I%; PA PA PA y- \ with Umbrella Sleeve PA Mini Bobcat Access this side TAJ�HMAN RE51 DENGE , VACATION POOLS, INC.. P.O. Soot 10000 Miw New Pool Egyipment00 FE11 ML (7" 7M44M FWV" 7MS with Sound Wall Options I zr \ Heater so New Concrete Decking 648 sq,. ft. xisting Covered Patio to remain Existing Gas and Electric this side PA NOTE: Landscape elements (Trees, Shrubs, Vines and Lawn) and Patio Furniture shown for illustration only. Unless by separate bid. CITY OFLA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE :OI IB CONTRACTOR cannot assume responsibility for damage to curbs, sidewalks, driveways, cement slabs, sewers, lawns, trees, fences, retaining walls, sprinklers, wires, valves, telephone or shrubs. When access is made through a neighbor's property it is understood that you, the owner, have that TAXHMAN RE5IDENCE • neighbor's permission and assume full i8-645 CARNE5 CIRCLE responsibility. LA QUINTA, CA Q2255 DATE 516NATURE DATE: 02.26.14 REVI5ED: